Attached files
| file | filename |
|---|---|
| S-1/A - ASSEMBLY BIOSCIENCES, INC. | v199915_s1a.htm |
| EX-23.1 - ASSEMBLY BIOSCIENCES, INC. | v199915_ex23-1.htm |
| EX-4.11 - ASSEMBLY BIOSCIENCES, INC. | v199915_ex4-11.htm |
| EX-10.11 - ASSEMBLY BIOSCIENCES, INC. | v199915_ex10-11.htm |
Exhibit
4.1
VENTRUS
BIOSCIENCES, INC.
INCORPORATED
UNDER THE LAWS OF THE STATE OF DELAWARE
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CUSIP
NUMBER 922822 101
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SEE
REVERSE FOR CERTAIN
DEFINITIONS
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THIS CERTIFIES
THAT
IS THE RECORD HOLDER
OF
FULLY
PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, $0.001 PAR VALUE PER
SHARE, OF
VENTRUS BIOSCIENCES,
INC.
transferable
on the books of the Corporation in person or by duly authorized attorney upon
surrender of the Certificate properly endorsed. This Certificate and
the shares represented hereby are issued and shall be subject to all the
provisions of the Certificate of Incorporation, to all of which the record
holder by acceptance hereby assents. This Certificate is not valid
until countersigned by the Transfer Agent and registered by the
Registrar.
IN WITNESS WHEREOF, the
Corporation has caused the facsimile seal of the Corporation and the facsimile
signatures of its duly authorized officers to be duly affixed
hereto.
DATED:
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Russell
H. Ellison
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Thomas
Rowland
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Chief
Executive Officer
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Secretary
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COUNTERSIGNED
AND REGISTERED:
(TRANSFER
AGENT NAME)
TRANSFER
AGENT
AND REGISTRAR
BY:
AUTHORIZED________________
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:
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TEN
COM
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- as
tenants in common
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UNIF GIFT MIN ACT -
……..…Custodian……..…
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TEN
ENT
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-
as tenants by the entireties
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(Cust) (Minor)
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JT
TEN
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-
as joint tenants with right of
Survivorship and not as tenants
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Under
Uniform Gifts to Minors
Act……………………………
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in common
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(State)
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UNIF
TRF MIN ACT.…..…Custodian (until
age….)
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(Minor)
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To
Minors Act……………..
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(State)
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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 INSERT SOCIAL SECURITY OR OTHER
IDENTIFIYING NUMBER OF ASSIGNEE
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____________________________________________________________________________________________________
PLEASE
PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING POSTAL ZIP CODE, OF
ASSIGNEE
____________________________________________________________________________________________________
__________________________________________________________________________________________
Shares
Of the
Common Stock represented by the within Certificate, and do(es) 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
______________________________
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X
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X
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NOTICE:
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THE
SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS
WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR WITHOUT
ALTERNATION OR ENLARGEMENT OR ANY CHANGE
WHATEVER
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Signature(s)
Guaranteed:
By_________________________________________________________________________
THE
SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS,
STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN
AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM), PURSUANT TO S.E.C. RULE
17Ad-15.