Exhibit 4.1
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NUMBER SHARES
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0 Incorporated under the laws of the State of Delaware
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Peninsula Gaming Corp.
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Total Authorized Issue See Reverse for
1,000 Shares $0.10 Par Value Certain
Common Stock Definitions
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SPECIMEN
This is to Certify that ___________________ is the owner of
_____________________ fully paid and non-assessable shares of the above
Corporation transferable only on the books of the Corporation by the holder
thereof in person or by a duly authorized Attorney upon surrender of this
Certificate properly endorsed.
Witness, the seal of the Corporation and the signatures of its duly authorized
officers.
Dated
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COPYRIGHT 1999 CORPEX BANKNOTE CO., BAY SHORE N.Y.
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
TEN ENT -- as tenants by the entireties
JT TEN -- as joint tenants with right of survivorship and not
as tenants in common
UNIF GIFT MIN ACT -- ______________ Custodian ______________
(Cust) (Minor)
under Uniform Gifts 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
___________________________________________
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(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIP CODE OF
ASSIGNEE)
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Shares represented by the within Certificate, and do hereby irrevocable
constitute and appoint _____________________ Attorney to transfer the said
Shares on the books of the within named Corporation with full power of
substitution in the premises.
Dated _________________________
In presence of
_________________________________
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.
The purported sale, assignment, transfer, pledge, or other disposition of any
security or securities issued by a corporation that holds a license is
conditional and ineffective until approved by the Louisiana Gaming Control
Board. If the board finds that the owner of this security does not meet the
qualification requirements of the act, then the board may suspend or revoke the
license or the board may condition the license requiring that the disqualified
person or persons may not:
a. receive dividends or interest on the securities of the corporation;
b. exercise directly or through a trustee or nominee, a right conferred by
the securities of the corporation;
c. receive remuneration from the licensee;
d. receive any economic benefit from the licensee;
e. continue in an ownership or economic interest in the licensee.
THE SECURITIES EVIDENCED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE
SECURITIES ACT OF 1933, AS AMENDED (THE "SECURITIES ACT"), OR ANY STATE
SECURITIES LAWS. NO SUCH SECURITY NOR ANY INTEREST OR PARTICIPATION THEREIN MAY
BE REOFFERED, SOLD, ASSIGNED, TRANSFERRED, PLEDGED, ENCUMBERED OR OTHERWISE
DISPOSED OF IN THE ABSENCE OF SUCH REGISTRATION OR UNLESS SUCH TRANSACTION IS
EXEMPT FROM, OR NOT SUBJECT TO, REGISTRATION.