EXHIBIT 4.0
THE SECURITIES WHICH ARE THE SUBJECT OF THIS AGREEMENT HAVE NOT BEEN REGISTERED
UNDER THE SECURITIES ACT OF 1933 (THE "SECURITIES ACT"), NOR REGISTERED UNDER
ANY STATE SECURITIES LAW, AND ARE "RESTRICTED SECURITIES" AS THAT TERM IS
DEFINED IN RULE 144 UNDER THE SECURITIES ACT. THE SECURITIES MAY NOT BE OFFERED
FOR SALE, SOLD OR OTHERWISE TRANSFERRED, EXCEPT PURSUANT TO AN EFFECTIVE
REGISTRATION STATEMENT UNDER THE SECURITIES ACT, OR PURSUANT TO AN EXEMPTION
FROM REGISTRATION UNDER THE SECURITIES ACT, THE AVAILABILITY OF WHICH IS TO BE
ESTABLISHED TO THE SATISFACTION OF THE ISSUER.
CORD BLOOD AMERICA, INC.
A FLORIDA CORPORATION
Number __________ Shares
000
AUTHORIZED COMMON STOCK: 100,000,000,000 SHARES
PAR VALUE: $.0001
THIS CERTIFIES THAT ___________________________________________________
is hereby issued ___________________________________fully paid and
non-assessable Shares of Common Stock of the above named Corporation
transferrable 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 authorized this
Certificate to be signed by its duly authorized officers on _________________,
2004.
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Xxxxxxx X. Xxxxxxxxx, President Xxxxxxxxx X. Xxxxxxxxx, Secretary
