Exhibit 4.1

For value received, ........................................................................................ hereby sell, assign and transfer unto

    Shares

of the Capital Stock represented by the within Certificate, and do hereby irrevocably constitute and appoint

Attorney or Public Notary to transfer the said stock on the books of the within-named Corporation with full power of substitution in the premises.

Dated, ...............................................

..............................................................................

In Presence of

.................................................................................