EX-4.1 5 a51896exv4w1.htm EX-4.1 exv4w1
     
Exhibit 4.1
     (CERTIFICATE)


 

     A statement of the rights, preferences, privileges and restrictions granted to or imposed upon the respective classes or series of shares and upon the holders thereof as established by the Certificate of Incorporation of the Corporation and by any certificate of designations, and the number of shares constituting each class or series and the designations thereof, may be obtained by any stockholder of the Corporation upon written request and without charge from the Secretary of the Corporation at its corporate headquarters.
     This Certificate also evidences and entitles the holder hereof to certain Rights as set forth in a Stockholder Rights Agreement between AVANIR Pharmaceuticals, Inc. and American Stock Transfer & Trust Company, LLC (or any successor thereto), as Rights Agent, as amended, restated, renewed, supplemented or extended from time to time (the “Rights Agreement”), the terms of which are hereby incorporated herein by reference and a copy of which may be obtained at the principal offices of AVANIR Pharmaceuticals, Inc. and the stock transfer administration office of the Rights Agent. Under certain circumstances, as set forth in the Rights Agreement, such Rights will be evidenced by separate Certificates and will no longer be evidenced by this Certificate. AVANIR Pharmaceuticals, Inc. may redeem the Rights at a redemption price of $0.0001 per Right, subject to adjustment, under the terms of the Rights Agreement. AVANIR Pharmaceuticals, Inc. will mail to the holder of this Certificate a copy of the Rights Agreement, as in effect on the date of mailing, without charge promptly after receipt of a written request therefor. Under certain circumstances, Rights issued to or held by Acquiring Persons or any Affiliates or Associates thereof (as defined in the Rights Agreement), and any subsequent holder of such Rights, may become null and void. The Rights shall not be exercisable, and shall be void so long as held, by a holder in any jurisdiction where the requisite qualification, if any, to the issuance to such holder, or the exercise by such holder, of the Rights in such jurisdiction shall not have been obtained or be obtainable.
     KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, OR DESTROYED THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT 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
TEN ENT
    as tenants by the entireties
JT TEN
    as joint tenants with right of
survivorship and not as tenants
in common
                     
UNIF GIFT MIN ACT
        Custodian        
 
     
 
(Cust)
 
 
(Minor)
   
 
        under Uniform Gifts to Minors    
 
 
      Act            
       
 
   
 
 
          (State)        
 
UNIF TRF MIN ACT
     
 
(Cust)
 Custodian (until age   
 
 
 
           under Uniform Transfers    
 
                   
 
      (Minor)            
 
 
      to Minors 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 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                                                             
         
X
 
 
   
 
 
   
 
X
 
 
   
 
 
 
NOTICE:
 
THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER.
   
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.