<PAGE> 1
EXHIBIT 4.1
COMMON STOCK [LOGO] COMMON STOCK
NUMBER SHARES
THIRD WAVE
TECHNOLOGIES
INCORPORATED UNDER SEE REVERSE FOR CERTAIN
THE LAWS DEFINITIONS AND
OF DELAWARE RESTRICTIONS
COMMON PAR THIRD WAVE TECHNOLOGIES, INC. CUSIP 88428W 10 8
THIS CERTIFIES THAT
IS THE OWNER OF
FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, $0.001 PAR VALUE, OF
THIRD WAVE TECHNOLOGIES, 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.
WITNESS the facsimile seal of the Corporation and the facsimile signatures of
its duly authorized officers.
Dated
[CORPORATE SEAL]
AUG. 16, 2000
DELAWARE
/s/ [SIGNATURE ILLEGIBLE] /s/ [SIGNATURE ILLEGIBLE]
----------------------------- -------------------------
VICE PRESIDENT, CHIEF EXECUTIVE
GENERAL COUNSEL AND SECRETARY OFFICER AND PRESIDENT
Countersigned and Registered:
EquiServe Trust Company, N.A.
Transfer Agent
and Registrar
By /s/ [SIGNATURE ILLEGIBLE]
-------------------------
Authorized Signature
<PAGE> 2
THIRD WAVE 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 of
the Corporation, and the qualifications, limitations or restrictions of such
preferences and/or rights. Such request may be made to the Corporation or the
Transfer Agent.
--------------------------------------------------------------------------------
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 right of survivorship and not as
tenants in common
UNIF GIFT MIN ACT - Custodian
--------------- ---------------
(Cust) (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 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.
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 GUARANTEED:
--------------------------------------
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 17AO-15.
