Form of Specimen Stock Certificate for Common Stock of pSivida Corp.



 

 
  
 Exhibit 4.1

 016570 003590127CRESTRICTED4057-423 
 COMMON STOCK 
 PAR VALUE $.001 
 COMMON STOCK 
 THIS CERTIFICATE IS TRANSFERABLE IN CANTON, MA AND JERSEY CITY, NJ 
 PSivida 
 Certificate Number 
 ZQ 000000 
 Shares 
 **600620****** 
 ***600620***** 
 ****600620**** 
 *****600620*** 
 *****600620** 
 PSIVIDA CORP. 
 INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE

 THIS CERTIFIES THAT 
 MR. SAMPLE & MRS. SAMPLE & MR. SAMPLE & MRS. SAMPLE 
 CUSIP 74440J 10 1

 SEE REVERSE FOR CERTAIN DEFINITIONS 
 is the owner of 
 SIX HUNDRED THOUSAND SIX HUNDRED AND TWENTY 
 FULLY-PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK OF 
 pSivida Corp. (hereinafter called the “Company”), transferable on the books of the Company in person or by duly authorized attorney, upon surrender of this Certificate properly endorsed. This
Certificate and the shares represented hereby, are issued under, and shall be held subject to all of the provisions of, the Certificate of Incorporation, as amended, and the By-Laws of the Company (copies of which are on file with the Company and
with the Transfer Agent), to all of which each holder, by acceptance hereof, assents. This Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar. 
 Witness the facsimile seal of the Company and the facsimile signatures of its duly authorized officers. 
 [signature appears here] 
 VP, Finance & CFO 
 [signature appears here] 
 Vice President, Corporate Affairs, General Counsel & Corporate Secretary 
 [signature appears here] 
 Managing Director 
 PSIVIDA CORP. 
 SEAL 
 DELAWARE 2008 
 DATED «Month Day, Year» 
 COUNTERSIGNED AND REGISTERED: COMPUTERSHARE TRUST COMPANY, N.A. TRANSFER AGENT AND REGISTRAR 
 By 
 AUTHORIZED SIGNATURE 
 SECURITY INSTRUCTIONS ON REVERSE 
 PSvida 
 PO
BOX 43004, Providence, Rl 02940-3004 
 MR A SAMPLE 
 DESIGNATION (IF ANY) 
 ADD1 
 ADD 2 
 ADD 3 
 ADD 4 
 CUSIP XXXXXXXXX 
 Holder ID XXXXXXXXXX 
 Insurance Value 1,000,000.00 
 Number of Shares 123456 
 DTC 12345678 123456789012345 
 Certificate Numbers Num/No. Denom. Total 
 1234567890/1234567890 1 1 1 
 1234567890/1234567890 2 2 2 
 1234567890/1234567890 3 3 3 
 1234567890/1234567890 4 4 4 
 1234567890/1234567890 5 5 5 
 1234567890/1234567890 6 6 6 
 Total Transaction 7 







 

 
  
 PSIVIDA CORP.

 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 CERTIFICATE 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 AGENT AND REGISTRAR AGAINST ANY CLAIM THAT MAY BE MADE AGAINST THEM ON
ACCOUNT OF THE ALLEGED LOSS OR DESTRUCTION OF ANY SUCH CERTIFICATE. 
 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 tenant’s with right of survivorship and not as tenants in common 
 UNIF GIFT MIN ACT- Custodian 
 (Cust) (Minor) 
 under Uniform Gifts to Minors Act 
 (State) 
 UNIF
TRF MIN ACT Custodian (until age) 
 (Cust) (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 Corporation 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.