Form of Common Stock Certificate

Contract Categories: Business Finance - Stock Agreements
EX-4.1 2 ex4-1.htm

 

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.