EXHIBIT 4.1
GO2PHARMACY, INC.
INCORPORATED UNDER THE LAWS OF THE STATE OF FLORIDA
NUMBER SHARES
SEE REVERSE SIDE FOR
CERTAIN DEFINITIONS
CUSIP 380193 10 2
This Certifies That:
is the owner of
FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK $.01 PAR VALUE EACH OF
GO2PHARMACY, INC.
transferable on the books of the Corporation in person or by attorney upon
surrender of this certificate duly endorsed or assigned. This certificate and
the shares represented hereby are subject to the laws of the State of Florida,
and to the Articles of Incorporation and Bylaws of the Corporation, as now or
hereafter amended. This certificate is not valid until countersigned by the
Transfer Agent.
WITNESS the facsimile seal of the Corporation and the Facsimile signatures
of its duly authorized officers.
Dated:
/s/ MIHIR K. TANEJA /s/ KOTHA S. SEKHARAM
------------------- ---------------------
Secretary President
Countersigned:
REGISTRAR AND TRANSFER COMPANY
Transfer Agent and Registrar
Authorized Officer
<PAGE>
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
TEN ENT as tenants by the entireties
JT TEN as joint tenants with the right of survivorship and not as tenants
in common
UNIF GIFT MIN ACT (Cust) Custodian (Minor)
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
(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE,
OF ASSIGNEE)
_________________________ Shares of the stock 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:
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.
THE SIGNATURE TO THE ASSIGNMENT MUST CORRESPOND TO THE NAME AS WRITTEN UPON THE
FACE OF THIS CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT
OR ANY CHANGE WHATSOEVER, AND MUST BE GUARANTEED BY A COMMERCIAL BANK OR TRUST
COMPANY OR A MEMBER FIRM OF AN NATIONAL OR REGIONAL OR OTHER RECOGNIZED STOCK
EXCHANGE IN CONFORMANCE WITH A SIGNATURE GUARANTEE MEDALLION PROGRAM.
