EXHIBIT 4.1
[BLUE BORDER DESIGN -LEFT AND RIGHT OF CERTIFICATE]
[FRONT OF CERTIFICATE]
COMMON STOCK COMMON STOCK
NUMBER [LODGIAN LOGO] SHARES
LC_________ LODGIAN, INC.
THIS CERTIFICATE IS TRANSFERABLE SEE REVERSE FOR CERTAIN DEFINITIONS
IN CHARLOTTE, NORTH CAROLINA OR CUSIP 54021P 40 3
IN NEW YORK, NEW YORK
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
THIS CERTIFIES THAT [SPECIMEN]
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IS THE OWNER OF
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FULLY PAID AND NON-ASSESSABLE SHARES OF THE $.01 PAR VALUE COMMON STOCK
OF LODGIAN, INC., transferable on the books of the corporation by the holder
hereof in person or by duly authorized attorney upon the surrender of this
certificate properly endorsed. This certificate is not valid unless
countersigned by the Transfer Agent and registered by the Registrar.
IN WITNESS WHEREOF, the corporation has caused this Certificate to be
signed by the facsimile signatures of its duly authorized officers and to be
sealed with the facsimile seal of the corporation.
CERTIFICATE OF STOCK
Dated:
[BOTTOM LEFT OF STOCK CERTIFICATE]
COUNTERSIGNED AND REGISTERED:
WACHOVIA BANK, N.A.
(CHARLOTTE, NC)
TRANSFER AGENT AND REGISTRAR
BY
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AUTHORIZED SIGNATURE
[LODGIAN, INC. CORPORATE 1998 SEAL DELAWARE]
[BOTTOM RIGHT OF STOCK CERTIFICATE]
/s/ Daniel E. Ellis
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Secretary
/s/ W. Thomas Parrington
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President and CEO
[BACK OF CERTIFICATE]
LODGIAN, INC.
THE CORPORATION WILL FURNISH WITHOUT CHARGE TO EACH STOCKHOLDER WHO SO
REQUESTS, A STATEMENT OF THE POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE,
PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OR SERIES
THEREOF AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES
AND/OR RIGHTS.
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
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TEN ENT - as tenants by the entireties (Cust) (Minor)
JT TEN - as joint tenants with the right under the Uniform Gifts to
of survivorship and not as Minors Act _______________
tenants in common (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 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
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Attorney to transfer the said stock on the books of the within named Corporation
with the full power of substitution in the premises.
Dated
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NOTICE: THE SIGNATURE(S) 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 WHATSOEVER.
Signature(S) Guaranteed: ----------------------------------
THE SIGNATURE(S) SHOULD BE
GUARANTEED BY AN ELIGIBLE
GUARANTOR INSTITUTION SUCH AS A
SECURITIES BROKER/DEALER,
COMMERCIAL BANK, TRUST COMPANY,
SAVINGS ASSOCIATION OR A CREDIT
UNION PARTICIPATING IN A MEDALLION
PROGRAM.
KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, MUTILATED OR
DESTROYED, THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO
THE ISSUANCE OF A REPLACEMENT CERTIFICATE.
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