EX-4.1
from S-1/A
2 pages
Zq|cert#|coy|cls|rgstry|acct#|transtype|run#|trans# Fulgent Po Box 43004, Providence, Ri 02940-3004 Mr a Sample Designation (If Any) Add 1 Add 2 Add 3 Add 4 Cusip Xxxxxx XX X Holder Id Xxxxxxxxx Insurance Value 1,000,000.00 Number of Shares 123456 Dtc 12345678 123456789012345 Certificate Numbers Num/No. Denom. Total 1234567890/1234567890 1 1 1 1234567890/1234567890 2 2 2 1234567890/1234567890 3 3 3 1234567890/1234567890 4 4 4 1234567890/1234567890 5 5 5 1234567890/1234567890 6 6 6 Total Transaction 7 Common Stock Common Stock Par Value $.0001 This Certificate Is Transferable in Canton, Ma, Jersey City, Nj and College Station, Tx Certificate Number Zq00000000 Fulgent Fulgent Gentics, Inc. Incorporated Under the Laws of the State of Delaware Shares * * 000000 ****************** * * * 000000 ***************** **** 000000 **************** ***** 000000 *************** ****** 000000 **************
12/34/56