EX-4.1 3 ex4-1.txt FORM OF STOCK CERTIFICATE Exhibit 4.1 Number Shares PURADYN FILTER TECHNOLOGIES, INC. INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE COMMON STOCK CUSIP 746091 10 7 THIS CERTIFIES THAT ----------------------------------------------------- is the registered Holder of _______________________________________Shares of the Common Stock Par Value $.001 Per Share fully paid and non-assessable, transferable only on the books of the Corporation by the holder hereof in person or by Attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar. 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 _______, 20____. ---------------------------------- ---------------------------------- SECRETARY PRESIDENT For Value Received _________________________ hereby sell assign and transfer unto PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER 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 __________________ 20_____ In presence of ---------------------------------- -----------------------------------