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                                                                     EXHIBIT 4.1

                               TABLE OF CONTENTS
                             CHICAGO BRIDGE & IRON

                       2001 EMPLOYEE STOCK PURCHASE PLAN

                           (EFFECTIVE APRIL 1, 2001)

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<S>     <C>                                                           <C>
ARTICLE I: DEFINITIONS..............................................    1
  1.01  Company.....................................................    1
  1.02  Compensation................................................    1
  1.03  Contribution Period.........................................    1
  1.04  Included Employee...........................................    1
  1.05  Market Value................................................    1
  1.06  Plan........................................................    2
  1.07  Plan Administrator..........................................    2
  1.08  Participant.................................................    2
  1.09  Participating Subsidiary....................................    2
  1.10  Purchase Date...............................................    2
  1.11  Purchase Price..............................................    2
  1.12  Service Provider............................................    2

ARTICLE II: EFFECTIVE DATE..........................................    2

ARTICLE III: PARTICIPATION..........................................    2
  3.01  Participation...............................................    2
  3.02  Election to Contribute......................................    2
  3.03  Election of Investment......................................    2
  3.04  Interest on Contributions...................................    2

ARTICLE IV: PURCHASE OF SHARES......................................    3
  4.01  Grant of Options............................................    3
  4.02  Purchase Price..............................................    3
  4.03  Withdrawal of Contributions.................................    3
  4.04  Stock Available for Options.................................    3

ARTICLE V: LIMITATIONS ON STOCK PURCHASE............................    3
  5.01  Ineligible Employees........................................    3
  5.02  Nontransferability of Option................................    3
  5.03  Recapitalization Adjustments................................    4
  5.04  Termination of Employment...................................    4
  5.05  Notice of Disposition.......................................    4

ARTICLE VI: AMENDMENT OF THE PLAN...................................    4

ARTICLE VII: TERMINATION OF THE PLAN................................    5
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                             CHICAGO BRIDGE & IRON

                       2001 EMPLOYEE STOCK PURCHASE PLAN

                           (EFFECTIVE APRIL 1, 2001)

     CHICAGO BRIDGE & IRON COMPANY N.V., in order to give its employees and
those of Participating Subsidiaries an opportunity to participate in the growth
of the Company by investment and reinvestment in the common stock of the
Company, has established the Chicago Bridge & Iron 2001 Employee Stock Purchase
Plan.

                            ARTICLE I:  DEFINITIONS

     Unless the context clearly indicates otherwise, the following terms when
used in this Plan shall have the following meanings:

          1.01  COMPANY:  Chicago Bridge & Iron Company N.V., a Netherlands
     corporation, and its respective corporate successors, if any.

          1.02  COMPENSATION:  The total of all wages and salaries, overtime,
     shift and other premiums and bonuses and other incentive payments paid by
     the Company or any Participating Subsidiary to an employee or former
     employee with respect to a given period of employment during which the
     employee is a Participant, but excluding the following:

        (a) All employer contributions and payments under any deferred
            compensation plan or contract, whether tax qualified or
            non-qualified, excepting all elective employee salary deferrals
            which are treated as employer contributions under any such plan or
            contract;

        (b) All payments made by the Company or any Participating Subsidiary for
            services performed outside the United States which are of a
            character not customarily made by the Company or any Participating
            Subsidiary for services performed within the United States;

        (c) All payments identified when made as an allowance for reimbursement
            of actual or estimated expenses incurred or to be incurred by the
            recipient of such payments; and

        (d) Any income realized from the grant, receipt, vesting, modification,
            relinquishment, exchange, assignment, transfer, sale or other
            disposition of securities of the Company or any Participating
            Subsidiary, or rights or options with respect thereto.

          1.03  CONTRIBUTION PERIOD:  Any one of four periods of each calendar
     year during which payroll deductions are made under the Plan. A new
     Contribution Period shall begin with the start of the pay period which
     includes the first day of each calendar quarter.

          1.04  INCLUDED EMPLOYEE:  Any person who is either: a) a full time or
     regular part time employee of the Company or of a Participating Subsidiary
     who is paid from a payroll constituting U.S. source income, or b) an
     employee of the Company or a Participating Subsidiary employed outside of
     the United States, if the Participating Subsidiary or a unit thereof which
     employees the employee has not been excluded from participation by the
     Company and such employee is not prohibited by the laws of the nation of
     the employee's residence or employment from participating in the Plan.

          1.05  MARKET VALUE:  The composite closing price reported for a given
     date for a share of the common stock of the Company as traded on the New
     York Stock Exchange, or if such price is not so reported for that date,
     then the closing price of a share as so reported for the most recent
     preceding date on which such trading occurred. If the common stock of the
     Company shall cease to be so traded, then Market Value shall be the value
     on that date as determined in such reasonable manner as the Managing
     Director of the Company determines and describes in a written notice sent
     to all holders of options granted hereunder and affected by that
     determination.

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          1.06  PLAN:  The Chicago Bridge & Iron 2001 Employee Stock Purchase
     Plan, as from time to time amended.

          1.07  PLAN ADMINISTRATOR:  The person or committee from time to time
     designated by the Managing Director of the Company for the purposes of
     administering and conclusively construing the Plan.

          1.08  PARTICIPANT:  An Included Employee for whom there is an account
     established pursuant to this Plan.

          1.09  PARTICIPATING SUBSIDIARY:  Such present or future subsidiaries
     and affiliates of the Company which employ Included Employees, as
     designated from time to time by the Plan Administrator from among the group
     consisting of the Company and its present or future subsidiaries and
     affiliates.

          1.10  PURCHASE DATE:  The first regular business day on which trading
     occurs on the New York Stock Exchange following the end of each calendar
     quarter.

          1.11  PURCHASE PRICE:  The price of the common stock of the Company as
     defined in Section 4.02.

          1.12  SERVICE PROVIDER:  Such third party institution, if any, to or
     with which the Company, or the Plan Administrator on the Company's behalf,
     may choose to delegate or contract to provide recordkeeping and other
     services for the administration of the Plan, which may include, but not be
     limited to, operation and maintenance of stock brokerage accounts for the
     purchase, sale and holding of stock for Participants' Employee Stock
     Purchase Accounts, processing of Participant elections, and reinvestment of
     dividends paid on stock held in Employee Stock Purchase Accounts.

                          ARTICLE II:  EFFECTIVE DATE

     The effective date of this Plan is April 1, 2001.

                          ARTICLE III:  PARTICIPATION

     3.01  PARTICIPATION:  An Included Employee who is not ineligible under
Section 5.01 may elect to make contributions to the Plan pursuant to Section
3.02.

     3.02  ELECTION TO CONTRIBUTE:  An election must be in writing in a form as
prescribed by the Plan Administrator, and must be submitted to the Plan
Administrator by the 20th day of the calendar month preceding the beginning of a
Contribution Period to be effective for such Contribution Period. Thereafter
such election cannot be changed or terminated during that Contribution Period
except as provided in Section 4.03. Each such election shall authorize the
Company or Participating Subsidiary, as applicable, to withhold an integral
percentage from one percent (1%) to up to eight percent (8%) of each payment of
Compensation. An election once made shall be continuously applied to that
Contribution Period and all subsequent Contribution Periods so long as the
Participant remains an Included Employee, except as otherwise provided in
Section 4.03 or 5.01, until the Participant notifies the Plan Administrator, in
writing as the Plan Administrator prescribes, of a change or termination of such
election. Such notice of change or termination must be submitted by the same
date as described above and shall take effect as of the beginning of the next
Contribution Period after the date of such notice's effective submission.

     3.03  ELECTION OF INVESTMENT:  Each Participant electing to make
contributions to the Plan as provided in Section 3.02 shall at the time of each
such election also be deemed to elect to purchase common stock of the Company
under the terms of Articles IV and V, and also to agree to the establishment and
administration of an Employee Stock Purchase Account in accordance with such
additional requirements as the Plan Administrator may prescribe pursuant to any
agreement with the Plan's Service Provider, if any. The Plan Administrator shall
promptly notify Participants from time to time of any such additional
requirements.

     3.04  INTEREST ON CONTRIBUTIONS:  The contributions made by a Participant
pursuant to Section 3.02 shall be held by the Company or Participating
Subsidiary, as may be applicable, until the purchase of stock

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pursuant to Sections 4.01 and 4.02, or withdrawal pursuant to Section 4.03, and,
except as may be required by applicable law, shall not draw any interest or
other earnings until so disbursed.

                        ARTICLE IV:  PURCHASE OF SHARES

     4.01  GRANT OF OPTIONS:  A Participant who is an Included Employee and who
has made an election pursuant to Section 3.02 shall be granted on the first day
of each Contribution Period on which an election pursuant to Section 3.03 is
effective, an option to purchase shares of common stock of the Company on the
Purchase Date next following the applicable Contribution Period. The option so
granted shall be automatically exercised, and shares of the common stock of the
Company shall be purchased with the Participant's contributions withheld during
or paid for the applicable Contribution Period pursuant to Section 3.02,
provided a withdrawal pursuant to Section 4.03 or a termination of employment
pursuant to Section 5.04 has not occurred. Any unused portion, representing an
excess over the amount needed to purchase on the applicable Purchase Date the
maximum number of shares allowable under the limitations of Sections 4.02 and
5.01, shall be refunded to such Participant.

     4.02  PURCHASE PRICE:  The Purchase Price of the stock purchased under the
option granted pursuant to Section 4.01 shall be 85% of the Market Value of such
stock on the Purchase Date. The number of shares to which the option applies
shall be the number of whole and fractional shares equal to the amount of
contributions withheld during the preceding Contribution Period divided by 85%
of the Market Value of the stock on the Purchase Date. The maximum number of
shares a Participant may purchase under the Plan in a single calendar year shall
be the further limited as required by Section 5.01.

     4.03  WITHDRAWAL OF CONTRIBUTIONS:  A Participant may withdraw and receive
from the Company or Participating Subsidiary, as applicable, a refund of all
(but only all) contributions made to date during the current Contribution Period
by the submittal of a written election as prescribed by the Plan Administrator
no later than the 20th day of the last calendar month of such Contribution
Period. Upon such withdrawal, all elections pursuant to Sections 3.02 and 3.03
shall automatically terminate until reinstated pursuant to said Sections.

     4.04  STOCK AVAILABLE FOR OPTIONS:  All shares of common stock of the
Company from time to time held in the treasury of the Company, and authorized
but presently unissued shares of common stock of the Company, but in any event
limited to a total of 500,000 shares, shall be available for option and sale
pursuant to this Plan. Shares allotted for option and sale pursuant to this Plan
for which the right to purchase has expired shall be deemed available for
reallotment for option and sale in ensuing Contribution Periods and on
subsequent Purchase Dates, as if such shares had never been so allotted.

                   ARTICLE V:  LIMITATIONS ON STOCK PURCHASE

     5.01  INELIGIBLE EMPLOYEES:  No otherwise eligible Included Employee shall
be granted an option to purchase stock pursuant to this Plan if immediately
after that grant such employee owns, or has an option on, stock possessing five
percent (5%) or more of the total combined voting power or value of all classes
of stock of the Company or any affiliate thereof. The rules of Section 425(d) of
the U.S. Internal Revenue Code of 1986, as from time to time amended, shall
apply in determining the stock ownership of an employee for this purpose. Any
stock which an employee may purchase under any outstanding right or option shall
be treated as stock owned by such employee for the purpose of this section. No
employee shall have or be granted under this Plan any option that will permit
the employee's rights or options to purchase stock under all such employee stock
purchase plans of the Company and its affiliates to accrue at a rate which
exceeds twenty-five thousand dollars ($25,000) of Market Value of such stock,
determined as of the date such right or option is granted, for each calendar
year during which such right or option is outstanding.

     5.02  NONTRANSFERABILITY OF OPTION:  No option to purchase stock pursuant
to this Plan shall be transferable by the grantee thereof during the grantee's
lifetime, but such an option may be transferred by will or by laws of descent
and distribution, which shall include the valid designation of a beneficiary
pursuant to uniform procedures prescribed by the Plan Administrator. Each such
option shall be exercisable during the

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lifetime of the grantee only by the grantee. Certificates for shares of stock
purchased pursuant to an option granted under this Plan may, however, be issued
in the names of the grantee and any other adult person or persons jointly, with
right of survivorship, provided each such person is a member of the grantee's
immediate family and provided further that the grantee so requests in writing at
or before the time of his purchase of such shares and at the same time informs
the Company of the name and address of his co-owner. A grantee's "immediate
family" for the purposes of this Section 5.02 shall include only the grantee's
spouse, son, daughter, grandson, granddaughter, niece, nephew, father, mother,
brother or sister. Certificates for shares purchased after the transfer of an
option as provided above in this Section 5.02 may be issued only in the name or
names of the person or persons so succeeding to the option.

     5.03  RECAPITALIZATION ADJUSTMENTS:  If the outstanding common stock of the
Company is augmented by a dividend in such common stock or divided into a
greater or consolidated into a lesser number of shares of such common stock,
then (A) the number of unissued shares of such common stock which may thereafter
be allotted shall be correspondingly increased or decreased, (B) the number of
shares of common stock to which any then outstanding options under the Plan
relates shall be correspondingly increased or decreased to the extent that
shares are available for allotment within the limit provided in Section 4.04,
and (C) the purchase price for each share in respect of which any such option is
outstanding at the time of such increase or decrease in the number of
outstanding shares of common stock of the Company shall be adjusted in inverse
proportion to such increase or decrease in the number of outstanding shares. If
the outstanding common stock of the Company is affected by any reorganization,
recapitalization, combination of shares, merger, consolidation, acquisition of
property or shares, separation, assets spin-off, stock rights offering,
liquidation or other similar change in the capital structure of the Company that
is not described in the preceding sentence and that does not terminate the Plan
pursuant to Article VII, the Plan Administrator shall make such adjustments, if
any, in the number, kind and purchase price of the shares allotted or subject to
options under the Plan, as it deems appropriate.

     5.04  TERMINATION OF EMPLOYMENT:  Participation in this Plan ceases
immediately when a Participant ceases to be employed by the Company or a
Participating Subsidiary for any reason whatsoever, when the Participant's
employer ceases to be a Participating Subsidiary, or when the Participant
otherwise ceases to be an Included Employee; and such Participant's options
shall thereupon terminate. As soon as administratively practicable upon
termination of participation, the Company or Participating Subsidiary, as
applicable, shall refund to the Participant all contributions accumulated during
the applicable Contribution Period. Neither the existence of this Plan nor the
grant nor exercise of any rights to purchase shares under this Plan shall impose
any obligation on the Company or a Participating Subsidiary to continue to
employ any employee, or adversely affect the right of the Company or a
Participating Subsidiary to terminate such employment at any time.

     5.05  NOTICE OF DISPOSITION:  If a Participant or former Participant sells,
transfer, or otherwise makes a disposition of shares purchased pursuant to an
option granted under the Plan within two years after the date such option is
granted or within one year after the Purchase Date to which such option relates,
and if such Participant is subject to U.S. Federal income taxes, then such
Participant or former Participant shall notify the Company or Participating
Subsidiary in writing of such sale, transfer or other disposition, and shall
remit to the Company or Participating subsidiary or authorize the Company or
Participating Subsidiary to withhold from other sources such amount as the
company may determine to be necessary to satisfy any federal, state or local tax
withholding obligations of the Company or Participating Subsidiary.

                       ARTICLE VI:  AMENDMENT OF THE PLAN

     The Company reserves the right to amend this Plan in any manner, at any
time or from time to time, by action of its Managing Director, or by action of
the Supervisory Directors (in which case any such action shall supercede any
conflicting action of the Managing Director), but no such amendment shall
increase the number of shares of common stock that may be allotted for sale
under the Plan without the approval of shareholders of the Company; and except
for the purpose of making the Plan meet the requirements of the U.S. Internal
Revenue Code of 1986, as from time to time amended, with respect to employee
stock purchase plans, no such amendment shall alter or impair any right granted
under the Plan without the previous written consent of the holder of that right.

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                     ARTICLE VII:  TERMINATION OF THE PLAN

     The Plan shall continue indefinitely until termination under this Section.
The Company reserves the right to terminate this Plan at any time by resolution
of its Supervisory Directors, and the Plan shall automatically terminate upon
the happening of the first to happen of the following events:

        (a) whenever no shares remain to be allotted under the Plan, or

        (b) whenever any merger of the Company into another corporation or any
            consolidation of the Company with another corporation, or any
            transfer of substantially all of the assets of the Company, or any
            liquidation of the Company, becomes effective or takes place unless
            the corporate successor of the Company in any such transaction
            assumes the obligations of the Company under the Plan.

     No options shall be granted after the Plan is terminated nor may any stock
be purchased pursuant to the Plan subsequent to the termination. All funds
accumulated in Participants' Employee Stock Purchase Accounts as of the date of
termination shall be refunded to the affected Participants as soon as
administratively practicable after such termination.

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                                                                     EXHIBIT 4.1

                      CERTIFICATE OF OWNERSHIP AND MERGER

                                    MERGING

                                    HCA INC.

                                 WITH AND INTO

                          HCA - THE HEALTHCARE COMPANY

--------------------------------------------------------------------------------

                         Pursuant to Section 253 of the
              General Corporation of Law of the State of Delaware

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     HCA - The Healthcare Company, a Delaware corporation (the "Company"), does
hereby certify to the following facts relating to the merger (the "Merger") of
HCA Inc., a Delaware corporation (the "Subsidiary"), with and into the Company,
with the Company remaining as the surviving corporation under the name of HCA
Inc.:

     FIRST: The Company is incorporated pursuant to the General Corporation Law
of the State of Delaware (the "DGCL"). The Subsidiary is incorporated pursuant
to the DGCL.

     SECOND: The Company owns all of the outstanding shares of each class of
capital stock of the Subsidiary.

     THIRD: The Board of Directors of the Company, by the following resolutions
duly adopted on May 24, 2001, determined to merge the Subsidiary with and into
the Company pursuant to Section 253 of the DGCL:

          WHEREAS, HCA - The Healthcare Company, a Delaware corporation (the
     "Company") owns all of the outstanding shares of the capital stock of HCA
     Inc., a Delaware corporation (the "Subsidiary"); and

          WHEREAS, the Board of Directors of the Company has deemed it
     advisable that the Subsidiary be merged with and into the Company pursuant
     to Section 253 of the General Corporation Law of the State of Delaware;

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          NOW, THEREFORE, BE IT

          RESOLVED, that the Subsidiary be merged with and into the Company
     (the "Merger");

          RESOLVED FURTHER, that by virtue of the Merger and without any action
     on the part of the holder thereof, each then outstanding share of common
     stock of the Company shall remain unchanged and continue to remain
     outstanding as one share of common stock of the Company, held by the person
     who was the holder of such share of common stock of the Company
     immediately prior to the Merger;

          RESOLVED FURTHER, that by virtue of the Merger and without any action
     on the part of the holder thereof, each then outstanding share of common
     stock of the Subsidiary shall be cancelled and no consideration shall be
     issued in respect thereof;

          RESOLVED FURTHER, that the certificate of incorporation of the
     Company as in effect immediately prior to the effective time of the Merger
     shall be the certificate of incorporation of the surviving corporation,
     except that Article First thereof shall be amended to read in its entirety
     as follows:

          FIRST: The name of the corporation is HCA INC.

          RESOLVED FURTHER, that the proper officers of the Company be, and
     they hereby are, authorized to make, execute and acknowledge, in the name
     and under the corporate seal of the Company, a certificate of ownership
     and merger for the purpose of effecting the Merger and to file the same in
     the office of the Secretary of State of the State of Delaware, and to do
     all other acts and things that may be necessary to carry out and
     effectuate the purpose and intent of the resolutions relating to the
     Merger.

     FOURTH: The Company shall be the surviving corporation of the Merger. The
name of the surviving corporation shall be amended in the Merger to be "HCA
Inc."

     FIFTH: The certificate of incorporation of the Company as in effect
immediately prior to the effective time of the Merger shall be the certificate
of

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incorporation of the surviving corporation, except that Article First thereof
shall be amended to read in its entirety as follows:

          FIRST: The name of the corporation is HCA INC.

     SIXTH: The effective time and date of the Merger shall be 12:01 a.m.,
Eastern Time, on July 1, 2001.

     IN WITNESS WHEREOF, the Company has caused this Certificate of Ownership
and Merger to be executed by its duly authorized officer this 29th day of
June, 2001.

                            By:  /s/ John M. Franck II
                                 ----------------------------------------------
                                 Name: John M. Franck II
                                 Office: Vice President and Corporate Secretary

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