EX-4.1
from S-1
2 pages
See Reverse Side for Certain Definitions Incorporated Under the Laws of the State of Delaware Fully Paid and Non-Assessable Shares of Common Stock, $0.001 Par Value, of Cotiviti Holdings, Inc. Hereinafter Called the “Corporation,” Transferabcle on Othe Bomoks of Tmhe Corpoorationn 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: O S E a L General Counsel and Secretary Chief Executive Officer Countersigned and Registered: American Stock Transfer & Trust Company, LLC (Brooklyn, New York) Transfer Agent and Registrar by Authorized Signature C This Certifies That Is the Owner of Cusip Xxxxxx XX X
12/34/56