NUMBER SHARES

EX-4.1 2 dex41.htm FORM OF COMMON STOCK CERTIFICATE Form of common stock certificate

Form of common stock certificate

 

Exhibit 4.1

 

NUMBER                                                                                                            SHARES

 

[WXS]                                                                                                                                  

 

WRIGHT EXPRESS CORPORATION

 

INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE

 

THIS CERTIFICATE IS TRANSFERABLE IN

  CUSIP [                    ]

NEW YORK, NEW YORK

   

 

SEE REVERSE FOR CERTAIN DEFINITIONS

 

[GRAPHIC]

 

This

 

Certifies

 

that

 

is the owner of

 

FULLY PAID AND NONASSESSABLE SHARES OF THE COMMON STOCK, PAR VALUE $0.01, OF

WRIGHT EXPRESS CORPORATION

 

transferable on the books of the Corporation in person or by duly authorized attorney upon surrender of this Certificate properly endorsed. This Certificate and the shares represented hereby are issued under and shall be subject to all the provisions of the Certificate of Incorporation of the Corporation and any amendments thereto, copies of which are on file with the Corporation and the Transfer Agent, to all of which the holder by acceptance hereof assents. This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar.

 

WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.

 

Dated:

 

CERTIFICATE OF STOCK

 

[CORPORATE SEAL]

 


SECRETARY, CHAIRMAN OF THE BOARD, CHIEF EXECUTIVE OFFICER AND PRESIDENT

 

COUNTERSIGNED AND REGISTERED:

 

WACHOVIA BANK, N.A.

 

TRANSFER AGENT

AND REGISTRAR

 

BY

 

AUTHORIZED SIGNATURE

 

The Corporation will furnish without charge to each stockholder who so requests a copy of the powers, designations, preferences and relative, participating, option or other special rights of each class of stock or series thereof, which the Corporation is authorized to issue, and the qualifications, limitations or restrictions of such preferences and/or rights. Any such request may be made in writing to the office of the secretary of the corporation or the transfer agent.

 

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:

 

     UNIF GIFT MIN ACT - Custodian

TEN COM - as tenants in common

         

TEN ENT - as tenants by the entireties

   (Cust)    (Minor)

JT TEN - 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 OR POSTAL 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 shares on the books of the within named Corporation with full power of substitution in the premises.

 

Dated

                                                                                                                                                                                                                                                                       

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 WHATEVER.

 

Signature(s) Guaranteed:

 

                                                                                                                                                                                                                                                                       

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.

 

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.