Exhibit 4.1
NUMBER
______ |
Incorporated under the Laws of the State of Delaware | SHARES
_________ |
ANEBULO PHARMACEUTICALS, INC.
______ SHARES OF COMMON STOCK
AUTHORIZED CAPITAL, 3,800,000 SHARES, COMMON STOCK, PAR VALUE $0.001 PER SHARE
SEE REVERSE FOR CERTAIN DEFINITIONS
CUSIP No. XXXXXXXXXX
THIS CERTIFIES THAT ___________________________________________________________________ IS THE OWNER OF _______________________________________________________________________________ of the Capital Stock of ANEBULO PHARMACEUTICALS, INC., designated as Common Stock transferable on the books of the Corporation by the holder hereof in person or by Attorney upon surrender of this Certificate properly endorsed.
IN WITNESS WHEREOF, the said Corporation has caused this Certificate to be signed by its duly authorized officers and its Corporate Seal to be hereunto affixed this _______ day of _____________, 20_____.
ANEBULO PHARMACEUTICALS, INC. | ||||
President | Secretary | |||
CORPORATE SEAL | ||||
Delaware 2020 |
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 - | ________ Custodian __________ |
TEN ENT | 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.
ANEBULO PHARMACEUTICALS, INC.
The Corporation will furnish without charge to each stockholder who so requests the powers, designations, preferences and relative, participating, option or other special rights of each class of stock or series thereof of the Corporation and the qualifications, limitations, or restrictions of such preferences and/or rights. This certificate and the shares represented hereby are issued and shall be held subject to the terms and conditions applicable to the securities underlying and comprising the shares.
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 represented by the within Certificate, and do hereby irrevocably constitute and appoint _____________________________ Attorney, to transfer the said shares on the books of the within named Corporation with full power of substitution in the premises.
Dated | By: | |||||
By: | ||||||
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 WHATEVER. |
Signature(s) Guaranteed | ||||
By: | ||||
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. |