Additional abbreviations may also be used though not in the above list.

EX-4.1 5 dex41.htm EXHIBIT 4.1 Exhibit 4.1

Exhibit 4.1

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 GIFTMIN ACT–    ________   Custodian    ________
              (Cust)     

(Minor)

TEN ENT

    –    as tenants by the entireties         under Uniform Gifts to Minors

JT TEN

    –    as joint tenants with right of survivorship and not as tenants in common         Act _________________________
                            (State)
                  
           UNIF TRANS MIN ACT–    _________   Custodian    ________
              (Cust)     

(Minor)

              under Uniform Transfers 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 TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIP CODE OF ASSIGNEE.

_________________________________________________________________________________________________________

_________________________________________________________________________________________________________

____________________________________________________________________________________________________Shares

of the common stock represented by this Certificate, and do hereby irrevocably constitute and appoint ________________________

_________________________________________________________________________________________________________

as Attorney, to transfer the said shares on the books of the within named Corporation, with full power of substitution.

 

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.

Signature(s) Guaranteed

  

 

By_________________________________________________________________

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.

KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, MUTILATED OR DESTROYED, THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.