Stock Certificate and Assignment Form for Common Stock (CUSIP 58506K102)

Contract Categories: Business Finance › Stock Agreements
Summary

This document is a stock certificate representing ownership of common stock in a corporation, identified by CUSIP 58506K102. It includes an assignment form allowing the holder to transfer shares to another party by providing the assignee's information and obtaining a signature guarantee from an eligible financial institution. The certificate outlines standard legal abbreviations for different forms of ownership and requires that signatures match the registered name exactly. The transfer is irrevocable once executed and must comply with applicable laws and regulations.

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EX-4.1 3 y86928a5exv4w1.htm EX-4.1 exv4w1
Exhibit 4.1
Stock Certificate CUSIP 58506K 10 2

 

     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 and not as tenants in common         under Uniform Gifts to Minors    
 
              Act                
                         
                    (State)
    
Additional abbreviations may also be used though not in the above list.
     FOR VALUE RECEIVED,                                                              hereby sell, assign a nd 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
           
             
 
            
 
            
             
 
     
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.