Specimen Stock Certificate

EX-4.1 7 swlh_ex4z1.htm SPECIMEN STOCK CERTIFICATE xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

EXHIBIT 4.1





Specimen Stock Certificate






SPECIMEN

SPECIMEN

SPECIMEN

Number
1234567

STATEWIDE LIFE & HEALTH, INC.

Shares
***99,999***

COMMON STOCK

Par Value $.001

INCORPORATED UNDER THE LAWS OF THE STATE OF

NEVADA

COMMON STOCK
CUSIP 85765U109

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
endorsed. This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar.

Dated:  October 17, 2011

COUNTERSIGNED AND REGISTERED:

EMPIRE STOCK TRANSFER, INC.

Transfer Agent and Registrar

By:  ___________________________________

AUTHORIZED SIGNATURE

SPECIMEN

CORPORATE SEAL


_____________        _______________

Secretary                       President


SPECIMEN