Specimen Stock Certificate

EX-4.1 4 ex041.htm SPECIMEN STOCK CERT CC Filed by Filing Services Canada Inc. 403 ###-###-####




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  ………

(Cust.)                    (Minor)

TEN ENT

-as tenants by the entireties

 

Under Uniform Gifts to Minors

JT TEN

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

 

Act ………………….…….
(State)

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


For value received, _________________ hereby sells, assigns and transfers 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  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 _________________ 20____




NOTICE

THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THIS CERITIFICATE IN EVERY PARTICULAR WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER.


SIGNATURE(S) GUARANTEED

 

 

 

 

 

 

 

 

 

 

NOTICE

 

THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION, (BANKS STOCKBROKERS, SAVINGS AND LOAN ASSOCIATION AND CREDIT UNIONS) WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM PURSUANT TO S.E.C. RULE 17AD-15.




NOTICE: THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH

THE NAME AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR

WITHOUT ALTERATION OF ENLARGEMENT OR ANY CHANGE WHATSOEVER