<PAGE>
Exhibit 4.1
COMMON STOCK COMMON STOCK
ChipPAC, Inc.
THIS CERTIFICATE IS INCORPORATED UNDER THE SEE REVERSE FOR CERTAIN
TRANSFERABLE IN MILWAUKEE, LAWS OF THE STATE OF DEFINITIONS
WI OR NEW YORK, NY DELAWARE
This Certifies that CUSP 169657 10 3
is the record holder of
FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, $.01 PAR VALUE, OF
--------------------- CHIPPAC, INC.---------------------
transferable 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 until countersigned and registered by
the Transfer Agent and Registrar.
WITNESS the facsimile seal of the Corporation and the facsimile signatures
of its duly authorized officers.
Dated:
___________________________ [SEAL APPEARS HERE] __________________________
SENIOR VICE PRESIDENT, PRESIDENT AND CHIEF
CHIEF FINANCIAL OFFICER EXECUTIVE OFFICER
AND SECRETARY
COUNTERSIGNED AND REGISTERED:
FirstarBank, N.A.
TRANSFER AGENT AND REGISTRAR
BY ________________________
AUTHORIZED SIGNATURE
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CHIPPAC, INC.
A statement of the powers, designations, preferences and relative,
participating, optional or other special rights of each class of stock or series
thereof and the qualifications, limitations or restrictions of such preferences
and/or rights as established, from time to time, by the Certificate of
Incorporation of the Corporation and by any certificate of determination, the
number of shares constituting each class and series, and the designations
thereof, may be obtained by the holder hereof upon request and without charge at
the principal office of the Corporation.
The following abbreviations, when used in the inscription of the face of
this certificate, shall be construed as though they were written out in full
according to applicable laws or regulations:
<TABLE>
<S> <C>
TEN COM - as tenants in common UNIF GIFT MIN ACT - _______ Custodian _______
TEN ENT - as tenants by the entireties (Cust) (Minor)
JT TEN - as joint tenants with right of survivorship Under Uniform Gifts to Minors
and not as tenants in common Act__________________________
(State)
UNIF TRF MIN ACT - _______ Custodian (until age ___)
_______ under Uniform Transfers
(Minor)
to Minors Act __________________
(State)
</TABLE>
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
______________________________
__________________________________________________________________________
(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE)
__________________________________________________________________________
______________________________________________________________ Shares 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.
Dated ________________________
X ______________________________
X ______________________________
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) Guarantee
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.
