Bacterin International Holdings, Inc. Stock Assignment and Transfer Form with Corporate Stock Transfer, Inc.

Summary

This document is a stock assignment and transfer form used by Bacterin International Holdings, Inc. and Corporate Stock Transfer, Inc. It allows a shareholder to sell, assign, and transfer shares of common stock to another party. The form requires the assignee’s details, the number of shares, and proper signatures, which must be guaranteed by an eligible financial institution. The transfer is subject to applicable laws and regulations, and the form includes standard legal abbreviations for different types of ownership.

EX-4.2 2 v402499_ex4-2.htm EXHIBIT 4.2

Exhibit 4.2

BACTERIN INTERNATIONAL HOLDINGS, INC.

CORPORATE STOCK TRANSFER, INC.

TRANSFER FEE: AS REQUIRED

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
TEN ENT -	as tenants by the entireties	UNIF GIFT MIN ACT -	Custodian
JT TEN -	as joint tenants with right		(Cust) (Minor)
	of survivorship and not as		under Uniform Gifts to Minors
	tenants in common

	Act
		(State)

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

PLEASE INSERT SOCIAL SECURITY OR OTHER

IDENTIFYING NUMBER OF ASSIGNEE

FOR VALUE RECEIVED,____________________________________________hereby sell, assign and transfer unto

PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIP 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 stock on the books of the within-named Corporation, with full power of substitution in the premises.

Dated:_____________________20_________,

	Signature: X
Signature(s) Guaranteed:
	Signature: X

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 (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.