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Fill and Sign the Stock Certificate 481377805 Form

Fill and Sign the Stock Certificate 481377805 Form

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Stock Certificate Legend - Common Stock (Front of Certificate) No. ___________ Shares __________ ___________________________ (Name of Corporation) This Certifies that ________________ is the registered holder of ___________ shares of the Capital Stock transferrable only on the books of the Corporation by the holder hereof in person or by Attorney upon surrender of the Certificate properly endorsed. SEALIN WITNESS HEREOF, the said Corporation has caused the Certificate to be signed by its duly authorized officers and its Corporate Seal to be hereunto affixed this the _____ day of ____________ A.D. ________. (Back of Certificate) A statement of all the powers designations, restrictions, preferences, and relative, participating, optional, or other special rights and the qualifications, limitations, or restrictions thereon, of the shares of common stock which the Corporation is authorized to issue will be furnished by the Corporation to each stockholder who so requests, and the holder by acceptance of this Certificate assents to the provisions thereof.The following abbreviations, when used on 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 MinorJT TEN - as joint tenants with right of survivorship and not as tenants in common Additional abbreviations may also be used though not in the above list. For value received ____________ hereby sells, assigns and transfers unto: ___________________ (Social security or other identifying number of Assignee) _________________________ _________________________________________________ (Printed or typewritten name and address, including zip code, of Assignee) _____________ (Number of Shares) Shares represented by the within Certificate and do hereby irrevocably constitute and appoint _______________________ Attorney to transfer the said shares on the books of the within Corporation with full power of substitution in the premises.Dated ____________ SIGN HERE AFTER CAREFULLY READING THE INSTRUCTIONS ________________________Signature of Shareholder 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 GUARANTEED: _________________________________________ THE SIGNATURE TO THIS ASSIGNMENT MUSTBE GUARANTEED BY AN ELIGIBLE GUARANTOR OR 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 17 Ad-15 This certificate also evidences and entitles the holder hereof to certain rights (the Rights) as set forth in a Rights Agreement between ___________________________ (Name of Corporation) and ____________________ (Name of Transfer Agent) dated as of _______________ (date) as it may from time to time be amended (the Rights Agreement), the terms of which are hereby incorporated herein by reference and a copy of which is on file at the principal executive office, of ___________________________ (Name of Corporation). Under certain circumstances, as set forth in the Rights Agreement, such Rights will be evidenced by separate certificates and will no longer be evidenced by this certificate. _______________________ (Name of Corporation) will mail to the holder of this certificate a copy of the Rights Agreement without charge after receipt of a written request therefore. Under certain circumstance, Rights that are or were acquired or beneficially owned by an Acquiring Person or Associates or Affiliates thereof (as such terms are defined in the Rights Agreement) may become null and void.KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, MUTILATED ORDESTROYED, THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.

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