EX-4.1 4 ex4-1.htm
LUCID DIAGNOSTICS INC.
|INCORPORATED UNDER THE || ||CUSIP 54948X 109|
|LAWS OF THE STATE || || |
|OF DELAWARE || ||SEE REVERSE FOR CERTAIN DEFINITIONS|
This Certifies that
is the record owner of
FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK OF THE PAR VALUE OF $0.001 EACH OF
LUCID DIAGNOSTICS INC.
transferable on the books of the Company in person or by duly authorized attorney upon surrender of this certificate properly endorsed.
This certificate is not valid unless countersigned by the Transfer Agent and registered by the Registrar.
WITNESS the facsimile seal of the Company and the facsimile signatures of its duly authorized officers.
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 ||under Uniform Gifts to Minors|
| || ||and not as tenants in common || || Act ______________|
| || || || || || (State)|
Additional abbreviations may also be used though not in the above list.
Lucid Diagnostics Inc.
The Company will furnish without charge to each stockholder who so requests 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. This certificate and the shares represented thereby are issued and shall be held subject to all the provisions of the Certificate of Incorporation and all amendments thereto and resolutions of the Board of Directors (copies of which may be obtained from the secretary of the Company), to all of which the holder of this certificate by acceptance hereof assents.
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)
|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 Company 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.|
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).
The holder(s) of this certificate shall be entitled to receive a pro-rata portion of the funds from the trust account only in the event that (i) the Corporation is forced to liquidate because it does not consummate an initial business combination within the period of time set forth in the Corporation’s Amended and Restated Certificate of Incorporation, as the same may be amended from time to time (the “Charter”) or (ii) if the holder seeks to convert his shares upon consummation of, or sell his shares in a tender offer in connection with, an initial business combination or in connection with certain amendments to the Charter. In no other circumstances shall the holder(s) have any right or interest of any kind in or to the trust account.