COMMON STOCK | COMMON STOCK | |||||||
PAR VALUE $.00001 | ||||||||
[Weave Communications, Inc. Logo] | ||||||||
WEAVE COMMUNICATIONS, INC. INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE | ||||||||
THIS CERTIFIES THAT | SEE REVERSE FOR CERTAIN DEFINITIONS | |||||||
CUSIP 94724R 108 | ||||||||
is the owner of | THIS CERTIFICATE IS TRANSFERRABLE IN THE CITIES DESIGNATED BY THE TRANSFER AGENT, AVAILABLE ONLINE AT www.computershare.com | |||||||
FULLY-PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK OF |
Dated: DD-MMM-YYYY | ||||||||
/s/ Roy Banks | [WEAVE COMMUNICATIONS, INC., Corporate Seal, Oct. 13, 2015, DELAWARE] | COUNTERSIGNED AND REGISTERED: COMPUTERSHARE TRUST COMPANY, N.A. TRANSFER AGENT AND REGISTRAR | ||||||
Chief Executive Officer | ||||||||
/s/ Alan Taylor | BY | |||||||
Chief Financial Officer | ||||||||
AUTHORIZED SIGNATURE |
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..................... | ||||||||||||||
UNIF TRF MIN ACT | - | ........................Custodian (until age...................) | |||||||||||||||
(Cust) | |||||||||||||||||
........under Uniform Transfers to Minors Act...... | |||||||||||||||||
(Minor) (State) |
PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE | ||||||||
For value received, ___ hereby sell, assign and transfer unto |
(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 | Signature(s) Guaranteed: Medallion Guarantee Stamp | ||||||||||
Signature: | |||||||||||
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. | |||||||||||
Signature: | |||||||||||
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. |