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EX-4.3 3 ex4-3.htm COMMON STOCK

 

 

 

 

 

The within-named 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 of the Corporation and each 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 survivorship     under Uniform Gifts to Minors
    and not as tenants in common     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
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 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.    

 

       
ABnote North America PROOF OF: JUNE 6, 2016
711 ARMSTRONG LANE, COLUMBIA, TN 38401 MRI INTERVENTIONS, INC.
(931) 388-3003 WO - 10446 BACK   OPERATOR: DKS
SALES: HOLLY GRONER ###-###-#### NEW

 

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