EX-4.1
from SB-2
1 page
Certificate No. for Shares Issued to Dated 19 ___ From Whom Transferred Dated 19 ___ No. Original No. of Original No. of Shares Certificate Shares Transferred Received Certificate No. for Shares on 19 ___ No. Organized Under the Laws of Shares the State of Florida Medical Acquisition Corp. 20,000,000 Shares Common Stock $0.01 Par Value This Certifies That Is Hereby Issued Fully Paid and and Non-Assessable Shares of the Capital Stock of the Above Named Corporation 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. 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. 19 Secretary President <page> 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 19 ___ in Presence of 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
12/34/56