Specimen Common Stock Certificate for Statewide Life & Health, Inc.
This document is a specimen stock certificate representing ownership of common shares in Statewide Life & Health, Inc., a Nevada corporation. It certifies that the named shareholder owns a specified number of fully paid and non-assessable common shares, which can be transferred on the company's books by the holder or an authorized agent. The certificate is only valid when properly countersigned by the transfer agent and registered by the registrar.
EXHIBIT 4.1
Specimen Stock Certificate
SPECIMEN | SPECIMEN | SPECIMEN |
Number | STATEWIDE LIFE & HEALTH, INC. | Shares |
COMMON STOCK | Par Value $.001 INCORPORATED UNDER THE LAWS OF THE STATE OF NEVADA | COMMON STOCK SEE REVERSE FOR CERTAIN DEFINITIONS |
***Shareholder Name 1XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXEND*** ***Shareholder Name 2XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXEND*** THIS CERTIFIES THAT ***Shareholder Name 3XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXEND*** ***Shareholder Name 4XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXEND*** Reg descript if applicable | ||
is the Owner of *** Ninety-Nine Thousand Nine Hundred Ninety-Nine *** | ||
| FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK OF |
|
| STATEWIDE LIFE & HEALTH, 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 | ||
Dated: October 17, 2011 COUNTERSIGNED AND REGISTERED: EMPIRE STOCK TRANSFER, INC. Transfer Agent and Registrar By: ___________________________________ AUTHORIZED SIGNATURE SPECIMEN | CORPORATE SEAL | _____________ _______________ Secretary President SPECIMEN |