EX-4.1 4 a07-32333_1ex4d1.htm EX-4.1

 

 

Exhibit 4.1

 

 

 

No.

 

 

 

FIFTH STREET FINANCE CORP.

 

 

Shares

Incorporated under the Laws of the State of Delaware

 

 

 

 

 

CUSIP NO.   [

 

]

 

 

 

 

 

 

 

 

 

Common Stock

 

 

 

Par Value $.01 Per Share

 

 

SEE REVERSE FOR CERTAIN DEFINITIONS

 

 

THIS CERTIFIES THAT                                                                                                               IS THE OWNER OF                                                                                                                                                       FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, WITH A PAR VALUE OF $.01 PER SHARE, OF FIFTH STREET FINANCE CORP. (the “Corporation”), transferable on the books of the Corporation in person or by duly authorized attorney upon surrender of this certificate if properly endorsed. This certificate is not valid unless countersigned by the Transfer Agent and registered by the Registrar.

 

WITNESS the seal of the Corporation and the facsimile signatures of its duly authorized officers.

 

Dated:

 

, 2007

 

 

 

FIFTH STREET FINANCE CORP.

 

 

 

 

 

 

 

Secretary

 

CORPORATE SEAL

 

Chief Executive Officer

 

 

2007

 

 

 

 

DELAWARE

 

 

 

 

 

 

 

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

Unif Gift Min Act -

 

Custodian

 

TEN ENT

 

tenants by the entireties

                                        (Cust)                              (Minor)

JT TEN

 

as joint tenants with right of

Under Uniform Gifts to Minors

 

 

survivorship and not as tenants

 

 

 

in common

 

Act:

 

 

 

 

 

(State)

 

 

Additional Abbreviations may also be used though not in the above list.

 

IMPORTANT NOTICE

 

A statement of the powers, designations, preferences and relative participating, optional or other special rights of each class of stock or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights as established, from time to time, by the Certificate of Incorporation and by any certificate of designation, the number of shares constituting each class and series, and designations thereof, may be obtained by the holder hereof upon request and without charge at the principal office of the Corporation.

 

KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN OR DESTROYED, THE CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT CERTIFICATE.

 

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 this 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

 

 

 

By:

 

 

 

 

 

 

 

 

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) 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).