Form of Common Stock Certificate
Exhibit 4.1
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....................... | |
| TEN ENT | - | as tenants by the entireties | (Cust) (Minor) | |
| JT TEN | - | as joint tenants with the right of survivorship and not as tenants in common | 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 capital 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
THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THIS CERTIFICATE. THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (Banks, Stockbrokers. Savings and Loan Associations and Credit Unions).
SIGNATURE GUARANTEED:
TRANSFER FEE WILL APPLY
