RESTRICTED STOCK UNIT GRANT
Exhibit 10.9.5
RESTRICTED STOCK UNIT GRANT
Date:_________
Dear ____:
Pursuant to the terms and conditions of the Aqua America Inc. 2009 Omnibus Equity Compensation Plan, as amended and restated (the “Plan”), you have been granted restricted stock units as outlined below and in the attached Restricted Stock Unit Grant Terms and Conditions.
Granted To:_______
Grant Date:_______
Number of Restricted
Stock Units Granted:_______
Performance Goals:See Restricted Stock Unit Grant Terms and Conditions,
including Exhibit A
First Vesting Date:_______
Vesting Schedule:See Restricted Stock Unit Grant Terms and Conditions
By my signature below, I hereby acknowledge and accept the award of this Restricted Stock Unit Grant and the Restricted Stock Unit Grant Terms and Conditions attached hereto and incorporated herein, and I agree to be bound by the terms of the Restricted Stock Unit Grant, the Restricted Stock Unit Grant Terms and Conditions and the Plan. I hereby agree that all decisions and determinations of the Committee (as defined in the Plan) with respect to the restricted stock units shall be final and binding.
Signature: ________________________________________ Date: __________________________