EX-4.1 5 a2112543zex-4_1.txt EXHIBIT 4.1 EXHIBIT 4.1 COMMON SHARES COMMON SHARES NUMBER AXS [AXIS LOGO] SHARES [LOGO] ORGANIZED UNDER THE LAWS OF BERMUDA CUSIP G0692U 10 9 SEE REVERSE FOR CERTAIN DEFINITIONS AXIS CAPITAL HOLDINGS LIMITED THIS IS TO CERTIFY THAT is the registered holder of CERTIFICATE OF STOCK FULLY PAID AND NON-ASSESSABLE COMMON SHARES, PAR VALUE US $0.10 PER SHARE, OF AXIS Capital Holdings Limited transferable on the books of the Company 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 the provisions of the Memorandum of Association and Bye-Laws of the Company, copies of which are on file with the Transfer Agent, to all of which the holder by acceptance hereof assents. This certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar. Witness the seal of the Company and the signatures of its duly authorized officers. Dated COUNTERSIGNED AND REGISTERED: THE BANK OF NEW YORK TRANSFER AGENT AND REGISTRAR BY /s/ [ILLEGIBLE] /s/ [ILLEGIBLE] /s/ [ILLEGIBLE] PRESIDENT AND AUTHORIZED SIGNATURE SECRETARY CHIEF EXECUTIVE OFFICER AMERICAN BANK NOTE COMPANY PRODUCTION COORDINATOR: SUE McNAMEE: 931-490-1722 711 ARMSTRONG LANE PROOF OF MAY 30, 2003 COLUMBIA, TENNESSEE 38401 AXIS CAPITAL HOLDINGS LIMITED (931) 388-3003 TSB 12043 MODEL FACE SALES: R.JOHNS: 212-269-0339 OPERATOR: KOSHY ETHER 13 / LIVE JOBS / A / Axis 12043 model face NEW AXIS CAPITAL HOLDINGS LIMITED 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)
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 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 Company 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 WHATEVER. Signature(s) Guaranteed: ____________________________________________________ THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS, STOCKBROKERS, SAVINGS 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 PRODUCTION COORDINATOR: SUE MCNAMEE: 931-490-1722 711 ARMSTRONG LANE PROOF OF APRIL 21, 2003 COLUMBIA, TENNESSEE 38401 AXIS CAPITAL HOLDINGS LIMITED (931) 388-3003 TSB 11522 BK SALES: R. JOHNS: 212-269-0339 OPERATOR: KOSHY / ETHER 13 / LIVE JOBS / A/Axis 11522 bk NEW