Form of Incentive Stock Option Notice under Sirona Dental Systems, Inc. Equity Incentive Plan
Exhibit 10.2
EXHIBIT A
Form of Letter to be Used to Exercise Nonqualified Stock Option
Date
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Attention:
I wish to exercise the stock option granted on and evidenced by a Stock Option Agreement dated as of , to acquire shares of Common Stock of , at an option price of $ per share. In accordance with the provisions of paragraph 1 of the Stock Option Agreement, I wish to make payment of the exercise price (please check all that apply):
:o | in cash |
:o | by delivery of shares of Common Stock held by me |
:o | by simultaneous sale through a broker of Option Shares |
:o | by authorizing the Company to withhold Option Shares |
Please issue a certificate for these shares in the following name:
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Name |
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Address |
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| Very truly yours, |
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| Signature |
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| Typed or Printed Name |
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| Social Security Number |