Brooks Automation, Inc. Non-Employee Directors Stock Grant/RSU Election Form under 2000 Equity Incentive Plan
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Summary
This form is an agreement between Brooks Automation, Inc. and its non-employee directors, allowing them to choose how they receive annual compensation for board service—either as company stock or as Restricted Stock Units (RSUs). Directors can also elect to defer payment of RSUs to a later date, such as retirement or a specified age. The agreement outlines payment timing, tax withholding, and what happens in the event of death or a company change in control. Both the director and a company representative must sign the form for it to be valid.
EX-10.42 24 b83431exv10w42.htm EX-10.42 exv10w42
Name (Last, First, Middle Initial)
Exhibit 10.42
Non-Employee Directors
Stock Grant/RSU Election Form
Stock Grant/RSU Election Form

This form allows you to elect between shares of Brooks stock or Restricted Stock Units (RSUs) that may be awarded to you during calendar year _______ under the Brooks Automation, Inc. Amended and Restated 2000 Equity Incentive Plan (Plan) as compensation for your service as a member of the Board of Directors of Brooks Automation, Inc. (the Company). Please be sure to sign this form in all cases.
A. | Stock Grant or RSU Election (please check only one box.) |
o | I wish to receive shares of Brooks stock that may be awarded to me during the calendar year _______. | ||
o | I wish to receive Restricted Stock Units that may be awarded to me during the calendar year _______. | ||
(Please complete section B only if you have chosen to receive RSUs.) |
B. | ELECTION TO DEFER RSUs |
o | I elect to defer receipt of payment of RSUs that may be awarded to me during the calendar year _______. |
Time of Payment | ||
I elect to receive payment of my RSUs covered by this election at the following time (check one box only): |
o | The earlier of my attainment of age 65 or my separation from service from the Company. | ||
o | The later of my attainment of age 65 or my separation from service from the Company. | ||
o | The following specified date: ________________. |
Any RSUs covered by this election will be paid in a single lump sum share payment as soon as reasonably practicable following the relevant payment event, but in no event will such payment be made more than 90 days after the relevant event. Unless otherwise provided by the Plan, payment will be in the form of shares and the RSU award shall be subject to any applicable tax withholding. Separation from service shall have the meaning ascribed to such term under Section 409A of the Internal Revenue Code, but generally means when you cease to serve as a director of the Company. | ||
Death | ||
In the event of my death prior to the time elected for payment, then notwithstanding my election above, my RSUs covered by this election shall be paid to the following beneficiary in a lump sum: |
Name: | ||||||
Address: | ||||||
Non-Employee Directors
Stock Grant/RSU Election Form
Stock Grant/RSU Election Form
Change in Control | ||
In the event of a change in the ownership or effective control of the Company, or in the ownership of a substantial portion of the assets of the Company as defined in Treasury Regulation 1.409A-3(i)(5), then notwithstanding my election above, my RSUs covered by this election shall be paid upon the consummation of such transaction. | ||
Specified Employee Status (this provision applies only if you later become an employee of the Company) | ||
If my RSUs covered by this election are payable due to my separation from service from the Company and I am a specified employee of the Company as defined by Section 409A (and as applied according to procedures of the Company) at the time of my separation, then I understand that any payment to me will be delayed until the first day of the 7th month following my separation from service. |
C. | SIGNATURES |
AGREED AND ACKNOWLEDGED: | ACCEPTED: | |||||
Signature of Participant | Date | For the Committee | Date |