Stock Certificate Assignment and Transfer Form for IMARX Therapeutics, Inc.

Contract Categories: Business Finance › Assignment Agreements
Summary

This document is a stock certificate assignment and transfer form for IMARX Therapeutics, Inc. It allows the holder of a stock certificate to sell, assign, and transfer shares to another party by providing the assignee's information and obtaining the necessary signatures. The form requires signature guarantees from eligible financial institutions and includes instructions for handling lost, stolen, or destroyed certificates. The main parties involved are the current stockholder, the assignee, and IMARX Therapeutics, Inc.

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EX-4.1 8 v28530orexv4w1.htm EXHIBIT 4.1 exv4w1  

Exhibit 4.1

 

 

     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 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, 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
        
 
 
 
    
         
 
  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 Associations and Credit Unions) WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM, PURSUANT TO S.E.C. RULE 17Ad-15.
   
KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN OR DESTROYED THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.
                             
        AMERICAN BANK NOTE COMPANY
711 ARMSTRONG LANE
COLUMBIA, TENNESSEE 38401
(931)  ###-###-#### 		          PRODUCTION COORDINATOR: MIKE PETERS: 931 ###-###-####
PROOF OF APRIL 4, 2007
IMARX THERAPEUTICS, INC.
TSB 26681 BK 		       
        SALES: JAYNE DICKINSON ###-###-####           OPERATOR:           AP        
        / ETHER 7 / LIVE JOBS / I / IMARX 26681 BK           New        
 
PLEASE INITIAL THE APPROPRIATE SELECTION FOR THIS PROOF:       OK AS IS       OK WITH CHANGES       MAKE CHANGES AND SEND ANOTHER PROOF