Document:

Specimen Stock Certificate

 Exhibit 4.1 
  
 

 
  

			
	 NUMBER
 B
	 	SHARES        

  
 CUSIP 532192 10 1

 SEE REVERSE SIDE FOR 
 CERTAIN
DEFINITIONS 
  
 INCORPORATED UNDER THE LAWS OF THE COMMONWEALTH OF
MASSACHUSETTS 
  
 THIS CERTIFIES that 
  
 is the owner of 
  
 FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, PAR VALUE $.02  PER SHARE, OF 
 LIFELINE SYSTEMS, INC. 
 transferable on the books of
the Corporation at the office of its Transfer Agent by the holder hereof in person or by duly authorized attorney upon surrender of this certificate properly endorsed. This Certificate and the shares represented by it are hereby issued and shall be
held subject to all of the provisions of the Articles of Organization and Bylaws of the Corporation and any amendments thereto, each of which the holder assents to by acceptance hereof. 
 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: 
  
 [Lifeline Systems, Inc. Seal] 
  

			
	/s/ Mark G. Beucler	 	      /s/ Ronald Feinstein
	Treasurer	 	      President and Chief Executive Officer

  

					
	 COUNTERSIGNED AND REGISTERED:

	 	 	 REGISTRAR AND TRANSFER COMPANY
	 	 
	 	 	                                        
            TRANSFER AGENT
	 	 
	 	 	                                        
               AND REGISTRAR
	 	 
	 BY
	 	 	 	 
	 	 	                                     AUTHORIZED
SIGNATURE
	 	 

 LIFELINE SYSTEMS, INC. 
  
 This certificate also evidences and entitles the holder hereof to certain Rights as set forth in the Rights Agreement
between Lifeline Systems, Inc. (the “Corporation”) and Registrar and Transfer Company (the “Rights Agent”) dated as of November 19, 2004, as the same may be amended, restated or renewed from time to time (the “Rights
Agreement”), the terms of which are hereby incorporated herein by reference and a copy of which is on file at the principal offices of the Corporation. Under certain circumstances, as set forth in the Rights Agreement, such rights will be
evidenced by separate certificates and will no longer be evidenced by this certificate. The Corporation will mail to the holder of this certificate a copy of the Rights Agreement, as in effect on the date of mailing, without charge promptly after
receipt of a written request therefor. Under certain circumstances set forth in the Rights Agreement, Rights issued to, or held by, any Person who is, was or becomes an Acquiring Person or any Affiliate or Associate thereof (as such terms are
defined in the Rights Agreement), whether currently held by or on behalf of such Person or by any subsequent holder, may become null and void. 
  
 The Corporation is authorized to issue more than one class and series of stock. The Corporation will furnish without charge to each shareholder who so
requests a copy of the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock or series thereof, which the Corporation is authorized to issue, and the qualifications, limitations or
restrictions of such preferences and/or rights. Any such request may be made to the Corporation or its Transfer Agent. 
  
 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	  	 (Cust)                                  
(Minor)    

	 JT TEN
	  	–	  	 as joint tenants with right of
	  	 
	 	  	 	  	survivorship and not as tenants	  	 under Uniform Gifts to
Minors              

	 	  	 	  	in common	  	 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, OF ASSIGNEE) 
  
 ____________________________________________________________________________________________________ 
  
 ____________________________________________________________________________________________________ 
 shares of capital stock
represented by the within Certificate, and do hereby irrevocably constitute and appoint ____________________________________________________________ Attorney to transfer the said shares on the books of the within named Corporation with full power of
substitution in the premises. 
  
 Dated:                             
  

			
	 	  	__________________________________________________________
	NOTICE:	  	THE SIGNATURE OF 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.
		
	Signatures Guaranteed:	  	__________________________________________________________
	 	  	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.Form of Change of Control Agreement

 Exhibit 10.26 
  
 (Date) 
  
 (Name) 
 (Address) 
 (Address) 
  
 Re: Change in Control Event 
  
 Dear (Name): 
  
 This will confirm, on behalf of the Board and the Company, that in the event that within twelve months following a Change in Control Event, as defined in Section 8 (c)
(1) (b) of the Company’s 2000 Stock Incentive Plan, a copy of the definition being attached hereto, your employment is terminated without cause or you terminate your employment in the event your then responsibilities or conditions of
employment, including base salary and principal location at which services are performed, are significantly changed, reduced or adversely affected, the Company will pay you, in full satisfaction of any and all claims which you may have against the
Company, an amount equal to one year’s base annual salary then being paid to you. Termination of employment by the Company shall be deemed to be without cause unless the termination results from conduct involving moral turpitude or a willful
failure to continue to perform your pre-Change in Control duties, subject to the direction of post-Change in Control management. 
  
 This undertaking should not be construed by you as an employment contract but does constitute one of the conditions of your ongoing employment relationship with the
Company. 
  
 If the foregoing is satisfactory, please indicate your consent below.

  
  
 Sincerely, 
  
 LIFELINE SYSTEMS, INC. 
  
  
  
 Ronald Feinstein 
 President/CEO 
  
  
 ACCEPTED BY:

  

			
	
	  	

	 (Name)
	  	Date

 Section 8(c) (1) (b) of the 2000 Stock Incentive Plan is as follows: 
  
 (b) A “Change in Control Event” shall mean: 
  
 (i) the acquisition by an individual, entity or group (within the meaning of
Section 13(d)(3) or 14(d)(2) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”)) (a “Person”) of beneficial ownership of any capital stock of the Company if, after such acquisition, such Person beneficially
owns (within the meaning of Rule 13d-3 promulgated under the Exchange Act) 30% or more of either (x) the then-outstanding shares of common stock of the Company (the “Outstanding Company Common Stock”) or (y) the combined voting power of
the then-outstanding securities of the Company entitled to vote generally in the election of directors (the “Outstanding Company Voting Securities”); provided, however, that for purposes of this subsection (i), the following
acquisitions shall not constitute a Change in Control Event: (A) any acquisition directly from the Company (excluding an acquisition pursuant to the exercise, conversion or exchange of any security exercisable for, convertible into or exchangeable
for common stock or voting securities of the Company, unless the Person exercising, converting or exchanging such security acquired such security directly from the Company or an underwriter or agent of the Company), (B) any acquisition by any
employee benefit plan (or related trust) sponsored or maintained by the Company or any corporation controlled by the Company, or (C) any acquisition by any corporation pursuant to a Business Combination (as defined below) which complies with clauses
(x) and (y) of subsection (iii) of this definition; or 
  

	(ii)	such time as the Continuing Directors (as defined below) do not constitute a majority of the Board (or, if applicable, the Board of Directors of a successor corporation to the
Company), where the term “Continuing Director” means at any date a member of the Board (x) who was a member of the Board on the date of the initial adoption of this Plan by the Board or (y) who was nominated or elected subsequent to such
date by at least a majority of the directors who were Continuing Directors at the time of such nomination or election or whose election to the Board was recommended or endorsed by at least a majority of the directors who were Continuing Directors at
the time of such nomination or election; provided, however, that there shall be excluded from this clause (y) any individual whose initial assumption of office occurred as a result of an actual or threatened election contest with
respect to the election or removal of directors or other actual or threatened solicitation of proxies or consents, by or on behalf of a person other than the Board; or 

  
 (iii) the consummation of a merger, consolidation, reorganization, recapitalization or statutory share exchange involving
the Company or a sale or other disposition of all or substantially all of the assets of the Company (a “Business Combination”), unless, immediately following such Business Combination, each of the following two conditions is satisfied: (x)
all or substantially all of the individuals and entities who were the beneficial owners of the Outstanding Company Common Stock and Outstanding Company Voting Securities immediately prior to such Business Combination beneficially 

 
own, directly or indirectly, more than 50% of the then-outstanding shares of common stock and the combined voting power of the then-outstanding securities
entitled to vote generally in the election of directors, respectively, of the resulting or acquiring corporation in such Business Combination (which shall include, without limitation, a corporation which as a result of such transaction owns the
Company or substantially all of the Company’s assets either directly or through one or more subsidiaries) (such resulting or acquiring corporation is referred to herein as the “Acquiring Corporation”) in substantially the same
proportions as their ownership of the Outstanding Company Common Stock and Outstanding Company Voting Securities, respectively, immediately prior to such Business Combination and (y) no Person (excluding the Acquiring Corporation or any employee
benefit plan (or related trust) maintained or sponsored by the Company or by the Acquiring Corporation) beneficially owns, directly or indirectly, 30% or more of the then-outstanding shares of common stock of the Acquiring Corporation, or of the
combined voting power of the then-outstanding securities of such corporation entitled to vote generally in the election of directors (except to the extent that such ownership existed prior to the Business Combination).

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