EX-4.1
from S-1/A
3 pages
Incorporated Under the Laws of the State of Delaware Authorized 100,000,000 Common Shares, $0.001 Par Value Per Share Cusip 876140104 See Reverse for Certain Definitions Fully Paid and Non-Assessable Common Stock, $0.001 Par Value of Targeted Medical Pharma, Inc.. Countersigned and Registered: Corporate Stock Transfer, Inc. 3200 Cherry Creek South Drive, Suite 430, Transfer Agent and Registrar Authorized Offering By: Authorized Officer (Signature) President (Seal) (Signature) (Chairman) (Reverse of Certificate) Targeted Medical Pharma, Inc. Corporate Stock Transfer, Inc. Transfer Fee: As Required Please Insert Social Security or Other Identifying Number of Assignee
12/34/56