EXHIBIT 4.1
================================================================================
COMMON STOCK COMMON STOCK
------------ ------------
NUMBER [LOGO] XXXX.XXX(R) SHARES
J(Certificate number)
------------ ------------
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
PAR VALUE $0.01 PAR VALUE $0.01
SEE REVERSE FOR CERTAIN DEFINITIONS CUSIP 477366 10 8
This certifies that
is the owner of
FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK OF
_______________________ ________________________
_____________________________ XXXX.XXX, INC. ______________________________
_______________________ ________________________
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 unless duly 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.
Dated:
/s/ Xxxx X. Xxxxxx [SEAL APPEARS HERE] /s/ Xxxxxxxx X. Xxxxxxxx
PRESIDENT SECRETARY
Countersigned and Registered:
AMERICAN SECURITIES TRANSFER & TRUST, INC.
X.X. XXX 0000, XXXXXX XX 00000
Transfer Agent and Registrar
By:
AUTHORIZED SIGNATURE
================================================================================
XXXX.XXX, INC.
THE CORPORATION WILL FURNISH WITHOUT CHARGE TO EACH STOCKHOLDER WHO SO
REQUESTS A STATEMENT OF THE POWERS, DESIGNATIONS, PREFERENCES, AND RELATIVE,
PARTICIPATING, 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 REQUEST MAY BE DIRECTED TO THE SECRETARY OF THE
CORPORATION, 00000 XXXXXXXX XXXXXXXXX, XXX XXXXXXX, XXXXXXXXXX 00000
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-------------
(cust) (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 (State)
tenants in common
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 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
SIGNATURE(S) GUARANTEED
BY________________________________
THE SIGNATURE(S) MUST BE GUARANTEED
BY AN ELIGIBLE guarantor institution,
(Banks, Stockbrokers, Savings and Loans
Associations and Credit Unions with
membership in an approved signature
guarantee Medallion Program), PURSUANT
TO S.E.C. RULE 17Ad-15.