Syndax Pharmaceuticals, Inc. Common Stock Certificate Issued to Shareholder
This document certifies that the named individual(s) are the registered owners of a specified number of fully paid and non-assessable shares of common stock in Syndax Pharmaceuticals, Inc., a Delaware corporation. The certificate allows for the transfer of shares on the company's books upon proper endorsement and is subject to the company's Certificate of Incorporation and Bylaws. The certificate is only valid when countersigned by the transfer agent and registrar.
Exhibit 4.1
ZQ|CERT#|COY|CLS|RGSTRY|ACCT#|TRANSTYPE|RUN#|TRANS#
COMMON STOCK PAR VALUE $0.0001 COMMON STOCK THIS CERTIFICATE IS TRANSFERABLE IN CANTON, MA, JERSEY CITY, NJ AND COLLEGE STATION, TX
Certificate
Number
ZQ00000000
Syndax
Shares
** 000000 ******************
*** 000000 *****************
**** 000000 ****************
***** 000000 ***************
SYNDAX PHARMACEUTICALS, INC.
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
THIS CERTIFIES THAT
MR. SAMPLE & MRS. SAMPLE & MR. SAMPLE & MRS. SAMPLE
CUSIP 87164F 10 5
SEE REVERSE FOR CERTAIN DEFINITIONS
is the owner of
***ZERO HUNDRED THOUSAND ZERO HUNDRED AND ZERO***
FULLY-PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK OF
Syndax Pharmaceuticals, Inc. (hereinafter called the “Company”), transferable on the books of the Company in person or by duly authorized attorney, upon surrender of this Certificate properly endorsed. This Certificate and the shares represented hereby, are issued and shall be held subject to all of the provisions of the Certificate of Incorporation, as amended, and the Bylaws, as amended, of the Company (copies of which are on file with the Company and with the Transfer Agent), to all of which each holder, by acceptance hereof, assents. This Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar.
Witness the facsimile seal of the Company and the facsimile signatures of its duly authorized officers.
President and CEO
Secretary
SYNDAX PHARMACUETICALS, INC.
SEAL
2005
DELAWARE
DATED DD-MMM-YYYY
COUNTERSIGNED AND REGISTERED:
COMPUTERSHARE TRUST COMPANY, N.A.
TRANSFER AGENT AND REGISTRAR,
By
AUTHORIZED SIGNATURE
1234567
Syndax
PO BOX 43004, Providence, RI ###-###-####
MR A SAMPLE
DESIGNATION (IF ANY)
ADD 1
ADD 2
ADD 3
ADD 4
CUSIP XXXXXX XX X
Holder ID XXXXXXXXXX
Insurance Value 1,000,000.00
Number of Shares 123456
DTC 12345678 123456789012345
Certificate Numbers Num/No. Denom. Total.
1234567890 ###-###-#### 111 ###-###-#### ###-###-#### 222 ###-###-#### ###-###-#### 333 ###-###-#### ###-###-#### 444 ###-###-#### ###-###-#### 555 ###-###-#### ###-###-#### 666
Total Transaction 7
