COMMON STOCK NUMBER COMMON STOCK SHARES INCORPORATED UNDER CUSIP ___________ THELAWSOFTHESTATEOFGEORGIA SEEREVERSEFORCERTAINDEFINITIONS
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EX-4.1 9 v150768_ex4-1.htm
COMMON STOCK NUMBER | COMMON STOCK SHARES | |
INCORPORATED UNDER | CUSIP ___________ | |
THE LAWS OF THE STATE OF GEORGIA | SEE REVERSE FOR CERTAIN DEFINITIONS |
VYSTAR CORPORATION
THIS CERTIFIES THAT
is the record holder of
FULLY PAID AND NONASSESSABLE SHARES OF THE COMMON STOCK, $.0001 PAR VALUE, OF
VYSTAR CORPORATION
transferable on the books of the Corporation by the holder hereof in person or by a duly authorized attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar.
WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.
Dated:
SECRETARY | PRESIDENT |
COUNTERSIGNED AND REGISTERED:
BY | TRANSFER AGENT AND REGISTRAR |
AUTHORIZED SIGNATURE |
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 right of survivorship | under Uniform Gifts to Minors Act | |||||||
and not as tenants in common | ||||||||||
(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 POSTAL 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 | ||||
Signature(s): | ||||
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) SHOULD 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. |
KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, MUTILATED OR DESTROYED, THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.