Attached files
file | filename |
---|---|
S-1/A - FORM S-1/A - Kips Bay Medical, Inc. | c56813a2sv1za.htm |
EX-10.23 - EX-10.23 - Kips Bay Medical, Inc. | c56813a2exv10w23.htm |
EX-10.14 - EX-10.14 - Kips Bay Medical, Inc. | c56813a2exv10w14.htm |
EX-23.1 - EX-23.1 - Kips Bay Medical, Inc. | c56813a2exv23w1.htm |
EX-10.24 - EX-10.24 - Kips Bay Medical, Inc. | c56813a2exv10w24.htm |
EX-10.31 - EX-10.31 - Kips Bay Medical, Inc. | c56813a2exv10w31.htm |
EX-10.25 - EX-10.25 - Kips Bay Medical, Inc. | c56813a2exv10w25.htm |
EX-10.30 - EX-10.30 - Kips Bay Medical, Inc. | c56813a2exv10w30.htm |
EX-10.29 - EX-10.29 - Kips Bay Medical, Inc. | c56813a2exv10w29.htm |
Exhibit 4.1
THIS CERTIFICATE IS TRANSFERABLE IN SOUTH SAINT PAUL, MN ...advancing, refining, and improving cardiac surgery SEE REVERSE SIDE FOR CERTAIN DEFINITIONS INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE CUSIP 49726K 10 5 THIS CERTIFIES THAT IS THE OWNER OF FULLY PAID AND NON-ASSESSABLE COMMON SHARES, $0.01 PAR VALUE, OF KIPS BAY MEDICAL, INC. transferable on the books of the Corporation by the holder hereof in person or by Attorney upon surrender of this certificate properly endorsed. This certificate is not valid until countersigned and registered by the Transfer Agent and Registar. IN WITNESS WHEREOF, the said Corporation has caused this certificate to be signed by facsimile signatures of its duly authorized officers. COMMON Dated: Michael Winegar Vice President/COO Manny Villafana Chairman/CEO Countersigned and Registered WELLS FARGO BANK (Transfer Agent and Registar) By: Authorized Signature NOCORPOR ATE SEAL |
THE BOARD OF THIS CORPORATION HAS THE AUTHORITY TO CREATE AND DETERMINE THE RELATIVE
RIGHTS AND PREFERENCES OF CLASSES OR SERIES OF SHARES OF CAPITAL STOCK OTHER THAN COMMON
STOCK. THIS CORPORATION WILL FURNISH TO ANY STOCKHOLDER UPON WRITTEN REQUEST SENT TO ITS
PRINCIPAL EXECUTIVE OFFICES, AND WITHOUT CHARGE, A FULL STATEMENT OF THE BOARDS AUTHORITY TO
CREATE AND DETERMINE THE RELATIVE RIGHTS AND PREFERENCES OF CLASSES OR SERIES OF SHARES OF
CAPITAL STOCK AS WELL AS THE DESIGNATIONS, PREFERENCES, LIMITATIONS AND RELATIVE RIGHTS OF
THE SHARES OF EACH CLASS OR SERIES THEN OUTSTANDING OR AUTHORIZED TO BE ISSUED.
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 | UTMA Custodian | |||
(Cust) (Minor) | ||||||
TEN ENT |
| as tenants by entireties | under Uniform Transfers to Minors | |||
JT TEN |
| as joint tenants with right of survivorship and not as tenants in common | Act
(State) |
Additional abbreviations may also be used though not in 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 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 | |
X | ||
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
ALL GUARANTEES MUST BE MADE BY A
FINANCIAL INSTITUTION (SUCH AS A BANK OR
BROKER) WHICH IS A PARTICIPANT IN THE
SECURITIES TRANSFER AGENTS MEDALLION
PROGRAM (STAMP), THE NEW YORK STOCK
EXCHANGE, INC. MEDALLION SIGNATURE
PROGRAM (MSP), OR THE STOCK EXCHANGES
MEDALLION PROGRAM (SEMP) AND MUST NOT
BE DATED. GUARANTEES BY A NOTARY PUBLIC
ARE NOT ACCEPTABLE.