EX-4.1
from S-1/A
2 pages
Zq|cert#|coy|cls|rgstry|acct#|transtype|run#|trans# Common Stock Par Value $0.001 AGTC Common Stock This Certificate Is Transferable in Canton, Ma, Jersey City, Nj and College Station, Tx Certificate Number Zq00000000 Applied Genetic Technologies Corporation Incorporated Under the Laws of the State of Delaware Shares **000000 ****************** ***000000***************** ****000000**************** *****000000*************** ******000000************** This Certifies That Is the Owner of Mr. Sample & Mrs. Sample & Mr. Sample & Mrs. Sample ***Zero Hundred Thousand Zero Hundred and Zero*** Cusip 03820j 10 0 See Reverse for Certain Definitions Fully-Paid and Non-Assessable Shares of Common Stock of Applied Genetic Technologies Corporation (Hereinafter Called the “Company”), Transferable on the Books of the Company in Person or by Duly Authorized Attorney, Upon Surrender of This Certificate Properly Endorsed. This Certificate and the Shares Represented Hereby, Are Issued and Shall Be Held Subject to All of the Provisions of the Certificate of Incorporation, as Amended, and the By-Laws, as Amended, of the Company (Copies of Which Are on File With the Company and With the Transfer Agent), to All of Which Each Holder, by Acceptance Hereof, Assents. This Certificate Is Not Valid Unless Countersigned and Registered by the Transfer Agent and Registrar. Witness the Facsimile Seal of the Company and the Facsimile Signatures of Its Duly Authorized Officers. Facsimile Signature to Come President Facsimile Signature to Come Secretary Applied Genetic Technologies Corporation Seal 2003 Delaware Dated Dd-MMM-Yyyy Countersigned and Registered: Computershare Trust Company, N.A. Transfer Agent and Registrar, by Authorized Signature Security Instructions on Reverse 1234567 Applied Genetic Technologies Corporation
12/34/56
