NUMBER SHARES
Exhibit
4.1
NUMBER
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SHARES
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Xxxxxx
Acquisition, Inc.
an
Ohio Corporation
This
Certifies that
________________________________________________________ is
the owner of _________________________________________________________
fully paid and non-assessable shares
of
Common Stock of the par value $.01 each of Xxxxxx Acquisition,
Inc.
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.
Witness
the seal of the Corporation and the signatures of its duly authorized
officers.
Dated
___________________
______________________
SECRETARY ______________________
PRESIDENT
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
X
X
TEN -
As
joint
tenants with right of
survivorship
and not as tenants Act._________________
in
common (Shares)
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 POSTAL ZIP CODE, OF
ASSIGNEE)
of
the
Common Stock represented by the within Certificate
and
do
hereby irrevocably constitute and appoint
Attorney
to
transfer the said stock on the books of 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(S) AS WRITTEN UPON
THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR WITHOUT ALTERATION OR
ENLARGEMENT OR ANY CHANGE WHATEVER.