For Value Received,
assigns to
_____________ Shares represented by this Certificate,
and irrevocably constitute and appoint
Attorney to transfer the Shares on the books of the
Corporation with full power of substitution.
Dated
___________________________, 20____
In presence of:
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.
These securities have not
been registered under the Securities Act of 1933, as amended, or under any
state securities act. These securities
may not be sold, assigned, or transferred in the absence of an effective
registration statement under the Securities Act of 1933, as amended, and all
applicable state securities acts, or an opinion of counsel or other assurances
satisfactory to the Corporation that the transaction is exempt from
registration under all applicable securities laws.
These Securities are subject
to the restrictions on transfers in the Bylaws.
A copy of the Bylaws is available at the Corporation’s business office.