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EX-10.4 16 a20169orexv10w4.htm EXHIBIT 10.4 exv10w4
EXHIBIT 10.4
ARTES MEDICAL, INC.
NOTICE OF GRANT OF STOCK OPTION
(Immediately Exercisable)
NOTICE OF GRANT OF STOCK OPTION
(Immediately Exercisable)
(the Optionee ) has been granted an option (the Option ) to purchase certain shares of Common Stock of Artes Medical, Inc. (the Company) pursuant to the Companys 2001 Stock Option Plan (the "Plan), as follows:
Date of Option Grant: | ||||
Number of Option Shares: | ||||
Exercise Price: | $ per share | |||
Initial Exercise Date: | Later of Date of Option Grant or Service commencement date. | |||
Initial Vesting Date: | ||||
Option Expiration Date: | The date ten (10) years after the Date of Option Grant. | |||
Tax Status of Option: | Incentive Stock Option. (Enter Incentive or Nonstatutory. If blank, this Option will be a Nonstatutory Stock Option.) |
Vested Shares: Except as provided in the Stock Option Agreement, the number of Vested Shares (disregarding any resulting fractional share) as of any date is determined by multiplying the number of option shares by the Vested Ratio determined as of such date as follows:
Vested Ratio | ||||
Prior to Initial Vesting Date | 0 | |||
On Initial Vesting Date, provided the Optionees Service has not terminated prior to such date | 1/8 | |||
Plus: | ||||
For each full month of the Optionees continuous Service from the Initial Vesting Date until the Vested Ratio equals 1/1, an additional | 1/48 |
By their signatures below, the Company and the Optionee agree that the Option is governed by this Notice and by the provisions of the Plan and the Stock Option Agreement, both, of which are attached to and made a part of this document. The Optionee acknowledges receipt of copies of the Plan and the Stock Option Agreement, represents that the Optionee has read and is familiar with their provisions, and hereby accepts the Option subject to all of their terms and conditions.
ARTES MEDICAL, INC. | OPTIONEE | |||||||
By: | ||||||||
Signature | ||||||||
Its: | ||||||||
Address: | 5870 Pacific Center Boulevard | Date: | ||||||||
San Diego, CA 92121 | Address: | |||||||||
ATTACHMENTS: | 2001 Stock Option Plan, as amended to the Date of Option Grant; Stock Option Agreement and Exhibits |