EX-4.1 3 dex41.txt FORM OF COMMON STOCK CERTIFICATE
EXHIBIT 4.1 INCORPORATED UNDER THE LAWS OF THE STATE OF NEVADA COMMON PAR VALUE STOCK $.001 INDUSTRIAL DATA SYSTEMS CORPORATION [NUMBER] [SHARES] C THIS CERTIFICATE IS TRANSFERABLE SEE REVERSE FOR CERTAIN DEFINITIONS IN CHICAGO, ILLINOIS AND NEW YORK, NEW YORK CUSIP 456053 10 7 This Certifies that is the record holder of FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK OF INDUSTRIAL DATA SYSTEMS CORPORATION 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 unless countersigned by the Transfer Agent and registered by the Registrar. Witness the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers. Dated /s/ William A. Coskey COUNTERSIGNED AND REGISTERED: PRESIDENT HARRIS TRUST AND SAVINGS BANK TRANSFER AGENT /s/ Hulda L. Coskey [SEAL APPEARS HERE] AND REGISTRAR BY SECRETARY AUTHORIZED SIGNATURE
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 Under Uniform Gifts to Minors of survivorship and not as Act___________________________ tenants in common (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 Capital 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 -------------------------------- X --------------------------------------- (SIGNATURE) 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 -------------------------------------- (SIGNATURE) 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 PROGRAM), PURSUANT TO S.E.C. RULE 17Ad-15. -------------------------------------------------------------------------------- SIGNATURE(S) GUARANTEED BY: