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Exhibit 4.1
N U M B E R | | | | S H A R E S |
HIRE | |  | | |
COMMON STOCK | | | | COMMON STOCK |
| | | | CUSIP 433538 10 5 |
| | INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE | | SEE REVERSE FOR CERTAIN DEFINITIONS |
THIS CERTIFIES THAT
is the registered holder of
FULLY PAID AND NON-ASSESSABLE SHARES OF THE PAR VALUE OF $0.01 EACH OF THE COMMON STOCK OF
HireRight, Inc.
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 unless countersigned and registered by the Transfer Agent and Registrar.
WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.
Dated:
 | | | |
 |
President and Chief Executive Officer | | [SEAL] | | Secretary and Chief Financial Officer |
| | COUNTERSIGNED AND REGISTERED: |
| | REGISTRAR AND TRANSFER COMPANY |
| | TRANSFER AGENT AND REGISTRAR |
| | BY | | |
| | | | AUTHORIZED OFFICER |
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 in common | | | Under Uniform Gifts to Minors |
| | survivorship and not as tenants | | | Act | | (State) |
| | | | UNIF TRF MIN ACT- |
| Custodian (until age ) |
| | | | | (Minor) | | |
| | | | | 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 POSTAL ZIP CODE, OF ASSIGNEE |
|
|
|
Of the Common Stock represented by the within Certificate, and do(es) 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 |
|
Signature(s) Guaranteed: | | NOTICE: | | THE SIGNATURE 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. |
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. | | |
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