I-Flow Corporation Specimen Common Stock Certificate

Summary

This document is a specimen certificate representing shares of common stock in I-Flow Corporation, a Delaware company. It certifies ownership of fully paid and nonassessable shares, which can be transferred by the holder or an authorized agent upon proper endorsement and surrender of the certificate. The certificate is only valid if countersigned by the designated transfer agent and registrar. It also notes a one-for-five reverse stock split effective May 11, 1992, and provides information on stock transfer procedures and legal ownership forms.

EX-4.1 3 a73921ex4-1.txt EXHIBIT 4.1 1 EXHIBIT 4.1 [SPECIMEN COMMON STOCK CERTIFICATE] [LOGO I-FLOW CORPORATION] COMMON STOCK COMMON STOCK NUMBER SHARE [ ] [ ] INCORPORATED UNDER THE LAWS OF THE CUSIP 449520 30 3 STATE OF DELAWARE SEE REVERSE FOR CERTAIN DEFINITIONS AND PROVISIONS THIS CERTIFIES THAT IS THE OWNER OF FULLY PAID AND NONASSESSABLE SHARES OF COMMON STOCK, $0.001 VALUE OF I-FLOW CORPORATION 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 seal of the Corporation and the signatures of its duly authorized officers. DATED: / S / James J. Dal Porto / S / Donald M. Earhart - ----------------------------------- ------------------------------------- TREASURER AND CHAIRMAN, PRESIDENT, ASSISTANT SECRETARY AND CHIEF EXECUTIVE OFFICER COUNTERSIGNED AND REGISTERED: AMERICAN STOCK TRANSFER & TRUST COMPANY TRANSFER AGENT AND REGISTRAR 2 The Corporation is authorized to issue more than one class of stock. The Corporation will furnish without charge to each shareholder who so requests a statement of the 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 shares of common stock represented by this certificate are shares as constituted after giving effect to a one-for-five reverse stock split of the Corporation which was effective upon the close of business May 11, 1992. 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 TEN ENT -- as tenants by the entireties JT TEN -- as joint tenants with the right of survivorship and not as tenants in common UNIF GIFT MIN ACT - Custodian ------- -------- (Cust) (Minor) under Uniform Gifts to Minors 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: ------------------- 3 X --------------------------------- X --------------------------------- NOTICE: THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER. Signature(s) Guaranteed By: ---------------------------------- THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATION AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM), PURSUANT TO S.E.C. RULE 17Ad-15.