Specimen Stock Certificate and Assignment Form for Paltalk, Inc.

Summary

This document is a specimen stock certificate for Paltalk, Inc., issued by American Stock Transfer & Trust Company, LLC. It outlines the standard format and legal language for transferring ownership of Paltalk's common stock. The certificate includes instructions for assigning shares to another party, requirements for proper signatures, and the need for a signature guarantee from an eligible financial institution. The form ensures that stock transfers comply with legal and regulatory standards.

EX-4.1 2 f10k2021ex4-1_paltalk.htm SPECIMEN STOCK CERTIFICATE OF PALTALK, INC

Exhibit 4.1

PALTALK, INC.

AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC

TRANSFER FEE: AS REQUIRED

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		under Uniform Gifts to Minors
		of survivorship and not as
		tenants in common
				Act___________________________
				(State)

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

PLEASE INSERT SOCIAL SECURITY OR OTHER

IDENTIFYING NUMBER OF ASSIGNEE

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

____________________________________________________________________________________________________

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 stock on the books of the within-named Corporation, with full power of substitution in the premises.

Dated:___________________20________,

	Signature: X
Signature(s) Guaranteed:	Signature: X

THE SIGNATURE(S) 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. 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.