Document:

Prepared by MERRILL CORPORATION

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Exhibit 4.1    
  

NOT VALID UNLESS COUNTERSIGNED BY TRANSFER AGENT

INCORPORATED UNDER THE LAWS OF THE STATE OF

FLORIDA  

	NUMBER	 	 	 	SHARES

	2727	PHAGE THERAPEUTICS

INTERNATIONAL, INC.

 AUTHORIZED COMMON STOCK: 50,000,000 SHARES—PAR VALUE: $.001	CUSIP NO. 717100 20 0

 
 

	THIS CERTIFIES THAT	 	SPECIMEN
	
IS THE RECORD HOLDER OF	
 	

 

Shares of PHAGE THERAPEUTICS INTERNATIONAL, INC. Common Stock

transferable on the books of the Corporation in person or by duly authorized attorney upon surrender of this Certificate

properly endorsed. This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar. 

Witness
the facsimile seal of the Corporation and the facsimile signatures of its duly authorized officers. 

Dated:

	 	 	[SEAL]	 	 
	
 SECRETARY	 	 	 	
 PRESIDENT

	INTERWEST TRANSFER CO. INC.
 P.O. BOX 17136/SALT LAKE CITY, UTAH 84117	COUNTERSIGNED & REGISTERED	 
	 	 	
 COUNTERSIGNED Transfer Agent-Authorized Signature

	NOTICE:	 	Signature must be guaranteed by a firm which is a member of a registered national stock exchange, or by a bank (other than a saving bank), or a trust company. 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	

 
	TEN ENT	 	—	as tenants by the entireties	 	 	
	 	

	JT TEN	 	—	as joint tenants with right of survivorship and not as tenants in common	 	 	(Cust)	 	(Minor)
	 	 	 	 	 	 	under Uniform Gifts to Minors Act
	

 	
 	

 	

 	
 	

 	

 (State)
	

 	
 	

 	

 	
 	

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

For Value Received,                hereby sell, assign and transfer unto 

	PLEASE INSERT SOCIAL SECURITY OR OTHER

IDENTIFYING NUMBER OF ASSIGNEE	 	 
	
	 	 
	

	
 	

 

 
 

	
 (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS, INCLUDING ZIP CODE, OR ASSIGNEE)
	

	

	

	
 	

Shares
	

of the capital 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 Corporation with full power of substitution in the premises.

	Dated	 	 	 	 
	 	 	
	 	 

 
 

	 	 	

	 	 	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

SPECIMEN  

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Exhibit 4.1Prepared by MERRILL CORPORATION

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Exhibit 10.1  

    PHAGE THERAPEUTICS INTERNATIONAL INC.

601 Brickell Key Blvd, Suite 802

Miami, FL 33131 

 
 

SUBSCRIPTION AGREEMENT    
  

Gentlemen,

The
undersigned hereby tenders this Subscription Agreement to you and applies for the purchase of              shares for
US$       each for an aggregate purchase price of US$            . Each Share consists of one
common share with a par value of $0.001 per share (the "Shares"). 

The
undersigned hereby acknowledges: 

	(a)
	the
undersigned is familiar with the business and financial condition, properties, operations and prospects of the Company and the undersigned has obtained copies of all information
the undersigned deems necessary or appropriate to evaluate the merits and risks of an investment in the Shares. The undersigned further acknowledges that the undersigned has had the opportunity to ask
questions of, and to receive answers from representatives of the Company concerning the terms and conditions of the offering;

	(b)
	that
upon the execution hereof by the undersigned, payment by the undersigned of the full price of the Shares subscribed for hereby shall be due and payable and shall accompany the
return of this Subscription Agreement by the undersigned and shall be payable in U.S. funds;

	(c)
	that
in the event his Subscription Agreement is rejected by the Company, the initial payment by the undersigned shall be returned to the undersigned with the notice of such
rejection;

	(d)
	that
any cash payment for the Shares (in a form payable to the Company) will be deposited directly into the Company's bank account and will be immediately available for use by the
Company. In the event that this subscription has not been accepted by the earliest of (1) the date the Company may, in its sole discretion, determine; (2) the date on which all the
Shares are sold; or (3) January 31, 1998,[Sic] (the "Closing Date"), the payment made by the undersigned and documents provided will be promptly returned by the
Company to the undersigned without further obligation;

	(e)
	the
undersigned understands and acknowledges that an investment in the Company is not liquid, not easily transferable or disposed of, and that he has no need for liquidity of this
investment; and

	(f)
	that
each subscriber is personally liable for the total amount of the subscription price. 

1

 

In
consideration of the sale of the Shares and intending to be legally bound, the undersigned hereby represents and warrants as follows: 

	1.
	The
undersigned has substantial knowledge, skill and experience in business, financial and investment matters and is capable of evaluating the merits and risks of an investment in
the Shares. To the extent that the undersigned has deemed it appropriate to do so, the undersigned has retained, at his or her own expense, and relied on, appropriate professional advice regarding the
investment, tax and legal merits and consequences of purchasing the Shares.

	2.
	The
principal residence of each of the undersigned, if an individual, is in the State or Country shown in this Subscription Agreement; if the undersigned is a corporation, trust or
other entity (except a partnership), it was incorporated or organized and is existing under the laws of the State or Country shown in this Subscription Agreement; if the undersigned is a partnership,
the principle residence of all of its general partners are in the states shown in this Subscription Agreement; and if the undersigned is a corporation, trust, partnership or other entity; it was not
organized for the specific purpose of acquiring the Shares.

	3.
	The
Shares for which the undersigned hereby subscribes will be acquired solely for the account of the undersigned (or if the undersigned is a trust, solely for the beneficiaries
thereof), for investment and is not being purchased for subdivision or fractionalization thereof; and the undersigned has no contract,
undertaking, agreement or arrangement with any person to sell, transfer or pledge to such person, or to anyone else, the Shares which the undersigned hereby subscribes to purchase or any part thereof,
and the undersigned has no present plans to enter into any such contract, undertaking, agreement or arrangement.

	4.
	The
Company has made all documents pertaining to this investment available to the undersigned.

	5.
	The
undersigned has had the opportunity to ask questions of, and receive answers from, officers and directors of the Company concerning the terms and conditions of the offering and
to obtain such information, to the extent such persons possess the same or could acquire it without unreasonable effort or expense, as the undersigned deemed necessary to verify the accuracy of the
information referred to herein. The undersigned has received an Offering Memorandum and has made such independent investigations as deemed necessary and sufficient by the undersigned in making a
decision to purchase the Shares subscribed for herein.

	6.
	The
undersigned is investing in his own name or in the capacity indicated herein; and was not solicited by any form of general solicitation or general advertising.

	7.
	The
undersigned, if an individual, is at least 21 years of age and a bona fide resident of the State and the Country indicated herein and has no present intention of becoming a
resident of any other state or jurisdiction; 

2

 
	8.
	The
undersigned is one of the following: (Please check one) 

	 	For Individual Investors Only
	

 	

  
	
 	

(a) a natural person who has an individual net worth, or joint worth with that person's spouse of more than $1,000,000; or
	

 	

  
	
 	

(b) a natural person who had an individual income in excess of $200,000 (a joint income in excess of $300,000 with his spouse) in each of the two most resent years and who reasonably expects to reach the same income level in the current year;
or
	

 	

  
	
 	

(c) a director or executive officer of the Company;
	

 	

  
	
 	

(d) a person with an annual income of at $65,000 per year with sufficient knowledge and experience in financial and business matters to valuate the risks of the investment.
	

 	

For Corporate Investors Only
	

 	

  
	
 	

(e) the undersigned hereby certifies that it is an accredited investor because it has total assets in excess of $5,000,000 and was not formed for the specific purpose of investing in the Company;
	

 	

  
	
 	

(f) the undersigned hereby certifies that it is a accredited investor because all of its equity owners are accredited investor because all of its equity owners are accredited investors under statement 8(a), (b), (c),or (d) above.
	

 	

For Trusts
	

 	

  
	
 	

(g) the undersigned hereby certifies that it is an accredited investor because it is a trust which has total assets in excess of $5,000,000 and was not formed for the specific purpose of investing in the Company and that the purchase is directed
by a person with such knowledge and experience in financial and business matters that he is capable of evaluating the risks and merits of an investment in the Company;
	

 	

  
	
 	

(h) the undersigned hereby certifies that it is an accredited investor because it is (i) a bank, or savings and loan association or other institution, as defined in Sections 3(a)(2) or 3(a)(5)(A) of the Securities Act of 1933, (ii) acting in its fiduciary capacity as trustee, and (iii) subscribing on behalf of a trust for the purchase of the Shares.
	

 	

  
	
 	

(i) the undersigned hereby certifies that it is an accredited investor because it is a revocable trust which may be amended or revoked at any time by the grantors thereof and all of the grantors are accredited investors under either statement
8(a), (b), (c), or (d) above.

	9.
	If
the undersigned warrants eligibility for participation in accordance with Paragraph 8(d) above, undersigned hereby represents and warrants that he has an individual net
worth (or joint net worth with his spouse) at the time of Subscription of at least $65,000 (exclusive of home, home furnishings and personal automobiles) for the Shares subscribed for.

	10.
	The
undersigned acknowledges an understanding of the restrictions on transferability of the Shares purchased herein. 

The
undersigned acknowledges and is aware of the following: 

	11.
	This
subscription may be accepted or rejected, in whole or in part by the Company in its sole and absolute discretion. 

3

 
	12.
	The
Shares are a speculative investment which involves a high degree of risk of loss by the undersigned of the entire investment of the undersigned and there is no assurance of any
income from such investment.

	13.
	No
federal or state agency has made any finding or determination as to the fairness of the offering, or any recommendation or endorsement of the Shares.

	14.
	There
are substantial restrictions on the transferability of the Shares. There will be no public market for the Shares, and accordingly, the undersigned will need to bear the
economic risk of his investment for an indefinite period of time and will not be readily able to liquidate this investment in case of any emergency.

	16.
	The
undersigned agrees not to transfer or assign this subscription or any interest therein and agrees that if this subscription is accepted by the Company, the assignment and
transferability of the Shares purchased by the undersigned will be governed by all applicable state and federal laws. 

The
undersigned recognizes that the offer and sale of the Shares to the undersigned is based on the representations and warranties of the undersigned contained in Paragraphs 1 through 10 above and
hereby agrees to indemnify the Company and the officers and directors of the Company, and to hold each of such entities and persons harmless against all liabilities, costs or expenses (including
reasonable attorney's fees) arising by reason of or in connection with any misrepresentations or any breach of such warranties by the undersigned, or arising as a result of the sale or distribution of
the Shares by the undersigned in violation of the Securities Exchange Act of 1934, as amended, the Securities Act of
1933, as amended, or any other applicable federal or state statute. 

The
undersigned hereby indemnifies the Company and the officers and directors of the Company, and holds each of such persons and entities harmless from and against any and all loss, damages, liability
or expense, including costs and reasonable attorney's fees to which they may be put or which they may incur by reason of or in connection with any misrepresentations made by the undersigned, any
breach of any of his warranties, or his failure to fulfill any of his covenants or agreements set forth herein. The subscription and the representations and warranties contained herein shall be
binding upon the heirs, legal representative, successors and assigns of the undersigned. 

Upon
acceptance by the Company of the subscription agreement by the undersigned, the undersigned agrees to become an investor in the Company. The undersigned acknowledges and agrees that the
undersigned is not entitled to cancel, terminated revoke this subscription agreement or any agreements of the undersigned herein, and that such subscription or agreements shall survive (a) changes in
transactions, documents, and instruments described in any materials provided by the Company which the aggregate are not material, and (b) the death or disability of the undersigned; provided,
however, that if the Company shall not have accepted this subscription by the Closing Date, either by personally delivering to the undersigned an executed copy hereof reflecting such acceptance or by
depositing in the United States Mail, postage prepaid, a written notice of acceptance addressed to the undersigned hereunder, and the power of attorney granted hereby shall be automatically canceled,
terminated and revoked. 

The
undersigned acknowledges the he/she is a person who has knowledge and experience in financial and business matters such that the undersigned is capable of evaluating the merits and risk of an
investment in the Company and making an informed decision. 

WHEREFORE,
IN CONSIDERATION, of the foregoing covenants and representations, I hereby submit the following subscription for the below referenced number of Units as described in this Subscription
Agreement, furthermore, I acknowledge I have received copies of all information I deemed necessary or appropriate to evaluate the merits and risks of an investment in the Shares. 

4

 

I further acknowledge that I have had the opportunity to ask questions of, and receive answers from, representatives of the Company concerning the terms and conditions of the offering and any
information provided by the Company. 

	 	
	 	Number of Shares
	

$	

 	
 	

Cash Payment (US$0.05 per Share)
	 	
	 	 

	

 Per: Authorized Signatory	
 	

 Date
	

Print Name:	
 	

 	
 	

 
	 	 	
	 	 
	

Address:	
 	

 	
 	

 
	 	 	
	 	 
	

	
 	

 
	

 Social Security Number	
 	

 
	

	

ACCEPTANCE  

Phage
Therapeutics International Inc. herewith accepts the foregoing subscription for Shares. 

PHAGE THERAPEUTICS INTERNATIONAL INC.  

	
 Per: Darren Pylot, Director	 	
 Date

5

 
PHAGE THERAPEUTICS INTERNATIONAL INC.

REGISTRATION INSTRUCTIONS  

Please
register the Shares acquired by the undersigned as follows: 

	

	Printed Name
	

	Address
	

	City                            State           
                 Zip Code

	

Number of Shares:	
 	

	

Date Acquired:	
 	

	

 Signature	
 	

 Date
	

 Printed Name	
 	

 

6

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SUBSCRIPTION AGREEMENT

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