Form of Netzee, Inc. Common Stock Certificate
EX-4.1 6 g70991ex4-1.txt FORM OF NETZEE, INC. COMMON STOCK CERTIFICATE 1 EXHIBIT 4.1 070204 - --------- [NETZEE LOGO] --------- NUMBER SHARES NTZ - --------- --------- COMMON STOCK COMMON STOCK NETZEE, INC. INCORPORATED UNDER THE LAWS OF THE STATE OF GEORGIA CUSIP 64122W 30 6 This Certifies that SEE REVERSE FOR CERTAIN DEFINITIONS is the owner of FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, NO PAR VALUE, OF NETZEE, INC. transferable on the books of the Corporation by the holder hereof in person or by duly authorized attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar. WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers. Dated: /s/ [SEAL] /s/ - ------------------------------------- ------------------------------------- SENIOR EXECUTIVE VICE PRESIDENT, PRESIDENT AND CHIEF FINANCIAL OFFICER AND SECRETARY CHIEF EXECUTIVE OFFICER COUNTERSIGNED AND REGISTERED: SUNTRUST BANK TRANSFER AGENT AND REGISTRAR BY AUTHORIZED SIGNATURE
2 NETZEE, INC. The Corporation will furnish without charge to each shareholder who so requests a statement or summary of the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock or series thereof that the Corporation is authorized to issue and of 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 their entirety according to applicable laws or regulations: TEN COM -- as tenants in common UNIF GIFT MIN ACT--____________________as Custodian for TEN ENT -- as tenants by the entireties ____________________________________ JT TEN -- as joint tenants with right (Minor) of survivorship and not as tenants under Uniform Gifts to Minors Act of in common ____________________________________ (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 ZIP CODE, OF ASSIGNEE) _______________________________________________________________________________ _______________________________________________________________________________ _________________________________________________________________________Shares of the common stock represented by this Certificate, and do hereby irrevocably constitute and appoint _______________________________________________________________________Attorney to transfer such stock on the books of the Corporation with full power of substitution in the premises. Dated________________________ __________________________________________________ THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND NOTICE: 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 SUCH AS A SECURITIES BROKER/DEALER, COMMERCIAL BANK, TRUST COMPANY, SAVINGS ASSOCIATION OR A CREDIT UNION PARTICIPATING IN A MEDALLION PROGRAM.
