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

EX-4.1 2 dex41.htm FORM OF COMMON STOCK Form of Common Stock

Exhibit 4.1

 


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 and the qualifications, limitations, or restrictions of such preferences and/or rights.

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, the undersigned hereby sells, assigns and transfers into

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 capital stock represented by the within certificate, and to 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 SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS, STOCKHOLDERS SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM) PURSUANT TO S.E.C. RULE 17AD-15  

This certificate also evidences and entitles the holder hereof to certain rights as set forth in a Rights Agreement between Molecular Insight Pharmaceuticals, Inc. and American Stock Transfer & Trust Company. LLC, dated as of January 30, 2009, and as such agreement may be amended (the “Rights Agreement”), the terms of which are hereby incorporated herein by reference and a copy of which is on file at the principal executive offices of Molecular Insight Pharmaceuticals, Inc. Under certain circumstances, as set forth in the Rights Agreement, such Rights will be evidenced by separate certificates and will no longer be evidenced by this certificate. Molecular Insight Pharmaceuticals, Inc. will mail to the holder of this certificate a copy of the Rights Agreement without charge after receipt of a written request therefor. Under certain circumstances as set forth in the Rights Agreement, Rights issued to, or held by, an Acquiring Person or any Affiliate or Associate thereof (as such terms are defined in the Rights Agreement), whether held by such person or any subsequent holder, shall become null and void.