EX-4.1
from S-1
2 pages
For Value Received, Hereby Sells, Assigns and Transfers Unto Please Insert Social Security or Other Identifying Number of Assignee (Please Print or Typewrite Name and Address Including Postal Zip Code of Assignee) Shares of Common Stock, 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 20 in Presence of the Securities Represented Hereby Have Not Been Registered Under the Securities Act of 1933 (The “Act”) and May Not Be Offered, Sold or Otherwise Transferred, Assigned, Pledged or Hypothecated Unless and Until Registered Under the Act or Unless Such Registration Is Not Required
12/34/56