EX-4.3: SPECIMEN COMMON STOCK CERTIFICATE

EX-4.3 3 v16003a2exv4w3.htm EX-4.3: SPECIMEN COMMON STOCK CERTIFICATE exv4w3
 

Exhibit 4.3

 


 

QUATRX PHARMACEUTICALS COMPANY
     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
TEN ENT
  – as tenants by the entireties
JT TEN
 
– as joint tenants with right of survivorship and not as tenants in common
                     
UNIF GIFT MIN ACT–
             Custodian       
             
    (Cust)       (Minor)
    under Uniform Gifts to Minors
         
 
                   
 
  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 ASSlGNEE)
 

 
                                                                                                                                                                                                    Shares
of the Capital Stock represented by the within Certificate, and do(es) hereby irrevocably constitute and appoint
                                                                                                                                                                                                  Attorney
to transfer the common Stock on the books of the within named Corporation with full power of substitution in the premises.
         
Dated 
    X   
 
 
    X   
 
    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.
SIGNATURES GUARANTEED:
     
By
   
 
  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-l5.