Exhibit 4.1.1 | Form of Common Stock Certificate |
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 | under Uniform Gifts to Minors | ||
survivorship and not as tenants | Act _____________________________________ | ||
in common | (State) | ||
Additional abbrevations 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 ___________________________________
NOTICE: | SIGNATURE MUST CORRESPONG TO THE NAME AS WRITTEN UPON THE FACE OF THIS CERTIFICATE IN EVERY PARTICULAR. WITHOUT ALTERATION ON ENLARGEMENT OR ANY CHANGE WHATSOEVER, AND MUST BE GUARANTEED BY A BANK, BROKER OR ANY OTHER ELIGIBLE GUARANTOR INSTITUTION THAT IS AUTHORIZED TO DO SO UNDER THE SECURITIES TRANSFER AGENTS MEDALLION PROGRAM (STAMP) UNDER RULES PROMULGATED BY THE U.S. SECURITIES AND EXCHANGE COMMISSION. |
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