Specimen Common Stock Certificate

EX-4.1 5 d42425a2exv4w1.htm SPECIMEN COMMON STOCK CERTIFICATE exv4w1
 

Exhibit 4.1

 

 

ZARS PHARMA, INC.
TRANSFER FEE $25.00
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 survivorship   under Uniform Gifts to Minors Act
 
      and not as tenants in common                                                          (STATE)
 
          UNIF TRF MIN ACT     Custodian (until age. . .).
 
                                     (CUST)                      (MINOR)
 
          under Uniform Transfers to Minors Act. . . . . .
 
                                                                 (STATE)
     Additional abbreviations may also be used though not in the above list.
THE COMPANY WILL FURNISH WITHOUT CHARGE TO EACH SHAREHOLDER WHO SO REQUESTS, A SUMMARY OF THE POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OF THE COMPANY AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND RIGHTS, AND THE VARIATIONS IN RIGHTS, PREFERENCES AND LIMITATIONS DETERMINED FOR EACH SERIES, WHICH ARE FIXED BY THE ARTICLES OF INCORPORATION OF THE COMPANY, AS AMENDED, AND THE RESOLUTIONS OF THE BOARD OF DIRECTORS OF THE COMPANY, AND THE AUTHORITY OF THE BOARD OF DIRECTORS TO DETERMINE VARIATIONS FOR FUTURE SERIES. SUCH REQUEST MAY BE MADE TO THE OFFICE OF THE SECRETARY OF THE COMPANY OR TO THE TRANSFER AGENT. THE BOARD OF DIRECTORS MAY REQUIRE THE OWNER OF A LOST OR DESTROYED STOCK CERTIFICATE, OR HIS LEGAL REPRESENTATIVES, TO GIVE THE COMPANY A BOND TO INDEMNIFY IT AND ITS TRANSFER AGENTS AND REGISTRARS AGAINST ANY CLAIM THAT MAY BE MADE AGAINST THEM ON ACCOUNT OF THE ALLEGED LOSS OR DESTRUCTION OF ANY SUCH CERTIFICATE.
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 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:
 
                            
 
                     
 
Signature: 		   
 
                      NOTE: 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) 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.