Attached files
EXHIBIT
4.1
FORM
OF STOCK CERTIFICATE
Number
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Shares
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HEALTHCARE CORPORATION OF
AMERICA
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INCORPORATED
UNDER THE LAWS OF THE STATE OF NEW JERSEY
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AUTHORIZED:
25,000,000 SHARES COMMON STOCK,
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WITHOUT
PAR VALUE
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CUSIP
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SEE REVERSE
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FOR
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This
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CERTAIN
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certifies
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DEFINITIONS
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that
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is the
owner of
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FULLY
PAID AND NON-ASSESSABLE
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SHARES
OF COMMON STOCK OF
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HEALTHCARE CORPORATION OF
AMERICA
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transferable
on the books of the corporation in person or by duly
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authorized
attorney upon surrender of this certificate properly
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endorsed.
This certificate and the shares represented hereby
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are
subject to the laws of the State of New Jersey, and to
the
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Articles
of Incorporation and Bylaws of the Corporation,
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as
now or hereafter amended. This certificate is not valid
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unless
countersigned by the Transfer Agent. WITNESS
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the
facsimile seal of the Corporation and the signature
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of
its duly authorized officers
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Gary L.
Sekulski Joseph
Drucker
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President
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[SEAL]
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Secretary
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1
The
following abbreviations, when used in the inscription on the face of this
certificate, shall be construed as though they were written out in full
according to applicable laws or regulations.
TEN COM
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as tenants in common
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UNIF
GIFT MIN ACT _________________________
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Custodian
_______________________
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TEN ENT
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as tenants by the
entireties
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(Cust)
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(Minor)
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JT TEN
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as joint tenants with the right
of
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Act
___________________________________________________
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survivorship and not as
tenants
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(State)
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in common
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Additional
abbreviations may also be used though not in the above list.
For value received,
______________________________________ hereby sell, assign and transfer
unto
___________________________________________________________________________________________
(PLEASE
PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE OF
ASSIGNEE)
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
_____________________________________________________________________________
shares of the capital stock
represented by the within Certificate, and do hereby irrevocably constitute and
appoint
_______________________________________________________________________,
Attorney to transfer the said stock
on the books of the within named Corporation with full power of substitution in
the premises.
Dated
_______________________
X
_______________________________________________________________________________________________________________________
THE
SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE
FACE OF THIS CERTIFICATE IN EVERY PARTICULAR WITHOUT ALTERATION OR ENLARGEMENT
OR ANY CHANGE WHATSOEVER. THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE
GUARANTOR INSTITUTION (Banks, Stockbrokers, Savings and Loan Associations and
Credit Unions)
SIGNATURE
GUARANTEED:
A
TRANSFER FEE WILL APPLY
2