EX-4.1 4 0004.txt FORM OF STOCK CERTIFICATE 1 EXHIBIT 4.1 COMMON STOCK COMMON STOCK [LOGO] INCORPORATED UNDER THE LAWS BASIC ENERGY SERVICES, INC. CUSIP 069854 10 7 OF THE STATE OF DELAWARE SEE LEGENDS ON REVERSE This Certifies that is the owner of FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, $0.01 PAR VALUE PER SHARE, OF BASIC ENERGY SERVICES, INC., incorporated under the laws of the State of Delaware (the "Corporation"), transferable on the books of the Corporation by the holder hereof in person or by duly authorized attorney upon surrender of this certificate properly executed. This certificate and shares represented hereby are issued and shall be held subject to all the provisions of the Amended and Restated Certificate of Incorporation (copies of which are on file with the Transfer Agent). This certificate is not valid until countersigned by the Transfer Agent and registered by the Registrant. Witness the signatures of its duly authorized officers. Dated: ------------------------------------- ------------------------- Kenneth V. Huseman, Bill E. Coggin, President and Chief Executive Officer Secretary Countersigned and Requested: American Stock Transfer & Trust Company Transfer Agent and Registrar By Authorized Signature 2 BASIC ENERGY SERVICES, INC. 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 GIFT MIN ACT - ___________Custodian _________________ TEN ENT - AS TENANTS BY THE ENTIRETIES (Cust) (Minor) JT TEN - AS JOINT TENANTS WITH RIGHT OF Under the ________ Transfers to Minor Act SURVIVORSHIP AND NOT AS (state) TENANTS IN COMMON
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) ________________________________________________________________________________ ________________________________________________________________________________ common shares represented by the within Certificate, and do hereby irrevocably constitute and appoint ________________________________________________________________________________ Attorney to transfer the sold stock on the books of the within-named Corporation with full power of substitution in the premises. Dated ________________ 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. X ----------------------------------- This certificate also evidences and entitles the holder hereof to certain Rights as set forth in a Rights Agreement between Basic Energy Services, Inc. and American Stock Transfer & Trust Company (the "Rights Agreement"), the terms of which are hereby incorporated herein by reference and a copy of which is on file at the principal executive offices of Basic Energy Services, Inc. Under certain circumstances, as set forth in the Rights Agreement, such Rights may be redeemed or be evidenced by separate certificates and no longer be evidenced by this certificate. Basis Energy Services, Inc. will mail to the holder of this certificate a copy of the Rights Agreement without charge after receipt of a written request therefor. Under certain circumstances, as set forth in the Rights Agreement, Rights owned by or transferred to any Person who becomes an Acquiring person or an Affiliate or Associate thereof (as such terns are defined in the Rights Agreement), and certain transferees thereof, will become null and void and will no longer be transferable. 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 SEC RULE 17Ad-15 -------------------------------------------------------------------------------- SIGNATURE(S) GUARANTEED BY: