NCI, Inc.

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.