Exhibit 4.1
Max Capital Group Ltd.
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 print tenants with right of | under Uniform Gifts to Minors Act | |||||||
survivorship and not as tenants | (State) | |||||||||
in common | UNIF TRF MIN ACT | — | Custodian (until age) | |||||||
(Cust) (Minor) | ||||||||||
under Uniform transfers (Minor) to | ||||||||||
(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 capital 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 _______________________
X | ||||
X | ||||
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 |
Signature(s) Guaranteed
By | ||
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 |