EX-4.1 4 w63655a1exv4w1.txt FORM OF COMMON STOCK CERTIFICATE Exhibit 4.1 NUMBER SHARES ------------------ ----------------------- PR ------------------ ----------------------- COMMON STOCK CUSIP 73640Q 10 5 [ICON] PORTFOLIO RECOVERY ASSOCIATES, INC. WE'RE GIVING DEBT COLLECTION A GOOD NAME.(R) INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE SEE REVERSE FOR CERTAIN DEFINITIONS ------------------------------------------------------------------------------- This Certifies that is the owner of ------------------------------------------------------------------------------- FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK OF THE PAR VALUE OF $0.01 PER SHARE OF ----------------PORTFOLIO RECOVERY ASSOCIATES, INC.----------------------- (hereinafter called the "Corporation") transferable on the books of the Corporation in person or by duly authorized attorney upon surrender of this Certificate properly endorsed. This Certificate is not valid unless countersigned by the Transfer Agent and Registrar. WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers. CERTIFICATE OF STOCK Dated: /s/ JUDITH SCOTT /s/ STEVEN FREDRICKSON SECRETARY CHIEF EXECUTIVE OFFICER AND PRESIDENT [SEAL] --------------------------------------- PORTFOLIO RECOVERY ASSOCIATES, INC. * CORPORATE SEAL DELAWARE --------------------------------------- COUNTERSIGNED AND REGISTERED: CONTINENTAL STOCK TRANSFER & TRUST COMPANY (JERSEY CITY, N.J.) TRANSFER AGENT AND REGISTRAR BY AUTHORIZED OFFICER (c)SECURITY-COLUMBIAN UNITED STATES BANKNOTE CORPORATION 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 TEN ENT -- as tenants by the -------- ------- entireties (Cust) (Minor) JT TEN -- as joint tenants with under Uniform Gifts to right of survivorship Minors Act and not as 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 --------------------------------------- --------------------------------------- ------------------------------------------------------------------------------- (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE) ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- shares ------------------------------------------------------------------------- of the capital stock represented by the within Certificate, and do hereby irrevocably constitute and appoint Attorney ---------------------------------------------------------------------- to transfer the said stock on the books of the within named Corporation with full power of substitution in the premises. Dated ------------------------- ---------------------------------------------------- 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. Signature(s) Guaranteed: ------------------------------------------------------- THE SIGNATURE(S) MUST 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, MUTILATED OR DESTROYED, THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.