QK Healthcare, Inc. Common Stock Certificate Specimen
Contract Categories:
Business Finance
›
Stock Agreements
Summary
This document is a specimen of a common stock certificate for QK Healthcare, Inc., a Delaware corporation. It certifies ownership of fully paid and non-assessable shares of the company's common stock, which can be transferred by the holder or an authorized attorney upon proper endorsement and registration. The certificate must be countersigned by the transfer agent to be valid. It also outlines procedures for transferring shares and requirements for signature guarantees. If the certificate is lost or destroyed, a bond of indemnity is required for replacement.
EX-4.1 4 b37268aex4-1.txt FORM OF SPECIMEN STOCK CERTIFICATE 1 NUMBER SHARES OK Exhibit 4.1 COMMON STOCK COMMON STOCK PAR VALUE PAR VALUE $.001 PER SHARE $.001 PER SHARE [LOGO ARTWORK] INCORPORATED UNDER THE CUSIP 74728E 10 5 LAWS OF THE STATE OF DELAWARE SEE REVERSE FOR CERTAIN DEFINITIONS QK HEALTHCARE, INC. This is to Certify that: Is the owner of FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK OF QK Healthcare, 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 Registrant. For Witness Whereof the Corporation has caused this Certificate to be signed in facsimile by its duly authorized officers and sealed with a facsimile of its corporate seal. Dated 03-31-00 03-31-00 Countersigned and Registered CONTINENTAL STOCK TRANSFER & TRUST COMPANY (New York, N.Y.) transfer Agent and Registrar Michael W. Katz Michael Sosnowik Executive Vice President President Chief Financial Officer and Treasurer Authorized Signature OK HEALTHCARE, INC. CORPORATE SEAL DELAWARE 1999 2 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 -------------------- JT Ten - as joint tenants with right of (Cust) (Minor) survivorship and not as tenants under Uniform Gifts to Minors in common Act ---------------- (State) Additional abbreviations may also be used though not in the above list. For value received, hereby sell, assign and transfer into: --------------- 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 --------------------------- ---------------------------------------------------------------------- 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. Signature(s) Guaranteed: - ------------------------------------------------------------------------------ THE SIGNATURE MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION, BANKS, STOCKHOLDERS, SAVINGS AND LOANS ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEED MEDALLION PROGRAM, PURSUANT TO R.E.C. RULE 17Ad-16 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.