Specimen Common Stock Certificate



 Exhibit 4.1 
 

 
  
 016570|
003590|127C|RESTRICTED||4|057-423 
  
 COMMON STOCK 
 PAR VALUE $0.01 
 COMMON STOCK 
 THIS CERTIFICATE IS TRANSFERABLE IN 
 CANTON, MA AND JERSEY CITY, NJ 
 Certificate Number 
 ZQ 000000 
 Shares 

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	 * 6 0 0 6 2 0 * * * * * * 



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	 * * 6 0 0 6 2 0 * * * * * 



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	 * * * 6 0 0 6 2 0 * * * * 



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	 * * * * 6 0 0 6 2 0 * * * 



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	 * * * * * 6 0 0 6 2 0 * * 


 VARIAN, INC. 
  
 INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE 
 THIS CERTIFIES THAT 
 is the owner of 
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Sample **** Mr. Alexander David Sample **** Mr. Sample **** Mr. Sample 
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00620**Shares****600620**Shares****600620**Shares****600620**Shares****600620**Shares****600620**Shares****600620**Shares****600620**Shares****60 * * * SIX HUNDRED THOUSAND
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620**Shares****600620**Shares****600620**Shares****600620**Shares****600620**Shares****600620**Shares***600620**Shares****600620**Shares****60062
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 CUSIP 922206 10 7 
 SEE REVERSE FOR CERTAIN DEFINITIONS 
 FULLY PAID AND NONASSESSABLE SHARES OF THE COMMON STOCK, PAR VALUE $0.01 PER SHARE, OF 
 Varian, Inc. transferable on the books of the Corporation by the holder hereof in person or by duly authorized attorney upon surrender of
this Certificate properly endorsed. This Certificate is not valid until countersigned and registered by the Transfer Agent and Registrar. 
 In Witness Whereof, the duly authorized officers of the Corporation have hereunto subscribed their names in facsimile on behalf of the Corporation. 
 Chairman and Chief Executive Officer 
  
 Secretary 
  
 DATED <<Month Day, Year>> COUNTERSIGNED AND REGISTERED: 
  
 COMPUTERSHARE TRUST COMPANY, N.A. 
  
 TRANSFER AGENT AND REGISTRAR, 
  
 By 
 AUTHORIZED SIGNATURE 
 Varian, Inc. 
  
 PO BOX 43004, Providence, RI 02940-3004 
  
 MR A SAMPLE DESIGNATION (IF ANY) ADD 1 ADD 2 ADD 3 ADD 4 
 CUSIP XXXXXX XX X 
 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 
  
  







 

 
  
 .VARIAN, INC.

 A statement of the powers, designations, preferences and relative, participating, optional or other special rights of each
class of stock or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights as established, from time to time, by the Restated Certificate of Incorporation of the Corporation and by any certificate of
determination, the number of shares constituting each class and series, and the designations thereof may be obtained by the holder hereof upon request and without charge from the Secretary of the Corporation at the principal office of the
Corporation. 
 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 . . . . . . . . . . . . . . . 
 (Cust) (Minor) 
  
 TEN ENT—as tenants by the entireties under Uniform Gifts to Minors Act . . . . . . . . . . . . . (State) JT
TEN—as joint tenants with right of survivorship UNIF TRF MIN ACT . . . . . . . . . . . . . . .Custodian (until age. . . ). . . . . . . . . . . and not as tenants in common (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 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:
            20             
 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. 
 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.