Advanced BioHealing Inc - FORM S-1/A - EX-4.1 - FORM OF REGISTRANT'S COMMON STOCK CERTIFICATE - May 4, 2011

Attached files

file filename
S-1/A - AMENDMENT NO. 3 TO FORM S-1 - Advanced BioHealing Incds1a.htm
EX-3.4 - FORM OF FOURTH AMENDED AND RESTATED CERTIFICATE OF INCORPORATION - Advanced BioHealing Incdex34.htm
EX-3.7 - CERTIFICATE OF AMENDMENT TO THE THIRD AMENDED AND RESTATED CERTIFICATE - Advanced BioHealing Incdex37.htm
EX-5.1 - OPINION OF LATHAM & WATKINS LLP - Advanced BioHealing Incdex51.htm
EX-10.5 - NON-EMPLOYEE DIRECTOR COMPENSATION POLICY - Advanced BioHealing Incdex105.htm
EX-23.1 - CONSENT OF PRICEWATERHOUSECOOPERS LLP - Advanced BioHealing Incdex231.htm
EX-10.29 - SUPPLY AGREEMENT - Advanced BioHealing Incdex1029.htm
EX-10.24 - SUPPLY AGREEMENT - Advanced BioHealing Incdex1024.htm

Exhibit 4.1

 

LOGO

The Corporation is authorized to issue more than one class of stock. The Corporation shall furnish without charge to each stockholder who so requests the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock of the Corporation or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights. Such requests shall be made to the Corporation’s Secretary at the principal office of the Corporation.

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

  

–

   as tenants in common   UNIF GIFT MIN ACT–  

 

   Custodian  

 

TEN ENT

  

–

   as tenants by the entireties     (Cust)     (Minor)

JT TEN

  

–

   as joint tenants with right     under Uniform Gifts to Minors
    of survivorship and not as     Act  

 

  
    tenants in common       (State)  

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

IDENTIFYING NUMBER OF ASSIGNEE

 

   
 
      

 

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 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,                                         

 

   

 

  NOTICE:   THE SIGNATURE TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME AS WRITTEN UPON THE FACE OF THE CERTIFICATE, IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT, OR ANY CHANGE WHATEVER.

SIGNATURE(S) GUARANTEED:

 

 

   
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.   

KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN OR DESTROYED THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.