Additional abbreviations may also be used though not in the above list.

EX-4.1 2 d395351dex41.htm EXHIBIT 4.1 Exhibit 4.1

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  

 

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 Corporation with full power of substitution in the premises.

 

Dated:  

 

 

x  

 

x  

 

NOTICE:  

THE SIGNATURE(S)TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THIS CERTIFICATE IN EVERY PARTICULAR,

WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER.

 

Signature(s) Guaranteed
BY:  

 

  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.