<PAGE>
EXHIBIT 4.1
NUMBER SHARES
0S_______ _______
SEE REVERSE FOR
CERTAIN
DEFINITIONS AND
INCORPORATED UNDER THE LAWS OF STATEMENTS
THE STATE OF DELAWARE RELATING TO RIGHTS,
PREFERENCES,
PRIVILEGES AND
RESTRICTIONS, IF
ANY
ORASURE TECHNOLOGIES, INC.
This Certifies That CUSIP 68554V 108
is the owner of
FULLY PAID AND NON-ASSESSABLE SHARES OF
COMMON STOCK, PAR VALUE $0.000001 PER SHARE, OF
OraSure Technologies, Inc.
(hereinafter and on the back hereof called the "Corporation") 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 and the shares represented hereby are issued and shall be held
subject to all of the provisions of the Certificate of Incorporation of the
Corporation, as amended from time to time, the Bylaws of the Corporation, as
amended from time to time, and the laws of the State of Delaware, as amended
from time to time, all of which are by reference incorporated herein and to all
of which the holder of this certificate by acceptance hereof assents and agrees
to be bound. This certificate is not valid unless 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 ORASURE TECHNOLOGIES, INC.
CORPORATE SEAL
DELAWARE
____________________ _________________________
SECRETARY CHIEF EXECUTIVE OFFICER
COUNTERSIGNED AND REGISTERED:
ChaseMellon Shareholder Services, L.L.C.
(New York, NY)
TRANSFER AGENT AND REGISTRAR
BY: _______________________________
AUTHORIZED SIGNATURE
<PAGE>
ORASURE TECHNOLOGIES, INC.
The Corporation will furnish without charge to each stockholder who so
requests 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.
This certificate also evidences and entitles the holder hereof to certain
Rights as set forth in the Rights Agreement between OraSure Technologies, Inc.
(the "Company") and ChaseMellon Shareholder Services, L.L.C. (the "Rights
Agent"), dated as of May 6, 2000 (the "Rights Agreement"), the terms of which
are hereby incorporated herein by reference and a copy of which is on file at
the principal offices of the Company. Under certain circumstances, as set forth
in the Rights Agreement, such Rights will be evidenced by separate certificates
and will no longer be evidenced by this certificate. The Company will mail to
the holder of this certificate a copy of the Rights Agreement, as in effect on
the date of mailing, without charge, promptly after receipt of a written request
therefor. Under certain circumstances set forth in the Rights Agreement, Rights
issued to, or held by, any Person who is, was or becomes an Acquiring Person or
any Affiliate or Associate thereof (as such terms are defined in the Rights
Agreement), whether currently held by or on behalf of such Person or by any
subsequent holder, may become null and void.
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:
<TABLE>
<S> <C> <C> <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 under Uniform Gifts to Minors
survivorship and not as tenants Act ____________________
in common (State)
TOD - transfer on death direction in UNIF TRF MIN ACT ______ Custodian (until age ___)
the event of owner's death (Cust)
to person named on face and _______ under Uniform Transfers
subject to TOD rules referenced (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 of
the capital 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.
<PAGE>
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) Guaranteed
By ______________________________
THE SIGNATURE(S) SHOULD 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.
