Attached files
| file | filename |
|---|---|
| S-1/A - AMENDMENT NO.3 TO FORM S-1 - Evoke Pharma Inc | d523612ds1a.htm |
| EX-1.1 - EX-1.1 - Evoke Pharma Inc | d523612dex11.htm |
| EX-4.5 - EX-4.5 - Evoke Pharma Inc | d523612dex45.htm |
| EX-23.1 - EX-23.1 - Evoke Pharma Inc | d523612dex231.htm |
Exhibit 4.1
EP
EVOKE
PHARMA
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
EVOKE PHARMA, INC.
COMMON STOCK
PAR VALUE $0.0001 PER SHARE
SEE REVERSE FOR CERTAIN DEFINITIONS AND RESTRICTIONS
CUSIP 30049G 10 4
THIS CERTIFIES THAT
SPECIMEN
IS THE RECORD HOLDER OF
FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, $0.0001 PAR VALUE, OF
EVOKE PHARMA, INC.
transferable only 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 unless countersigned and registered by the Transfer Agent and Registrar.
IN WITNESS whereof, the facsimile signatures of the Corporation’s duly authorized officers.
Dated:
CHIEF BUSINESS OFFICER AND SECRETARY
CHIEF EXECUTIVE OFFICER
COUNTERSIGNED AND REGISTERED:
AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC
(Brooklyn, NY)
TRANSFER AGENT AND REGISTRAR
BY
AUTHORIZED SIGNATURE
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– |
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Custodian |
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| TEN ENT | – | as tenants by the entireties | (Cust) | (Minor) | ||||||||||
| JT TEN | – | as joint tenants with right of survivorship and not as tenants in common | under Uniform Gifts to Minors | |||||||||||
| Act | ||||||||||||||
| (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
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PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING ZIP CODE, OF ASSIGNEE
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Shares |
of the common stock represented by the within Certificate, and do hereby irrevocably constitute and appoint
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Attorney |
to transfer the said stock on the books of the within named Corporation with full power of substitution in the premises.
Dated
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| 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 WHATSOEVER. |
| SIGNATURE(S) GUARANTEED: | ||
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| 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.