EX-4.1 4 d73463dex41.htm EX-4.1 EX-4.1

Exhibit 4.1

 

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. ZQ|CERT#|COY|CLS|RGSTRY|ACCT#|TRANSTYPE|RUN#|TRANS# COMMON STOCK COMMON STOCK PO PAR VALUE $.01 MR ADDADDADDADD 43 21A Box DESIGNATIONSAMPLE 43004, Certificate Shares (IF Number ** 000000 ****************** ANY) ZQ00000000 *** 000000 ***************** **** 000000 **************** Providence ***** 000000 *************** RI Seaport Therapeutics, Inc. ****** 000000 ************** INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE 02940 ** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample SEE REVERSE FOR CERTAIN DEFINITIONS - THIS CERTIFIES THAT **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. 3004 Alexander David Sample MR **** Mr. Alexander . SAMPLE David Sample **** Mr. Alexander &David MRS Sample **** Mr.Alexander SAMPLE David Sample **** Mr. Alexander & David Sample **** CUSIP XXXXXX XX X Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. AlexanderMR David Sample . **** SAMPLE Mr. Alexander David Sample **** &Mr . Alexander MRS David Sample . SAMPLE **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Sample **** Mr. Sample **000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Sha is the owner of res****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**S hares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000** THIS CERTIFICATE IS TRANSFERABLE IN Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000 ***ZERO HUNDRED THOUSAND **Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****0000 CITIES DESIGNATED BY THE TRANSFER 00**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****00 AGENT, AVAILABLE ONLINE AT 0000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares**** 000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares**** ZERO HUNDRED AND ZERO*** www.computershare.com 000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares**** 000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares**** 000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares**** FULLY-PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK OF Seaport Therapeutics, Inc. (hereinafter called the “Company”), transferable on the books of the Company Total DTC in person or by duly authorized attorney, upon surrender of this Certificate properly endorsed. This Certificate Holder and the shares represented hereby, are issued and shall be held subject to all of the provisions of the Articles Number InsuranceID of Incorporation, as amended, and the By-Laws, as amended, of the Company (copies of which are on file with Certificate of the Company and with the Transfer Agent), to all of which each holder, by acceptance hereof, assents. This Value Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar. Transaction Shares CUSIP/IDENTIFIER Numbers 1234567890/12345678901234567890/12345678901234567890/12345678901234567890/12345678901234567890/12345678901234567890/1234567890 Witness the facsimile seal of the Company and the facsimile signatures of its duly authorized officers. DATED DD-MMM-YYYY 654321 FACSIMILE SIGNATURE TO COME HERAPE COUNTERSIGNED AND REGISTERED: TUT 12345678 T POR I COMPUTERSHARE TRUST COMPANY, N.A. O R OR AT C . Num/No C E S P , I TRANSFER AGENT AND REGISTRAR, President E A N S . C 654321 Denom 04/01/2024 . XXXXXX FACSIMILE SIGNATURE TO COME DEL RE 1,000,000 AWA 7654321 . XX Total 12345678901234512345600XXXXXXXXXXX By 73463-027-Part-2 06Apr26 22:55 Page Secretary 92 AUTHORIZED SIGNATURE


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SEAPORT THERAPEUTICS, INC. THE COMPANY WILL FURNISH WITHOUT CHARGE TO EACH SHAREHOLDER WHO SO REQUESTS, A SUMMARY OF THE POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OF THE COMPANY AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES AND RIGHTS, AND THE VARIATIONS IN RIGHTS, PREFERENCES AND LIMITATIONS DETERMINED FOR EACH SERIES, WHICH ARE FIXED BY THE ARTICLES OF INCORPORATION OF THE COMPANY, AS AMENDED, AND THE RESOLUTIONS OF THE BOARD OF DIRECTORS OF THE COMPANY, AND THE AUTHORITY OF THE BOARD OF DIRECTORS TO DETERMINE VARIATIONS FOR FUTURE SERIES. SUCH REQUEST MAY BE MADE TO THE OFFICE OF THE SECRETARY OF THE COMPANY OR TO THE TRANSFER AGENT. THE BOARD OF DIRECTORS MAY REQUIRE THE OWNER OF A LOST OR DESTROYED STOCK CERTIFICATE, OR HIS LEGAL REPRESENTATIVES, TO GIVE THE COMPANY A BOND TO INDEMNIFY IT AND ITS TRANSFER AGENTS AND REGISTRARS AGAINST ANY CLAIM THAT MAY BE MADE AGAINST THEM ON ACCOUNT OF THE ALLEGED LOSS OR DESTRUCTION OF ANY SUCH CERTIFICATE. For US purposes 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—and as joint not tenants as tenants with in right common of survivorship UNIF GIFT MIN ACT -............................................ ( Cust) Custodian ................................................ ( Minor) under Uniform Gifts to Minors Act ........................................................ (State) UNIF TRF MIN ACT -............................................ ( Cust) Custodian (until age ................................) ............................. ( Minor) under Uniform Transfers 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 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 Company with full power of substitution in the premises. Dated: ________________________________________ 20_________________ Signature: _________________________________________________________ Signature: _________________________________________________________ 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. Signature(s) Guaranteed: Medallion Guarantee Stamp 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. basis The IRS of certain requires shares that the or units named acquired transfer after agent January (“we”) 1, report 2011 the . If cost your shares or transfer or units the shares are covered or units by using the legislation, a specific and cost you basis requested calculation to sell method, specify a then cost we basis have calculation processed method, as you then requested we have . If defaulted you did not to the need first in, additional first out (FIFO) information method about . Please cost basis consult . your tax advisor if you If you do not keep Page in contact 93 with the issuer or do not have any your activity property in your may account become for the subject time to period state specified unclaimed by property state law, laws and transferred to the appropriate state.