INCORPORATED UNDER THE LAWS OF THE COMMONWEALTH OFMASSACHUSETTS

EX-4.1 3 dex41.htm SPECIMEN STOCK CERTIFICATE Specimen Stock Certificate

Exhibit 4.1

 

 

NUMBER

B

  SHARES        

 

CUSIP 532192 10 1

SEE REVERSE SIDE FOR

CERTAIN DEFINITIONS

 

INCORPORATED UNDER THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS

 

THIS CERTIFIES that

 

is the owner of

 

FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, PAR VALUE $.02  PER SHARE, OF

LIFELINE SYSTEMS, INC.

transferable on the books of the Corporation at the office of its Transfer Agent by the holder hereof in person or by duly authorized attorney upon surrender of this certificate properly endorsed. This Certificate and the shares represented by it are hereby issued and shall be held subject to all of the provisions of the Articles of Organization and Bylaws of the Corporation and any amendments thereto, each of which the holder assents to by acceptance hereof.

This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar.

WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.

 

Dated:

 

[Lifeline Systems, Inc. Seal]

 

/s/ Mark G. Beucler         /s/ Ronald Feinstein
Treasurer         President and Chief Executive Officer

 

COUNTERSIGNED AND REGISTERED:

   

REGISTRAR AND TRANSFER COMPANY

   
   

                                                    TRANSFER AGENT

   
   

                                                       AND REGISTRAR

   

BY

       
   

                                    AUTHORIZED SIGNATURE

   


LIFELINE SYSTEMS, INC.

 

This certificate also evidences and entitles the holder hereof to certain Rights as set forth in the Rights Agreement between Lifeline Systems, Inc. (the “Corporation”) and Registrar and Transfer Company (the “Rights Agent”) dated as of November 19, 2004, as the same may be amended, restated or renewed from time to time (the “Rights Agreement”), the terms of which are hereby incorporated herein by reference and a copy of which is on file at the principal offices of the Corporation. Under certain circumstances, as set forth in the Rights Agreement, such rights will be evidenced by separate certificates and will no longer be evidenced by this certificate. The Corporation will mail to the holder of this certificate a copy of the Rights Agreement, as in effect on the date of mailing, without charge promptly after receipt of a written request therefor. Under certain circumstances set forth in the Rights Agreement, Rights issued to, or held by, any Person who is, was or becomes an Acquiring Person or any Affiliate or Associate thereof (as such terms are defined in the Rights Agreement), whether currently held by or on behalf of such Person or by any subsequent holder, may become null and void.

 

The Corporation is authorized to issue more than one class and series of stock. The Corporation will furnish without charge to each shareholder who so requests a copy of the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock or series thereof, which the Corporation is authorized to issue, and the qualifications, limitations or restrictions of such preferences and/or rights. Any such request may be made to the Corporation or 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   

(Cust)                                   (Minor)    

JT TEN

     

as joint tenants with right of

    
          survivorship and not as tenants   

under Uniform Gifts to Minors              

          in common   

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 capital 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 OF 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.
Signatures 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.