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Specimen Preferred Stock Certificate Document 1292A www.leaplaw.com Access to this document and the LeapLaw web site is provided with the understanding that neither LeapLaw Inc. nor any of the providers of information that appear on the web site is engaged in rendering legal, accounting or other professional services. If you require legal advice or other expert assistance, you agree that you will obtain the services of a competent, professional person and will not rely on information provided on the web site as a substitute for such advice or assistance. Neither the presentation of this document to you nor your receipt of this document creates an attorney-client relationship. Number 0 Shares 0 [NAME OF COMPANY] Series [ ] Preferred Stock, $[ ] Par Value Per Share SEE REVERSE SIDE FOR RESTRICTIONS ON TRANSFER This certifies that Specimen is the owner of zero (0) shares, fully paid and nonassessable, of the Series [ ] Preferred Stock of [NAME OF COMPANY], a [ ] corporation, transferable only on the books of the corporation by the holder hereof in person or by attorney upon surrender of this certificate properly endorsed. This certificate and the shares represented hereby are subject to the laws of the State of [STATE], the [NAME OF CHARTER] and the Bylaws of the Corporation, in each case as from time to time amended. IN WITNESS WHEREOF, [NAME OF COMPANY] has caused this certificate to be signed by its duly authorized officers and its corporation seal to be hereto affixed this [ ] day of [ , 20 ]. _______________________________________ President or Vice President [SEAL] ______________________________________ Secretary or Assistant Secretary Restrictions on Transfer Securities Act of 1933 The shares of stock represented by this certificate have not been registered under the Securities Act of 1933, as amended, and may not be sold, assigned, pledged or otherwise transferred in the absence of an effective registration statement under the Securities Act of 1933 covering the transfer or an opinion of counsel satisfactory to the issuer that registration under the Securities Act of 1933 is not required. Classes of Stock This corporation is authorized to issue more than one class of stock. The preferences, voting powers, qualifications and special and relative rights of the shares of stock of each class and series of this corporation are set forth in the [NAME OF CHARTER]. The corporation will furnish a copy of the [NAME OF CHARTER] without charge, to the holder of this certificate upon written request. Assignment For value received, ______________________________ hereby sells, assigns and transfers to _________________________________ shares of the Capital Stock represented by this Certificate, and does hereby irrevocably constitute and appoint _____________________________________ as attorney to transfer such stock on the books of [NAME OF COMPANY] with full power of substitution in the premises. Dated _____________, 2___. ____________________________________ Signature of registered owner corresponding exactly to the name of such owner as written on the face of this certificate. __________________________________ Witness