NUMBERSHARES

EX-4.1 4 ex4x1.htm EXHIBIT 4.1 ex4x1.htm
EXHIBIT 4.1
 
 
 
 
 
NUMBER      SHARES
 
 
   INCORPORATED UNDER THE LAWS OF THE STATE OF COLORADO
AUTHORIZED: 100,000,000 COMMON SHARES,
 $0.001 PAR VALUE PER SHARE  
  
SEE REVERSE FOR
CERTAIN DEFINITIONS
 
CUSIP 87164P103
              
This Certifies That      
 
is the owner of    
 
 
FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, $0.001 PAR VALUE OF
 
SYNERGY RESOURCES CORPORATION
 
transferable on the books of this Corporation in person or by attorney upon surrender of this Certificate duly endorsed or assigned. This Certificate and the shares represented hereby are subject to the laws of the State of Colorado, and to the Articles of Incorporation and the Bylaws of the Corporation, as now or hereafter amended. This Certificate is not valid until countersigned by the Transfer Agent.

In Witness Whereof, the Corporation has caused this Certificate to be singed by the facsimile signature of its duly authorized officers and to be sealed with the facsimile seal of the Corporation.

 
 Dated:        
       
       
  President  
 Secretary
 

Countersigned:
CORPORATE STOCK TRANSFER, INC.
3200 Cherry Creek South Drive, Suite 430
Denver, CO 80209
By __________________________________________
       Transfer Agent and Registrar Authorized Officer
 
 
 
 
 
 

 
SYNERGY RESOURCES CORPORATION
CORPORATE STOCK TRANSFER, INC.
TRANSFER FEE: AS REQUIRED

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 UNIF GIFT MIN ACT - Custodian   
  JT TEN
 - as joint tenants with right 
   (Cust)                             (Minor)  
       of survivorship and not as   
under Uniform Gifts to Minors
  
       tenants in common 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 sells, assigns and transfers 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 irrevocable 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: X__________________________________
Signature(s) Guaranteed:
Signature: X__________________________________

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. 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.