EXHIBIT 4(A)
SPECIMEN CERTIFICATE OF COMMON STOCK OF REGISTRANT
Front:
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| |
| NUMBER SHARES |
| ----------- ----------- |
| | FC | | | |
| ----------- ----------- |
| Incorporated under the laws COMMON STOCK |
| of the state of Delaware |
| |
| FOREMOST CORPORATION OF AMERICA |
| This certificate is transferable in |
| Cleveland or in the city of New York |
| |
| CUSIP 345469 10 0 |
| ------------------------------------------------------------ |
| | reverse side for certain definitions | |
| | | |
| | THIS CERTIFIES THAT IS THE OWNER OF | |
| | | |
| | SPECIMEN | |
| | | |
| | | |
| ------------------------------------------------------------ |
| FULL PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, |
| PAR VALUE $1 PER SHARE, OF |
| |
| FOREMOST CORPORATION OF AMERICA, TRANSFERABLE UPON 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: |
| |
| Paul D. Yared Richard L. Antonini |
| ---------------------- ----------------------- |
| Senior Vice President, Chairman of the Board, |
| Secretary and President and |
| General Counsel Chief Executive Officer |
| |
| ------------- |
| | Corporate | |
| | Seal | |
| ------------- |
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Keycorp Shareholder Services, Inc.
(Cleveland, Ohio)
Transfer Agent and Registrar
By:
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Authorized Signature
EXHIBIT 4(A) (CONTINUED)
SPECIMEN CERTIFICATE OF COMMON STOCK OF REGISTRANT (CONTINUED)
Back:
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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 applications or regulations:
TEN COM - as tenants in common UNIF GIFT MIN ACT Custodian
TEN ENT - as tenants by entireties ------- ------
JT TEN - as joint tenants with right (Cust) (Minor)
of survivorship and not as under Uniform Gifts to
tenants in common Minors Act
-------------
(state)
Additional abbreviations may also be used though not in above list.
FOR VALUE RECEIVED, HEREBY SELL, ASSIGN AND TRANSFER UNTO
---------------
Please insert social
security number or other
identifying number of assignee
- ------------------------------
| |
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(Please print or type name and address, including zip code, of assignee)
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- ------------------------------------------------------------------------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 THE SUBSTITUTION IN THE PREMISES.
DATED
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NOTICE: The signature to this assignment must correspond with the
name as written upon the face of the certificate in every
particular, without alteration or enlargement or any change
whatever.