EX-4.1.1 3 ex4_1-1.htm EXHIBIT 4.1.1 Exhibit 4.1.1
Exhibit 4.1.1 Form of Common Stock Certificate

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   under Uniform Gifts to Minors
                  survivorship and not as tenants   Act _____________________________________
                  in common                                      (State)
  Additional abbrevations 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: SIGNATURE MUST CORRESPONG TO THE NAME AS WRITTEN UPON THE FACE OF THIS CERTIFICATE IN EVERY PARTICULAR. WITHOUT ALTERATION ON ENLARGEMENT OR ANY CHANGE WHATSOEVER, AND MUST BE GUARANTEED BY A BANK, BROKER OR ANY OTHER ELIGIBLE GUARANTOR INSTITUTION THAT IS AUTHORIZED TO DO SO UNDER THE SECURITIES TRANSFER AGENTS MEDALLION PROGRAM (STAMP) UNDER RULES PROMULGATED BY THE U.S. SECURITIES AND EXCHANGE COMMISSION.
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