New Horizons Worldwide, Inc. Series A Convertible Preferred Stock Certificate Issued to Specimen
This document is a stock certificate issued by New Horizons Worldwide, Inc. to a holder named Specimen for Series A Convertible Preferred Stock. The certificate represents fully paid and non-assessable shares, which can only be transferred on the corporation’s books by the holder or an authorized attorney. The shares are subject to restrictions under a Stockholders’ Agreement and cannot be sold or transferred unless certain legal conditions are met, including compliance with securities laws. The company offers information about the rights and preferences of its stock classes upon request.
Exhibit 4.3
Certificate No. PA-*** For ** Shares Issued to SPECIMEN | Transferred from | / / | |
| No. Original Certificate | No. Original Shares | No. Of Shares Transferred |
Dated ** , ** Receipt acknowledged |
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NUMBER |
| INCORPORATED UNDER THE LAWS OF |
| SHARES |
PA-*** |
| THE STATE OF DELAWARE |
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NEW HORIZONS WORLDWIDE, INC.
Series A convertible Preferred Stock, Without Par value
This Certifies that SPECIMEN is the owner of ******************************************* fully paid and non-assessable Shares of the Capital Stock of the above named Corporation transferable only on the books of the Corporation by the holder hereof in person or by duly authorized Attorney upon surrender of this Certificate properly endorsed.
In Witness Whereof, the said Corporation has caused this Certificate to be signed by its duly authorized officers and its Corporate Seal to be hereunto affixed this ** day of ** A.D.**
/s/ Stuart O. Smith |
| /s/ Curtis Lee Smith |
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Stuart O. Smith, Secretary | Curtis Lee Smith, Chairman |
© 1999 ALL-STATE LEGAL® A DIVISION OF ALL-STATE INTERNATIONAL, INC. www.aslegal.com ###-###-#### 99C13
EXPLANATION OF ABBREVIATIONS
The following abbreviations, when used in the inscription of ownership on the face of this certificate, shall be construed as if they were written out in full according to applicable laws or regulations. Abbreviations, in addition to those appearing below, may be used.
JT TEN |
| As joint tenants with right of survivorship and not as tenants in common |
| TEN ENT |
| As tenants by the entireties |
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| UNIF GIFT MIN ACT |
| Uniform Gifts to Minors Act | ||
TEN COM |
| As tenants in common |
| CUST |
| Custodian for |
For Value Received, hereby sell, assign and transfer unto
PLEASE INSERT SOCIAL SECURITY OR OTHER |
IDENTIFYING NUMBER OF ASSIGNEE |
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Shares 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 Corporation with full power of substitution in the premises.
Dated |
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NOTICE: THE SIGNATURE OF 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 WHATSOEVER
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THE VOTING RIGHTS AND OBLIGATIONS WITH RESPECT TO, AND SALE OR OTHER DISPOSITION OF, THE SECURITIES REPRESENTED BY THIS CERTIFICATE ARE RESTRICTED BY AND SUBJECT TO THE PROVISIONS OF A STOCKHOLDERS AGREEMENT DATED AS OF FEBRUARY , 2005, A COPY OF WHICH IS AVAILABLE FOR INSPECTION AT THE OFFICES OF THE COMPANY.
THE SECURITIES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE ACT) OR ANY STATE SECURITIES LAWS, MAY NOT BE SOLD, TRANSFERRED OR OTHERWISE DISPOSED OF IN THE ABSENCE OF (I) AN EFFECTIVE REGISTRATION STATEMENT FOR THE SECURITIES UNDER SUCH ACT AND ANY APPLICABLE STATE SECURITIES LAW, (II) A NO ACTION LETTER OF THE SECURITIES AND EXCHANGE COMMISSION WITH RESPECT TO SUCH SALE OR OFFER, OR (III) AN OPINION OF COUNSEL REASONABLY SATISFACTORY TO THE COMPANY THAT REGISTRATION UNDER SUCH ACT AND ANY APPLICABLE STATE SECURITIES LAW IS NOT REQUIRED WITH RESPECT TO SUCH SALE OR OFFER.
THE COMPANY IS AUTHORIZED TO ISSUE MORE THAN ONE CLASS OF STOCK. A STATEMENT OF THE POWERS, DESIGNATIONS, PREFERENCES AND THE RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS AND SERIES OF STOCK AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS THEREON WILL BE PROVIDED WITHOUT CHARGE TO EACH STOCKHOLDER UPON REQUEST TO THE COMPANY.