IASIS Healthcare Corporation Specimen Common Stock Certificate
Contract Categories:
Business Finance
›
Stock Agreements
Summary
This document is a specimen certificate representing shares of common stock in IASIS Healthcare Corporation, a Delaware corporation. It certifies ownership of fully paid and non-assessable shares, which can be transferred by the holder or their attorney upon proper endorsement and registration. The certificate is subject to the corporation's Certificate of Incorporation and Bylaws. It must be countersigned by the transfer agent to be valid. The corporation will provide details about share classes upon request. The certificate includes instructions for transfer and requirements for signature guarantees.
EX-4.1 5 y44468a1ex4-1.txt SPECIMEN OF COMMON STOCK 1 EXHIBIT 4.1 COMMON STOCK COMMON STOCK (PICTURE OF MAN) ______ SHARES NUMBER IH _________ THIS CERTIFICATE IS TRANSFERABLE IN CHARLOTTE, N.C. OR IN NEW YORK, N.Y. [IASIS Healthcare Corporation Logo] CUSIP 000000 00 0 SEE REVERSE FOR CERTAIN DEFINITIONS IASIS HEALTHCARE CORPORATION INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE THIS CERTIFIES THAT IS THE OWNER OF FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, PAR VALUE OF $.01 PER SHARE, OF IASIS Healthcare Corporation transferable on the books of the Corporation by the holder hereof in person or by Attorney upon surrender of this Certificate properly endorsed. This Certificate and the shares represented hereby are issued and shall be held subject to all of the provisions of the Certificate of Incorporation and of the Bylaws of the Corporation and all amendments and supplements thereto, copies of which are on file with the Corporation to all of which the holder by acceptance of this Certificate assents. This Certificate is not valid until countersigned and registered by the Transfer Agent and Registrar. Witness the facsimile signatures of the Corporation's duly authorized officers. Dated: COUNTERSIGNED AND REGISTERED: FIRST UNION NATIONAL BANK (Charlotte, North Carolina) TRANSFER AGENT AND REGISTRAR
2 IASIS HEALTHCARE CORPORATION THE CORPORATION WILL FURNISH TO ANY STOCKHOLDER UPON REQUEST AND WITHOUT CHARGE A FULL STATEMENT OF THE DESIGNATIONS, PREFERENCES, LIMITATIONS AND RELATIVE RIGHTS OF THE SHARES OF EACH CLASS AUTHORIZED TO BE ISSUED. SUCH REQUEST MAY BE DIRECTED TO THE SECRETARY OF THE CORPORATION AT ITS PRINCIPAL OFFICE OR TO ITS 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. TEN COM - as tenants in common UNIF GIFT MIN ACT- Custodian TEN ENT - as tenants by the entireties ____________________ JT TEN - as joint tenants with rights (Cust) (Minor) of survivorship and not as tenants in common 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 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 17 Ad-15. 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.