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.