ex4x1.htm


EXHIBIT 4.1


 


 


 


 


 



	NUMBER   	 	SHARES





 



 



	 	 INCORPORATED UNDER THE LAWS OF THE STATE OF COLORADO 

AUTHORIZED: 100,000,000 COMMON SHARES,


 $0.001 PAR VALUE PER SHARE  

	  


SEE REVERSE FOR


CERTAIN DEFINITIONS









 




CUSIP 87164P103



              





	This Certifies That  	 	  







 



	is the owner of	 	  





 










 


FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK, $0.001 PAR VALUE OF


 


SYNERGY RESOURCES 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 Colorado, and to the Articles 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 singed by the facsimile signature of its duly authorized officers and to be sealed with the facsimile seal of the Corporation.







 



	 Dated:	 	 	 	 
	 	 	 	 
	 	 	 	 
	 	President	 	
 Secretary







 







Countersigned:


CORPORATE STOCK TRANSFER, INC.


3200 Cherry Creek South Drive, Suite 430


Denver, CO 80209


By __________________________________________


       Transfer Agent and Registrar Authorized Officer


 


 


 




  





  











  








 


SYNERGY RESOURCES 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 	 	
under Uniform Gifts to Minors

	 
	 	 	   tenants in common	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 sells, assigns and transfers 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 irrevocable 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.