EX-4.1



 Exhibit 4.1 
  






 
 ZQ|CERT#|COY|CLS|RGSTRY|ACCT#|TRANSTYPE|RUN#|TRANS# 
COMMON STOCK 
COMMON STOCK 
PAR VALUE $0.001 
CIVITAS 
THIS CERTIFICATE IS TRANSFERABLE 
THERAPEUTICS 
IN CANTON, MA, JERSEY CITY, NJ AND 
COLLEGE STATION, TX 
Certificate 
Shares 
Number 
**000000 ****************** 
***000000 ***************** 
ZQ00000000 
****000000 **************** 
*****000000 *************** 
******000000 ************** 
CIVITAS THERAPEUTICS, INC. 
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE 
** Mr. Alexander David Sample **** Mr.
Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample 
MR. SAMPLE & MRS. SAMPLE & MR.
SAMPLE & MRS. SAMPLE 
**** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr.
Alexander David 
THIS CERTIFIES THAT 
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. Alexander&David Sample **** Mr. 
CUSIP 17887L 10 5 
Alexander David Sample **** Mr. Alexander David Sample **** Mr. Alexander David Sample **** Mr Alexander David Sample **** Mr. Alexander David Sample **** 
SEE REVERSE FOR CERTAIN DEFINITIONS 
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. 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. 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. Alexander David Sample
**** Mr. Alexander David Sample **** Mr. Sample **** Mr. Sample 
is the owner of

**000000**Shares 
***ZERO HUNDRED THOUSAND ZERO HUNDRED AND ZERO***

**000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares*** 
*000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares**** 
000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****0 
00000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****00 
0000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000 
000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****0000 
00**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****00000 
0**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000 
**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000* 
*Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000** 
Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**Shares****000000**S 
FULLY-PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK OF 
Civitas Therapeutics, 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 Certificate of Incorporation, as amended, and the By-Laws, 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. 
DATED DD-MMM-YYYY 
COUNTERSIGNED AND REGISTERED: 
COMPUTERSHARE TRUST COMPANY, N.A. 
CIVITAS THERAPEUTICS, INC. 
President and Chief Executive Officer 
SEAL 
TRANSFER AGENT AND REGISTRAR, 
2009 
DELWARE 
By 
Secretary 
AUTHORIZED SIGNATURE 
1234567 
CIVITAS THERAPEUTICS 
CUSIP XXXXXX XX X 
PO BOX 43004, Providence, Rl 02940-3004 
Holder ID XXXXXXXXXX 
MR A SAMPLE 
Insurance Value 1,000,000.00 
DESIGNATION (IF ANY) 
Number of Shares 123456 
ADD 1 
DTC 12345678 123456789012345 
ADD 2 
Certificate Numbers 
Num/No. 
Denom. 
Total 
ADD 3 
1234567890/1234567890 
1 
1 
1 
ADD
4 
1234567890/1234567890 
2 
2 
2

1234567890/1234567890 
3 
3 
3

1234567890/1234567890 
4 
4 
4

1234567890/1234567890 
5 
5 
5

1234567890/1234567890 
6 
6 
6

Total Transaction 
7 







  

CIVITAS THERAPEUTICS, 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 CERTIFICATE OF INCORPORATION 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. 
  

															
	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 tenants in
common
	 	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.	 	 

  

									
		 		 		 		 	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 Company with full power of substitution in the premises.	  			

  
  

													
	Dated:	 	  
	 	20	 	  
	 		  	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.

		 		 		 		 		 		  
		 		 		 		 		 		  
	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.	 		  	 

 
  

							
	 SECURITY  |  INSTRUCTIONS
  

THIS IS WATERMARKED PAPER DO NOT ACCEPT WITHOUT NOTING WATERMARK HOLD TO LIGHT VERIFY WATERMARK
	  	



	  	 The IRS requires that we report the cost basis of certain shares acquired after January 1, 2011. If your shares were covered by the
legislation and you have sold or transferred the shares and requested a specific cost basis calculation method, we have processed as requested. If you did not specify a cost basis calculation method, we have defaulted to the first in, first out
(FIFO) method. Please visit our website or consult your tax advisor if you need additional information about cost basis.
  

If you do not keep in contact with us or do not have any activity in your account for the time periods specified by state law, your property could become
subject to state unclaimed property laws and transferred to the appropriate state.