Real Goods Solar, Inc. Class A Common Stock Certificate Form
This document is a sample stock certificate for Class A Common Stock of Real Goods Solar, Inc., a Colorado corporation. It certifies ownership of fully paid and non-assessable shares, subject to the company's Articles of Incorporation and Bylaws. The certificate is transferable upon proper endorsement and registration with the transfer agent. It also outlines procedures for lost certificates and provides information on shareholder rights upon written request.
Exhibit 4.1
016570| 003590|127C|RESTRICTED||4|057-423
CLASS A COMMON STOCK
PAR VALUE $0.0001
CLASS A COMMON STOCK
THIS CERTIFICATE IS TRANSFERABLE IN CANTON, MA, JERSEY CITY, NJ AND GOLDEN, CO
Certificate Number
ZQ 000000
Shares
* * 6 0 0 6 2 0 * * * * * * * * * 6 0 0 6 2 0 * * * * * * * * * 6 0 0 6 2 0 * * * * * * * * * 6 0 0 6 2 0 * * * * * * * * * 6 0 0 6 2 0 * *
REAL GOODS SOLAR, INC.
INCORPORATED UNDER THE LAWS OF THE STATE OF COLORADO
THIS CERTIFIES THAT
CUSIP 75601N 10 4
is the owner of
SEE REVERSE FOR CERTAIN DEFINITIONS
FULLY-PAID AND NON-ASSESSABLE SHARES OF THE CLASS A COMMON STOCK OF
Real Goods Solar, Inc. (hereinafter called the Company), transferable on the books of the Company in person or by duly authorized attorney, upon surrender of this Certificate properly endorsed. This Certificate and the shares represented hereby, are issued and shall be held subject to all of the provisions of the Articles of Incorporation, as amended, and the Bylaws, as amended, of the Company (copies of which are on file with the Company and with the Transfer Agent), to all of which each holder, by acceptance hereof, assents.
This Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar.
Witness the facsimile seal of the Company and the facsimile signatures of its duly authorized officers.
TITLE AND FACSIMILE SIGNATURE TO COME
TITLE AND FACSIMILE SIGNATURE TO COME
REAL GOOD SOLAR, INC.
CORPORATE
SEAL
2008
COLORADO
DATED <<Month Day, Year>> COUNTERSIGNED AND REGISTERED:
COMPUTERSHARE TRUST COMPANY, N.A.
TRANSFER AGENT AND REGISTRAR,
By
AUTHORIZED SIGNATURE
Real Goods Solar, Inc.
PO BOX 43004, Providence, RI ###-###-####
MR A SAMPLE
DESIGNATION (IF ANY)
ADD 1
ADD 2
ADD 3
ADD 4
CUSIP Holder ID
Insurance Value Number of Shares
XXXXXX XX X XXXXXXXXXX
1,000,000 .00 123456
DTC
12345678 123456789012345
Certificate Numbers Num/No Denom. Total
1234567890 ###-###-#### 1 1 1
1234567890 ###-###-#### 2 2 2
1234567890 ###-###-#### 3 3 3
1234567890 ###-###-#### 4 4 4
1234567890 ###-###-#### 5 5 5
1234567890 ###-###-#### 6 6 6
Total Transaction 7
REAL GOODS SOLAR, INC.
THE COMPANY WILL FURNISH WITHOUT CHARGE, TO EACH SHAREHOLDER WHO SO REQUESTS IN WRITING, THE DESIGNATIONS, PREFERENCES, LIMITATIONS AND RELATIVE RIGHTS APPLICABLE TO EACH CLASS OF SHARES, THE VARIATIONS IN PREFERENCES, LIMITATIONS AND RIGHTS DETERMINED FOR EACH DIFFERENT SERIES WITHIN A CLASS OF SHARES, AND THE AUTHORITY OF THE COMPANYS BOARD OF DIRECTORS TO DETERMINE VARIATIONS FOR FUTURE CLASSES OR SERIES. SUCH REQUEST MAY BE MADE TO THE OFFICE OF THE SECRETARY OF THE COMPANY OR TO THE TRANSFER AGENT. THE BOARD OF DIRECTORS MAY REQUIRE THE OWNER OF A LOST OR DESTROYED STOCK CERTIFICATE, OR HIS LEGAL REPRESENTATIVES, TO GIVE THE COMPANY A BOND TO INDEMNIFY IT AND ITS TRANSFER AGENTS AND REGISTRARS AGAINST ANY CLAIM THAT MAY BE MADE AGAINST THEM ON ACCOUNT OF THE ALLEGED LOSS OR DESTRUCTION OF ANY SUCH CERTIFICATE.
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 . . . . . . . . . . . . . . .
(Cust) (Minor)
TEN ENT - as tenants by the entireties
under Uniform Gifts to Minors Act . . . . . . . . . . . . .
(State)
JT TEN - as joint tenants with right of survivorship
and not as tenants in common
UNIF TRF MIN ACT . . . . . . . . . . . . . . .Custodian (until age. . . ). . . . . . . . . . .
(Cust) (Minor)
under Uniform Transfers to Minors Act. . . . . . . . . .
(State)
Additional abbreviations may also be used though not in the above list.
PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE
For value received, hereby sell, assign and transfer unto
(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING POSTAL 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: 20
Signature:
Signature:
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: Medallion Guarantee Stamp
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.
SECURITY INSTRUCTIONS
THIS IS WATERMARKED PAPER, DO NOT ACCEPT WITHOUT NOTING
WATERMARK. HOLD TO LIGHT TO VERIFY WATERMARK.