Exhibit 4.1
A BRITISH COLUMBIA BUSINESS CORPORATIONS ACT COMPANY
SEE REVERSE FOR CERTAIN DEFINITIONS
in the Authorized share structure of the above named Company subject to the Articles of the Company transferable on the Central Securities Register of the
Company by the registered holder in person or by attorney duly authorized in writing upon surrender of this certificate properly endorsed.
This certificate is not valid unless countersigned by the Transfer Agent and Registrar of the Company.
IN WITNESS WHEREOF the Company has caused this certificate to be signed on its behalf by the facsimile signatures of its duly authorized officers, at Vancouver,
British Columbia.
C0000000230 | M
**SPECIMEN58402B20600000000Med*Biogene*Inc.zero****SPECIMEN58402B20600000000Med*Biogene*Inc.
zero****SPECIMEN58402B20600000000Med*
Biogene*Inc.zero****SPECIMEN58402B20600000000Med*Biogene*Inc.zero****SPECIMEN58402B20600000000Med*
Biogene*Inc.zero****SPECIMEN584
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Inc.zero****SPECIMEN58402B20600000000Med*Biogene*Inc.zero****SPECIMEN58402B20600000000Med*Biogene
*Inc.zero****SPECIMEN58402B20600
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*Inc.zero****SPECIMEN58402B20600000000Med*Bio
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*Biogene*Inc.zero****SPECIMEN58402B
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SPECIMEN58402B20600000000Med*Biogene*Inc.zero
SPECIMEN
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ed*Biogene*Inc.zero****058402B20600000000Med*Biogene*Inc.zero****
058402B20600000000Med*Biogene*Inc.zero****058402B20600000000Med*
Biogene*Inc.zero****058402B20600000000Med*Biogene*Inc.zero****058402B20600000000Med*
Biogene*Inc.zero****058402B20600000000Med*Biogene*Inc.zero****058402B20600000000Med*
Biogene*Inc.zero****058402B20600000000Med*Biogene*Inc.zero****058402B20600000000Med*Biogen
* * * 0 * * *
Mar 11, 2010
00000000
Number Shares
FULLY PAID AND NON-ASSESSABLE COMMON SHARES WITHOUT PAR VALUE IN THE CAPITAL OF
IS THE REGISTERED HOLDER OF
THIS CERTIFIES THAT
Dated:
The shares represented by this certificate are transferable at the offices of Computershare Investor Services Inc. in Vancouver, BC; Toronto, ON and Computershare Trust Company, N.A. in Golden, CO.
Med Biogene Inc.
COUNTERSIGNED AND REGISTERED
COMPUTERSHARE TRUST COMPANY, N.A.
(GOLDEN)
TRANSFER AGENT AND REGISTRAR
COUNTERSIGNED AND REGISTERED
COMPUTERSHARE INVESTOR SERVICES INC.
(VANCOUVER) (TORONTO)
OR TRANSFER AGENT AND REGISTRAR
By
Authorized Officer
By
Authorized Officer
Chief Executive Officer and Director
Chairman of the Board
* * * * 0 * * * * * * * * *
* * * * * 0 * * * * * * * *
* * * * * * 0 * * * * * * *
* * * * * * * 0 * * * * * *
* * * * * * * * 0 * * * * *
CUSIP 58402B206
ISIN CA58402B2066
CSAE_WIP_CJLQ_C02.MTL.PULLS/000001/000001/i
The following abbreviations shall be construed as though the words set forth below opposite each abbreviation were written out in full where such abbreviation appears:
| ||||||
TEN COM | - as tenants in common | (Name) CUST (Name) UNIF | - (Name) as Custodian for (Name) under the (State) Uniform Gifts to Minors Act | |||
TEN ENT | - as tenants by the entireties | GIFT MIN ACT (State) | ||||
JT TEN | - as joint tenants with rights of survivorship and not as tenants in common | |||||
Additional abbreviations may also be used though not in the above list.
|
For value received the undersigned hereby sells, assigns and transfers unto |
Insert name and address of transferee
shares represented by this certificate and does hereby irrevocably constitute and appoint
the attorney of the undersigned to transfer the said shares on the books of the Company with full power of substitution in the premises.
DATED: |
|
| ||
Signature of Shareholder | Signature of Guarantor |
Signature Guarantee:
The signature on this assignment must correspond with the name as written upon the face of the certificate(s), in every particular, without alteration or enlargement, or any change whatsoever and must be guaranteed by a major Canadian Schedule I chartered bank or a member of an acceptable Medallion Signature Guarantee Program (STAMP, SEMP, MSP). The Guarantor must affix a stamp bearing the actual words “Signature Guaranteed”.
In the USA, signature guarantees must be done by members of a “Medallion Signature Guarantee Program” only.
Signature guarantees are not accepted from Treasury Branches, Credit Unions or Caisses Populaires unless they are members of the Stamp Medallion Program.
“Until the Separation Time (as defined in the Rights Agreement referred to below), this certificate also evidences and entitles the holder hereof to certain Rights as set forth in the Shareholder Rights Plan Agreement, dated as of January 15, 2010 as such may be from time to time amended, restated, varied or replaced, between Med BioGene Inc. (the “Company”) and Computershare Investor Services Inc., as Rights Agent (the “Rights Agreement”), the terms of which are hereby incorporated herein by reference and a copy of which is on file at the principal executive offices of the Company. Under certain circumstances, as set forth in the Rights Agreement, such Rights may be amended or redeemed, may expire, may become void (if, in certain cases, they are “Beneficially Owned” by an “Acquiring Person”, as such terms are defined in the Rights Agreement) whether currently held or on behalf or such Person or any subsequent holder or may be evidenced by separate certificates and may no longer be evidenced by this certificate. The Company will mail or arrange for the mailing of a copy of the Rights Agreement to the holder of this certificate without charge within five days after the receipt of a written request therefor.”