Contract

by Nxt-ID, Inc.
April 11th, 2013

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  
      (CUSTODIAN) (MINOR)
TEN ENT -as tenants by the entireties     under Uniform Gifts to Minors Act
         
JT TEN

-as joint tenants with right of survivorship

and not as tenants 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

 

 

 


(PLEASE PRINT OR TYPE WRITE NAME AND ADDRESS, INCLUDING POSTAL ZIP CODE OF ASSIGNEE)

 


 


 

___________________________________________________________________________________________ Shares
of the common stock represented by this Certificate, and do hereby irrevocably constitutes and appoints

 

___________________________________________________________________________________________ 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(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THIS CERTIFICATE IN ANY PARTICULAR WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER.

 

SIGNATURE(S) GUARANTEED

 

        
NOTICETHE SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION. (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATION AND CREDIT UNIONS) WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM PURSUANT TO S.E.C RULE I 7AD-15