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As Of Filer Filing For·On·As Docs:Size Issuer Agent 6/16/14 Trupanion Inc. S-1 26:10M RR Donnelley/FA |
Document/Exhibit Description Pages Size
1: S-1 Registration Statement (General Form) HTML 2.42M
2: EX-3.1 Amended and Restated Certificate of Incorporation HTML 149K
3: EX-3.2 Form of Restated Certificate of Incorporation HTML 27K
4: EX-3.3 Bylaws HTML 57K
5: EX-3.4 Form of Restated Bylaws HTML 89K
6: EX-4.1 Form of Common Stock Certificate HTML 13K
7: EX-4.2 Form of Warrant to Purchase Convertible Preferred HTML 43K
Stock
8: EX-4.3 Form of Warrant to Purchase Common Stock HTML 41K
9: EX-4.4 Third Amended and Restated Registration Rights HTML 182K
Agreement
10: EX-10.1 Form of Indemnity Agreement HTML 62K
18: EX-10.10 Amended and Restated Loan and Security Agreement HTML 250K
With Square 1 Bank
19: EX-10.11 Amended and Restated Credit Agreement With Pepi HTML 222K
Capital and Highland
20: EX-10.12 Fronting and Administration Agreement HTML 430K
21: EX-10.12A Stop Loss Reinsurance Agreement HTML 35K
22: EX-10.12B Agency Agreement HTML 41K
23: EX-10.13 Lease Agreement HTML 76K
24: EX-10.14 Lease HTML 232K
11: EX-10.2 2007 Equity Compensation Plan HTML 228K
12: EX-10.3 2014 Equity Incentive Plan HTML 216K
13: EX-10.4 2014 Employee Stock Purchase Plan HTML 58K
14: EX-10.6 Amended and Restated Employment Agreement With HTML 56K
Darryl Rawlings
15: EX-10.7 Employment Agreement With Michael Banks HTML 39K
16: EX-10.8 Consulting Agreement With Howard Rubin HTML 98K
17: EX-10.9 Independent Contractor Agreement With Peter HTML 34K
Beaumont
25: EX-21.1 Subsidiaries of the Registrant HTML 10K
26: EX-23.1 Consent of Independent Registered Public HTML 10K
Accounting Firm
| Form of Common Stock Certificate |
Exhibit 4.1
NUMBER
TP
INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE
trupanion®
Medical insurance for your pet
SHARES
SEE REVERSE FOR CERTAIN DEFINITIONS
CUSIP 898202 10 6
THIS CERTIFIES THAT
SPECIMEN
IS THE OWNER OF
FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, $0.00001 PAR VALUE
PER SHARE, OF
Trupanion, Inc.
transferable on the books of the Corporation in
person or by duly authorized attorney upon surrender of the Certificate properly endorsed. This Certificate is not valid until countersigned by the Transfer Agent and registered by the Registrar.
Witness the facsimile signatures of the Corporation’s duly authorized officers.
Dated:
SECRETARY PRESIDENT
AMERICAN BANK NOTE COMPANY.
COUNTERSIGNED AND REGISTERED:
AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC.
(Brooklyn, NY)
By
Transfer Agent and Registrar
Authorized Officer
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)
Additional abbreviations may also be used though not in the above list.
For value received,
hereby sells, assigns and transfers unto
PLEASE INSERT SOCIAL SECURITY OR OTHER
IDENTIFYING NUMBER OF ASSIGNEE
(PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS,
INCLUDING ZIP CODE, OF ASSIGNEE)
shares represented by the within Certificate, and does hereby irrevocably constitute and appoint , attorney to transfer the said
shares 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.
As Of Filer Filing For·On·As Docs:Size Issuer Filing Agent 2/27/24 Trupanion, Inc. 10-K 12/31/23 109:12M 12/01/23 Trupanion, Inc. S-3ASR 12/01/23 4:258K 2/16/23 Trupanion, Inc. 10-K 12/31/22 104:12M 2/17/22 Trupanion, Inc. 10-K 12/31/21 104:11M 2/12/21 Trupanion, Inc. 10-K 12/31/20 101:12M 12/01/20 Trupanion, Inc. S-3ASR 12/01/20 3:258K |