Specimen Restricted Stock Certificate for Common Shares of QI Systems Inc.

Summary

This document is a specimen stock certificate for QI Systems Inc., a Delaware corporation, representing ownership of restricted common shares with a par value of $0.001 each. The shares are not registered under the Securities Act of 1933 and are subject to transfer restrictions, requiring written approval from the company or its attorneys before the removal of the restrictive legend. The certificate outlines procedures for transfer, including endorsement and signature guarantees, and must be countersigned by the transfer agent to be valid.

EX-4.1 2 d66311_4-1.htm SPECIMEN STOCK CERTIFICATE

EXHIBIT 4.1

SPECIMEN STOCK CERTIFICATE


NUMBER	144-RESTRICTED SHARES	SHARES
__________________________		__________________________


	The shares represented by this certificate have not been registered under the Securities Act of 1933 (the “Act”), and are Restricted Securities as that term is defined in Rule 144 under the Act and requires written release from either issuing company or their attorneys prior to legend removal

QI SYSTEMS INC.

Incorporated under the laws of the State of Delaware


Par Value $0.001		CUSIP No.
Common Stock			________________________

THIS CERTIFIES THAT
	________________________

is the owner of
	________________________

FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK PAR VALUE OF $0.001 EACH OF

QI SYSTEM INC.

transferable on the books of the Corporation in person or by duly authorized attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar. Witness the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.


	DATED:
		__________________________
__________________________
	Countersigned and Registered:
PRESIDENT CEO
	Signature Stock Transfer, Inc.
	(Plano, Texas) Transfer Agent
__________________________

CHAIRMAN	By
		__________________________
		Authorized Signature

REVERSE SIDE

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 (TRANS) ACT	__________	Custodian	__________
TEN ENT	- as tenants by the entireties	(UGMA) (UTMA)
JT TEN	- as joint tenants with right		(Cust)		(Minor)
	of survivorship and		under Uniform Gifts (Transfers) to
	not as tenants in common		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 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
	__________________________	X
			__________________________

__________________________		__________________________
SIGNATURE GUARANTEE		NOTICE: THE SIGNATURE(S) TO THIS
(BY BANK, BROKER, CORPORATE OFFICER)		AGREEMENT MENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THE CERTIFICATE, IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT, OR ANY CHANGE WHATEVER.