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EXHIBIT 4.2
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PROBEX CORP.
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
AUTHORIZED 550,000 SHARES OF
10% CUMULATIVE CONVERTIBLE PREFERRED STOCK, SERIES A
$.001 PAR VALUE PER SHARE, $10.00 LIQUIDATION PREFERENCE PER SHARE
THIS CERTIFIES that
is the owner of
SHARES OF THE 10% CUMULATIVE CONVERTIBLE PREFERRED STOCK, SERIES A OF
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transferable only 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 , A.D., 2000
/s/ THOMAS G. PLASKETT /s/ BRUCE A. HALL
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PRESIDENT SECRETARY
Registered and Countersigned:
TRANSFER ONLINE
227 SW Pine St. Suite 300, Portland, OR 97204
by
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Authorized Officer
NOT VALID UNLESS COUNTERSIGNED BY TRANSFER AGENT
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PROBEX CORP.
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A full statement of the rights, preferences, privileges and restrictions granted to or imposed upon the respective classes and
series of shares authorized to be issued and upon the holders thereof is set forth in the articles of incorporation of the
Corporation, as amended and supplemented, on file in the office of the Secretary of State of Colorado. A copy of the statement of
rights, preferences, privileges and restrictions may be obtained upon request and without charge from the Corporation at its
principal executive office.
Each share of the 10% Cumulative Convertible Preferred Stock, Series A is convertible into 5.33333 shares of common stock
subject to adjustment.
The following abbreviations, when used in the description 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 -- 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)
UNIF TRF MIN ACT -- ___________ Custodian (until age ______),
(Cust)
_________________ under Uniform Transfers
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
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(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE)
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Shares
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of the capital stock represented by the within Certificate, and do hereby irrevocably constitute and appoint
Attorney
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to transfer the said stock on the books of the within named Corporation with full power of substitution in the premises.
Dated
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X
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X
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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
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By
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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.
ELECTION TO CONVERT
(To be executed upon conversion)
The undersigned hereby irrevocably elects to convert __________ shares of 10% Cumulative Convertible Preferred Stock, Series A
represented by the within Certificate into _______ shares of Common Stock.
Please issue a certificate or certificates for such shares of Common Stock, in name of, and pay any cash for an fractional
share to:
PLEASE INSERT SOCIAL SECURITY OR
OTHER IDENTIFYING NUMBER OF ASSIGNEE
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Name
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Address
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Signature Guarantee Signature
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NOTE: THE ABOVE SIGNATURE SHOULD CORRESPOND EXACTLY
------------------------------------------------------------ WITH THE NAME ON THE FACE OF THIS CERTIFICATE OR WITH
THE NAME OF ASSIGNEE APPEARING IN THE ASSIGNMENT
FORM ABOVE.
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