NOCHANGES TO BACK SHOWN FOR PROOF ONLY PLEASEINITIAL THE APPROPRIATE SELECTION FOR THIS PROOF:OK AS ISOK WITH CHANGESMAKE CHANGES AND SEND ANOTHER PROOF
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 |
NO CHANGES TO BACK SHOWN FOR PROOF ONLY
PLEASE INITIAL THE APPROPRIATE SELECTION FOR THIS PROOF:☐OK AS IS☐OK WITH CHANGES☐MAKE CHANGES AND SEND ANOTHER PROOF