Exhibit 4.1
CLASS A COMMON STOCK | CLASS A COMMON STOCK | |||||
PAR VALUE $0.0001 | ||||||
SEE REVERSE FOR | ||||||
Certificate | CERTAIN | |||||
Number | DEFINITIONS | |||||
CUSIP 25401G 106 |
DIGITAL MEDIA SOLUTIONS, INC.
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
This Certifies that is the owner of .
FULLY PAID AND NON-ASSESSABLE SHARES OF CLASS A COMMON STOCK OF
Digital Media Solutions, Inc. (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 provisions of the Certificate of Incorporation and Bylaws 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 by the Transfer Agent and registered by the Registrar.
Witness the seal of the Company and the facsimile signatures of its duly authorized officers.
Secretary | ||||
[Corporate Seal] | DATED | |||
| Delaware | |||
Chief Executive Officer | ||||
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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 the 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 in common | under Uniform Gifts to Minors | |||||||||||
Act |
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(State) | ||||||||||||||
UNIF TRF MIN ACT Custodian (until age ) | ||||||||||||||
Under the Uniform Transfer to Minors Act | ||||||||||||||
(Minor) | (State) |
For value received, hereby sells, assigns and transfers unto
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(PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER(S) OF ASSIGNEE(S)) |
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(PLEASE PRINT OR TYPEWRITE NAME(S) AND ADDRESS(ES), INCLUDING ZIP CODE, OF ASSIGNEE(S)) |
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Shares of the Class A Common Stock represented by the within Certificate, and do hereby irrevocably constitutes and appoints |
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Attorney to transfer the said stock on the books of the within named Company with full power of substitution in the premises. |
Dated: |
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NOTICE: THE SIGNATURE(S) 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: |
By |
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THE SIGNATURE(S) MUST 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 (OR ANY SUCCESSOR RULE) UNDER THE SECURITIES EXCHANGE ACT OF 1934, AS AMENDED).