Odyssey Healthcare, Inc. Form of Common Stock Certificate
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Summary
This document is a specimen of a common stock certificate for Odyssey Healthcare, Inc., a Delaware corporation. It certifies ownership of fully paid and non-assessable shares of common stock, which are transferable on the corporation's books upon proper endorsement and surrender of the certificate. The certificate is subject to the company's Certificate of Incorporation and Bylaws, and must be countersigned by the transfer agent and registered by the registrar to be valid. It also outlines procedures for transfer and provides information on shareholder rights upon request.
EX-4.1 4 d82376a1ex4-1.txt FORM OF COMMON STOCK CERTIFICATE 1 EXHIBIT 4.1 [Specimen Stock Certificate] ODYSSEY HEALTHCARE, INC. INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
THIS CERTIFIES THAT IS THE OWNER OF FULLY PAID AND NON-ASSESSABLE SHARES OF THE PAR VALUE OF $.001 PER SHARE OF THE COMMON STOCK OF ODYSSEY HEALTHCARE, INC. transferable on the books of the Corporation in person or by duly authorized attorney upon surrender of this certificate properly endorsed. This certificate and the shares represented hereby are issued and shall be held subject to the provisions of the laws of the State of Delaware and to all of the provisions of the Certificate of Incorporation and the Bylaws of the Corporation, as amended from time to time (copies of which are on file at the office of the Corporation), to all of which the holder of this certificate by acceptance hereof assents. This certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar. 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. Dated: [corporate seal] [Facsimile Signature] [Facsimile Signature] PRESIDENT SECRETARY COUNTERSIGNED AND REGISTERED: U.S. STOCK TRANSFER CORPORATION TRANSFER AGENT AND REGISTRAR BY AUTHORIZED SIGNATURE 2 ODYSSEY HEALTHCARE, INC. THE CORPORATION WILL FURNISH WITHOUT CHARGE TO EACH STOCKHOLDER WHO SO REQUESTS A STATEMENT OF THE POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OR SERIES THEREOF OF THE CORPORATION, AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND/OR RIGHTS. SUCH REQUEST MAY BE MADE TO THE CORPORATION OR THE TRANSFER AGENT. 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:
Additional abbreviations may also be used though not in the above list. For Value Received, ___________________ hereby sell(s), assign(s) and transfer(s) 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 capital stock represented by the within certificate, and do(es) hereby irrevocably constitute and appoint _____________________________ Attorney to transfer the said stock on the books of the within-named Corporation with full power of substitution in the premises. Dated ----------------- SIGNATURE OR REGISTERED OWNER(S): NOTICE: THE SIGNATURE(S) TO THIS X ASSIGNMENT MUST CORRESPOND ---------------------------------------- WITH THE NAME(S) OF THE (SIGNATURE) REGISTERED OWNER(S) AS WRITTEN UPON THE FACE OF THE X CERTIFICATE IN EVERY ---------------------------------------- PARTICULAR WITHOUT ALTERATION (SIGNATURE) OR ENLARGEMENT OR ANY CHANGE WHATSOEVER. ---------------------------------------- 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 RULE 17Ad-15 UNDER THE SECURITIES EXCHANGE ACT OF 1934, AS AMENDED. ---------------------------------------- SIGNATURES(S) GUARANTEED BY: ----------------------------------------