Specimen Certificate for Class A Common Stock



 Exhibit 4.1 

 
 



 
 NUMBER SHARES 
 GLOBUS MEDICAL, INC. 
 INCORPORATED UNDER THE LAWS
OF THE STATE OF DELAWARE 
 SEE REVERSE FOR CERTAIN DEFINITIONS 

C L A S S A C OMMO N S T O C K 
 THIS CERTIFIES THAT: 
 SPECIMEN IS THE OWNER OF

 FULLY PAID AND NON-ASSESSABLE SHARES OF CLASS A COMMON STOCK, $0.001 PAR VALUE PER SHARE, OF 

GLOBUS MEDICAL, INC. 
 transferable on the books of the Corporation by the holder hereof in person or by duly authorized attorney upon surrender of this certificate duly endorsed or assigned. This certificate
and the shares represented hereby are subject to the laws of the State of Delaware, and to the Certificate of Incorporation and Bylaws of the Corporation, as now or hereafter amended. This certificate is not valid until countersigned by the Transfer
Agent. WITNESS the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers. 
 DATED: 
 COUNTERSIGNED: 

BROADRIDGE CORPORATE ISSUER SOLUTIONS, INC. 
 1717 ARCH ST., STE. 1300, PHILADELPHIA, PA 19103 

TRANSFER AGENT 
 BY: 
 AUTHORIZED SIGNATURE 

CHIEF EXECUTIVE OFFICER 
 SECRETARY 







 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                          
   
	TEN ENT   -	  	as tenants by the entireties	  	 (Cust)
	  	 (Minor)

	JT TEN       -	  	as joint tenants with right of	  	under Uniform Gifts to Minors
		  	survivorship and not as tenants	  	Act                       
                                         
                
		  	in common	  		  	(State)

 Additional abbreviations may also be used though not in the above list. 

For Value Received,              hereby sell, assign and transfer
unto 
  

					
	 PLEASE INSERT SOCIAL SECURITY OR OTHER

IDENTIFYING NUMBER OF ASSIGNEE
	  		  	
	 		
	 	  		  	

  
  

(PLEASE PRINT OR TYPE NAME AND ADDRESS, INCLUDING ZIP CODE, OF ASSIGNEE) 

 
  
  

 
  

	
	                             
                                         
                                         
                                         
                                         
        Shares of the 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
                                     

 

			
		
		 	  
		 	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 WHATSOEVER.

 THE CORPORATION WILL FURNISH TO ANY STOCKHOLDER, UPON REQUEST AND WITHOUT CHARGE, A FULL STATEMENT OF THE DESIGNATIONS,
RELATIVE RIGHTS, PREFERENCES AND LIMITATIONS OF THE SHARES OF EACH CLASS AND SERIES AUTHORIZED TO BE ISSUED, SO FAR AS THE SAME HAVE BEEN DETERMINED, AND OF THE AUTHORITY, IF ANY, OF THE BOARD TO DIVIDE THE SHARES INTO CLASSES OR SERIES AND TO
DETERMINE AND CHANGE THE RELATIVE RIGHTS, PREFERENCES AND LIMITATIONS OF ANY CLASS OR SERIES. SUCH REQUEST MAY BE MADE TO THE SECRETARY OF THE CORPORATION OR TO THE TRANSFER AGENT NAMED ON THIS CERTIFICATE. 

 
  
 THE SIGNATURE TO THE ASSIGNMENT MUST CORRESPOND TO THE NAME AS WRITTEN UPON THE FACE OF THIS CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATSOEVER, AND MUST BE
GUARANTEED BY A COMMERCIAL BANK OR TRUST COMPANY OR A MEMBER FIRM OF A NATIONAL OR REGIONAL OR OTHER RECOGNIZED STOCK EXCHANGE IN CONFORMANCE WITH A SIGNATURE GUARANTEE MEDALLION PROGRAM. 

 
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