Form of Restricted Stock Award with Non-solicit Covenants
Exhibit 10.5
RESTRICTED STOCK AGREEMENT
THIS RESTRICTED STOCK AGREEMENT (the “Agreement”), made this day of , , between Farmers & Merchants Bancorp, Inc., an Ohio corporation (the “Company”), and «Participant_Name» (the “Participant”).
WITNESSETH:
WHEREAS, the Company adopted the Farmers & Merchants Bancorp, Inc. 2015 Long- Term Stock Incentive Plan (the “Plan) in order to provide select key employees with additional incentives to achieve long-term corporate objectives; and
WHEREAS, the Participant is an Employee of the Company or a Subsidiary and an eligible Participant as defined by the Plan; and
WHEREAS, the Compensation Committee of the Company’s Board of Directors has decided that the Participant should be granted restricted shares of the Company’s no par value common stock, (“Common Stock”), on the terms and conditions set forth below in accordance with the terms of the Plan.
NOW, THEREFORE, in consideration of the past and future services provided to the Company by the Participant and the various covenants and agreements herein contained, and intending to be legally bound hereby, the parties hereto agree as follows:
The Company hereby grants to the Participant a total of «Written_numbers_of_Shares»(«Number_of_Shares») shares of the Common Stock of the Company (the “Restricted Shares”), subject to the transfer restrictions, vesting schedule and other conditions set forth the Plan and this Agreement. The Participant shall not be required to provide the Company with any payment (other than Participant past and future services to the Company in exchange of such Restricted Shares.
As provided in Section 4, the Company shall cause the Restricted Shares to be issued and a stock certificate (or book-entry registration) representing the Restricted Shares to be registered in the name of the Participant promptly upon execution of this Agreement. On or before the date of execution of this Agreement, the Participant shall deliver to the Company one or more stock powers endorsed in blank relating to the Restricted Shares.
(ii) the Restricted Shares may not be sold, transferred, assigned, pledged or otherwise encumbered or disposed of by the Participant before these restrictions have lapsed, except with the consent of the Company; and
(iii) the Restricted Shares shall be subject to forfeiture upon termination of the Participants employment with the Company to the extent set forth in Section 6 below.
the restrictions set forth in this Agreement shall be ineffective.
3. Vesting; When Restrictions Lapse
Pursuant to terms of the Plan the Committee has determined that the restrictions applicable to the Restricted Shares shall lapse and the Restricted Shares shall vest on August 27, 2027, or at such earlier time as the restrictions may lapse pursuant to the terms of the Plan.
The Restricted Shares shall be issued, in certificate or book-entry form, promptly following the execution of this Agreement, and shall be delivered to such custodian as may be designated by the Company, to be held until the restrictions lapse. Such Restricted Shares shall bear the following legend:
“The transferability of this certificate and the shares of stock represented hereby are subject to the terms and conditions (including forfeiture) of a Restricted Stock Agreement entered into between the registered owner and Farmers & Merchants Bancorp, Inc. Copies of such Agreement are on file in the offices of the Corporate Secretary, Farmers & Merchants Bancorp, Inc., 307 N. Defiance St., P.O. Box 216, Archbold, Ohio ###-###-#### which will be provided, without charge, to the shareholder upon five days written request therefore.”
Once the restrictions imposed by this Agreement have lapsed, shares of the Company’s common stock representing the newly vested Restricted Shares shall be promptly issued, without the forgoing restrictive legend, to the Participant (or to the person to whom the rights of the Participant shall have passed by will or the laws of descent and distribution), but not before the Participant has made arrangements satisfactory to the Company for tax withholding (as required by Section 5), and provided that any shares representing the portion of the newly vested shares (if any) that the Participant applies to satisfy Participant tax withholding obligations, as provided by Section 5, shall be delivered to the Company rather than to the Participant.
5. Tax Reporting and Withholding
The Participant is an employee of either the Company, or a Subsidiary, as such terms are defined in the Plan. The Company will make and file, or cause to made and filed by the Subsidiary that employs the Participant, all required tax reports with respect to federal, state, and local taxes applicable to the Restricted Shares.
Upon the earlier to occur of (i) the date the restrictions applicable to the Restricted Shares lapse under the terms of this Agreement, or (ii) the Participant makes a valid election under Section 83 (b) of the Internal Revenue Code of 1986, as amended (the “Code”), the Company shall notify the Participant of the amount of tax that must be withheld by the Company under all applicable federal, state, and local tax laws. The Participant agrees to make arrangements with the Company to (a) remit the required amount to the Company, or its Subsidiary, in cash, (b) deliver to the Company, or its Subsidiary, shares of Common Stock currently held by the Participant (including newly vested Restricted Shares) with a value equal to the required amount, (c) authorize the deduction of the required amount from the Participant’s compensation, or (d) otherwise provide for payment of the required amount in a manner satisfactory to the Company, or its Subsidiary.
Participant will give reasonable advance notice to the Company of an intention to make an election pursuant to Section 83 (b) of the Code and will cooperate with the Company in connection with the timing of such election. Participant shall be solely responsible for any filings, including the timeliness thereof, of any election made by the Participant under Section 83 (b) of the Code.
Neither this Agreement nor the Restricted Shares granted hereunder shall confer upon the Participant any right to continued employment with the Company, or any Subsidiary.
The Restricted Shares are issued to the Participant without registration under the Securities Act of 1933, nor any state securities law or regulation and are restricted on transfer. Certificates for the Restricted Shares will bear the following legend.
The securities represented by this certificate have not been registered under the Securities Act of 1933, as amended, and may not be sold, pledged, hypothecated, donated, or otherwise transferred, whether or not for consideration, unless the Shares have been registered under said Act or an exemption from such registration requirement is available. If the Shares are to be sold or transferred pursuant to an exemption from the registration requirement, the Company may require a written opinion of counsel, satisfactory to counsel for Company, to the effect that registration is not required and that such transfer will not violate said Act or applicable state securities laws.
IN WITNESS WHEREOF, the parties have executed this Agreement on the date and year first above written.
ATTEST: Farmers & Merchants Bancorp, Inc.
_______________________________ ___________________________________
Melinda L. Gies By: Lars B. Eller
Board Administrator President & CEO
Participant
______________________________
«Participant_Name»
«Title»