AMERICAN BANK NOTE COMPANY 711 ARMSTRONG LANE COLUMBIA, TENNESSEE 38401 ###-###-#### PRODUCTION COORDINATOR: DENISE LITTLE ###-###-#### PROOF OF OCTOBER 30, 2006 MEDECISION, INC. TSB 25101 FC SALES: C. SHARKEY ###-###-#### Operator: Ron/Anthony / ETHER 7 / LIVE JOBS / M / MEDECISION 25101 FC Rev. 1

EX-4.1 10 b413913_ex4-1.htm EXHIBIT 4.1 Prepared and filed by St Ives Financials


 

AMERICAN BANK NOTE COMPANY
711 ARMSTRONG LANE
COLUMBIA, TENNESSEE 38401
(931) 388-3003

 

  PRODUCTION COORDINATOR: DENISE LITTLE ###-###-####  
PROOF OF OCTOBER 30, 2006
MEDECISION, INC.
TSB 25101 FC

SALES:     C. SHARKEY      ###-###-####

 

Operator:                Ron/Anthony

/ ETHER 7 / LIVE JOBS / M / MEDECISION 25101 FC

 

Rev. 1

PLEASE INITIAL THE APPROPRIATE SELECTION FOR THIS PROOF: ______ OK AS IS ______ OK WITH CHANGES ______ MAKE CHANGES AND SEND ANOTHER PROOF

NOTE: LOGO IS IN ALL OUTLINE EPS FORMAT; LOGO PRINTS IN PMS 314 AT 600 DPI. Intaglio prints in SC-7 Dark Blue.

COLOR: This proof was printed from a digital file or artwork on a graphics quality, color laser printer. It is a good representation of the color as it will appear on the final product.

However, it is not an exact color rendition, and the final printed product may appear slightly different from the proof due to the difference between the dyes and printing ink.


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

TEN ENT

as tenants by the entireties

JT TEN

as joint tenants with right of survivorship and not as tenants in common

 

 

UNIF GIFT MIN ACT–

 

Custodian

 

 



 

(Cust)

 

(Minor)

 

under Uniform Gifts to Minors 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
IDENTIFICATION NUMBER OF ASSIGNEE



 

 


Please print or typewrite name and address including postal zip code of assignee

 


 


 


Shares of the Common Stock evidenced by this 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

 

 

 

 


 


 

 

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.

 

SIGNATURE(S) GUARANTEED:

 

 

 

 


 

 

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.

MEDecision, Inc. will furnish to any shareholder upon request and without charge, a full or summary statement of the designations, voting rights, preferences, limitations and special rights of the shares of each class or series authorized to be issued so far as they have been fixed and determined and the authority of the board of directors to fix and determine such rights. Any such request should be addressed to the Secretary of MEDecision, Inc. or to the Transfer Agent named on the face of this certificate.

 

AMERICAN BANK NOTE COMPANY
711 ARMSTRONG LANE
COLUMBIA, TENNESSEE 38401
(931) 388-3003

 

  PRODUCTION COORDINATOR: DENISE LITTLE ###-###-####  
PROOF OF OCTOBER 30, 2006
MEDECISION, INC.
TSB 25101 BK

SALES:     C. SHARKEY      ###-###-####

 

Operator:                Ron/Anthony

/ ETHER 7 / LIVE JOBS / M / MEDECISION 25101 BK

 

Rev. 1

PLEASE INITIAL THE APPROPRIATE SELECTION FOR THIS PROOF: ______ OK AS IS ______ OK WITH CHANGES ______ MAKE CHANGES AND SEND ANOTHER PROOF