Specimen Stock Certificate

EX-4.1 2 g03537exv4w1.htm SPECIMEN STOCK CERTIFICATE Specimen Stock Certificate

IN SEE REVERSE FOR CERTAIN DEFINITIONS THIS CERTIFICATE IS TRANSFERABLE NEW YORK. NY C U S I P 437080 LO 4 m FULLY PAID AND NONASSESSABLE SHARES OF COMMON STOCK, $0.01 PAR VALUE PER SHARE, OF HOME DIAGNOSTICS, INC. transferable on the books of the Corporation by the holder hereof in person or by duly authorized Attorney upon surrender of this certificate properly .end2rsed. !hi: cert$~abe~&~ot valid until countersigned by the Transfer Agent and registered by the Registrar.,,, ~~ ~ 6 . 0 5 0 D r *,, WITNE=<ghe fq2$imile seal of the Corporation and the facsimile signatures of its duly authorized offic{r<. iio 9 Y I J * a : 0 :’* 0 I Y * s 0 0 0 0 ‘ 2 : D i :. ., a I i o 0

HOME DIAGNOSTICS, INC. a* The Corporation will furnish without charge to each stockholder who so requests, 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 Such requests may be made to the Corporation or the Transfer Agent 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: — T M C ..’ w . . O D i , — . c TEN COM — as tenants in common UNlF GIFT Mlk-7 — custodian .. TEN ENT — as tenants by the entireties . . (CUSl) * “ * T (Minpr) JT TEN — as joint tenants with right of , to Minors.” ~ * under UnifOrfiGks ‘ survivorship and not as tenants Act .. :..? in common *.:?te) “,, UNlF TRF MIN ACT — .$usi., . ‘(until ass .:..?I. ) **... (CUSt) -.- ,. ... — -> j I *) Z . ...- .. under Uniform Trmsfers (Minor? ..,“I to Minors Act 0 e.0 0 (slat;) .. 7 c “ 0 I , 0 “ 1 — , 3 ( d 0 l l l V ~ 4. 0 Additional abbreviations may also be used though not in the above list. 0 FOR VALUE RECEIVED, hereby sell, assign and transfer unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYINGNUMBER OF ASSIGNEE (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE) Shares of the common stock representedby 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 7. “001 , . > > , . . 0 0 -: — - -,> : _I ... -2- .-;->- X — 3 . ,e c — .~ .,. . . .~~ . . * )1 .I * .. X \7 I,-c THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CdRRESPONO WITH THE&&&) AS WRITTJ’WDN THE NOTICE: FACE OF THE CERTIFICATE IN EVERY PARTICULFIH. ~ ! Y P T H O U ALTERATWNT 3k ENLARGEMENT~SR ANY CHANGE WHATEVER. ;. , * 1\.7 .3 . 1 .*.1.* ,, .. — * *Q Signature(s) Guaranteed S ..I* “ .^-, ,I , s — -g:> I.-.* ,I 9 r n * > . < ; — “*.*. . P ‘ — * “a- I. ‘j r, L- BY , ? ThE S(GhATJRE(S1 MOST BE GJARAhTEED BY AN EAG B-E GUARANTOR NST.TUT Oh (BAhKS STOC<BROKERS. SAV NGS A h 0 LOAN ASSOCOATIONSAN0 CRE0.T JNIONS vZllTn MEMBERShlP IN A h APPROVED SlGhATJRE GJARANTEE M E O A d O h PROGRAM). PJRSUANT TO S E C R L E 17A0 I5 KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, MUTILATED OR DESTROYED, THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.