See Transfer Restrictions On Back
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ORGANIZED UNDER THE LAWS OF THE STATE OF DELAWARE
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TOTAL AUTHORIZED ISSUE
_________ SHARES PAR VALUE $0.001 EACH
COMMON STOCK
This Certifies that is the registered holder of fully paid and non-assessable shares of the Capital Stock of the above named Corporation transferable only on the books of the Corporation by the holder hereof in person or by Attorney upon surrender of this Certificate properly endorsed.
In Witness Whereof, the said Corporation has caused this Certificate to be signed by its duly authorized officers and its Corporate Seal to be hereunto affixed this day of , .
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THE SECURITIES HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933 ("SECURITIES ACT") OR ANY STATE SECURITIES LAWS AND, UNLESS SO REGISTERED, MAY NOT BE OFFERED OR SOLD EXCEPT PURSUANT TO AN EXEMPTION FROM, OR IN A TRANSACTION NOT SUBJECT TO, THE REGISTRATION REQUIREMENTS OF THE SECURITIES ACT AND APPLICABLE STATE SECURITIES LAWS. HEDGING TRANSACTIONS INVOLVING THE SECURITIES MAY NOT BE CONDUCTED UNLESS IN COMPLIANCE WITH THE SECURITIES ACT.
CERTIFICATE
for
$
of
_____________________________________
Issued To
______________________________________
Dated
____________________
For value received, _____________________ hereby sell, assign and transfer unto
PLEASE INSERT SOCIAL SECURITY OR OTHER |
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IDENTIFYING NUMBER OF ASSIGNEE |
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(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE) | ||
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Shares represented by the within Certificate, and do hereby irrevocably constitute and appoint | ||
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Attorney to transfer the said Shares on the books of the within named Corporation with full power of substitution in the premises. | ||
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Dated: |
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| In presence of |
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