Exhibit 4.1
(STOCK CERTIFICATE)
Stock Certificate CUSIP 675759 10 8

 

 

OCULUS INNOVATIVE SCIENCES, INC.
The Corporation will furnish without charge to each stockholder who so requests the powers, designations, preferences and relative, participating, optional, or other special rights of each class of stock or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights. Such request shall be made to the Corporation’s Secretary at the principal office of the Corporation.
     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
TEN ENT —   as tenants by the entireties
JT TEN —   as joint tenants with right of survivorship and not as tenants in common
                 
UNIF GIFT MIN ACT-
      Custodian        
             
    (Cust)       (Minor)
 
                
    under Uniform Gifts to Minors
     
    Act
     
    (State)
 
                
UNIF TRF MIN ACT-       Custodian (until age  )  
 
               
 
  (Cust)            
 
                
        under Uniform Transfers
 
               
 
  (Minor)            
 
                
 
  to Minors Act            
         
        (State)


Additional abbreviations may also be used though not in the above list.
         
FOR VALUE RECEIVED,
      hereby sell, assign and transfer(s) 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(es) 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
          X    
 
               
 
                
 
          X    
 
               
 
          NOTICE:   THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER.
SIGNATURES
  GUARANTEED:            
         
By.
       
 
       
 
  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. RULE17Ad-15.