Form of Class A Common Stock Certificate of the Registrant

Contract Categories: Business Finance - Stock Agreements
EX-4.1 2 d781982dex41.htm EX-4.1 EX-4.1

Exhibit 4.1

 

The Corporation shall furnish without charge to each stockholder who so requests a statement of the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock of the Corporation or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights. Such requests shall be made to the Corporation’s Secretary at the principal office of the Corporation.

KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, OR DESTROYED THE CORPORATION WILL REQUIRE A BOND INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT 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 .........................
TEN ENT    –    as tenants by the entireties              (Cust)                                  (Minor)
JT TEN    –    as joint tenants with right of      under Uniform Gifts to Minors
      survivorship and not as tenants      Act ..............................................................................
      in common                                  (State)
COM PROP    –    as community property   UNIF TRF MIN ACT –    ................. Custodian (until age ..................)
             (Cust)
           ..................................... under Uniform Transfers
                   (Minor)
           to Minors Act ............................................................
                                                (State)

Additional abbreviations may also be used though not in the above list.

FOR VALUE RECEIVED, _____________________________________________________ hereby sell(s), assign(s) and transfer(s) 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 within Certificate, and do hereby irrevocably constitute and appoint

                                                                                                                                                                                                                            attorney-in-fact to transfer the said stock on the books of the within named Corporation with full power of the substitution in the premises.

Dated                                                                  

 

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

 

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. GUARANTEES BY A NOTARY PUBLIC ARE NOT ACCEPTABLE. SIGNATURE GUARANTEES MUST NOT BE DATED.