EX-4.1 5 f2sexpion121721s1ex4_1.htm

 

Exhibit 4.1

 

 

 

 

 

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   (Cust) (Minor)
JT TEN - as joint tenants with the 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 EIN / SSN AND
COST BASIS OF ASSIGNEE
NAME OF REGISTERED SHAREHOLDER  

 

 

PLEASE PRINT OR TYPEWRITE NAME(S) AND ADDRESS(ES), INCLUDING ZIP CODE, OF NEW SHAREHOLDER(S)

 

 

 

 

 

 

 

 

 

  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    

 

X  

 

THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THIS CERTIFICATE. THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (Banks, Stockbrokers, Savings and Loan Associations and Credit Unions)

 

SIGNATURE GUARANTEED:

 

TRANSFER FEE WILL APPLY