Exhibit 4.1



 Exhibit 4.1 

 

 

 

  
 By 

AUTHORIZED SIGNATURE 
 THIS CERTIFIES THAT 
 is the owner of CUSIP DATED
COUNTERSIGNED AND REGISTERED: 
 COMPUTERSHARE TRUST COMPANY, N.A. TRANSFER AGENT AND REGISTRAR, FULLY-PAID AND
NON-ASSESSABLE SHARES OF THE COMMON STOCK OF Tibet Pharmaceuticals, Inc. (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 and shall be held subject to all of the provisions of the Articles and Memorandum of Association, as amended, 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. COMMON SHARES PAR VALUE $0.001 COMMON SHARES THIS CERTIFICATE IS TRANSFERABLE IN CANTON, MA AND NEW YORK, NY SEE REVERSE FOR CERTAIN DEFINITIONS Certificate 

Number 
 Shares 
 . TIBET PHARMACEUTICALS, INC. INCORPORATED
UNDER THE LAWS OF THE BRITISH VIRGIN ISLANDS 
 Chief Executive Officer 

016570| 003590|127C|RESTRICTED||4|057-423 G80649 10 9 

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 * * 600620* * * * * * 
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 * * * * 600620* * * * 
 * * * * * 600620* * * 
 * * * * * * 600620* *

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Sample **** Mr. 
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Mr. Alexander David Sample **** Mr. Alexander David Sample **** 
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David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample 

**** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David
Sample **** Mr. Alexander David 
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 Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** 

Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample
**** Mr. Sample **** Mr. Sample 

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 * * * SIX HUNDRED THOUSAND 
 SIX HUNDRED AND TWENTY* * * 
 MR. SAMPLE & MRS.
SAMPLE & 
 MR. SAMPLE & MRS. SAMPLE 

NNNNN 
 ZQ 000000 
 Certificate Numbers 

1234567890/1234567890 
 1234567890/1234567890 
 1234567890/1234567890

 1234567890/1234567890 
 1234567890/1234567890 
 1234567890/1234567890

 Total Transaction 
 Num/No. 
 123456 

Denom. 
 123456 
 Total 

1234567 
 MR A SAMPLE 
 DESIGNATION (IF ANY) 

ADD 1 
 ADD 2 
 ADD 3 

ADD 4 
 PO BOX 43004, Providence, RI 02940-3004 
 CUSIP
XXXXXX XX X 
 Holder ID XXXXXXXXXX 
 Insurance Value 1,000,000.00 
 Number of Shares
123456 
 DTC 12345678 123456789012345 








 

 

  
 For value
received, hereby sell, assign and transfer unto 
 Attorney 

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. 
 PLEASE INSERT SOCIAL SECURITY OR
OTHER IDENTIFYING NUMBER OF ASSIGNEE 
 (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING POSTAL ZIP CODE,
OF ASSIGNEE) 
 of the common shares represented by the within Certificate, and do hereby irrevocably constitute
and appoint to transfer the said common shares on the books of the within-named Corporation with full power of substitution in the premises. 
 TIBET PHARMACEUTICALS, INC. 
 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 ARTICLES AND MEMORANDUM OF ASSOCIATION 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 AGENTS AND REGISTRARS AGAINST ANY CLAIM THAT MAY BE MADE AGAINST THEM ON ACCOUNT OF THE ALLEGED
LOSS OR DESTRUCTION OF ANY SUCH CERTIFICATE. 
 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. 
 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) (Cust) under Uniform Transfers to Minors Act (Minor) (State) 
 Additional abbreviations may also be used though not in the above list.