EXHIBIT 4.1
INCORPORATED UNDER THE LAWS OF THE STATE OF WASHINGTON
NUMBER SHARES
C
GLADSTONE RESOURCES, INC.
6,000,000 NONASSESSABLE SHARES AUTHORIZED NO PAR
CUSIP 376658 10 0
This Certifies that
is the owner of
SHARES, OF THE CAPITAL STOCK OF
Gladstone Resources, Inc.
transferable 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
________________ A.D. 19_____.
COUNTERSIGNED: TranSecurities International, Inc.
2510 N. Pines Ste. 202 President
Spokane, WA 99206
---------------------------
- - --------------------------------- Secretary
Authorized Signature
TRANSFER AGENT ---------------------------
EXPLANATION OF ABBREVIATIONS
The following abbreviations, when used in the form of ownership on the face
of this certificate, shall be construed as though they were written out in full
according to applicable laws or regulations. Abbreviations in addition to those
appearing below may be used.
Phrase Phrase
Abbreviation Equivalent Abbreviation Equivalent
- - ------------ ---------- ---------- ------------
JT TEN As joint tenants, with right of survivorship TEN BY ENT As tenants by the entireties
and not as tenants in common
TEN IN COM As tenants in common UNIF GIFT MIN ACT Uniform Gifts to Minors Act
Word Word Word
Abbreviation Equivalent Abbreviation Equivalent Abbreviation Equivalent
- - ------------ ---------- ------------ ---------- ------------ ----------
ADM Administrator(s) EST Estate, Of estate of PARParagraph
Administratrix EX Executor(s), Executrix PL
Public Law
AGMT Agreement FBO For the benefit of TR (As)
trustee(s), for, of
ART Article FDN Foundation U
Under
CH Chapter GDN Guardian(s) UA
Under agreement
CUST Custodian for GDNSHP Guardianship UW
Under will of, Of will of,
DEC Declaration MIN Minor(s) Under
last will & testament
DTD Dated
- - --------------------------------------------------------------------------------
- - ----------------------------------------------------
FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers the
shares of the common capital stock represented by
the within certificate as follows:
- - --------------------------------------------------------------------------------
- - ---------- ( ) SHARES
Indicate the number of shares
TO -----------------------------------------------------------------------------
- - ----------------------------------
(Full name and address of assignee should be typewritten or printed
legibly)
- - --------------------------------------------------------------------------------
- - ----------------------------------
S.S. or other I.D. Number Street City
State Zip Code
- - --------------------------------------------------------------------------------
- - ---------- ( ) SHARES
Indicate the number of shares
TO -----------------------------------------------------------------------------
- - ----------------------------------
(Full name and address of assignee should be typewritten or printed
legibly)
- - --------------------------------------------------------------------------------
- - ----------------------------------
S.S. or other I.D. Number Street City
State Zip Code
and hereby irrevocably constitute and appoint
- - --------------------------------------------------------------------------------
- - ----------------------- as attorney
to transfer the said stock on the books of the within-named corporation with
full power of substitution in the premises
Dated -------------------------------- (Sign Here) ----------------------------
- - ------------------------------
(Signature must correspond with name on
page of certificate)
(Sign Here) --------------------------------------
- - --------------------
(Signature must correspond with name on
page of certificate)
IMPORTANT NOTICE: When you sign your name to this Assignment
Form without filling in the name of your "Assignee" or "Attorney,"
this stock certificate becomes fully negotiable, similar to a check
endorsed in blank. Therefore, to safeguard a signed certificate, it is
recommended that you either (1) fill in the name of the new owner
SIGNATURE(S) MUST BE GUARANTEED
to the "Assignee" blank, or (2) IF YOU ARE SENDING THE SIGNED
CERTIFICATE TO YOUR BANK OR BROKER, fill in the name of the
bank or broker in the "Attorney" blank. Alternatively, instead of
using this Assignment Form, you may sign a separate "stock power"
form and then mail the unsigned stock certificate and the signed
"stock power" in separate envelopes. For added protection, use
insured mail for stock certificates.