EX-4.1 2 v333175_ex4-1.htm EXHIBIT 4.1

 

 

 
 

 

 

THE SHARES REPRESENTED BY THIS CERTIFICATE ARE SUBJECT TO THOSE RESTRICTIONS ON TRANSFER OR REGISTRATION OF TRANSFER SET FORTH IN THE CERTIFICATE OF DESIGNATION FOR THE SERIES D CONVERTIBLE PREFERRED STOCK. ANY STOCKHOLDER MAY OBTAIN FROM THE PRINCIPAL OFFICES OF THE CORPORATION, UPON REQUEST AND WITHOUT CHARGE, A STATEMENT OF SUCH CERTIFICATE OF DESIGNATION AND THE POWERS, DESIGNATIONS, PREFERENCES, AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OR SERIES THEREOF AUTHORIZED TO BE ISSUED AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND/OR RIGHTS.

 

MusclePharm Corporation

Corporate stock transfer, inc.

Transfer fee: As required

 

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      
TEN ENT - as tenants by the entireties   UNIF GIFT MIN ACT - Custodian
JT TEN - as joint tenants with right
of survivorship and not as
tenants in common
    (Cust)                                          (Minor)
under Uniform Gifts to Minors
        Act _________________________________
                                                 (State)

 

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

 

PLEASE INSERT SOCIAL SECURITY OR OTHER  
IDENTIFYING NUMBER OF ASSIGNEE  
   
   
   

 

 

 

      FOR VALUE RECEIVED, _________________________________________________________ hereby sell, assign and transfer unto

 

___________________________________________________________________________________________________________

 

PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIP CODE OF ASSIGNEE

 

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

 

_____________________________________________________________________________________________________ Shares
of the Preferred Stock represented by the within 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:___________________ 20________ ,

 

Signature: X___________________________________________________________
Signature(s) Guaranteed:  
  Signature: X___________________________________________________________

 

 

 

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. 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.