NUMBERSHARESHODHerculesCOMMON STOCKOFFSHORECOMMON STOCKHERCULES OFFSHORE, INC.CUSIP 427093 30 7INCORPORATED UNDER THE LAWS SEE REVERSE FOR OF THE STATE OF DELAWARECERTAIN DEFINITIONSThis Certifies thatis the owner ofFULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, $0.01 PAR VALUE, OFHERCULES OFFSHORE, INC.transferable on the books of the Corporation by the holder hereof in person or by duly authorized Attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid unlesscountersigned and registered by the Transfer Agent and Registrar.WITNESS the facsimile signatures of the duly authorized officers of the Corporation.Dated:CHIEF EXECUTIVE OFFICER AND PRESIDENTGENERAL COUNSEL AND SECRETARYCOUNTERSIGNED AND REGISTERED:AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC(BROOKLYN, NY)TRANSFER AGENTAND REGISTRARBYAUTHORIZED SIGNATURE HERCULES OFFSHORE, INC.
EX-4.1 3 a1231201510-kex41.htm FORM OF SPECIMEN COMMON STOCK CERTIFICATE Exhibit
Exhibit 4.1
NUMBER | SHARES | ||||||||
HOD | |||||||||
Hercules | |||||||||
COMMON STOCK | OFFSHORE | COMMON STOCK | |||||||
HERCULES OFFSHORE, INC. | CUSIP 427093 30 7 | ||||||||
INCORPORATED UNDER THE LAWS | SEE REVERSE FOR | ||||||||
OF THE STATE OF DELAWARE | CERTAIN DEFINITIONS | ||||||||
This Certifies that | |||||||||
is the owner of | |||||||||
FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, $0.01 PAR VALUE, OF | |||||||||
HERCULES OFFSHORE, INC. | |||||||||
transferable on the books of the Corporation by the holder hereof in person or by duly authorized | |||||||||
Attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid unless | |||||||||
countersigned and registered by the Transfer Agent and Registrar. | |||||||||
WITNESS the facsimile signatures of the duly authorized officers of the Corporation. | |||||||||
Dated: | |||||||||
CHIEF EXECUTIVE OFFICER AND PRESIDENT | GENERAL COUNSEL AND SECRETARY | ||||||||
COUNTERSIGNED AND REGISTERED: | |||||||||
AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC | |||||||||
(BROOKLYN, NY) | |||||||||
TRANSFER AGENT | |||||||||
AND REGISTRAR | |||||||||
BY | |||||||||
AUTHORIZED SIGNATURE | |||||||||
HERCULES OFFSHORE, INC.
The Corporation will furnish without charge to each stockholder who so requests a statement of the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock of the Corporation or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights. Any such request is to be addressed to the Secretary of the Corporation at its principal executive office, or to its transfer agent named on the face of this certificate.
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:
TEN COM | - as tenants in common | UNIF GIFT MIN ACT - | Custodian | |||||||
TEN ENT | - as tenants by the entireties | (Cust) | (Minor) | |||||||
JT TEN | - as joint tenants with right of | under Uniform Gifts to Minors | ||||||||
survivorship and not as tenants | ||||||||||
in common | Act | |||||||||
(State) | ||||||||||
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 capital stock represented by the within Certificate, and do hereby irrevocably constitute and appoint
______________________________________________________________________________________ Attorney to transfer the said stock 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. | ||
