EX-4.3 3 a2175815zex-4_3.htm EXHIBIT 4.3
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Exhibit 4.3

NUMBER
ARAY001
              SHARES
    INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE       CUSIP 004397 10 5
SEE REVERSE FOR CERTAIN DEFINITIONS
   

 

 

LOGO

 

 

 

 

ACCURAY INCORPORATED

 

 

 

 

THIS CERTIFIES THAT

 

 

 

 

 

 

    

 

 

 

 

 

 

 

 

 

 

is the record holder of

 

 

 

 

 

 

 

 

FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK,
0.001 PAR VALUE PER SHARE, OF
ACCURAY INCORPORATED

 

 

 

 

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

 

 

[SEAL]

 

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

 

 

 

 

Dated:

 

 

 

 

 

 

 

 

 

 

COUNTERSIGNED AND REGISTERED:

 

 
        MELLON CAPITAL
        TRANSFER AGENT AND REGISTRAR    
        By        
        AUTHORIZED SIGNATURE    

 

 

/s/ ROBERT E. MCNAMARA

 

/s/ EUAN S. THOMSON

 

 

 

 
    SECRETARY   PRESIDENT AND CHIEF EXECUTIVE OFFICER
       


ACCURAY INCORPORATED

        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 survivorship and not as tenants in common             under Uniform Gifts to Minors Act
    

(State)

 

 

 

 

 

 

 

UNIF TRF MIN ACT


 



 

Custodian (until age       )

 


                    (Cust)       (Minor)
                    under Uniform Transfers 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(es) 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

 

    

    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.

SIGNATURES 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.
   
            



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ACCURAY INCORPORATED