TILLYS, INC.

EX-4.1 3 d161838dex41.htm FORM OF CLASS A COMMON STOCK CERTIFICATE Form of Class A common stock certificate

Exhibit 4.1

 

 

CLASS A COMMON STOCK

INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE

SEE REVERSE FOR CERTAIN DEFINITIONS

CUSIP 886885 10 2

This Certifies that

SPECIMEN

is the Record Holder of

FULLY PAID AND NONASSESSABLE SHARES OF CLASS A COMMON STOCK, $0.001 PAR VALUE PER SHARE, OF

TILLY’S, INC.

transferable on the books of the company in person or by duly authorized attorney upon surrender of the Certificate properly endorsed. This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar.

WITNESS the facsimile signatures of the company’s duly authorized officers. Dated:

SECRETARY

PRESIDENT AND CHIEF EXECUTIVE OFFICER

COUNTERSIGNED AND REGISTERED:

CONTINENTAL STOCK TRANSFER TRUST& COMPANY

(New York, NY)

TRANSFER AGENT AND REGISTRAR BY

AUTHORIZED OFFICER

TILLY’S, INC.

The company will furnish without charge to each shareholder who so requests, a summary of the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock of the company and the qualifications, limitations or restrictions of such preferences and rights, and the variations in rights, preferences and limitations determined for each series, which are fixed by the certificate of incorporation of the company, as amended, and the resolutions of the Board of Directors of the company, and the authority of the Board of Directors to determine the variations for future series. Such request may be made to the Office of the Secretary of the company or to the transfer agent. The Board of Directors may require the owner of a lost or destroyed stock certificate, or his legal representative, to give the company a bond to indemnify it and its transfer agents and registrars against any claim that may be made against them on account of the alleged loss or destruction of any such certificate.

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   UNIF GIFT MIN ACT      -                      Custodian                             (Cust)                          (Minor)
TEN ENT

 

JT TEN

   

- as tenants by the entireties

 

- as joint tenants with right

of survivorship and not as tenants in common

       

under Uniform Gifts 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

           
      X     
      X     
         NOTICE: THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER.

Signature(s) Guaranteed

 

By:

  

 

THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM), PURSUANT TO S.E.C. RULE 17Ad-15.