Form of Common Stock Certificate




	
	 Exhibit 4.1
  

 





 NUMBER 

THIS CERTIFICATE IS TRANSFERABLE IN SOUTH SAINT PAUL, MN. 

SMILE BRANDS GROUP 

SHARES 

INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE 

SEE REVERSE SIDE FOR CERTAIN DEFINITIONS 

CUSIP 83172M 10 9 

THIS CERTIFIES THAT 

is the owner of 

FULLY PAID AND NON-ASSESSABLE COMMON SHARES, $0.01 PAR VALUE, OF 

SMILE BRANDS GROUP INC. 

transferable on the books of the Corporation by the holder hereof in person or by 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 said Corporation has caused this certificate to be signed by facsimile signatures of its duly
authorized officers. 
 Dated: 

SECRETARY 

PRESIDENT & CEO 

COUNTERSIGNED AND REGISTERED: WELLS FARGO BANK, N.A. 

BY 

TRANSFER AGENT 

AND REGISTRAR 

AUTHORIZED SIGNATURE 

AMERICAN FINANCIAL PRINTING INCORPORATED – MINNEAPOLIS 

Specimen 







 THE BOARD OF THIS CORPORATION HAS THE AUTHORITY TO CREATE AND DETERMINE THE RELATIVE RIGHTS AND PREFERENCES
OF CLASSES OR SERIES OF SHARES OF CAPITAL STOCK OTHER THAN COMMON STOCK. THIS CORPORATION WILL FURNISH TO ANY SHAREHOLDER UPON WRITTEN REQUEST SENT TO ITS PRINCIPAL EXECUTIVE OFFICES, AND WITHOUT CHARGE, A FULL STATEMENT OF THE BOARD’S
AUTHORITY TO CREATE AND DETERMINE THE RELATIVE RIGHTS AND PREFERENCES OF CLASSES OR SERIES OF SHARES OF CAPITAL STOCK AS WELL AS THE DESIGNATIONS, PREFERENCES, LIMITATIONS AND RELATIVE RIGHTS OF THE SHARES OF EACH CLASS OR SERIES THEN OUTSTANDING OR
AUTHORIZED TO BE ISSUED. 
  
  

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	 		 	UTMA	 	–	 	  
	 	Custodian	 	  

		 		 		 		 		 		 	(Cust)	 		 	(Minor)
	TEN ENT	 	–	 	as tenants by entireties	 		 		 		 	under Uniform Transfers to Minors
	  
 JT TEN
	 	  
 –
	 	  
 as joint tenants with right of survivorship
	 		 		 		 	  
 Act
                                         
               

		 		 	and not as tenants in common	 		 		 		 	(State)  


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

 
  

For value received              hereby sell, assign, and transfer unto 

 

			
	 PLEASE INSERT SOCIAL SECURITY OR OTHER

IDENTIFYING NUMBER OF ASSIGNEE
	  	
	 	
	 	  	 
		
	 	  	 
	(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING 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                     	 	 X

		
		 	 X

		 	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 GUARANTEED 

	
	ALL GUARANTEES MUST BE MADE BY A FINANCIAL INSTITUTION (SUCH AS A BANK OR BROKER) WHICH IS A PARTICIPANT IN THE
SECURITIES TRANSFER AGENTS MEDALLION PROGRAM (“STAMP”), THE NEW YORK STOCK EXCHANGE, INC. MEDALLION SIGNATURE PROGRAM (“MSP”), OR THE STOCK EXCHANGES MEDALLION PROGRAM (“SEMP”) AND MUST NOT BE DATED. GUARANTEES BY A
NOTARY PUBLIC ARE NOT ACCEPTABLE.