Form of Performance Stock Unit Grant Notice and Performance Stock Unit Agreement
OWENS & MINOR, INC.
2023 Omnibus Incentive Plan
PERFORMANCE STOCK UNIT GRANT NOTICE
Pursuant to the terms and conditions of the Owens & Minor, Inc. 2023 Omnibus Incentive Plan, as amended from time to time (the “Plan”), Owens & Minor, Inc., a Virginia corporation (the “Company”), hereby grants to the individual listed below (“you” or the “Participant”) the number of performance-based stock units (the “Performance Stock Units”) set forth below. This award of Performance Stock Units (this “Award”) is subject to the terms and conditions set forth herein and in the Performance Stock Unit Agreement attached hereto as Exhibit A (the “Agreement”), and the Plan, each of which is incorporated herein by reference. As a condition to accepting this Award, you have agreed to be bound by, and promised to abide by, the terms set forth in the Owens & Minor Leadership Teammate Agreement (the “Teammate Agreement”). You expressly acknowledge and affirm that this Award would not be granted to you if you had not agreed to be bound by the Teammate Agreement. Capitalized terms used but not defined herein shall have the meanings set forth in the Plan.
Type of Award: | Performance Stock Units |
Participant: | [●] |
Date of Grant: | [●] |
Target Number of Performance Stock Units (“Target PSUs”): | [●] |
Performance Period: | The three fiscal-year period commencing as of [●] and ending on [●] |
Vesting Schedule: | Subject to Section 2 and Section 5 of the Agreement, the Plan and the other terms and conditions set forth herein, the Performance Stock Units shall be earned based on achievement of the performance-vesting conditions set forth on Annex A to the Agreement, so long as you do not incur a Termination of Service prior to the Certification Date. |
By signing below, you agree to be bound by the terms and conditions of the Plan, the Agreement and this Performance Stock Unit Grant Notice (this “Grant Notice”). You acknowledge that you have reviewed the Agreement, the Plan and this Grant Notice in their entirety and fully understand all provisions of the Agreement, the Plan and this Grant Notice, and have had an opportunity to obtain the advice of counsel prior to executing this Grant Notice. You hereby agree to accept as binding, conclusive and final all decisions or interpretations of the Committee regarding any questions or determinations arising under the Agreement, the Plan or this Grant Notice. This Grant Notice may be executed in one or more counterparts (including portable document format (.pdf), facsimile counterparts or similar means of electronic delivery), each of which shall be deemed to be an original, but all of which together shall constitute one and the same agreement.
Notwithstanding any provision of this Grant Notice or the Agreement, if you have not executed and delivered the Teammate Agreement and this Grant Notice to the Company within 60 days following the Date of Grant, then this Award will terminate automatically without any further action by the Company and will be forfeited without further notice and at no cost to the Company.
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IN WITNESS WHEREOF, the Company has caused this Grant Notice to be executed by an officer thereunto duly authorized, and the Participant has executed this Grant Notice, effective for all purposes as provided above.
OWENS & MINOR, INC.
By:
Name:
Title:
PARTICIPANT
Name: [●]
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Performance Stock Unit Grant Notice
EXHIBIT A
PERFORMANCE STOCK UNIT AGREEMENT
This Performance Stock Unit Agreement (together with the Grant Notice to which this Agreement is attached, this “Agreement”) is made as of the Date of Grant set forth in the Grant Notice to which this Agreement is attached by and between Owens & Minor, Inc., a Virginia corporation (the “Company”), and [●] (the “Participant”). Capitalized terms used but not specifically defined herein shall have the meanings specified in the Plan or the Grant Notice.
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Annex A
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