EX-4.3 3 fs42022a4ex4-3_healthsci2.htm SPECIMEN COMMON STOCK CERTIFICATE OF ORCHESTRA BIOMED HOLDINGS, INC

Exhibit 4.3

 

NUMBER SHARES
C-  
  CUSIP 68572M 106

 

SEE REVERSE FOR IMPORTANT NOTICE REGARDING OWNERSHIP AND TRANSFER RESTRICTIONS
AND CERTAIN OTHER INFORMATION

orchestra biomed holdings, inc.

INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
COMMON STOCK

 

see reverse for certain defintions

 

This Certifies that ______________________ is the owner of _______________________

FULLY PAID AND NON-ASSESSABLE SHARES OF THE PAR VALUE OF $0.0001 EACH OF THE COMMON STOCK OF orchestra biomed holdings, INC.

(THE “COMPANY”)

transferable on the books of the Company 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 by the Transfer Agent and registered by the Registrar.

 

WITNESS the facsimile signatures of its duly authorized officers.

     
     
Secretary   Chief Executive Officer

 

orchestra biomed holdings, inc.

 

The Company will furnish without charge to each stockholder who so requests a statement of the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock or series thereof of the Company and the qualifications, limitations, or restrictions of such preferences and/or rights. This Certificate and the shares represented hereby are issued and shall be held subject to all the provisions of the Certificate of Incorporation of the Company and all amendments thereto, the Bylaws of the Company and all amendments thereto and resolutions of the Company’s Board of Directors providing for the issue of securities (copies of which may be obtained from the secretary of the Company), to all of which the holder of this Certificate by acceptance hereof assents. 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)
TTEE - Trustee under Agreement dated ____________      

Additional abbreviations may also be used though not in the above list.

For value received, ______________ hereby sells, assigns and transfers unto

 
 
(PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER(S) OF ASSIGNEE(S))
 
 
(PLEASE PRINT OR TYPEWRITE NAME(S) AND ADDRESS(ES), INCLUDING ZIP CODE, OF ASSIGNEE(S))
 

____________________shares of the Common Stock represented by this Certificate, and hereby irrevocably constitutes and appoints ________________ Attorney to transfer the said stock on the books of the within named Company with full power of substitution in the premises.

 

Dated:       
    NOTICE: THE SIGNATURE(S) 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:  
   
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 (OR ANY SUCCESSOR RULE) UNDER THE SECURITIES EXCHANGE ACT OF 1934, AS AMENDED).