EX-4.1
from S-4/A
1 page
<page> <table> <s> <c> Number Shares Cusip No. 20589t 10 3 Concentra Managed Care, Inc. Common Stock, Par Value $.01 Per Share 100,000,000 Authorized Shares This Certifies That Is the Registered Holder of Shares of the Fully Paid and Non-Assessable Common Stock of Concentra Managed Care, Inc. 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., President Secretary </Table> <page> Certificate for Shares of the Issued to Dated - For Value Received Hereby Sell, Assign, and Transfer Unto Shares of the Capital Stock Represented by the Within Certificate and Do, Hereby, Irrevocably Constitute and Appoint Attorney to Transfer the Said Stock on the Books of the Within Named Corpora- Tion, With Full Power of Substitution on the Premises. Dated 19__. in Presence Of
12/34/56