EX-4.1 4 a2156888zex-4_1.htm EXHIBIT 4.1
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Exhibit 4.1

COMMON STOCK           COMMON STOCK    
ZUMI   zumiez
INCORPORATED UNDER THE LAWS OF THE STATE OF WASHINGTON
   

 

 

 

 

 

 

CUSIP 989817 10 1
SEE REVERSE FOR CERTAIN DEFINITIONS

 

 

THIS CERTIFIES THAT

 

 

 

 

 

 
                 
                 

is the record holder of

 

 

 

 

 

 

 

 

FULLY PAID AND NONASSESSABLE SHARES OF COMMON STOCK, NO PAR VALUE, OF

 

 

 

 

ZUMIEZ 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 until countersigned by the Transfer Agent and registered by the Registrar.    
[SEAL]   WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.    

 

 

Dated:

 

 

 

 

 

 

 

 

/s/ Richard M. Brooks
President and Chief Executive Officer

 

/s/ Brenda Morris
Chief Financial Officer and Secretary

 

 

 

 

 

 

COUNTERSIGNED AND REGISTERED
            WACHOVIA BANK, N.A.
(Charlotte, NC)
            TRANSFER AGENT AND REGISTRAR

 

 

 

 

 

 

AUTHORIZED SIGNATURE


ZUMIEZ INC.

This certificate evidences shares of Common Stock of the Corporation. Other classes of shares of the Corporation are or may in the future be authorized and those classes may consist of one or more series of shares each with different designations, rights, preferences and limitations. The Corporation will furnish any shareholder upon written request and without charge a full statement of the designations, preferences, limitations and rights of the shares of each class authorized to be issued, and the variations in the rights and preferences between the shares of each series so far as the same have been fixed and determined, and the authority of the board of directors to fix and determine the variations, rights and preferences of future series.

        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
right of survivorship and
not as tenants in common
              
under Uniform Gifts to Minors
  
Act                                                                          
                    (State)

 

 

 

 

 

 

 

UNIF TRF MIN ACT


 



 

Custodian (until age             )
                    (Cust)        
                        
(Minor)
  under Uniform Transfers
                      
to Minors Act
   
                       
(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 Common Stock represented by the within Certificate, and do(es) 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

 

 

 

X

 

 
   
     
        X    
           
        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 WHATSOEVER.

Signature(s) Guaranteed:

 

 

 

 

By

 

 

 
 
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 OR DESTROYED, THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.




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ZUMIEZ INC.