EX-4.1 SPECIMEN STOCK CERTIFICATE FOR COMMON STOCK

Contract Categories: Business Finance - Stock Agreements
EX-4.1 4 g92064a2exv4w1.txt EX-4.1 SPECIMEN STOCK CERTIFICATE FOR COMMON STOCK . . . EXHIBIT 4.1 NUMBER LHC GROUP, INC. SHARES LHC INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE SEE REVERSE FOR CERTAIN DEFINITIONS CUSIP This certifies that is the record holder of FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK PAR VALUE OF $0.01 OF LHC GROUP, INC transferable on the books of the Corporation by the holder hereof in person or by duly authorized attorney upon the surrender of this Certificate properly endorsed. This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar. WITNESS the facsimile Corporate Seal of this Corporation and the facsimile signatures of its duly authorized officers. Dated: SIGNATURE TO COME [LHC GROUP, INC DELAWARE CORPORATE SEAL] SIGNATURE TO COME Chief Financial Officer President Countersigned and Registered: SUNTRUST BANK By Transfer Agent and Registrar, Authorized Signature --------------------------------------------------------------------------------------------------------- AMERICAN BANK NOTE COMPANY PRODUCTION COORDINATOR: MIKE PETERS ###-###-#### 711 ARMSTRONG LANE PROOF OF JANUARY 10, 2005 COLUMBIA, TENNESSEE 38401 LHC GROUP, INC. (931) 388-3003 TSB 18344 FC --------------------------------------------------------------------------------------------------------- SALES: J. DICKINSON ###-###-#### Operator: Ron --------------------------------------------------------------------------------------------------------- / ETHER 19 / LIVE JOBS / L / LHC GROUP 18344 FC New --------------------------------------------------------------------------------------------------------- PLEASE INITIAL THE APPROPRIATE SELECTION FOR THIS PROOF: ___ OK AS IS ___ OK WITH CHANGES ___ MAKE CHANGES AND SEND ANOTHER PROOF COLORS SELECTED FOR PRINTING: INTAGLIO PRINTS IN SC-3 DARK GREEN. COLOR: THIS PROOF WAS PRINTED FROM A DIGITAL FILE OR ARTWORK ON A GRAPHICS QUALITY, COLOR LASER PRINTER. IT IS A GOOD REPRESENTATION OF THE COLOR AS IT WILL APPEAR ON THE FINAL PRODUCT. HOWEVER, IT IS NOT AN EXACT COLOR RENDITION, AND THE FINAL PRINTED PRODUCT MAY APPEAR SLIGHTLY DIFFERENT FROM THE PROOF DUE TO THE DIFFERENCE BETWEEN THE DYES AND PRINTING INK.
THE CORPORATION 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 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 under Uniform Gifts to Minors survivorship and not as tenants Act _________________________ in common (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 stock represented by the within Certificate and do hereby irrevocably constitute and appoint Attorney - ----------------------------------------------------------------------- to transfer the said shares 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 17Ad-15. --------------------------------------------------------------------------------------------------------- AMERICAN BANK NOTE COMPANY PRODUCTION COORDINATOR: MIKE PETERS ###-###-#### 711 ARMSTRONG LANE PROOF OF JANUARY 10, 2005 COLUMBIA, TENNESSEE 38401 LHC GROUP, INC. (931) 388-3003 TSB 18344 BK --------------------------------------------------------------------------------------------------------- SALES: J. DICKINSON ###-###-#### Operator: Ron --------------------------------------------------------------------------------------------------------- / ETHER 19 / LIVE JOBS / L / LHC GROUP 18344 BK New --------------------------------------------------------------------------------------------------------- PLEASE INITIAL THE APPROPRIATE SELECTION FOR THIS PROOF: ___ OK AS IS ___ OK WITH CHANGES ___ MAKE CHANGES AND SEND ANOTHER PROOF