Exhibit 4.1

 

1

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	(Gust)                     (Minor)
	under Uniform Gifts to Minors
JT TEN — as joint tenants with right of survivorship and not as tenants in common	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, OR 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 _____________________________________

Signature
	NOTICE: The signature in 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 Guaranteed By: _______________________________

(Please have signature guaranteed by a National Bank through its officer or by a member firm of a major stock exchange.)