EX-4.5 6 w77668a3exv4w5.htm EX-4.5 exv4w5
Exhibit 4.5
(STOCK CERTIFICATE)
CUSIP 099502 10 6


 

     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
JT TEN
    as joint tenants with right
 
      of survivorship and not as
 
      tenants in common
                 
UNIF GIFT MIN ACT—
          Custodian    
             
    (Cust)
      (Minor)
 
               
    under Uniform Gifts 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 POSTAL ZIP CODE OF ASSIGNEE
 
 
     
 
  Shares
 
   
of the common 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,
   
 
   


SIGNATURE(S) GUARANTEED:

 
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.



     
 
   
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.