DIGIPATH,INC. STOCKOPTIONGRANTNOTICE (AMENDEDANDRESTATED2012STOCKINCENTIVEPLAN)
DIGIPATH, INC.
STOCK OPTION GRANT NOTICE
(AMENDED AND RESTATED 2012 STOCK INCENTIVE PLAN)
DigiPath, Inc. (the “Company”), pursuant to its Amended and Restated 2012 Stock Incentive Plan (the “Plan”), hereby grants to Optionholder an option to purchase the number of shares of the Company’s Common Stock set forth below. This option is subject to all of the terms and conditions as set forth herein and in the Option Agreement, the Plan, and the Notice of Exercise, all of which are attached hereto and incorporated herein in their entirety.
Optionholder: | |
Date of Grant: | |
Vesting Commencement Date: | |
Number of Shares Subject to Option: | |
Exercise Price (Per Share): | |
Total Exercise Price: | |
Expiration Date: |
Type of Grant: | [ ] Incentive Stock Option [ ] Nonstatutory Stock Option |
Vesting Schedule:
Payment: | By one or a combination of the following items (described in the Option Agreement): |
[X] | By cash or check | |
[X] | Pursuant to a Regulation T Program if the Shares are publicly traded | |
[X] | By delivery of already-owned shares if the Shares are publicly traded | |
[X] | By net exercise |
Additional Terms/Acknowledgements: The undersigned Optionholder acknowledges receipt of, and understands and agrees to, this Stock Option Grant Notice, the Option Agreement and the Plan. Optionholder further acknowledges that as of the Date of Grant, this Stock Option Grant Notice, the Option Agreement, and the Plan set forth the entire understanding between Optionholder and the Company regarding the acquisition of stock in the Company and supersede all prior oral and written agreements on that subject.
In Witness Whereof, the Company and Optionholder have executed this Stock Option Grant Notice as of the Date of Grant.
DigiPath, Inc. | Optionholder: | |||
By: | ||||
Signature | Signature | |||
Title: | Date: | |||
Date: |
Attachments: Option Agreement, 2012 Equity Incentive Plan and Notice of Exercise
Attachment I
Option Agreement
2 |
Attachment II
Amended and Restated 2012 Stock Incentive Plan
3 |
Attachment III
Notice of Exercise
DigiPath, Inc.
6450 Cameron Street, Suite 113
Las Vegas, Nevada 89118 | Date of Exercise: _______________ |
Ladies and Gentlemen:
This constitutes notice under my stock option that I elect to purchase the number of shares for the price set forth below.
Type of option (check one): | Incentive [ ] | Nonstatutory [ ] |
Stock option dated: | _______________ | |
Number of shares as to which option is exercised: | _______________ | |
Certificates to be issued in name of: | _______________ | |
Total exercise price: | $______________ | |
Cash payment delivered herewith: | $______________ | |
Value of ________ shares of DigiPath common stock delivered herewith: | $______________ | |
Check here if net exercise: | [ ] |
By this exercise, I agree (i) to provide such additional documents as you may require pursuant to the terms of the DigiPath, Inc. Amended and Restated 2012 Stock Incentive Plan, (ii) to provide for the payment by me to you (in the manner designated by you) of your withholding obligation, if any, relating to the exercise of this option, and (iii) if this exercise relates to an incentive stock option, to notify you in writing within fifteen (15) days after the date of any disposition of any of the shares of Common Stock issued upon exercise of this option that occurs within two (2) years after the date of grant of this option or within one (1) year after such shares of Common Stock are issued upon exercise of this option.
Very truly yours, | |
Print Name: |
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