CERTIFICATE NO.
-----------
For ____________________________________________________ Shares
Issued to _____________________________________________________
_______________________________________________________________
Dated __________________________________________________ 19 ___
From whom transferred
_______________________________________________________________
Dated __________________________________________________ 19 ___
NO. ORIGINAL NO. OF ORIGINAL NO. OF SHARES
CERTIFICATE SHARES TRANSFERRED
_______________________________________________________________
Received Certificate No. ______________________________________
for ____________________________________________________ Shares
on _____________________________________________________ 19 ___
_______________________________________________________________
_______________________________________________________________
NO. ORGANIZED UNDER THE LAWS OF SHARES
THE STATE OF FLORIDA
MEDICAL ACQUISITION CORP.
20,000,000 SHARES COMMON STOCK $0.01 PAR VALUE
THIS CERTIFIES THAT ____________________________________________________________
IS HEREBY ISSUED ________________________________________________ FULLY PAID AND
AND NON-ASSESSABLE SHARES OF THE CAPITAL STOCK OF THE ABOVE NAMED CORPORATION
TRANSFERABLE ONLY ON THE BOOKS OF THE CORPORATION BY THE HOLDER HEREOF IN PERSON
OR BY DULY AUTHORIZED ATTORNEY UPON SURRENDER OF THIS CERTIFICATE PROPERLY
ENDORSED.
IN WITNESS WHEREOF, THE SAID CORPORATION HAS CAUSED THIS CERTIFICATE TO BE
SIGNED BY ITS DULY AUTHORIZED OFFICERS AND ITS CORPORATE SEAL TO BE HEREUNTO
AFFIXED THIS ___________________ DAY OF _______________________ A.D. 19_________
______________________________________ _______________________________________
SECRETARY PRESIDENT
FOR VALUE RECEIVED, __________________ HEREBY SELL, ASSIGN AND TRANSFER
UNTO ___________________________________________________________________________
_________________________________________________________________________ SHARES
REPRESENTED BY THE WITHIN CERTIFICATE, AND DO HEREBY IRREVOCABLY CONSTITUTE AND
APPOINT ______________________________________________________________ ATTORNEY
TO TRANSFER THE SAID SHARES ON THE BOOKS OF THE WITHIN NAMED CORPORATION WITH
FULL POWER OF SUBSTITUTION IN THE PREMISES.
DATED _______________________ 19 ___
IN PRESENCE OF _______________________
_________________________
NOTICE. THE SIGNATURE OF 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.
