Restricted Stock Unit Issuance Authorization between drugstore.com, inc. and ETRADE Securities

Summary

This agreement authorizes Mellon Investor Services to issue and deliver 53,151 shares of drugstore.com, inc. common stock to ETRADE Securities. The shares are released under the company's 2008 Equity Incentive Plan as restricted stock units. The issuance is processed via DWAC, with no special handling or restrictive legend required. The document is signed by the company's Associate General Counsel and provides contact information for any questions.

EX-4.11 2 dex411.htm FORM OF RESTRICTED STOCK UNIT AGREEMENT Form of Restricted Stock Unit Agreement

Exhibit 4.11

 

411 108th Ave NE, Suite 1400• Bellevue, Washington 98004 • Telephone ###-###-#### • Facsimile ###-###-####   

P Amy Reischauer

Associate General Counsel &

Assistant Secretary

425 ###-###-#### telephone

425 ###-###-#### facsimile

March 15, 2011

Via Fax to ###-###-#### or 4617

Mellon Investor Services

DWAC Department

Ridgefield Park, New Jersey

 

Re: DWAC Issuance of Stock Pursuant to Restricted Stock Unit Release(s) – Control No. 10-041

You are hereby authorized to issue and deliver via DWAC shares of the Common Stock of drugstore.com, inc. (the “Company”) as indicated below, pursuant to release(s) of restricted stock units under a Company stock equity plan:

 

Equity Plan Issued Under:   2008 Equity Incentive Plan  
Issue to:   ETRADE Securities  
Date of Issuance:   October 4, 2010  
Total Number of Shares Issued   53,151 shares  
Address:  

4005 Windward Plaza Dr

Alpharetta GA 30005

 
Taxpayer Identification Number:   77-0054242  
Legend:   None  
Broker Name:   ETRADE Securities  
Broker Phone:   1 ###-###-####  
Special Handling:   None  

Should you have any questions, please contact me as indicated above.

Regards,

P. Amy Reischauer