(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIP CODE OF ASSIGNEE)
Exhibit 4.1
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______________ | |||||
| (Cust) | (Minor) | |||||||
| TEN ENT | – as tenants by the entireties | Under Uniform Gifts to Minors Act _______________________ | ||||||
| JT TEN | – as joint tenants with right of | (State) | ||||||
| survivorship and not as tenants in common 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 Class A Common Stock represented by the within Certificate, and do hereby irrevocably constitute and appoint
Attorney to transfer the said Shares of Class A Common Stock on the books of the within named Corporation with full power of substitution in the premises.
Dated _____________________________
In presence of ___________________________
__________________________________
