United Technologies Corporation Non-Qualified Stock Option Award Agreement under 2005 Long Term Incentive Plan
This agreement is between United Technologies Corporation and an employee, granting the employee non-qualified stock options as part of the 2005 Long Term Incentive Plan. The agreement specifies the number of options, grant price, vesting date, and termination date. The options are nontransferable and subject to the plan's terms. The employee must sign and return the agreement to accept the award and acknowledge the attached terms and conditions.
Exhibit 10.4
 | 2005 LONG TERM INCENTIVE PLAN AWARD | |
| Non-Qualified Stock Option Award |
NON-QUALIFIED STOCK OPTION AWARD
| Date of Grant: | Vesting Date: | |||
| Number of Options: | Price at Grant: | Termination Date: | ||
| The award shown in this statement is nontransferable and is subject to the terms and conditions of the United Technologies Corporation 2005 Long Term Incentive Plan. | ||||
PLEASE SIGN AND DATE PORTION BELOW THE PERFORATION AND RETURN IT IN ENVELOPE PROVIDED
 | 2005 LONG TERM INCENTIVE PLAN AWARD | |
| Non-Qualified Stock Option Award |
NON-QUALIFIED STOCK OPTION AWARD
| Date of Grant: | Vesting Date: | |||
| Number of Options: | Price at Grant: | Termination Date: | ||
The award shown in this statement is nontransferable and is subject to the terms and conditions of the United Technologies Corporation 2005 Long Term Incentive Plan.
Please sign this form and return it in the enclosed envelope to the:
PROGRAM ADMINISTRATOR – STOCK OPTIONS
UNITED TECHNOLOGIES CORPORATION
UNITED TECHNOLOGIES BUILDING, MS 504
HARTFORD, CONNECTICUT 06101
I acknowledge receipt of this Non-Qualified Stock Option Award and the attached Schedule of Terms describing my Award. I accept this Award subject to such Schedule of Terms and the United Technologies Corporation 2005 Long Term Incentive Plan.
| Signed |
| Date |
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