EXHIBIT 4.1
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AMERICAN BANK NOTE COMPANY PRODUCTION COORDINATOR: XXXXX XXXXXXXX: 000-000-0000
00xx xxx Xxxxxx Xxxxxx PROOF OF JANUARY 10, 2000
XXXXXXXXXXXX, XX 00000 ITERIS INC.
H 64922 FC
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SALES: X. XXXXX 352-989-2330 OPERATOR: hj
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home zip 55th /5/ ITERIS 64922 NEW
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COMMON STOCK
NUMBER SHARES
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SEE REVERSE FOR CERTAIN DEFINITIONS
CUSIP 46564P 10 5
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
THIS CERTIFICATE IS TRANSFERABLE IN THE CITIES OF BOSTON OR NEW YORK
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This Certifies that
is the record holder of
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FULLY PAID AND NONASSESSABLE SHARES OF THE COMMON STOCK, $.001 PAR VALUE, OF
_____________________________________________________________ITERIS, INC.__________________________________________________________
CERTIFICATE STOCK
transferable on the books of the Corporation by the holder thereby in person or by duly authorized attorney, upon surrender of this
Certificate property endorsed. This Certificate is not valid until countersigned by the Transfer Agent and registered by the
Registrar.
WITNESS the seal of the Corporation and the facsimile signatures of the duly authorized officers.
Dated:
[SEAL]
SECRETARY PRESIDENT
COUNTERSIGNED AND REGISTERED;
THE FIRST NATIONAL BANK OF BOSTON
TRANSFER AGENT AND REGISTRAR
BY
AUTHORIZED SIGNATURE
The Corporation will furnish without charge to each stockholder who so
requests the powers, designations, preferences and relative, participation,
optional, or other special rights of each class of stock or series thereof and
the qualifications, limitations or restrictions of such preferences and/or
rights. Such requests shall be made to the Corporation's Secretary at the
principal office of the Corporation.
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 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)
UNIF TRF MIN ACT- _____________ Custodian (until age ___________)
_______________________ under Uniform Transfers
(Minor)
to Minors Act _________________________________
(State)
Additional abbreviations may also be used though not in above list.
FOR VALUE RECEIVED, _______________________ hereby sell, assign and transfer
unto
PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE
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________________________________________________________________________________
(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE)
________________________________________________________________________________
________________________________________________________________________________
_________________________________________________________________________ Shares
of the common 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 WHATEVER.
Signature(s) Guaranteed
By ____________________________________________________
THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE
GUARANTOR INSTITUTION (BANKS, STOCKHOLDERS, SAVINGS AND
LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP
IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM),
PURSUANT TO S.E.C. RULE 17A4-15.
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AMERICAN BANK NOTE COMPANY PRODUCTION COORDINATOR: XXXXX XXXXXXXX: 000-000-0000
00xx xxx Xxxxxx Xxxxxx PROOF OF JANUARY 19, 2000
XXXXXXXXXXXX, XX 00000 ITERIS, INC.
H 64922 bk
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SALES: X. XXXXX: OPERATOR: h)
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home zip 55th /5/ ITERIS 84922 NEW
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