Monogram Biosciences, Inc. Form of Common Stock Certificate
This document is a form of common stock certificate for Monogram Biosciences, Inc., a Delaware corporation. It certifies that the named holder owns fully paid and nonassessable shares of the company's common stock, which can be transferred by the holder or their authorized representative upon proper endorsement and surrender of the certificate. The certificate must be countersigned by the transfer agent and registered by the registrar to be valid. It also outlines procedures for transferring shares and obtaining information about stock rights upon request.
Exhibit 4.1
MONOGRAM BIOSCIENCES, INC.
MB
INCORPORATED UNDER THE LAWS
OF THE STATE OF DELAWARE
This Certifies that
SEE REVERSE FOR CERTAIN DEFINITIONS
CUSIP 60975U 20 7
is the record holder of
FULLY PAID AND NONASSESSABLE SHARES OF COMMON STOCK, $0.001 PAR VALUE, OF
MONOGRAM BIOSCIENCES, 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 by the Transfer Agent and registered by the Registrar.
WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.
Dated
SECRETARY, SENIOR VICE PRESIDENT AND GENERAL COUNSEL
CHIEF EXECUTIVE OFFICER
BY
COUNTERSIGNED AND REGISTERED:
AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC
(NEW YORK, NY) TRANSFER AGENT
AND REGISTRAR,
The Corporation will furnish without charge to each stockholder who so requests a statement of the powers, designations, preferences and relative, participating, optional, or other special rights of each class of stock of the Corporation or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights. Such requests shall be made to the Corporation’s Secretary at the principal office of the Corporation.
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 under Uniform Gifts to Minors of survivorship and not as tenants Act in common(State) UNIF TRF MIN ACT– Custodian (until age )
(Cust)
under Uniform Transfers
(Minor)
to Minors Act
(State)
Additional abbreviations may also be used though not in the above list.
For Value Received, hereby sell(s), assign(s) and transfer(s) 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
THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE NOTICE: 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.
