HealthGate Data Corp. Common Stock Certificate Sample
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Summary
This document is a sample stock certificate for HealthGate Data Corp., a Delaware corporation. It certifies ownership of a specified number of fully paid and non-assessable shares of common stock, with a par value of $0.03 per share. The certificate is transferable on the corporation's books upon proper endorsement and is subject to the corporation's governing documents and Delaware law. It must be countersigned by the transfer agent and registered by the registrar to be valid. The certificate also outlines procedures for transfer and provides information about different classes of stock.
EX-4.1 3 a2073726zex-4_1.txt EXHIBIT 4.1 Exhibit 4.1 [SAMPLE OF HEALTHGATE STOCK CERTIFICATE] COMMON STOCK COMMON STOCK NUMBER SHARES HG [HEALTHGATE LOGO](TM) HEALTHGATE(R) DATA CORP. INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE SEE REVERSE FOR CERTAIN DEFINITIONS CUSIP 42222H 30 4 THIS CERTIFIES THAT is the owner of [OVERPRINTED ON THE FACE OF THE CERTIFICATE]: THIS CERTIFICATE REPRESENTS SHARES OF THE PAR VALUE OF $.03 PER SHARE FULLY-PAID AND NON-ASSESSABLE SHARES OF THE PAR VALUE OF [ILLEGIBLE] EACH OF THE COMMON STOCK OF . HealthGate Data Corp., transferable on the books of the Corporation for the holder hereof in person or by duly authorized attorney, upon surrender of this certificate properly endorsed. This certificate and the shares represented hereby are issued and shall be held subject to the laws of the State of Delaware and the Certificate of Incorporation and the By-Laws of the Corporation, as the same may be from time to time amended, to all of which the holder by acceptance hereof assents. This certificate is not valid unless countersigned by the Transfer Agent and registered by the Registrar. WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers. Dated:
[SIDEWAYS ON THE FACE OF THE CERTIFICATE]: COUNTERSIGNED AND REGISTERED: AMERICAN STOCK TRANSFER & TRUST COMPANY BY TRANSFER AGENT AND REGISTRAR AUTHORIZED SIGNATURE THE CORPORATION IS AUTHORIZED TO ISSUE MORE THAN ONE CLASS OF STOCK. THE CORPORATION WILL FURNISH TO THE HOLDER UPON REQUEST AND WITHOUT CHARGE THE POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OR SERIES THEREOF AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND/OR RIGHTS. The following abbreviations, when used in the inscription on the face of this certificate, shall be construed as though they were written out in full according to applicable laws or regulations:
Additional abbreviations may also be used though not in the above list. For Value Received, _______________ hereby sell, assign and transfer unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE ______________________________________________________________________________ ______________________________________________________________________________ (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE) ______________________________________________________________________________ ______________________________________________________________________________ _______________________________________________________________________ Shares of the common stock represented by the within Certificate, and do hereby irrevocably constitute and appoint ______________________________________________________________________Attorney to transfer the said shares on the books of the within named Corporation with full power of substitution in the premises. Dated ___________________________ ________________________________________________________ NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER. Signature(s) Guaranteed: _____________________________________________________ THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM), PURSUANT TO S.E.C. RULE 17Ad-15.
