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Exhibit 4.2
COMMON STOCK CROSS MEDICAL COMMON STOCK
[GRAPHIC] PRODUCTS, INC. [GRAPHIC]
INCORPORATED UNDER THE LAWS OF SEE REVERSE FOR CERTAIN
THE STATE OF DELAWARE DEFINITIONS
CUSIP 227910 10 6
THIS CERTIFIES THAT
IS THE OWNER OF
FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, $0.01 PAR VALUE, OF
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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. This Certificate is not valid unless countersigned and
registered by the Transfer Agent and Registrar.
WITNESS the facsimile signatures of its duly authorized officers.
Dated:
Authorized Signature
/s/ Curtis A. Loveland /s/ Edward R. Funk
SECRETARY CHAIRMAN OF THE BOARD
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Countersigned and Registered:
FIFTH THIRD BANK
(Cincinnati, Ohio) Transfer Agent
By and Registrar
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CROSS MEDICAL PRODUCTS, INC.
The Corporation will furnish to any shareholder upon request and
without charge a full statement of: (a) the designations, relative rights,
preferences and limitations applicable to each class of capital stock
authorized to be issued; (b) the variations in rights, preferences and
limitations determined for each series authorized to be issued within each such
class; and (c) the authority of the Board of Directors to determine such
variations for subsequent series.
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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 applicable laws or regulations:
[INSCRIPTIONS]
TEN COM- as tenants in common UNIF TRANS MIN ACT- Custodian
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TEN ENT- as tenants by the entireties (Cust) (Minor)
JT TEN - as joint tenants with
right of survivorship and under Uniform Transfers to Minors
not as tenants in common
Act
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(State)
Additional abbreviations may also be used though not in the above list.
For Value received, hereby sold assign and transfer unto
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PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBERS OF ASSIGNEE
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PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS OF ASSIGNEE
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of the capital stock represented by the within Certificate, and do hereby
irrevocably constitute and appoint
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Attorney to
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transfer the said stock on the books of the within-named Corporation with full
power of substitution in the premises.
Dated X
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X
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NOTICE: THE SIGNATURE(S) TO THIS ASSIGNMENT
MUST CORRESPOND WITH THE NAME(S) AS WRITTEN
UPON THE FACE OF THE CERTIFICATE, IN EVERY
PARTICULAR, WITHOUT ALTERATION OR
ENLARGEMENT, OR ANY CHANGE WHATEVER.
SIGNATURE GUARANTEED:
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THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE
GUARANTOR INSTITUTION, (BANKS, STOCKBROKERS, SAVINGS AND
LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN
APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM), PURSUANT
TO S.E.C. RULE 17Ad-15.
KEEP THIS CERTIFICATE IN A SAFE PLACE, IF IT IS LOST, STOLEN, OR DESTROYED, THE
CORPORATION MAY REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A
REPLACEMENT CERTIFICATE.