Statewide Life & Health, Inc. - FORM S-1/A - EX-4.1 - SPECIMEN STOCK CERTIFICATE - February 13, 2012

Attached files

file	filename
S-1/A - AMENDMENT NO. 1 - Statewide Life & Health, Inc.	swlh_s1a.htm
EX-21 - SUBSIDIARIES OF REGISTRANT - Statewide Life & Health, Inc.	swlh_ex21.htm
EX-2.1 - PLAN OF MERGER - Statewide Life & Health, Inc.	swlh_ex2z1.htm
EX-3.1(I) - ARTICLES OF INCORPORATION - Statewide Life & Health, Inc.	swlh_ex3z1i.htm
EX-10.4 - GERFLO AGREEMENT - Statewide Life & Health, Inc.	swlh_ex10z4.htm
EX-10.7 - GENERAL AGENCY AGREEMENT WITH TIME INSURANCE COMPANY - Statewide Life & Health, Inc.	swlh_ex10z7.htm
EX-10.8 - GENERAL AGENCY AGREEMENT WITH HOMELAND HEALTHCARE - Statewide Life & Health, Inc.	swlh_ex10z8.htm
EX-23.1 - AUDITOR CONSENT - Statewide Life & Health, Inc.	swlh_ex23z1.htm
EX-10.6 - GENERAL AGENCY AGREEMENT WITH PATRIOT HEALTH, INC. - Statewide Life & Health, Inc.	swlh_ex10z6.htm
EX-10.2(B) - AMENDMENT TO EMPLOYMENT AGREEMENT FOR MARY JO THIBOULT - Statewide Life & Health, Inc.	swlh_ex10z2b.htm
EX-10.1(A) - EXHIBIT A TO EMPLOYMENT AGREEMENT FOR WARREN K. TROWBRIDGE - Statewide Life & Health, Inc.	swlh_ex10z1a.htm
EX-10.2(A) - EXHIBIT A TO EMPLOYMENT AGREEMENT FOR MARY JO THIBOULT - Statewide Life & Health, Inc.	swlh_ex10z2a.htm
EX-3.2(II) - BYLAWS - Statewide Life & Health, Inc.	swlh_ex3z2ii.htm

EXHIBIT 4.1

Specimen Stock Certificate


SPECIMEN	SPECIMEN	SPECIMEN
Number 1234567	*STATEWIDE LIFE & HEALTH, INC.*	Shares *99,999*
COMMON STOCK	Par Value $.001 INCORPORATED UNDER THE LAWS OF THE STATE OF NEVADA	COMMON STOCK CUSIP 85765U109 SEE REVERSE FOR CERTAIN DEFINITIONS
*Shareholder Name 1XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXEND* *Shareholder Name 2XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXEND* THIS CERTIFIES THAT *Shareholder Name 3XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXEND* *Shareholder Name 4XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXEND* Reg descript if applicable
is the Owner of * Ninety-Nine Thousand Nine Hundred Ninety-Nine *
	FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK OF
	STATEWIDE LIFE & HEALTH, INC
Transferable on the books of the Corporation by the holder hereof, in person or by duly authorized attorney, upon surrender of this Certificate properly endorsed. This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar.
Dated: October 17, 2011 COUNTERSIGNED AND REGISTERED: EMPIRE STOCK TRANSFER, INC. Transfer Agent and Registrar By: ___________________________________ AUTHORIZED SIGNATURE SPECIMEN	CORPORATE SEAL	_____________ _______________ Secretary President SPECIMEN