Specimen Stock Certificate
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 |