Exhibit 4.1
NUMBER SHARES
THIS CERTIFIES THAT _______________________________________ is the registered
holder of ___________________________________________ Shares transferable only
on the books of the Corporation by the holder hereof in person or by 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. ___________
[SEAL]
[BACK OF CERTIFICATE]
The shares represented by this Certificate have not been registered under the
Securities Act of 1933 ("the Act") and are "restricted securities" as that term
is defined in Rule 144 under the Act. The shares may not be offered for sale,
sold or otherwise transferred except pursuant to an effective registration
statement under the Act or pursuant to an exemption from registration under the
Act, the availability of which is to be established to the satisfaction of the
Company.
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
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In presence of
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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.
