SPECIMEN OF STOCK CERTIFICATE

Contract Categories: Business Finance - Stock Agreements
EX-4.2 5 dex42.htm FORM OF STOCK CERTIFICATE FOR COMMON STOCK FORM OF STOCK CERTIFICATE FOR COMMON STOCK

Exhibit 4.2

 

SPECIMEN OF STOCK CERTIFICATE

 

Number

      

Shares

XRM - «no»-       -«shares»-
    [Trademark for Xerium Technologies, Inc.]    
INCORPORATED UNDER THE LAWS
    OF THE STATE OF DELAWARE		       SEE REVERSE FOR
CERTAIN DEFINITIONS
CUSIP 98416J 10 0

 

XERIUM TECHNOLOGIES, INC.

 

COMMON STOCK

 

This Certifies that _________________________________________________________________________________________

 

is the owner of ____________________________________________________________________________________________

 

FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, PAR VALUE $.01 PER SHARE, OF

XERIUM TECHNOLOGIES, INC.,

 

(hereinafter called the “Corporation”), transferable on the books of the Corporation by the holder hereof in person or by duly authorized attorney, upon surrender of this Certificate properly endorsed.

 

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: ____________________

 

COUNTERSIGNED AND REGISTERED:

        

AMERICAN STOCK TRANSFER & TRUST COMPANY

       _____________________________________

(NEW YORK, NY)

       PRESIDENT AND

TRANSFER AGENT

AND REGISTRAR

   CHIEF EXECUTIVE OFFICER
BY  

_____________________________________

       _____________________________________
   

AUTHORIZED SIGNATURE

       SECRETARY
[CORPORATE SEAL]

 

THE RECORD HOLDER OF THIS CERTIFICATE MAY OBTAIN FROM THE SECRETARY OF THE CORPORATION, UPON REQUEST AND WITHOUT CHARGE, A FULL STATEMENT OF THE DESIGNATION, RELATIVE RIGHTS, PREFERENCES AND LIMITATIONS OF THE SHARES OF EACH CLASS AUTHORIZED TO BE ISSUED AND THE DESIGNATION, RELATIVE RIGHTS, PREFERENCES AND LIMITATIONS OF EACH SERIES OF PREFERRED SHARES AUTHORIZED TO BE ISSUED SO FAR AS THE SAME HAVE BEEN FIXED AND THE AUTHORITY OF THE BOARD OF DIRECTORS TO DESIGNATE AND FIX THE RELATIVE RIGHTS, PREFERENCES AND LIMITATIONS OF OTHER SERIES.

 

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

TEN ENT

JT TEN

   

–  as tenants in common

–  as tenants by the entireties

–  as joint tenants with right of survivorship and not as tenants in common

         UNIF GIFT MIN ACT –    _____________ (Cust) Custodian _____________ (Minor) 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 CODE, OF ASSIGNEE)

 

                                                                                                                                                                                                                                                                                                                

 

                                                                                                                                                                                                                                                                                                                

Shares of the stock represented by the within Certificate, and do hereby irrevocably constitute and appoint

 

                                                                                                                                                                                                                                                                                                                

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

 

   

Dated:

   _______________________________            
                     
Signature Guaranteed:               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.
             
THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION, AS DEFINED IN RULE 17Ad-15 UNDER THE SECURITIES AND EXCHANGE ACT OF 1934, AS AMENDED            

 

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.