Exhibit 4.3

 

	
Number *0*
    	
Shares *0*
    


 

	
 
    	
SEE   REVERSE FOR IMPORTANT NOTICE
    
	
 
    	
ON   TRANSFER RESTRICTIONS
    
	
 
    	
AND   OTHER INFORMATION
    


 

THIS CERTIFICATE IS TRANSFERABLE                                                  CUSIP                      

IN THE CITIES OF                             

 

TRAVELCENTERS OF AMERICA INC.

a Corporation Formed Under the Laws of the State of Maryland

 

THIS CERTIFIES THAT **Specimen** is the owner of **Zero (0)** fully paid and nonassessable shares of Common Stock, $0.001 par value per share, of

 

TRAVELCENTERS OF AMERICA INC.

 

(the “Corporation”) transferable on the books of the Corporation by the holder hereof in person or by its duly authorized attorney, upon surrender of this Certificate properly endorsed.  This Certificate and the shares represented hereby are issued and shall be held subject to all of the provisions of the charter of the Corporation (the “Charter”) and the Bylaws of the Corporation and any amendments or supplements thereto. This Certificate is not valid unless countersigned and registered by the Transfer Agent and Registrar.

 

IN WITNESS WHEREOF, the Corporation has caused this Certificate to be executed on its behalf by its duly authorized officers.

 

	
DATED:
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    	
 
    
	
Countersigned   and Registered:
    	
 
    	
 
    	
 
    
	
Transfer Agent
    	
 
    	
 
    	
(SEAL)
    	
 
    
	
and Registrar
    	
 
    	
President
    	
 
    
	
 
    	
 
    	
 
    	
 
    
	
 
    	
 
    	
 
    	
 
    
	
By:
    	
 
    	
 
    	
 
    	
 
    
	
 
    	
Authorized   Signature
    	
 
    	
Secretary
    	
 
    
							


 











 

IMPORTANT NOTICE

 

The Corporation will furnish to any stockholder, on request and without charge, a full statement of the information required by Section 2-211(b) of the Corporations and Associations Article of the Annotated Code of Maryland with respect to the designations and any preferences, conversion and other rights, voting powers, restrictions, limitations as to dividends and other distributions, qualifications, and terms and conditions of redemption of the stock of each class which the Corporation has authority to issue and, if the Corporation is authorized to issue any preferred or special class in series, (i) the differences in the relative rights and preferences between the shares of each series to the extent set, and (ii) the authority of the Board of Directors to set such rights and preferences of subsequent series.  The foregoing summary does not purport to be complete and is subject to and qualified in its entirety by reference to the Charter, a copy of which will be sent without charge to each stockholder who so requests.  Such request must be made to the Secretary of the Corporation at its principal office.

 

The shares represented by this certificate are subject to restrictions on transfer and ownership.  The Corporation will furnish a full statement about certain restrictions on transferability and ownership to each holder of capital stock on request and without charge.  Requests for such information may be directed to the Secretary of the Corporation at its principal office.

 

KEEP THIS CERTIFICATE IN A SAFE PLACE.  IF IT IS LOST, STOLEN OR DESTROYED, THE CORPORATION MAY REQUIRE

A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF A REPLACEMENT 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
    	
UNIF GIFT MIN ACT                         Custodian                    
    
	
TEN ENT
    	
-
    	
as tenants by the entireties
    	
                                      (Custodian)                      (Minor)
    
	
JT TEN
    	
-
    	
as joint tenants with right of
    	
Under the Uniform Gifts to Minors Act   of                     
    
	
 
    	
 
    	
survivorship and not as tenants in common
    	
                                                                    (State)
    


 

FOR VALUE RECEIVED,                     HEREBY SELLS, ASSIGNS AND TRANSFERS UNTO

 

(NAME & ADDRESS, INCLUDING ZIP CODE & SS# OR OTHER IDENTIFYING # OF ASSIGNEE)

 

                                              (                ) shares of stock of the Corporation represented by this Certificate and does hereby irrevocably constitute and appoint                                               attorney to transfer the said shares on the books of the 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 OTHER CHANGE.