Mortgage Assistance Center Corp – ‘10-12G’ on 10/28/96 – EX-4

As of:  Monday, 10/28/96   ·   Accession #:  950130-96-4056   ·   File #:  0-21627

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Registration of Securities (General Form)   —   Form 10
Filing Table of Contents

Document/Exhibit                   Description                      Pages   Size 

 1: 10-12G      Registration Statement on Form 10                     43    192K 
 2: EX-3.1      Articles of Incorporation Knight Airlines              8     22K 
 3: EX-3.2      Portsmouth Corp. Corporate Bylaws                     10     37K 
 4: EX-4        Form of Stock Certificate                              2     10K 
 5: EX-10.1     Asset Purchase Agmt and Plan of Reorganization        50    143K 
14: EX-10.10    Employment Agreement                                   8     24K 
15: EX-10.11    Employment Agreement                                   5     18K 
 6: EX-10.2     Lease Btwn N.R. Dinapoli and Safe Alternatives        14     45K 
 7: EX-10.3     Lease Btwn Donnelly Trust & Safe Alternatives         11     39K 
 8: EX-10.4     Supply Agreement                                       6     19K 
 9: EX-10.5     License Agreement                                     13     28K 
10: EX-10.6     License Agreement                                     13     32K 
11: EX-10.7     License Agreement                                     13     30K 
12: EX-10.8     Agreement Btwn Licensor & Safe Alternatives            5     19K 
13: EX-10.9     Employment Agreement                                   8     24K 
16: EX-27       Financial Data Schedule                                2     10K 

EX-4   —   Form of Stock Certificate

EX-4
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                                                                       EXHIBIT 4
BORDER GRAPHIC

NUMBER                                                          SHARES          
(GRAPHIC)                                                       (GRAPHIC)       

GRAPHIC 
                                                         See Reverse for Certain
                                             Definitions

INCORPORATED UNDER THE LAWS OF THE STATE OF FLORIDA 

SAFE ALTERNATIVES CORPORATION OF AMERICA, INC.

OPEN CORPORATION

AUTHORIZED CAPITAL STOCK 200,000,000 SHARES PAR VALUE $0.0001 EACH

THIS is to Certify that                                          is the owner of
        ----------------------------------------

--------------------------------------------------------------------------------

FULLY PAID AND NON-ASSESSABLE SHARES OF COMMON STOCK OF 
SAFE ALTERNATIVES CORPORATION OF AMERICA, INC.

transferable on the books of the Corporation by the holder hereof in person   
or by duly authorized Attorney upon surrender of this Certificate   
properly endorsed.  

Witness, the seal of the Corporation and the signatures of its duly authorized  
officers.                                                                       

Dated                                                                           

GRAPHIC       
------------------------------             ------------------------------       
         Secretary                                       President

EX-4
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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 law 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 ACT:                      Custodian          under          
    ---------------           --------
       (cust)                (minor)
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 postal zip code of        
assignee)                                                                       

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

--------------------------------------------------------------------------------

Shares represented by the within Certificate, and do 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                                        19       .                         
-------------------------------------    -------                    

--------------------            ----------------------                          
In the presence of              Signed                                          

NOTICE:  THE SIGNATURE OF 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.                              

"The securities represented by this certificate have not been registered under  
the Securities Act of 1933 (the Act), as amended, and may not be sold, assigned,
pledged or otherwise transferred unless (a) such transfer of such securities    
shall be registered under the Act pursuant to a currently effective registration
statement and all steps necessary to qualify such securities for sale under any 
applicable state law shall have been taken or, (b) such transfer shall be exempt
from the registration requirements of the Act and any applicable state          
securities laws, and the Company shall have received an opinion satisfactory to 
the Company from other counsel satisfactory to it to that effect."