INCORPORATED UNDER THE LAWS OF NEVADA
EX-4.1 2 v244313_ex4-1.htm EXHIBIT 4.1
Exhibit 4.1
INCORPORATED UNDER THE LAWS OF NEVADA |
NUMBER | SHARES | |
| | |
Fully Paid Non Assessable $0.001 Par Value COMMON STOCK
CUSIP NO. 53632A 102
THIS CERTIFIES THAT
IS THE RECORD HOLDER OF
Shares of | LiqTech International, Inc. | Common Stock |
transferable on the books of the Corporation by the holder in person or by duly authorized attorney upon 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 seal of the Corporation and the facsimile signature of its duly authorized officers.
Dated: | COUNTERSIGNED AND REGISTERED | ||
ACTION STOCK TRANSFER CORP. | |||
2469 E Ft. Union Blvd., #214, Salt Lake City, UT 84121 | |||
By: | |||
TRANSFER AGENT-AUTHORIZED SIGNATURE |
CEO | CFO |
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 rights of | under Uniform Gifts to Minors | |||
survivorship and not as tenants | Act ..................................................... | ||||
in common | (State) | ||||
UNIF TRF MIN ACT - | ............Custodian (until age.........) | ||||
(Cust) | |||||
................ under Uniform Transfers | |||||
(Minor) | |||||
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 TYPE 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. |