EX-99.5 4 y33193a1exv99w5.htm EX-99.5: FORM OF COMMON SHARE CERTIFICATE EX-99.5
 

Exhibit (5)
THE GABELLI
HEALTHCARE & WELLNESSRx TRUST
ORGANIZED UNDER THE LAWS OF THE STATE OF DELAWARE
     
COMMON SHARES   CUSIP [           ]
OF BENEFICIAL INTEREST   SEE REVERSE FOR CERTAIN DEFINITIONS
PAR VALUE $.001 PER SHARE    
     
THIS CERTIFIES THAT
is the owner of
FULLY PAID AND NON-ASSESSABLE COMMON SHARES OF BENEFICIAL INTEREST OF
THE GABELLI HEALTHCARE & WELLNESSRx TRUST
transferable on the books of the Fund by the holder hereto 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 subject to all the provisions of the Agreement and Declaration of the Fund and the By-Laws of the Trust, as amended from to time to time, to all of which the holder by the acceptance hereof assents. This Certificate is not valid until countersigned and registered by the Transfer Agent and Registrar
Witness the facsimile seal and the facsimile signature of the duly authorized officers of the Fund.
         
DATED:
       
 
       
Countersigned and Registered:
    BY    
 
       
COMPUTERSHARE TRUST COMPANY N.A.
       
 
       
Transfer Agent and Registrar
      President
 
       
 
       
   
BY    
 
       
   
Secretary


 

 
THE GABELLI HEALTHCARE & WELLNESSRx TRUST
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    
 
               
 
      (Cust)       (Minor)
TEN ENT — as tenants by the entireties       under Uniform Gifts to Minors Act
 
         
JT TEN — as joint tenants with right of
      (State)
survivorship and not as
       
tenants in common
       
Additional abbreviations may also be used though not in the above list.
     For value Received,                                                             hereby sells, assigns and transfers unto
PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE
 
 
 
 
     
 
  Shares
     
of the Common Shares of beneficial interest 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 Trust, 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
By                                                            
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 17Ad-15.