Adolor Corporation Form of Stock Option Agreement under 2003 and 1994 Equity Compensation Plans
This agreement grants an employee of Adolor Corporation the right to purchase company common stock under the terms of either the 2003 Stock Based Incentive Compensation Plan or the 1994 Amended and Restated Equity Compensation Plan. The option is divided into Incentive Stock Options and Non-Qualified Stock Options due to IRS limits, with details on the number of shares, price, and expiration provided. The recipient acknowledges receipt of the agreement and related documents and agrees to the plan's terms.
Exhibit 10.26
Date
Name
Address
City State
Dear :
Pursuant to the terms and conditions of Adolor Corporations 2003 Stock Based Incentive Compensation Plan or Adolors 1994 Amended and Restated Equity Compensation Plan (the Plan), you have been granted an Option to purchase shares (the Option) of common stock as outlined below. Because of the IRS limitation of $100,000 per year on Incentive Stock Options, the option must be segmented into shares covered by an Incentive Stock Option and shares covered by a Non-Qualified Stock Option. Together these options vest effective as of date of grant.
Granted to: | ___________ | |||||
SS # | ||||||
Grant Date: | ___________ | |||||
Options Granted: | ________Incentive Stock Options | |||||
Option Price per Share: | $ | Total Cost to Exercise: | $ | |||
Expiration Date: | _________ | |||||
Options Granted: | _________Non-Qualified Stock Options | |||||
Option Price per Share: | $ | Total Cost to Exercise: | $ | |||
Expiration Date: | ___________ |
Michael R. Dougherty
Chief Operating Officer
I hereby acknowledge receipt of the Stock Option granted on the date shown above, which has been issued to me under the terms and conditions of the Plan and this Option Agreement. I also acknowledge receipt of copies of the Plan, its Summary Description and the Companys latest annual report (SEC Form 10-K), and acknowledge and agree that I am bound by the terms and conditions of the Plan and this Option Agreement with respect to my option.
Signature: |
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