NUMBER PMI
Exhibit 4.1
| NUMBER
PMI |
| Power Medical Interventions® | SHARES |
| POWER MEDICAL INTERVENTIONS, INC. | ||
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| INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE |
| CUSIP 739299 10 5
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| THIS CERTIFIES THAT |
| SEE REVERSE FOR |
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| CERTAIN DEFINITIONS |
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| is the owner of |
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FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK OF THE PAR VALUE OF $0.001 EACH, OF
POWER MEDICAL INTERVENTIONS, INC.
transferable on the books of the Corporation by the holder hereof, in person or by duly authorized attorney, upon surrender of this Certificate properly endorsed. This Certificate is not valid until countersigned and registered by the Transfer Agent and Registrar.
Witness the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.
Dated:
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| POWER MEDICAL INTERVENTIONS, INC. CORPORATE SEAL 2003 DELAWARE |
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| SECRETARY | CHIEF EXECUTIVE OFFICER |
© SECURITY-COLUMBIAN UNITED STATES BANKNOTE CORPORATION
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| COUNTERSIGNED AND REGISTERED: |
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| CONTINENTAL STOCK TRANSFER & TRUST COMPANY |
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| TRANSFER AGENT AND REGISTRAR |
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| BY: |
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| AUTHORIZED OFFICER |
© S.C.B.Co.
| AMERICAN BANK NOTE COMPANY | PRODUCTION COORDINATOR: DENISE LITTLE ###-###-#### |
| 711 ARMSTRONG LANE | PROOF OF: SEPTEMBER 18, 2007 |
| COLUMBIA, TENNESSEE 38401 | POWER MEDICAL INTERVENTIONS, INC. |
| (931) 388-3003 | TSB 28199 FC |
| SALES: CHARLES SHARKEY ###-###-#### | OPERATOR: AP |
| 7 / LIVE JOBS / P / Power 28199 FC | NEW |
COLORS SELECTED FOR PRINTING: Logo is tiff file and prints PMS 300. Intaglio prints in SC-7 dark blue.
COLOR: This proof was printed from a digital file or artwork on a graphics quality, color laser printer. It is a good representation of the color as it will appear on the final product. However, it is not an exact color rendition, and the final printed product may appear slightly different from the proof due to the difference between the dyes and printing ink.
PLEASE INITIAL THE APPROPRIATE SELECTION FOR THIS PROOF: OK AS IS OK WITH CHANGES MAKE CHANGES AND SEND ANOTHER PROOF
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 |
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| (Cust) | (Minor) |
| JT TEN | — | as joint tenants with right of survivorship and |
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| under Uniform Gifts to Minors | |
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| not as tenants in common |
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| (State) | |
| TOD | — | transfer on death direction in event of owner’s |
| UNIF TRF MIN ACT — | Custodian (until age ) | |
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| death, to person named on face and subject to |
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| (Cust) | |
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| TOD rules referenced |
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| under Uniform Transfers | |
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| (Minor) |
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| to Minors Act | |
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| (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 |
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| IDENTIFYING NUMBER OF ASSIGNEE |
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| (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE) | ||||
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| Shares | |||
| of the capital stock represented by the within Certificate, and do hereby irrevocably constitute and appoint | ||||
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| Attorney | |||
| to transfer the said stock on the books of the within named Corporation with full power of substitution in the premises. | ||||
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| Dated |
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| NOTICE: |
| 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. | |
Signature(s) Guaranteed
| By |
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| 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. |
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| AMERICAN BANK NOTE COMPANY | PRODUCTION COORDINATOR: DENISE LITTLE ###-###-#### |
| 711 ARMSTRONG LANE | PROOF OF: SEPTEMBER 18, 2007 |
| COLUMBIA, TENNESSEE 38401 | POWER MEDICAL INTERVENTIONS, INC. |
| (931) 388-3003 | TSB 28199 BK |
| SALES: CHARLES SHARKEY 302 ###-###-#### | OPERATOR: AP |
| 7 / LIVE JOBS / P / Power 28199 BK | NEW |
PLEASE INITIAL THE APPROPRIATE SELECTION FOR THIS PROOF: OK AS IS OK WITH CHANGES MAKE CHANGES AND SEND ANOTHER PROOF
NOTE: TEXT RECEIVED BY MODEM OR E-MAIL IS NOT PROOFREAD WORD FOR WORD.
