Form of Separation Agreement
Exhibit 10.22
Separation and Release of Claims Agreement
This Separation and Release of Claims Agreement (this “Agreement”) is entered into by and between Neuronetics, Inc., a Delaware corporation, on behalf of itself and its subsidiaries (collectively, the “Employer”), and the individual whose name is set forth as the counterparty on the signature page hereto (the “Employee” and, together with the Employer, the “Parties”) as of the later of the dates set forth on the signature page hereto (the “Execution Date”).
Separation and Release of Claims Agreement
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Separation and Release of Claims Agreement
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Separation and Release of Claims Agreement
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This general release and waiver of claims excludes, and the Employee does not waive, release, or discharge: (A) any right to file an administrative charge or complaint with, or testify, assist, or participate in an investigation, hearing, or proceeding conducted by, the Equal Employment Opportunity Commission or other similar federal, state, or local administrative agencies, although the Employee waives any right to monetary relief related to any filed charge or administrative complaint; (B) claims that cannot be waived by law, such as claims for unemployment benefit rights and workers’ compensation; (C) indemnification rights the Employee has against the Employer; (D) any right to file an unfair labor practice charge under the National Labor Relations Act, or participate or assist in proceedings before the National Labor Relations Board or the Employee’s rights under a collective bargaining agreement without processes; (E) protections against retaliation under the Taxpayer First Act (26 U.S.C. § 2623(d)); and (F) any rights to vested benefits, such as pension or retirement benefits, the rights to which are governed by the terms of the applicable plan documents and award agreements (collectively, the “Excluded Claims”).
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(No further text on this page. Signature page follows.)
Separation and Release of Claims Agreement
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IN WITNESS WHEREOF, the Parties, knowingly and voluntarily and intending to be legally bound, affix their signatures to signify their mutual assent to this Agreement as of the Execution Date.
THE EMPLOYER: Neuronetics, Inc. By: Name: Title: Date: | THE EMPLOYEE: Signature: Print Name: Date: |
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Older Workers Benefit Protection Act Disclosure Notice
The Older Workers Benefit Protection Act requires that employers provide specific information to employees who are forty (40) years of age or older and asked to execute a release of claims in connection with a group termination program. This document provides this information.
The class, unit, or group of individuals covered includes certain employees on the [___] team who will be terminated. The following table lists the ages and job titles of employees who were and were not selected for termination and offered consideration for signing a waiver:
Job Title | Age | Number Selected | Number Not Selected |
[___] | [___] | [___] | [___] |
[___] | [___] | [___] | [___] |
[___] | [___] | [___] | [___] |
[___] | [___] | [___] | [___] |
Separation and Release of Claims Agreement
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Exhibit A
Final Release
(See attached)
Final Release
This Final Release (this “Final Release”) is being executed to ensure the finality and completeness of the release of claims given to Neuronetics, Inc. (the “Employer”) by the individual identified on the signature block hereto (the “Employee”) in the Separation and Release of Claims Agreement (the “Agreement”) to which this Final Release is attached. Capitalized terms used and not defined in this Final Release shall have the respective meanings assigned to them in the Agreement.
(No further text on this page. Signature page follows.)
Final Release
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IN WITNESS WHEREOF, the Employee, knowingly and voluntarily and intending to be legally bound, affixes the Employee’s signature to signify the Employee’s assent to this Final Release as of the date set forth below.
THE EMPLOYEE:
Signature:
Print Name:
Date:
Final Release
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