Tercica, Inc.

EX-4.1 7 dex41.htm FORM OF SPECIMEN STOCK CERTIFICATE Prepared by R.R. Donnelley Financial -- Form of Specimen Stock Certificate

EXHIBIT 4.1

 

Tercica, Inc.

 

     NUMBER    SHARES

SA

          
     INCORPORATED UNDER THE LAWS OF
THE STATE OF DELAWARE		   

SEE REVERSE FOR STATEMENT RELATING TO

RIGHTS, REFERENCES, PRIVILEGES

AND RESTRICTIONS, IF ANY

     This Certificates that    CUSIP [                        ]
     is the owner of     

 

FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK,

PAR VALUE $0.001 PER SHARE, OF TERCICA, INC.

 

transferable only 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 signature of its duly authorized officers.

 

Dated

 

     
[SEAL]
PRESIDENT AND CHIEF EXECUTIVE OFFICER   SECRETARY
COUNTERSIGNED AND REGISTERED:    
[                                         ]    

 

TRANSFER AGENT AND REGISTRAR

 

BY:

TERCICA, INC.

 

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 and by any certificate of determination, the number of shares constituting each class and series, and designations thereof, may be obtained by the holder hereof upon request and without charge at the principal office 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—

TEN ENT—

JT TEN—

  

as tenants in common

as tenants by the entireties

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)          under
             Uniform Transfers 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

IDENTIFICATION NUMBER OF ASSIGNEE: