Exhibit 4.1


 


	
        COMMON STOCK

         

        PAR VALUE $0.01
	
         

         

         

         

         

         

        ANGION BIOMEDICA CORP.

        INCORPORATED UNDER THE LAWS OF THE STATE
        OF

 DELAWARE
	
         COMMON STOCK

         

        Shares

         

        CUSIP ________________

         

        SEE REVERSE FOR CERTAIN

 DEFINITIONS



 


	This Certifies that	 	 
	 	 	 
	is the owner of	 	 


 


FULLY PAID AND NON-ASSESSABLE SHARES OF
COMMON STOCK OF


 


Angion Biomedica Corp. (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.


 





	 	 	[Corporate Seal]	 	Dated	 	 
	Chief Executive Officer	 	Delaware	 	COUNTERSIGNED AND REGISTERED:
	 	 	 	 	COMPUTERSHARE TRUST COMPANY, N.A.
	 	 	 	 	TRANSFER AGENT AND REGISTRAR




  


	 	 	 	 	 	 
	Chief Financial Officer	 	 		By	 	 
	 	 	 	 	 	AUTHORIZED SIGNATURE


 




    	 



    	 



    

 


ANGION BIOMEDICA CORP.


 The
CoMPANY will furnish without charge to each stockholder 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

        TEN ENT 
        – as tenants by the entireties

        JT TEN      –
        as joint tenants with right of survivorship

                                    and
        not as tenants in common

         

         

         

         

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

        UNIF GIFT MIN ACT –
_____________ Custodian ______________


         (Cust)                              
(Minor)

        under
        Uniform Gifts to Minors Act___________________

                    (State)

        UNIF TRF MIN ACT –
______________ Custodian (until age_______)


         (Cust)

        ________
        under Uniform Transfers to Minors Act ___________

            (Minor)                                                                       
        (State)



 


	 	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:                                                                          

         

        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 

         
	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).