NCI, Inc. Common Stock Certificate Assignment and Transfer Form

Summary

This document is a stock certificate assignment and transfer form for NCI, Inc. It allows the holder of common stock to sell, assign, and transfer their shares to another party by providing the assignee's information and obtaining the necessary signatures. The form requires the signature to match the name on the certificate and must be guaranteed by an eligible financial institution. It also includes standard legal abbreviations for different forms of ownership. This form is used to officially transfer ownership of shares on the company's records.

EX-4.1 3 dex41.htm EXHIBIT 4.1 EXHIBIT 4.1


NCI, Inc.

 

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 and not as tenants in common       

under Uniform Gifts to Minors 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 Shares on the books of the within-named Company with full power of substitution in the premises.

 

Dated                                                      

 

 
Signature

Signature


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) SHOULD 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.