EX-4.01 3 a2153933zex-4_01.htm EX-4.01
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Exhibit 4.01

[GRAPHIC]   DEXCOM, INC.   [GRAPHIC]

INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE

COMMON STOCK

 

 

 

COMMON STOCK

THIS CERTIFIES THAT

 

 

 

CUSIP 252131 10 7
SEE REVERSE FOR CERTAIN DEFINITIONS

 

 

 

 

 

IS THE OWNER OF

 

 

 

 

FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK $0.001 PAR VALUE OF

DEXCOM, INC.

transferable on the books of the Corporation in person or by duly authorized attorney in fact upon surrender of this certificate properly endorsed. This certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar.

        WITNESS the facsimile signatures of its duly authorized officers.

Dated:

 

 

 

 

/s/  
STEVEN J. KEMPER   
ASSISTANT SECRETARY

 

[SEAL]

 

/s/  
ANDREW P. RASDAL    
PRESIDENT AND CHIEF EXECUTIVE OFFICER

    COUNTERSIGNED AND REGISTERED:
    AMERICAN STOCK TRANSFER & TRUST COMPANY
    TRANSFER AGENT
AND REGISTRAR
    BY    
        AUTHORIZED SIGNATURE

AMERICAN BANK NOTE COMPANY
711 ARMSTRONG LANE
COLUMBIA, TENNESSEE 38401
(931) 388-3003
  PRODUCTION COORDINATOR: MIKE PETERS: 931-490-1714
PROOF OF
MARCH 22, 2005
DEXCOM, INC.
TSB 19169 FACE

SALES:
J. DICKINSON: 773-429-0698

 

OPERATOR:            TERESA

ETHER 19 / LIVE JOBS / D / DEXCOM / 19169 FACE

 

NEW

COLORS SELECTED FOR PRINTING: Intaglio prints in SC-3 dark green.

COLOR: This proof was printed from a digital file or artwork on a graphics quality, color laser printer. It is a good representation of the color as it will appear on the final product. However, it is not an exact color rendition, and the final printed product may appear slightly different from the proof due to the difference between the dyes and printing ink.

PLEASE INITIAL THE APPROPRIATE SELECTION FOR THIS PROOF:             OK AS IS             OK WITH CHANGES             MAKE CHANGES AND SEND ANOTHER PROOF


        The Corporation shall furnish without charge to each shareholder who so requests a statement of the powers, designations, preferences and relative, participating, optional, or other special rights of each class of stock of the Corporation or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights. Such requests shall be made to the Corporation's Secretary at the principal office of the Corporation.

        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   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  
            (Minor)          
            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 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

 

 

Signature(s) Guaranteed   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.

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.        

AMERICAN BANK NOTE COMPANY
711 ARMSTRONG LANE
COLUMBIA, TENNESSEE 38401
(931) 388-3003
  PRODUCTION COORDINATOR: MIKE PETERS: 931-490-1714
PROOF OF
MARCH 22, 2005
DEXCOM, INC.
TSB 19169 BACK

SALES:
J. DICKINSON: 773-429-0698

 

OPERATOR:            TERESA

ETHER 19 / LIVE JOBS / D / DEXCOM / 19169 BACK

 

NEW

PLEASE INITIAL THE APPROPRIATE SELECTION FOR THIS PROOF:             OK AS IS             OK WITH CHANGES             MAKE CHANGES AND SEND ANOTHER PROOF




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