(FORM OF STOCK CERTIFICATEFRONT SIDE)
EXHIBIT 4.1
(FORM OF STOCK CERTIFICATEFRONT SIDE)
NUMBER | SHARES | |
COMMON STOCK | CUSIP 74729T 10 1 | |
PAR VALUE $0.01 | SEE REVERSE FOR CERTAIN DEFINITIONS |
QC HOLDINGS, INC.
INCORPORATED UNDER THE LAWS OF THE STATE OF KANSAS
certifies that
is the owner of
FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK OF
QC HOLDINGS, INC.
(hereinafter the Corporation) 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 and the shares represented hereby are issued and are not valid unless 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:
(SEAL)
Mary Lou Andersen Secretary | Darrin J. Andersen President and Chief Operating Officer |
Countersigned and Registered:
UMB Bank, N.A.
928 Grand Boulevard
Kansas City, Missouri 64106
Transfer Agent
and Registrar,
By:
Authorized Signature
(Form of Stock CertificateBack Side)
QC HOLDINGS, INC.
The shares represented by this certificate are issued subject to all provisions of the Articles of Incorporation and Bylaws of QC Holdings, Inc. (the Corporation) as they may be from time to time amended.
The Corporation will furnish without charge to each stockholder who so requests a full statement of the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock or series thereof that the Corporation is authorized to issue and the qualifications, limitations or restrictions of such preference and/or rights.
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 COMastenants in common | UNIF GIFT MIN ACT Guardian | |
(Cust) (Minor) | ||
TEN ENTastenants by the Entireties | under Uniform Gifts to Minor Act | |
(State) | ||
JT TENas joint tenants with right of survivorship and not as tenantsin common | UNIF GIFT MIN ACT Guardian | |
(Cust) (Minor) | ||
under Uniform Gifts to Minor 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 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:
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. |
Signature(s) Guaranteed:
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.
KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, MUTILATED OR DESTROYED, THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.