Exhibit
4.1


 




	
  

  	
  INCORPORATED
  UNDER THE LAWS OF THE STATE OF DELAWARE AUTHORIZED: 90,000,000 COMMON SHARES,
  $0.0001 PAR VALUE PER SHARE This Certifies That is the owner of Fully Paid
  and Non-Assessable Common Stock, $0.0001 Par Value of IRADIMED CORPORATION transferable
  on the books of this Corporation in person or by 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 the Bylaws of the Corporation, as now or
  hereafter amended. This Certificate is not valid until countersigned by the
  Transfer Agent. IN WITNESS WHEREOF, the Corporation has caused this
  Certificate to be signed by the facsimile signatures of its duly authorized
  officers and to be sealed with the facsimile seal of the Corporation. Dated: PRESIDENT
  / CEO SECRETARY Countersigned: CORPORATE STOCK TRANSFER, INC. 3200 Cherry
  Creek South drive, Suite 430 denver, Co 80209 By Transfer Agent and Registrar
  Authorized Officer CUSIP 46266A 10 9 SEE REVERSE FOR CERTAIN DEFINITIONS
  IRADIMED CORPORATION CORPORATE DELAWARE 001 

  






 


 








 

IRADIMED CORPORATION

CORPORATE STOCK TRANSFER, INC.

TRANSFER FEE: AS REQUIRED

 

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
    	
 
    	
 
    
	
TEN   ENT  -
    	
as   tenants by the entireties
    	
 
    	
UNIF   GIFT MIN ACT -
    	
Custodian
    
	
JT   TEN      -
    	
as   joint tenants with right
    	
 
    	
 
    	
(Cust)
    	
(Minor)
    
	
 
    	
of   survivorship and not as tenants in common
    	
under uniform Gifts 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 Common 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:   X
    	
 
    
	
signature(s) Guaranteed:
    	
 
    	
 
    
	
 
    	
signature:   X
    	
 
    


 

THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER. 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.