UNIVERSALBUSINESS PAYMENT SOLUTIONS ACQUISITION CORPORATION
EX-4.1 7 v208770_ex4-1.htm Unassociated Document
NUMBER | UNITS |
U-__________
UNIVERSAL BUSINESS PAYMENT SOLUTIONS ACQUISITION CORPORATION
SEE REVERSE FOR CERTAIN DEFINITIONS
CUSIP __________ |
UNITS CONSISTING OF ONE SHARE OF COMMON STOCK AND ONE WARRANT EACH TO
PURCHASE ONE SHARE OF COMMON STOCK
THIS CERTIFIES THAT ________________________________________________________
is the owner of ____________________________________________________________ Units.
Each Unit (“Unit”) consists of one (1) share of common stock, par value $0.001 per share (“Common Stock”), of Universal Business Payment Solutions Acquisition Corporation, a Delaware corporation (the “Company”), and one (1) warrant (“Warrant”). Each Warrant entitles the holder to purchase one (1) share of Common Stock for $6.90 per share (subject to adjustment). Each Warrant will become exercisable on the later of (i) the Company’s completion of a merger, capital stock exchange, asset acquisition or other similar business combination and (ii) _______________, 2012, and will expire unless exercised before 5:00 p.m., New York City Time, on ___________, 2016, or earlier upon redemption (the “Expiration Date”). The Common Stock and Warrants comprising the Units represented by this certificate are not transferable separately prior to____________, 2012, subject to earlier separation. The terms of the Warrants are governed by a Warrant Agreement, dated as of _________, 2011, between the Company and Continental Stock Transfer & Trust Company, as Warrant Agent, and are subject to the terms and provisions contained therein, all of which terms and provisions the holder of this certificate consents to by acceptance hereof. Copies of the Warrant Agreement are on file at the office of the Warrant Agent at 17 Battery Place, New York, New York 10004, and are available to any Warrant holder on written request and without cost.
This certificate is not valid unless countersigned by the Transfer Agent and Registrar of the Company.
Witness the facsimile seal of the Company and the facsimile signatures of its duly authorized officers.
By
SEAL | ||||
Chairman of the Board | 2011 | Secretary |
Universal Business Payment Solutions Acquisition Corporation
The Company 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 or series thereof of the Company and the qualifications, limitations, or restrictions of such preferences and/or rights.
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) | |
Units | |
represented by the within Certificate, and do hereby irrevocably constitute and appoint
___________________________________________________________________________________________ Attorney
to transfer the said Units on the books of the within named Company will 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 SEC RULE 17Ad-15). |