Common Stock Certificate for Mariner Health Care, Inc.

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Summary

This document is a form of common stock certificate issued by Mariner Health Care, Inc., a Delaware corporation. It certifies ownership of fully paid and non-assessable shares of the company's common stock, which can be transferred by the holder or their authorized agent upon proper endorsement and registration. The certificate must be countersigned by the transfer agent to be valid. It also outlines procedures for transfer, signature guarantees, and replacement if lost or destroyed. The certificate references shareholder rights and provides for requests for information about stock classes and rights.

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EX-4.4 6 g76449ex4-4.txt FORM OF COMMON STOCK CERTIFICATE EXHIBIT 4 [NUMBER [SHARES] MHC ] COMMON STOCK MARINER HEALTH CARE, INC. COMMON STOCK PAR VALUE PAR VALUE $.01 PER SHARE $.01 PER SHARE INCORPORATED UNDER SEE REVERSE FOR THE LAWS OF THE CERTAIN DEFINITIONS STATE OF DELAWARE CUSIP 56845X 10 8 THIS IS TO CERTIFY THAT is the owner of FULLY-PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK OF CERTIFICATE OF STOCK Mariner Health Care, Inc. transferable on the books of the Corporation by the holder hereof in person or by duly authorized attorney upon surrender of this certificate properly endorsed. This certificate is not valid until countersigned and registered by the Transfer Agent and Registrar. IN WITNESS WHEREOF, the Corporation has caused this certificate to be signed in facsimile by its duly authorized officers and sealed with a facsimile of its corporate seal. Dated: /s/ Secretary /s/ Chief Executive Officer and President Countersigned and Registered: AMERICAN STOCK TRANSFER & TRUST COMPANY (New York, N.Y.) Transfer Agent and Registrar, Authorized Signature By [CORPORATE SEAL]
Mariner Health Care, Inc. 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 Corporation, and the qualifications, limitations or restrictions of such preferences and/or rights. Such request may be made to the Corporation or the 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 under Uniform Gifts to Minors survivorship and not as tenants Act __________________ in common (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 the Common 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. Signature(s) Guaranteed: By:________________________________________ THE SIGNATURE(S) MUST 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.