Common Stock Certificate for Mercer Insurance Group, Inc.

Contract Categories: Business Finance › Stock Agreements
Summary

This document is a stock certificate issued by Mercer Insurance Group, Inc., a Pennsylvania corporation. It certifies that the named individual or entity owns a specified number of fully paid and non-assessable shares of the company's common stock. The certificate can be transferred to another party by proper endorsement and registration with the transfer agent. The certificate also outlines the rights of stockholders and provides instructions for transferring ownership. It is not valid unless countersigned by the company's authorized officers and the transfer agent.

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EX-4.1 7 w85343exv4w1.txt FORM OF CERTIFICATE EXHIBIT 4.1 NUMBER SHARES INCORPORATED UNDER THE LAWS SEE REVERSE FOR OF THE COMMONWEALTH OF PENNSYLVANIA CERTAIN DEFINITIONS MERCER INSURANCE GROUP, INC. CUSIP 587902 10 7 - -------------------------------------------------------------------------------- THIS CERTIFIES that is the owner of - -------------------------------------------------------------------------------- FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, NO PAR VALUE PER SHARE, OF ========== MERCER INSURANCE GROUP, 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. CERTIFICATE OF STOCK This certificate is not valid until countersigned and registered by the Transfer Agent and Registrar. WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers. Dated: COUNTERSIGNED AND REGISTERED: /s/ Andrew R. Speaker President TRANSFER AGENT /s/ Paul Ehrhardt AND REGISTRAR Secretary BY AUTHORIZED OFFICER ---------------------------- MERCER INSURANCE GROUP, INC. CORPORATE SEAL ---- 1997 ---- PENNSYLVANIA ---------------------------- The Corporation 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 to the transfer agent. The following abbreviations, when used in the description 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 _______ UNIF TRAN MIN ACT -- ______ Custodian _______ (Cust) (Minor) (Cust) (Minor) TEN ENT -- as tenants by the entireties under Uniform Gifts to Minors under Uniform Transfers to JT TEN -- as joint tenants with Minors right of survivorship Act _______________ Act _______________ and not as tenants in (State) (State) common
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 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: __________________________________ _____________________________________________________________________ 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.