EX-4.1 5 d96446dex41.htm EX-4.1 EX-4.1

Exhibit 4.1

 

LOGO

CORPORATE SECRETARY CHIEF EXECUTIVE OFFICER AUTHORIZED SIGNATURE TRANSFER AGENT AND REGISTRAR (Brooklyn, NY) AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC BY COUNTERSIGNED AND REGISTERED: transferable only 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 unless countersigned and registered by the Transfer Agent and Registrar. WITNESS the signatures of the Corporation’s duly authorized officers. Dated: Bloom Energy Corporation FULLY PAID AND NON-ASSESSABLE SHARES OF CLASS A COMMON STOCK, PAR VALUE OF $0.0001 OF IS THE OWNER OF THIS CERTIFIES THAT CLASS A COMMON STOCK SEE REVERSE FOR CERTAIN DEFINITIONS INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE BE CUSIP 093712 10 7

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 in common

    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, OF ASSIGNEE)

     
    Shares

of the Common 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.

 

   SIGNATURE(S) GUARANTEED:  
    

 

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.