Party City Holdings Inc. Common Stock Certificate Assignment and Transfer Form

Contract Categories: Business Finance › Stock Agreements
Summary

This document is a standard stock certificate assignment and transfer form for Party City Holdings Inc. It allows the current holder of common stock to sell, assign, and transfer their shares to another party by providing the assignee's information and obtaining a signature guarantee from an eligible financial institution. The form also includes instructions for proper completion and legal abbreviations related to ownership types. The transfer is irrevocable once executed and must match the name on the original certificate exactly.

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EX-4.1 2 y86057a2exv4w1.htm EX-4.1 exv4w1
Exhibit 4.1

 

 

PARTY CITY HOLDINGS INC.
     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
TEN ENT
  —   as tenants by the entireties
JT TEN
  —   as joint tenants with right
 
      of survivorship and not as
 
      tenants in common
                 
    UNIF GIFT MIN ACT—                                 Custodian                                 
 
         
(Cust)                                 (Minor)
    
 
    
        under Uniform Gifts to Minors    
 
                
 
      Act        
 
         
 
(State) 		   
                 
    UNIF TRF MIN ACT—                                           Custodian (until age      )    
 
          (Cust)    
 
                
                                                                    under Uniform Transfers    
 
          (Minor)    
 
      to Minors Act        
 
         
 
    
 
          (State)    


Additional abbreviations may also be used though not in the above list.
FOR VALUE RECEIVED,                                                             hereby sell, assign and transfer(s) 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 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                                                             
  X        
 
     
 
 		   
 
            
 
  X        
 
     
 
 		   
 
  NOTICE:   THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER.    
SIGNATURE(S) GUARANTEED:
         
By
        
 
 
 
THE SIGNATURE(S) MUST 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.