MiMedx Group, Inc. Nonqualified Stock Option Agreement for Non-Employee Directors and Independent Contractors under Assumed 2006 Stock Incentive Plan

Contract Categories: Business Finance › Warrant Agreements
Summary

This agreement grants a nonqualified stock option to a non-employee director or independent contractor of MiMedx Group, Inc. under the company's Assumed 2006 Stock Incentive Plan. The participant is given the right to purchase a specified number of shares of common stock at a set price, subject to a vesting schedule. The agreement requires the participant to sign and return the document within 30 days to make the option effective. Key terms from the plan are incorporated by reference.

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EX-10.5 4 mdxg-2013123110xkex105nqag.htm EXHIBIT 10.5 MDXG- 2013.12.31 10-K Ex 10.5 NQ Agmt

MIMEDX GROUP, INC.
ASSUMED 2006 STOCK INCENTIVE PLAN

Nonqualified Stock Option Agreement
(Non-employee Directors and Independent Contractors)



1.    Pursuant to the terms and conditions of the Corporation's Assumed 2006 Stock Incentive Plan (the "Plan"), you (the "Participant") have been granted an option (the "Option") to purchase __________ shares (the "Shares") of our Common Stock as outlined below.
        
 
Name of Participant:
 
 
 
 
Address:
 
 
 
 
 
 
 
 
 
Grant Date:
 
 
 
 
Number of Shares Subject to Option:
 
 
 
 
Option Price:
 
$
 
 
Type of Option:
 
Nonqualified Stock Option
 
 
Expiration Date (Last day of Option Period):
 
 
 
 
Vesting Schedule/Conditions:
 
33.33% on
 
 
 
 
66.66% on
 
 
 
 
100% on
 

2.    By my signature below, the Participant hereby acknowledges receipt of this Nonqualified Stock Option Agreement (the "Agreement") and a copy of the Plan, and furthermore, the Participant agrees to be bound by the terms of the Plan and the Agreement. The Participant understands that the applicable provisions of the Plan are hereby incorporated by reference into the Agreement and constitute a part of the Agreement. The Corporation reserves the right to treat the Option and the Agreement as cancelled, void and of no effect if the Participant fails to return a signed copy of this Grant Notice within 30 days of receipt of this Grant Notice.


 
 
 
 
 
Signature:
 
 
Date:
 
 
 
 
 
 
 
 
 
Agreed to by:
 
 
 
 
 
 
 
 
MiMedx Group, Inc.
 
 
 
 
 
 
 
 
By:
 
 
 
 
Name: Parker H. Petit
 
 
 
Its: Chairman and Chief Executive Officer
 
 
 
 
 
Attest:
 
 
 
 
 
 
 
 
 
Vice President, Human Resources and Administration