8-A12B: Form for the registration / listing of a class of securities on a national securities exchange pursuant to Section 12(b)
Published on April 24, 1998
EXHIBIT 2.4
FRONT
Temporary Certificate Exchangeable for Definitive Certificate When Ready for
Delivery
PREFERRED STOCK PREFERRED STOCK
INCORPORATED UNDER THE LAWS OF THE STATE OF MARYLAND
OMEGA HEALTHCARE INVESTORS, INC.
THE SHARES EVIDENCED HEREBY ARE SUBJECT TO RESTRICTIONS ON OWNERSHIP AND
TRANSFER AS MORE FULLY DESCRIBED ON THE REVERSE SIDE HEREOF.
CUSIP 681936 30 8
This certifies that is the owner of
FULLY PAID AND NONASSESSABLE SHARES OF THE 8.625% SERIES B CUMULATIVE PREFERRED
STOCK, LIQUIDATION PREFERENCE $25.00 PER SHARE OF
OMEGA HEALTHCARE INVESTORS, INC.
(the Corporation), transferable only on the books of the Corporation by the
holder hereof in person or by duly authorized attorney upon surrender of this
Certificate properly endorsed. This Certificate and the shares represented
hereby are issued and shall be held subject to all of the provisions of the
Amended and Restated Articles of Incorporation and Articles Supplementary (the
Charter), and its Bylaws, to all of which the holder, by acceptance hereof,
assents. This Certificate is not valid unless countersigned and registered by
the Transfer Agent and Registrar.
In witness whereof, the said Corporation has caused this Certificate to be
signed by its duly authorized officers.
SECRETARY PRESIDENT
COUNTERSIGNED AND REGISTERED:
FIRST CHICAGO TRUST COMPANY
OF NEW YORK
TRANSFER AGENT AND REGISTRAR,
BY
AUTHORIZED SIGNATURE
BACK
OMEGA HEALTHCARE INVESTORS, INC.
The Corporation has the authority to issue Preferred Stock. The Corporation
will furnish to any stockholder on request and without charge a full statement
of the preferences, conversion and other rights, voting powers, limitations as
to dividends, qualifications, terms and conditions of redemption of the stock
of each Class the Corporation is authorized to issue. The Preferred Stock is
subject to redemption by the Corporation on and after July 1, 2003.
The transfer of these shares to any person who would thereby hold beneficial
interest of more than 9.9% of the value of the outstanding capital stock of the
Corporation may be prohibited or void or subject to other transfer restrictions
or redemption rights as set forth in the Charter. The Corporation will furnish
information concerning such restrictions to any stockholder on request and
without charge.
KEEP THIS CERTIFICATE IN A SAFE PLACE. IF IT IS LOST, STOLEN, OR DESTROYED THE
CORPORATION WILL REQUIRE A BOND OF INDEMNITY AS A CONDITION TO THE ISSUANCE OF
A REPLACEMENT CERTIFICATE.
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 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 capital 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
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.
Signature(s) 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. RULE 17Ad-15.