Attached files
| file | filename |
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| S-1/A - S-1/A - S1 Biopharma, Inc. | a2221823zs-1a.htm |
| EX-3.2 - EX-3.2 - S1 Biopharma, Inc. | a2221823zex-3_2.htm |
| EX-23.2 - EX-23.2 - S1 Biopharma, Inc. | a2221823zex-23_2.htm |
| EX-5.1 - EX-5.1 - S1 Biopharma, Inc. | a2221823zex-5_1.htm |
Exhibit 4.1
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S1 Biopharma, Inc. CUSIP 835428 10 3 $0.000 American stock transfer & trust company, LLC
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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:
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TEN COM |
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as tenants in common |
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UNIF GIFT MIN ACT— |
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Custodian |
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TEN ENT |
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as tenants by the entireties |
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(Cust) |
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(Minor) |
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JT TEN |
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as joint tenants with right of survivorship and not as tenants in common |
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under Uniform Gifts to Minors Act (State) | ||
Additional abbreviations may also be used though not in the above list.
FOR VALUE RECEIVED, hereby sell(s), assign(s) and transfer(s) unto
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PLEASE INSERT SOCIAL SECURITY OR OTHER |
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IDENTIFYING NUMBER OF ASSIGNEE |
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PLEASE PRINT OR TYPE NAME AND ADDRESS, INCLUDING 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.
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Dated |
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X |
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X |
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NOTICE: |
THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER. | |||
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Signature(s) Guaranteed |
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By |
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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. GUARANTEES BY A NOTARY PUBLIC ARE NOT ACCEPTABLE. SIGNATURE GUARANTEES MUST NOT BE DATED. |
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ABnote North America |
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711 ARMSTRONG LANE |
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PROOF OF: OCTOBER 21, 2014 |
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COLUMBIA, TENNESSEE 38401 |
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S1 BIOPHARMA, INC. |
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(931) 388-3003 |
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WO- 9170 BACK |
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HOLLY GRONER 931-490-7660 |
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OPERATOR: MV |
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NEW |
PLEASE INITIAL THE APPROPRIATE SELECTION FOR THIS PROOF: o OK AS IS o OK WITH CHANGES o MAKE CHANGES AND SEND ANOTHER PROOF