exv4w1











Exhibit
4.1





	 	 	 
	COMMON STOCK
	 	COMMON STOCK
	 
	PAR VALUE $0.01 PER
SHARE
	 	THIS CERTIFICATE IS 
TRANSFERABLE IN

CANTON, MA [AND JERSEY CITY, NJ]






	 	 	 	 	 
	
 
Certificate 

Number 

ZQ 000000
	 	foursquare
capital corp.
 
INCORPORATED UNDER THE LAWS OF THE STATE OF MARYLAND
	 	
 

Shares
* * 600620 * * * * * *
* * * 600620 * * * * *
* * * * 600620 * * * *
* * * * * 600620 * * *
* * * * * * 600620 * * 







	 	 	 	 	 	 	 
	 
	 	 	 	 
	 	 
	THIS CERTIFIES THAT
	 	MR. SAMPLE & MRS. SAMPLE
	 	 	
CUSIP
 	 
	 
	 
	 	 	 	SEE REVERSE FOR CERTAIN DEFINITIONS






	 	 	 	 	 
	is the owner of

	 	
 * * * SIX HUNDRED THOUSAND
 SIX HUNDRED AND TWENTY * * *
	 	SEE REVERSE FOR

IMPORTANT NOTICE ON

TRANSFER RESTRICTIONS

AND OTHER INFORMATION





FULLY-PAID AND NONASSESSABLE SHARES OF THE COMMON STOCK, $0.01 PAR VALUE PER SHARE, OF



Foursquare Capital Corp. (hereinafter called the “Corporation”), transferable on the books of the Corporation 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 charter and the bylaws of the Corporation (copies of which are on file with the Corporation 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 Corporation and the facsimile signatures of its duly authorized officers.




	 	 	 	 	 
	 

	 	DATED <<Month Day, Year>>


COUNTERSIGNED AND REGISTERED:
	 

	 	COMPUTERSHARE TRUST COMPANY, N.A.

TRANSFER AGENT AND REGISTRAR,
	Chief Executive Officer

	 	 	 	 
	 
	 	 	 	 
	 

	 	BY	 	 
	 

	 	 	 	 
	 

	 	 	 	        AUTHORIZED SIGNATURE
	 
	 	 	 	 
	Assistant Secretary

	 	 	 	 






	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 
	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 		 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	
Foursquare
Capital Corp.
	 	 	CUSIP	 	XXXXXX XX X	 
	 	 
	 	 	Holder ID	 	XXXXXXXXXX	 
	 	      
	 	 	Insurance Value	 	 	1,000,000.00	 
	 	PO BOX 43004, Providence, RI 02940-3004
	 	 	Number of Shares	123456	 
	 	

	 	 	DTC	 	 	12345678 123456789012345	 
	 	MR A SAMPLE      
	 	 	Certificate Numbers	 	Num/No.	 	Denom.	 	Total	 
	 	DESIGNATION (IF ANY)
	 	 	1234567890/1234567890	 	 	 	1	 	 	 	1	 	 	 	1	 	 
	 	ADD 1
	 	 	1234567890/1234567890	 	 	 	2	 	 	 	2	 	 	 	2	 	 
	 	ADD 2
	 	 	1234567890/1234567890	 	 	 	3	 	 	 	3	 	 	 	3	 	 
	 	ADD 3
	 	 	1234567890/1234567890	 	 	 	4	 	 	 	4	 	 	 	4	 	 
	 	ADD 4
	 	 	1234567890/1234567890	 	 	 	5	 	 	 	5	 	 	 	5	 	 
	 	 
	 	 	1234567890/1234567890	 	 	 	6	 	 	 	6	 	 	 	6	 	 
	 	 
	 	 	Total Transaction	 	 	 	 	 	 	 	 	 	 	7	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 






1234567













 





	 	 	 
	


1234567







	 	 
	 








 





FOURSQUARE CAPITAL CORP.




THE CORPORATION WILL FURNISH WITHOUT CHARGE TO EACH STOCKHOLDER WHO SO REQUESTS 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 (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
OF THE CORPORATION, A COPY OF WHICH WILL BE SENT WITHOUT CHARGE TO EACH STOCKHOLDER WHO SO
REQUESTS. SUCH REQUEST MAY BE MADE TO THE OFFICE OF THE SECRETARY OF THE CORPORATION 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 CORPORATION 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.










	 	 	 	 	 	 	 
	 	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 and not as 	 	UNIF TRF MIN ACT . . . . . . . . . . . . . . .Custodian (until age. . . ). . . . . . . . . . .

	 	 	 	 	tenants in common	
	(Cust)
                                                     (Minor)

	 

	 	 	 	 	 	under Uniform Transfer to Minors Act . . . . . . . . . . . . .


	 

	 	 	 	 	 	
(State)

	 
	 	 	 	 	 	 
	 

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








The shares represented by this certificate are subject to restrictions on Beneficial Ownership and
Constructive Ownership and Transfer for the purpose, among others, of the Corporation’s maintenance
of its qualification as a real estate investment trust under the Internal Revenue Code of 1986, as
amended (the “Code”). Subject to certain further restrictions and except as expressly provided in
the Corporation’s charter, (i) no Person may Beneficially Own or Constructively Own shares of
Common Stock in excess of 9.8 percent (in value or number of shares, whichever is more restrictive)
of the outstanding shares of Common Stock unless such Person is exempt from such limitations or is
an Excepted Holder (in which case the Excepted Holder Limit shall be applicable); (ii) no Person
may Beneficially Own or Constructively Own shares of Capital Stock in excess of 9.8 percent (in
value or number of shares, whichever is more restrictive) of the total outstanding shares of
Capital Stock, unless such Person is exempt from such limitations or is an Excepted Holder (in
which case the Excepted Holder Limit shall be applicable); (iii) no Person may Beneficially Own or
Constructively Own Capital Stock that would result in the Corporation being “closely held” under
Section 856(h) of the Code or otherwise cause the Corporation to fail to qualify as a REIT; and
(iv) any Transfer of shares of Capital Stock that, if effective would result in the Capital Stock
being beneficially owned by less than 100 persons (as determined under the principles of Section
856(a)(5) of the Code) shall be void ab initio, and the intended transferee shall
acquire no rights in such shares of the Capital Stock. Any Person who Beneficially Owns or
Constructively Owns or attempts to Beneficially Own or Constructively Own shares of Capital Stock
which causes or will cause a Person to Beneficially Own or Constructively Own shares of Capital
Stock in excess or in violation of the above limitations must immediately notify the Corporation
or, in the case of such a proposed or attempted transaction, give at least 15 days prior written
notice to the Corporation. If any of the restrictions on transfer or ownership as set forth in (i)
through (iii) above are violated, the shares of Capital Stock in excess or in violation of the
above limitations will be automatically transferred to a Trustee of a Trust for the benefit of one
or more Charitable Beneficiaries. In addition, the Corporation may redeem shares upon the terms and
conditions specified by the Board of Directors in its sole discretion if the Board of Directors
determines that ownership or a Transfer or other event may violate the restrictions described
above. Furthermore, upon the occurrence of certain events, attempted Transfers in violation of the
restrictions described in (i) through (iii) above may be
void ab initio. All capitalized terms in
this legend have the meanings defined in the charter of the Corporation, as the same may be amended
from time to time, a copy of which, including the restrictions on transfer and ownership, will be
furnished to each holder of Capital Stock on request and without charge. Requests for such a copy
may be directed to the Secretary of the Corporation at its principal office.




	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	For value received,	 	 	 	hereby sell, assign and transfer unto	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 
	(PLEASE PRINT OR TYPEWRITE NAME AND
ADDRESS, INCLUDING POSTAL ZIP CODE, OF ASSIGNEE)	 	PLEASE INSERT SOCIAL SECURITY
OR OTHER IDENTIFYING NUMBER
OF ASSIGNEE
	 	 	 

	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 
	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	Shares
	 	 
	of the shares of stock represented by the within Certificate, and do hereby irrevocably constitute and appoint	 
	 

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	Attorney
	 	 
	to transfer the said shares on the books of the within-named Corporation with full power of substitution in the premises.	 	 
	

	 		 	 		 	 	 		 	



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.


	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.	 
	
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	1234567

	SECURITY INSTRUCTIONS 

THIS IS WATERMARKED PAPER.
DO NOT ACCEPT WITHOUT NOTICING 

WATERMARK. HOLD TO LIGHT
TO VERIFY
WATERMARK.