EXHIBIT 4.1 NUMBER SHARES 0 INCORPORATED UNDER THE LAWS OF THE STATE OF INDIANA NATIONAL HEALTH PARTNERS, INC. TOTAL AUTHORIZED ISSUE 100,000,000 SHARES WITHOUT PAR VALUE COMMON STOCK See Reverse for Certain Definitions 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 hereof in person or by 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 [SEAL] ________________________ ___________________________ PRESIDENT SECRETARY/TREASURER 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 TRANSFERS MIN ACT - Custodian ----------------- (Cust) (Minor) TEN ENT - as tenants by the entireties under Uniform Transfers to Minors Act______________________________ (State) JT TEN - as joint tenants with right of survivorship and not as tenants in common 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 ________________________________________________ ________________________________________________ _______________________________________________________________________________ (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIP CODE OF ASSIGNEE) ________________________________________________________________________________ ________________________________________________________________________________ __________________________________________________________________________Shares represented by the within Certificate, and do hereby irrevocably 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.