Viskase Companies, Inc. Transferable Subscription Rights Certificate for Common Stock Purchase
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Summary
This certificate grants the holder the right to purchase shares of Viskase Companies, Inc. common stock at $1.95 per share as part of a rights offering. The rights are transferable and must be exercised by the specified expiration date. The certificate outlines procedures for exercising, transferring, or selling the rights, and requires payment and proper documentation. American Stock Transfer & Trust Company acts as the subscription agent. If the rights are not exercised by the deadline, they will expire and become void.
EX-4.1 2 c08140a1exv4w1.txt FORM OF SUBSCRIPTION RIGHTS CERTIFICATE . . . Exhibit 4.1
DELIVERY OPTIONS FOR SUBSCRIPTION RIGHTS CERTIFICATE For delivery by mail, hand delivery or over night courier: American Stock Transfer & Trust Company 59 Maiden Lane, Plaza Level New York, NY 10038 Delivery other than in the manner or to the address listed above will not constitute valid delivery. PLEASE PRINT ALL INFORMATION CLEARLY AND LEGIBLY. FORM 1-EXERCISE OF SUBSCRIPTION RIGHTS To subscribe for shares pursuant to your Basic Subscription Privilege, please complete the applicable sections below and sign under Form 5 below. EXERCISE OF BASIC SUBSCRIPTION PRIVILEGE: I apply for shares x $1.95 = $ ------------------- ------------------- ----------------- (no. of new shares) (subscription price) (amount enclosed) METHOD OF PAYMENT (CHECK ONE) [ ] Check or bank draft drawn on a U.S. bank, or postal telegraphic or express money order payable to "American Stock Transfer & Trust Company, as Subscription Agent." Funds paid by an uncertified check may take at least five business days to clear. [ ] Wire transfer of immediately available funds directly to the account maintained by American Stock Transfer & Trust Company, as Subscription Agent, for purpose of accepting subscriptions in this Rights Offering at JPMorgan Chase Bank, 55 Water Street, New York, New York 10005, ABA #21000021, Account #323-113109. [ ] Series A Preferred Stock- Deliver to Gordon Donovan, Vice President and Chief Financial Officer, Viskase Companies, Inc., 8205 South Cass Avenue, Suite 115, Darien, IL 60561. The Rights Certificate must be delivered to American Stock Transfer & Trust Company. FORM 2-SALE OR TRANSFER TO DESIGNATED TRANSFEREE OR THROUGH BANK OR BROKER To sell or transfer your subscription rights to another person, complete this form and have your signature guaranteed under Form 5. To sell your subscription rights through your bank or broker, sign below under this Form 2 and have your signature guaranteed under Form 5, but leave the rest of this Form 2 blank. For value received ______________ of the subscription rights represented by this Subscription Rights Certificate are assigned to: - -------------------------------------------------------------------------------- (Print Full Name of Assignee) - -------------------------------------------------------------------------------- (Print Full Address) - -------------------------------------------------------------------------------- Tax ID or Social Security No. - -------------------------------------------------------------------------------- Signature(s) IMPORTANT: The signature(s) must correspond with the name(s) as printed on the reverse of this Subscription Rights Certificate in every particular, without alteration or enlargement, or any other change whatsoever. FORM 3-DELIVERY TO DIFFERENT ADDRESS If you wish for the Common Stock underlying your subscription rights, a certificate representing unexercised subscription rights or the proceeds of any sale of subscription rights to be delivered to an address different from that shown on the face of this Subscription Rights Certificate, please enter the alternate address below, sign under Form 4 and have your signature guaranteed under Form 5. - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- FORM 4-SIGNATURE TO SUBSCRIBE: I acknowledge that I have received the Prospectus for this Rights Offering and I hereby irrevocably subscribe for the number of shares indicated above on the terms and conditions specified in the Prospectus. - -------------------------------------------------------------------------------- Signature(s) IMPORTANT: The signature(s) must correspond with the name(s) as printed on the reverse of this Subscription Rights Certificate in every particular, without alteration or enlargement, or any other change whatsoever. FORM 5-SIGNATURE GUARANTEE This form must be completed if you have completed any portion of Form 2. Signature Guaranteed: ----------------------------------------------------------- (Name of Bank or Firm) By: ----------------------------------------------------------------------------- (Signature of Officer) IMPORTANT: The signature(s) should be guaranteed by an eligible guarantor institution (bank, stock broker, savings & loan association or credit union) with membership in an approved signature guarantee medallion program pursuant to Securities and Exchange Commission Rule 17Ad-15. FOR INSTRUCTIONS ON THE USE OF VISKASE COMPANIES, INC. SUBSCRIPTION RIGHTS CERTIFICATES, CONSULT GORDON DONOVAN, CHIEF FINANCIAL OFFICER OF VISKASE COMPANIES, INC., AT ###-###-#### OR YOUR BANK OR BROKER WITH QUESTIONS.