FORM OF TRANSFER

EX-4.1 3 exhibit41specimencommonsto.htm EXHIBIT 4.1 Exhibit

Exhibit 4.1

FORM OF TRANSFER

RESTRICTIONS

FOR VALUE RECEIVED, _________________________ hereby sell, assign and transfer unto

(PLEASE INSERT SOCIAL INSURANCE NUMBER OF TRANSFEREE)

(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS OF ASSIGNEE)

Common Shares
of the Capital Stock represented by the within Certificate, and do 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: __________________________________________

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 WHATSOEVER, AND MUST BE GUARANTEED BY A SCHEDULE 1 CANADIAN CHARTERED BANK OR AN ELIGIBLE GUARANTOR INSTITUTION WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM

Guaranteed
by: ___________________________________________________

SECURITY INSTRUCTIONS - INSTRUCTIONS DE SÉCURITÉ

THIS IS WATERMARKED PAPER, DO NOT ACCEPT WITHOUT
NOTING WATERMARK. HOLD TO LIGHT TO VERIFY WATERMARK.

PAPER FILIGRANÉ, NE PAS ACCEPTER SANS VÉRIFIER LA
PRÉSENCE DU FILIGRANE. POUR CE FAIRE, PLACER À LA
LUMIÈRE.