EX-4.1 2 mill_ex4z1.htm FORM OF COMMON STOCK CERTIFICATE Form of Common Stock Certificate

EXHIBIT 4.1


 

NOT VALID UNLESS COUNTERSIGNED BY TRANSFER AGENT.

INCORPORATED UNDER THE LAWS OF THE STATE OF TENNESSEE.

 

 

 

N U M B E R

9019

Miller

Energy Resources, Inc.

S H A R E S

 

AUTHORIZED COMMON STOCK:

 

 

 

CUSIP 600527 10 5

500,000,000 SHARES

 

 

 

 

PAR VALUE: $.0001

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This Certifies that

[SPECIMEN]

 

 

 

Is The Record Holder Of:

 

Shares of Miller Energy Resources, Inc. Common Stock

 

  

 

 

transferable on the books of the Corporation by the holder hereof, in person or by duly authorized attorney, upon surrender of this Certificate properly endorsed.  This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar.

 

 

 

 

 

WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers.

 

 

 

 

 

 

 

[mill_ex4z1002.gif]

 

 

Dated:

 

 

 

 

 

 

 

 

 

 

 

 

/s/ Paul Boyd

 

 

/s/ Scott M. Boruff

 

 

CHIEF FINANCIAL OFFICER

 

 

CHIEF EXECUTIVE OFFICER

 

 

 

 

 

 

 

 

 

 

 

COUNTERSIGNED & REGISTERED

 

INTERWEST TRANSFER CO. INC. P.O. BOX 17136 | SALT LAKE CITY, UTAH 84114

 

 

COUNTERSIGNED Transfer Agent Authorized Signature






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 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, 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: 

THE SIGNATURE 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.

 

 

· NOTICE SIGNATURE GUARANTEED: 

 

 

 

SIGNATURE(S) MUST BE GUARANTEED BY A FIRM WHICH IS A MEMBER OF A REGISTERED NATIONAL STOCK EXCHANGE, OR BY A BANK (OTHER THAN A SAVINGS BANK), OR A TRUST COMPANY. THE GUARANTEEING FIRM MUST BE A MEMBER OF THE MEDALLION GUARANTEE PROGRAM.

 

 

TRANSFER FEE WILL APPLY

 

 

 

***FOR MEDALLION GUARANTEE USE ONLY***