Exhibit 4.1
No. _______ |
HEALTHCARE ACQUISITION PARTNERS CORP. |
________ UNIT | (S) | ||
CUSIP NO. 42224P 20 5 |
Incorporated under the Laws of the State of Delaware |
UNIT(S) CONSISTING OF ONE SHARE OF COMMON STOCK AND TWO WARRANTS, EACH TO PURCHASE ONE SHARE OF COMMON STOCK
SEE REVERSE FOR CERTAIN DEFINITIONS
THIS CERTIFIES THAT IS THE OWNER OF UNIT(S). Each Unit (Unit) consists of one (1) share of common stock, par value $.0001 per share (Common Stock), of Healthcare Acquisition Partners Corp., a Delaware corporation (the Corporation), and two warrants (the Warrants). Each Warrant entitles the holder to purchase one (1) share of Common Stock for $5.00 per share (subject to adjustment). The Common Sock and Warrants comprising each Unit represented by this certificate are not transferable separately prior to , 2006, unless FTN Midwest Securities Corp. determines that an earlier date is acceptable. The terms of the Warrants are governed by a Warrant Agreement, dated as of , 2006 (the Warrant Agreement), between the Corporation and Mellon Investor Services LLC, as Warrant Agent, and are subject to the terms and provisions contained therein, all of which terms and provisions the holder of this certificate consents to by acceptance hereof. Copies of the Warrant Agreement are on file at the office of the Warrant Agent at Newport Office Center VII, 480 Washington Blvd., Jersey City, 07210, and are available to any Warrant holder on written request and without cost. This certificate is not valid unless countersigned by the Transfer Agent and registered by the Registrar of the Corporation.
WITNESS the seal of the Corporation and the facsimile signature of its duly authorized officers.
Dated: , 2006
HEALTHCARE ACQUISITION PARTNERS CORP. | ||||
Secretary | CORPORATE SEAL | Chief Executive Officer | ||
2005 | ||||
DELAWARE | ||||
Transfer Agent |
[REVERSE]
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 |
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.
Healthcare Acquisition Partners Corp.
The Corporation will furnish without charge to each stockholder who so requests the powers, designations, preferences and relative, participating, option or other special rights of each class of stock or series thereof of the Corporation and the qualifications, limitations, or restrictions of such preferences and/or rights. This certificate and the Units represented hereby are issued and shall be held subject to the terms and conditions applicable to the securities underlying and comprising the Units.
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)
Units represented by the within Certificate, and do hereby irrevocably constitute and appoint Attorney, to transfer the said Units on the books of the within named Corporation with full power of substitution in the premises.
Dated | By: | |||||||
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: | ||
By: | ||
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). |