Specimen Common Stock Certificate (Delaware)

Contract Categories: Business Finance - Stock Agreements
EX-4.1 5 ea163623ex4-1_reborn.htm SPECIMEN COMMON STOCK CERTIFICATE

Exhibit 4.1

 

CERTIFICATE NUMBER SHARES

 

REBORN COFFEE, INC.

INCORPORATED UNDER THE LAWS OF DELAWARE

COMMON STOCK

SEE REVERSE FOR
CERTAIN DEFINITIONS

 

This Certifies that
is the owner of		 CUSIP 75618M 107

 

FULLY PAID AND NON-ASSESSABLE CLASS A SHARES OF COMMON STOCK OF THE PAR

VALUE OF $0.0001 EACH OF

REBORN COFFEE, INC.

 

transferable on the books of the Company in person or by duly authorized attorney upon surrender of this certificate properly endorsed.

 

This certificate is not valid unless countersigned by the Transfer Agent and registered by the Registrar.
Witness the facsimile seal of the Company and the facsimile signatures of its duly authorized officers.

 

Dated:

 

     
PRESIDENT   SECRETARY

 

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 (Cust) (Minor)
JT TEN – as joint tenants with right of survivorship under Uniform Gifts to Minors
  and not as tenants in common Act ______________
    (State)

 

Additional abbreviations may also be used though not in the above list.

Reborn Coffee, Inc.

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 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 Company 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(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).