Form of Common Stock Certificate
Exhibit 4.1
FORM OF STOCK CERTIFICATE
CLEARDAY, INC. COMMON STOCK
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
SEE REVERSE FOR CERTAIN DEFINITIONS
CUSIP 184791 10 1
THIS CERTIFIES THAT
IS THE OWNER OF
FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, PAR VALUE OF $0.001 PER SHARE, OF CLEARDAY, 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 and registered by the Transfer Agent and Registrar.
WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.
Dated:
COUNTERSIGNED AND REGISTERED | PRESIDENT AND CHIEF EXECUTIVE OFFICER | |
REGISTRAR AND TRANSFER COMPANY | ||
TRANSFER AGENT AND REGISTRAR | SECRETARY | |
By: | ||
Authorized Signature |
A statement of the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights as established, from time to time, by the Certificate of Incorporation of the Corporation and by any certificate of determination, the number of shares constituting each class and series, and the designations thereof, may be obtained by the holder hereof upon request and without charge from the Transfer Agent of the Corporation.
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 | |
JT TEN | – as joint tenants with right of survivorship and not as tenants in common |
UNIF GIFT MIN ACT– | ________Custodian________ | |
(Cust) (Minor) | ||
under Uniform Gifts to Minors Act ____________________ | ||
(State) |
UNIF TRF MIN ACT– | ____Custodian (until age_____) | |
(Cust) | ||
______under UniformTransfers | ||
(Minor) | ||
to Minors Act _____________ | ||
(State) |
Additional abbreviations may also be used though not in the above list.
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 common 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 Corporation 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. |