EXHIBIT 4.1
NUMBER SHARES
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
COLLEGIS, INC.
THIS CERTIFIES THAT _______________________________________ IS THE OWNER OF
__________________________________________________ FULL PAID AND NON-ASSESSABLE
TRANSFERABLE ON THE BOOKS OF THE CORPORATION 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 SEALED WITH THE SEAL OF THE
CORPORATION,
THIS ________________________ DAY, OF _________________A.D._____
_________________________________ _____________________________
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_____________________
IN PRESENCE OF
______________________________ _____________________
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.
THIS SPACE IS NOT TO BE
COVERED IN ANY WAY
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(RESERVE THIS SPACE TO PASTE BACK CANCELLED STOCK CERTIFICATE)
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IF NOT AN ORIGINAL ISSUE SHOW DETAILS OF TRANSFER BELOW
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ORIGINAL CERTIFICATE NO. OF ORIGL. NO. OF SHRS.
CERTIFICATE NO. __________FOR_______________SHARES TRANSFERRED FROM NO. DATE SHARES TRANSF'D
-------------------- ------------- --------------
______________________________________ ______________________________________________________________________________
DATED________________________ ______________________________________________________________________________
ISSUED TO ________________________________________ ______________________________________________________________________________
________________________________________ ______________________________________________________________________________
________________________________________ ______________________________________________________________________________
IF THIS CERTIFICATE IS SURRENDERED FOR TRANSFER SHOW DETAILS
________________________________________ ______________________________________________________________________________
NO. OF NEW NO. OF SHARES
NEW CERTIFICATE ISSUED TO CERTIFICATE TRANSFERRED
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DATE CERTIFICATE RECEIVED ________________________ ______________________________________________________________________________
_________________________________________ ______________________________________________________________________________
DATE CERTIFICATE SURRENDERED _____________________ ______________________________________________________________________________
_________________________________________ ______________________________________________________________________________
_________________________________________ ______________________________________________________________________________