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.