EX-4.1
from S-1/A
2 pages
Xxxx Xxxx See Reverse Side Incorporated Under the Laws of the State of Delaware for Certain Definitions Fully Paid and Non-Assessable Common Shares, $0.0001 Par Value, of Axsome Therapeutics, Inc. Transferable on the Books of the Corporation by the Holder Hereof in Person or by Attorney Upon Surrender of This Certificate Properly Endorsed. This Certificate Is Not Valid Until Countersigned and Registered by the Transfer Agent and Registrar. in Witness Whereof, the Said Corporation Has Caused This Certificate to Be Signed by Facsimile Signatures of Its Duly Authorized Officers. Dated: Herriot Tabuteau, M.D., President and CEO Mark Jacobson, Secretary Countersigned and Registered: American Stock Transfer & Trust Company (Brooklyn, New York) Transfer Agent and Registrar by Authorized Signature This Certifies That Xxxx S P E C I M E N Is the Owner of Xxxx Cusip 05464t 10 4
12/34/56