PICO HOLDINGS, INC.

EX-4.1 2 dex41.htm FORM OF COMMON STOCK CERTIFICATE OF PICO HOLDINGS, INC. Form of Common Stock Certificate of PICO Holdings, Inc.

Exhibit 4.1

PICO HOLDINGS, INC.

A statement of the rights, preferences, privileges and restrictions granted to or imposed upon the respective classes or series of shares of stock of the Corporation, and upon the holders thereof as established by the Articles of Incorporation or by any certificate of determination of preferences, and the number of shares constituting each series or class and the designations thereof, may be obtained by any stockholder of the Corporation upon request and without charge from the Secretary of the Corporation at the principal office of the Corporation.

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               under Uniform Gifts to Minors
                 survivorship and not as tenants in common               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 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 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                     

In Presence of

 

 

  

 

  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 whatever.