Tax Consequences Clause Example with 12 Variations from Business Contracts

Tax Consequences. Participant has reviewed with its his or her own tax advisors the U.S. federal, state, local and foreign non-U.S. tax consequences of this investment and the transactions contemplated by this Award RSU Agreement. With respect to such matters, Participant relies solely on such advisors and not on any statements or representations of the Company or any of its agents, written or oral. Participant understands that Participant (and not the Company) shall be solely responsible for Participant's own ta...x liability that may arise as a result of this investment or the transactions contemplated by this Award RSU Agreement. 9 AVINGER, * * * FORGEROCK, INC. 2015 2021 EQUITY INCENTIVE PLAN RESTRICTED STOCK OPTION UNIT AGREEMENT COUNTRY ADDENDUM TERMS AND CONDITIONS Terms and Conditions This Country Addendum includes additional terms and conditions that govern the Option Restricted Stock Units granted pursuant to Participant under the terms and conditions of the Plan if and the RSU Agreement to which this Country Addendum is attached to the extent Participant works resides outside the United States and additional terms and conditions applicable to Participant's providing Services to the Company or its Parent, Subsidiaries or affiliates in one of the countries listed below. If Participant is a citizen or resident of a country (or is considered as such for local law purposes) other than the one in which he or she is currently working or if Participant relocates to another country after receiving the Option, the Company will, in its discretion, determine the extent to which the Capitalized terms and conditions contained herein will be applicable to Participant. Certain capitalized terms used but not defined in this Country Addendum shall will have the meanings set forth same definition as provided in the RSU Agreement or the Plan, the and/or the Award Agreement to which this Country Addendum is attached. NOTIFICATIONS as appropriate. Notifications This Country Addendum also includes notifications relating to that contain information regarding securities laws, exchange control controls, and certain other issues of which Participant should be aware with respect to his or her participation in the Plan. The information is based on the securities, exchange control, securities and other laws in effect in the respective countries listed in this Country Addendum, as of [DATE]. May 2021. Such laws are often complex and change frequently. As a result, the Company strongly recommends that Participant not rely on the notifications herein information in this Country Addendum as the only source of information relating to the consequences of his or her participation in the Plan because the information included herein may be outdated when out of date at the time that Participant exercises the Option or sells acquires Shares acquired under the Plan. Plan or subsequently sell such shares. Participant also should review the tax summary for his or her country which the Company will provide as a supplement to the Plan prospectus. In addition, the notifications are information contained herein is general in nature and may not apply to a Participant's particular situation, situation and the Company is not in a position to assure a Participant of any particular result. Accordingly, Participant is advised to seek appropriate professional advice as to how the relevant laws in Participant's their country may apply to Participant's his or her particular situation. Finally, if a Participant is a citizen or resident of a country other than the one in which Participant he or she is currently working (or if he or she is considered as such for local law purposes) or if Participant he or she moves to another country after all or any portion of the Option is granted, Restricted Stock Units granted under the Plan, the information contained herein may not be applicable to such Participant. Participant acknowledges that Participant has been advised to seek appropriate professional advice as to how the relevant laws in Participant's country may apply to his or her individual situation. I. GLOBAL PROVISIONS APPLICABLE TO PARTICIPANTS IN ALL COUNTRIES OTHER THAN THE UNITED STATES 1. EXHIBIT A AVINGER, INC. 2015 EQUITY INCENTIVE PLAN EXERCISE NOTICE Avinger, Inc. 5626 Oberlin Drive, Suite 100, San Diego, CA 92121 Attention: Stock Administration 1. Exercise of Option. Effective as of today, , , Foreign Exchange Considerations. Participant understands and agrees that neither the undersigned ("Purchaser") hereby elects to purchase shares (the "Shares") Company nor any Parent, Subsidiary, affiliate or employer shall be liable for any foreign exchange rate fluctuation between Participant's local currency and the U.S. dollar that may affect the value of the Common Restricted Stock Units, or of Avinger, Inc. (the "Company") any amounts due to Participant under the Plan or as a result of vesting in his or her Restricted Stock Units and/or the subsequent sale of any Shares acquired under the Plan. Participant agrees and pursuant acknowledges that Participant will bear any and all risk associated with the exchange or fluctuation of currency associated with his or her participation in the Plan. Participant acknowledges and agrees that Participant may be responsible for reporting inbound transactions or fund transfers that exceed a certain amount. Participant is advised to seek appropriate professional advice as to how the 2015 Equity Incentive Plan (the "Plan") exchange control regulations apply to his or her Restricted Stock Units and Participant's specific situation and understands that the Stock Option Agreement, dated relevant laws and including the Notice of Grant, the Terms regulations can change frequently and Conditions of Stock Option Grant, and appendices and exhibits attached thereto (the "Award Agreement"). The purchase price for the Shares will be $ , as required by the Award Agreement. occasionally on a retroactive basis. View More

Tax Consequences. Participant has reviewed with its his or her own tax advisors the U.S. federal, state, local and foreign non-U.S. tax consequences of this investment and the transactions contemplated by this Award Option Agreement. With respect to such matters, Participant relies solely on such advisors and not on any statements or representations of the Company or any of its agents, written or oral. Participant understands that Participant (and not the Company) shall be -24- responsible for Participant's own t...ax liability that may arise as a result of this investment or the transactions contemplated by this Award Option Agreement. 9 AVINGER, -25- APPLIED MOLECULAR TRANSPORT INC. 2015 2020 EQUITY INCENTIVE PLAN STOCK OPTION AGREEMENT COUNTRY ADDENDUM TERMS AND CONDITIONS This Country Addendum includes additional terms and conditions that govern the Option granted to Participant under the Plan if Participant works in one of the countries listed below. If Participant is a citizen or resident of a country (or is considered as such for local law purposes) other than the one in which he or she is currently working or if Participant relocates to another country after receiving the Option, the Company will, in its discretion, determine the extent to which the terms and conditions contained herein will be applicable to Participant. Certain capitalized terms used but not defined in this Country Addendum shall have the meanings set forth in the Plan, the and/or the Award Stock Option Agreement to which this Country Addendum is attached. NOTIFICATIONS This Country Addendum also includes notifications relating to exchange control and other issues of which Participant should be aware with respect to his or her participation in the Plan. The information is based on the exchange control, securities and other laws in effect in the countries listed in this Country Addendum, as of [DATE]. of. Such laws are often complex and change frequently. As a result, the Company strongly recommends that Participant not rely on the notifications herein as the only source of information relating to the consequences of his or her participation in the Plan because the information may be outdated when Participant exercises the Option or sells Shares acquired under the Plan. In addition, the notifications are general in nature and may not apply to Participant's particular situation, and the Company is not in a position to assure Participant of any particular result. Accordingly, Participant is advised to seek appropriate professional advice as to how the relevant laws in Participant's country may apply to Participant's situation. Finally, if Participant is a citizen or resident of a country other than the one in which Participant is currently working (or is considered as such for local law purposes) or if Participant moves to another country after the Option is granted, the information contained herein may not be applicable to Participant. 1 EXHIBIT A AVINGER, EX-10.4 3 amti-ex104_1417.htm EX-10.4 amti-ex104_1417.htm Exhibit 10.4 APPLIED MOLECULAR TRANSPORT INC. 2015 2020 EQUITY INCENTIVE PLAN EXERCISE NOTICE Avinger, Inc. 5626 Oberlin Drive, Suite 100, San Diego, CA 92121 Attention: Stock Administration 1. Exercise of Option. Effective as of today, , , the undersigned ("Purchaser") hereby elects to purchase shares (the "Shares") Purposes of the Common Plan. The purposes of this Plan are: • to attract and retain the best available personnel for positions of substantial responsibility, • to provide additional incentive to Employees, Directors and Consultants, and • to promote the success of the Company's business. The Plan permits the grant of Incentive Stock of Avinger, Inc. (the "Company") under Options, Nonstatutory Stock Options, Restricted Stock, Restricted Stock Units, Stock Appreciation Rights, Performance Units and pursuant to the 2015 Equity Incentive Plan (the "Plan") and the Stock Option Agreement, dated and including the Notice of Grant, the Terms and Conditions of Stock Option Grant, and appendices and exhibits attached thereto (the "Award Agreement"). The purchase price for the Shares will be $ , as required by the Award Agreement. Performance Shares. View More

Tax Consequences. Participant has reviewed with its own tax advisors the U.S. federal, state, local and foreign tax consequences of this investment and the transactions contemplated by this Award Agreement. With respect to such matters, Participant relies solely on such advisors and not on any statements or representations of the Company or any of its agents, written or oral. Participant understands that Participant (and not the Company) shall be responsible for Participant's own tax liability that may arise as a... result of this investment or the transactions contemplated by this Award Agreement. 9 AVINGER, IRHYTHM TECHNOLOGIES, INC. 2015 2016 EQUITY INCENTIVE PLAN STOCK OPTION AGREEMENT COUNTRY ADDENDUM TERMS AND CONDITIONS This Country Addendum includes additional terms and conditions that govern the Option granted to Participant under the Plan if Participant works in one of the countries listed below. If Participant is a citizen or resident of a country (or is considered as such for local law purposes) other than the one in which he or she is currently working or if Participant relocates to another country after receiving the Option, the Company will, in its discretion, determine the extent to which the terms and conditions contained herein will be applicable to Participant. Certain capitalized terms used but not defined in this Country Addendum shall have the meanings set forth in the Plan, the and/or the Award Agreement to which this Country Addendum is attached. NOTIFICATIONS This Country Addendum also includes notifications relating to exchange control and other issues of which Participant should be aware with respect to his or her participation in the Plan. The information is based on the exchange control, securities and other laws in effect in the countries listed in this Country Addendum, as of [DATE]. Such laws are often complex and change frequently. As a result, the Company strongly recommends that Participant not rely on the notifications herein as the only source of information relating to the consequences of his or her participation in the Plan because the information may be outdated when Participant exercises the Option or sells Shares acquired under the Plan. In addition, the notifications are general in nature and may not apply to Participant's particular situation, and the Company is not in a position to assure Participant of any particular result. Accordingly, Participant is advised to seek appropriate professional advice as to how the relevant laws in Participant's country may apply to Participant's situation. Finally, if Participant is a citizen or resident of a country other than the one in which Participant is currently working (or is considered as such for local law purposes) or if Participant moves to another country after the Option is granted, the information contained herein may not be applicable to Participant. 1 EXHIBIT A AVINGER, IRHYTHM TECHNOLOGIES, INC. 2015 2016 EQUITY INCENTIVE PLAN EXERCISE NOTICE Avinger, iRhythm Technologies, Inc. 5626 Oberlin Drive, 650 Townsend Street, Suite 100, 500 San Diego, Francisco, CA 92121 94103 Attention: Stock Administration Chief Financial Officer 1. Exercise of Option. Effective as of today, , , the undersigned ("Purchaser") hereby elects to purchase shares (the "Shares") of the Common Stock of Avinger, iRhythm Technologies, Inc. (the "Company") under and pursuant to the 2015 2016 Equity Incentive Plan (the "Plan") and the Stock Option Agreement, dated and including the Notice of Grant, the Terms and Conditions of Stock Option Grant, and appendices and exhibits attached thereto (the "Award Agreement"). The purchase price for the Shares will be $ , as required by the Award Agreement. View More

Tax Consequences. Participant has reviewed with its own tax advisors the U.S. federal, state, local and foreign non-U.S. tax consequences of this investment and the transactions contemplated by this Award Option Agreement. With respect to such matters, Participant relies solely on such advisors and not on any statements or representations of the Company or any of its agents, written or oral. Participant understands that Participant (and not the Company) shall be responsible for Participant's own tax liability tha...t may arise as a result of this investment or the transactions contemplated by this Award Option Agreement. 9 AVINGER, DROPBOX, INC. 2015 EQUITY 2018 CLASS C STOCK INCENTIVE PLAN STOCK OPTION AGREEMENT COUNTRY ADDENDUM TERMS AND CONDITIONS This Country Addendum includes additional terms and conditions that govern the Option granted to Participant under the Plan if Participant works in one of the countries listed below. If Participant is a citizen or resident of a country (or is considered as such for local law purposes) other than the one in which he or she is currently working or if Participant relocates to another country after receiving the Option, the Company will, in its discretion, determine the extent to which the terms and conditions contained herein will be applicable to Participant. Certain capitalized terms used but not defined in this Country Addendum shall have the meanings set forth in the Plan, the and/or the Award Stock Option Agreement to which this Country Addendum is attached. NOTIFICATIONS This Country Addendum also includes notifications relating to exchange control and other issues of which Participant should be aware with respect to his or her participation in the Plan. The information is based on the exchange control, securities and other laws in effect in the countries listed in this Country Addendum, as of [DATE]. . Such laws are often complex and change frequently. As a result, the Company strongly recommends that Participant not rely on the notifications herein as the only source of information relating to the consequences of his or her participation in the Plan because the information may be outdated when Participant exercises the Option or sells Shares acquired under the Plan. In addition, the notifications are general in nature and may not apply to Participant's particular situation, and the Company is not in a position to assure Participant of any particular result. Accordingly, Participant is advised to seek appropriate professional advice as to how the relevant laws in Participant's country may apply to Participant's situation. Finally, if Participant is a citizen or resident of a country other than the one in which Participant is currently working (or is considered as such for local law purposes) or if Participant moves to another country after the Option is granted, the information contained herein may not be applicable to Participant. 1 EXHIBIT A AVINGER, B DROPBOX, INC. 2015 EQUITY 2018 CLASS C STOCK INCENTIVE PLAN EXERCISE NOTICE Avinger, Dropbox, Inc. 5626 Oberlin Drive, Suite 100, 333 Brannan Street San Diego, Francisco, CA 92121 94107 Attention: Stock Administration 1. Exercise of Option. Effective as of today, , , the undersigned ("Purchaser") hereby elects to purchase shares (the "Shares") of the Common Stock of Avinger, Dropbox, Inc. (the "Company") under and pursuant to the 2015 Equity 2018 Class C Stock Incentive Plan (the "Plan") and the Stock Option Agreement, dated and including the Notice of Grant, the Terms and Conditions of Stock Option Grant, and appendices and exhibits attached thereto (the "Award "Option Agreement"). The purchase price for the Shares will be $ , as required by the Award Option Agreement. View More

Tax Consequences. Participant has reviewed with its his or her own tax advisors the U.S. federal, state, local and foreign non-U.S. tax consequences of this investment and the transactions contemplated by this Award Option Agreement. With respect to such matters, Participant relies solely on such advisors and not on any statements or representations of the Company or any of its agents, written or oral. Participant understands that Participant (and not the Company) shall be responsible for Participant's own tax li...ability that may arise as a result of this investment or the transactions contemplated by this Award Option Agreement. 9 AVINGER, ORIC PHARMACEUTICALS, INC. 2015 2020 EQUITY INCENTIVE PLAN STOCK OPTION AGREEMENT COUNTRY ADDENDUM TERMS AND CONDITIONS This Country Addendum includes additional terms and conditions that govern the Option granted to Participant under the Plan if Participant works in one of the countries listed below. If Participant is a citizen or resident of a country (or is considered as such for local law purposes) other than the one in which he or she is currently working or if Participant relocates to another country after receiving the Option, the Company will, in its discretion, determine the extent to which the terms and conditions contained herein will be applicable to Participant. Certain capitalized terms used but not defined in this Country Addendum shall have the meanings set forth in the Plan, the and/or the Award Stock Option Agreement to which this Country Addendum is attached. NOTIFICATIONS This Country Addendum also includes notifications relating to exchange control and other issues of which Participant should be aware with respect to his or her participation in the Plan. The information is based on the exchange control, securities and other laws in effect in the countries listed in this Country Addendum, as of [DATE]. . Such laws are often complex and change frequently. As a result, the Company strongly recommends that Participant not rely on the notifications herein as the only source of information relating to the consequences of his or her participation in the Plan because the information may be outdated when Participant exercises the Option or sells Shares acquired under the Plan. In addition, the notifications are general in nature and may not apply to Participant's particular situation, and the Company is not in a position to assure Participant of any particular result. Accordingly, Participant is advised to seek appropriate professional advice as to how the relevant laws in Participant's country may apply to Participant's situation. Finally, if Participant is a citizen or resident of a country other than the one in which Participant is currently working (or is considered as such for local law purposes) or if Participant moves to another country after the Option is granted, the information contained herein may not be applicable to Participant. 1 EXHIBIT A AVINGER, B ORIC PHARMACEUTICALS, INC. 2015 2020 EQUITY INCENTIVE PLAN EXERCISE NOTICE Avinger, ORIC Pharmaceuticals, Inc. 5626 Oberlin Drive, Suite 100, 240 East Grand Ave 2nd Floor South San Diego, Francisco, CA 92121 94080 Attention: Stock Administration 1. Exercise of Option. Effective as of today, , , the undersigned ("Purchaser") hereby elects to purchase shares (the "Shares") of the Common Stock of Avinger, ORIC Pharmaceuticals, Inc. (the "Company") under and pursuant to the 2015 2020 Equity Incentive Plan (the "Plan") and the Stock Option Agreement, dated and including the Notice of Grant, the Terms and Conditions of Stock Option Grant, and appendices and exhibits attached thereto (the "Award "Option Agreement"). The purchase price for the Shares will be $ , as required by the Award Option Agreement. View More

Tax Consequences. Participant has reviewed with its own tax advisors the U.S. federal, state, local and foreign non-U.S. tax consequences of this investment and the transactions contemplated by this Award Option Agreement. With respect to such matters, Participant relies solely on such advisors and not on any statements or representations of the Company or any of its agents, written or oral. Participant understands that Participant (and not the Company) shall be responsible for Participant's own tax liability tha...t may arise as a result of this investment or the transactions contemplated by this Award Option Agreement. 9 AVINGER, DROPBOX, INC. 2015 2018 EQUITY INCENTIVE PLAN STOCK OPTION AGREEMENT COUNTRY ADDENDUM TERMS AND CONDITIONS This Country Addendum includes additional terms and conditions that govern the Option granted to Participant under the Plan if Participant works in one of the countries listed below. If Participant is a citizen or resident of a country (or is considered as such for local law purposes) other than the one in which he or she is currently working or if Participant relocates to another country after receiving the Option, the Company will, in its discretion, determine the extent to which the terms and conditions contained herein will be applicable to Participant. Certain capitalized terms used but not defined in this Country Addendum shall have the meanings set forth in the Plan, the and/or the Award Stock Option Agreement to which this Country Addendum is attached. NOTIFICATIONS This Country Addendum also includes notifications relating to exchange control and other issues of which Participant should be aware with respect to his or her participation in the Plan. The information is based on the exchange control, securities and other laws in effect in the countries listed in this Country Addendum, as of [DATE]. . Such laws are often complex and change frequently. As a result, the Company strongly recommends that Participant not rely on the notifications herein as the only source of information relating to the consequences of his or her participation in the Plan because the information may be outdated when Participant exercises the Option or sells Shares acquired under the Plan. In addition, the notifications are general in nature and may not apply to Participant's particular situation, and the Company is not in a position to assure Participant of any particular result. Accordingly, Participant is advised to seek appropriate professional advice as to how the relevant laws in Participant's country may apply to Participant's situation. Finally, if Participant is a citizen or resident of a country other than the one in which Participant is currently working (or is considered as such for local law purposes) or if Participant moves to another country after the Option is granted, the information contained herein may not be applicable to Participant. 1 EXHIBIT A AVINGER, B DROPBOX, INC. 2015 2018 EQUITY INCENTIVE PLAN EXERCISE NOTICE Avinger, Dropbox, Inc. 5626 Oberlin Drive, Suite 100, 333 Brannan Street San Diego, Francisco, CA 92121 94107 Attention: Stock Administration 1. Exercise of Option. Effective as of today, , , the undersigned ("Purchaser") hereby elects to purchase shares (the "Shares") of the Common Stock of Avinger, Dropbox, Inc. (the "Company") under and pursuant to the 2015 2018 Equity Incentive Plan (the "Plan") and the Stock Option Agreement, dated and including the Notice of Grant, the Terms and Conditions of Stock Option Grant, and appendices and exhibits attached thereto (the "Award "Option Agreement"). The purchase price for the Shares will be $ , as required by the Award Option Agreement. View More

Tax Consequences. Participant has reviewed with its his or her own tax advisors the U.S. federal, state, local and foreign non-U.S. tax consequences of this investment and the transactions contemplated by this Award Option Agreement. With respect to such matters, Participant relies solely on such advisors and not on any statements or representations of the Company or any of its agents, written or oral. Participant understands that Participant (and not the Company) shall be responsible for Participant's own tax li...ability that may arise as a result of this investment or the transactions contemplated by this Award Option Agreement. 9 AVINGER, INC. 2015 RA MEDICAL SYSTEMS, Inc. 2020 INDUCEMENT EQUITY INCENTIVE PLAN STOCK OPTION AGREEMENT COUNTRY ADDENDUM TERMS AND CONDITIONS This Country Addendum includes additional terms and conditions that govern the Option granted to Participant under the Plan if Participant works in one of the countries listed below. If Participant is a citizen or resident of a country (or is considered as such for local law purposes) other than the one in which he or she is currently working or if Participant relocates to another country after receiving the Option, the Company will, in its discretion, determine the extent to which the terms and conditions contained herein will be applicable to Participant. Certain capitalized terms used but not defined in this Country Addendum shall have the meanings set forth in the Plan, the and/or the Award Stock Option Agreement to which this Country Addendum is attached. NOTIFICATIONS This Country Addendum also includes notifications relating to exchange control and other issues of which Participant should be aware with respect to his or her participation in the Plan. The information is based on the exchange control, securities and other laws in effect in the countries listed in this Country Addendum, as of [DATE]. . Such laws are often complex and change frequently. As a result, the Company strongly recommends that Participant not rely on the notifications herein as the only source of information relating to the consequences of his or her participation in the Plan because the information may be outdated when Participant exercises the Option or sells Shares acquired under the Plan. In addition, the notifications are general in nature and may not apply to Participant's particular situation, and the Company is not in a position to assure Participant of any particular result. Accordingly, Participant is advised to seek appropriate professional advice as to how the relevant laws in Participant's country may apply to Participant's situation. Finally, if Participant is a citizen or resident of a country other than the one in which Participant is currently working (or is considered as such for local law purposes) or if Participant moves to another country after the Option is granted, the information contained herein may not be applicable to Participant. 1 EXHIBIT A AVINGER, B RA MEDICAL SYSTEMS, INC. 2015 2020 INDUCEMENT EQUITY INCENTIVE PLAN EXERCISE NOTICE Avinger, Ra Medical Systems, Inc. 5626 Oberlin Drive, Suite 100, San Diego, CA 92121 2070 Las Palmas Drive Carlsbad, California 92011 Attention: Stock Administration 1. Exercise 1.Exercise of Option. Effective as of today, , , the undersigned ("Purchaser") hereby elects to purchase shares (the "Shares") of the Common Stock of Avinger, Ra Medical Systems, Inc. (the "Company") under and pursuant to the 2015 2020 Inducement Equity Incentive Plan (the "Plan") and the Stock Option Agreement, dated and including the Notice of Grant, the Terms and Conditions of Stock Option Grant, and appendices and exhibits attached thereto (the "Award "Option Agreement"). The purchase price for the Shares will be $ , as required by the Award Option Agreement. View More

Tax Consequences. Participant has reviewed with its own tax advisors the U.S. federal, state, local and foreign tax consequences of this investment and the transactions contemplated by this Award Agreement. With respect to such matters, Participant relies solely on such advisors and not on any statements or representations of the Company or any of its agents, written or oral. Participant understands that Participant (and not the Company) shall be responsible for Participant's own tax liability that may arise as a... result of this investment or the transactions contemplated by this Award Agreement. 9 AVINGER, JUNO THERAPEUTICS, INC. 2015 2014 EQUITY INCENTIVE PLAN STOCK OPTION AGREEMENT COUNTRY ADDENDUM TERMS AND CONDITIONS This Country Addendum includes additional terms and conditions that govern the Option granted to Participant under the Plan if Participant works in one of the countries listed below. If Participant is a citizen or resident of a country (or is considered as such for local law purposes) other than the one in which he or she is currently working or if Participant relocates to another country after receiving the Option, the Company will, in its discretion, determine the extent to which the terms and conditions contained herein will be applicable to Participant. Certain capitalized terms used but not defined in this Country Addendum shall have the meanings set forth in the Plan, the and/or the Award Agreement to which this Country Addendum is attached. NOTIFICATIONS This Country Addendum also includes notifications relating to exchange control and other issues of which Participant should be aware with respect to his or her participation in the Plan. The information is based on the exchange control, securities and other laws in effect in the countries listed in this Country Addendum, as of [DATE]. Such laws are often complex and change frequently. As a result, the Company strongly recommends that Participant not rely on the notifications herein as the only source of information relating to the consequences of his or her participation in the Plan because the information may be outdated when Participant exercises the Option or sells Shares acquired under the Plan. In addition, the notifications are general in nature and may not apply to Participant's particular situation, and the Company is not in a position to assure Participant of any particular result. Accordingly, Participant is advised to seek appropriate professional advice as to how the relevant laws in Participant's country may apply to Participant's situation. Finally, if Participant is a citizen or resident of a country other than the one in which Participant is currently working (or is considered as such for local law purposes) or if Participant moves to another country after the Option is granted, the information contained herein may not be applicable to Participant. 1 EXHIBIT A AVINGER, JUNO THERAPEUTICS, INC. 2015 2014 EQUITY INCENTIVE PLAN EXERCISE NOTICE Avinger, Juno Therapeutics, Inc. 5626 Oberlin Drive, 307 Westlake Avenue North, Suite 100, San Diego, CA 92121 300 Seattle, WA 98109 Attention: Stock Administration 1. Exercise of Option. Effective as of today, , , the undersigned ("Purchaser") hereby elects to purchase shares (the "Shares") of the Common Stock of Avinger, Juno Therapeutics, Inc. (the "Company") under and pursuant to the 2015 2014 Equity Incentive Plan (the "Plan") and the Stock Option Agreement, dated and including the Notice of Grant, the Terms and Conditions of Stock Option Grant, and appendices and exhibits attached thereto (the "Award Agreement"). The purchase price for the Shares will be $ , as required by the Award Agreement. View More

Tax Consequences. Participant has reviewed with its his or her own tax advisors the U.S. federal, state, local and foreign non-U.S. tax consequences of this investment and the transactions contemplated by this Award Option Agreement. With respect to such matters, Participant relies solely on such advisors and not on any statements or representations of the Company or any of its agents, written or oral. Participant understands that Participant (and not the Company) shall be responsible for Participant's own tax li...ability that may arise as a result of this investment or the transactions contemplated by this Award Option Agreement. 9 AVINGER, RA MEDICAL SYSTEMS, INC. 2015 2018 EQUITY INCENTIVE PLAN STOCK OPTION AGREEMENT COUNTRY ADDENDUM TERMS AND CONDITIONS This Country Addendum includes additional terms and conditions that govern the Option granted to Participant under the Plan if Participant works in one of the countries listed below. If Participant is a citizen or resident of a country (or is considered as such for local law purposes) other than the one in which he or she is currently working or if Participant relocates to another country after receiving the Option, the Company will, in its discretion, determine the extent to which the terms and conditions contained herein will be applicable to Participant. Certain capitalized terms used but not defined in this Country Addendum shall have the meanings set forth in the Plan, the and/or the Award Stock Option Agreement to which this Country Addendum is attached. NOTIFICATIONS This Country Addendum also includes notifications relating to exchange control and other issues of which Participant should be aware with respect to his or her participation in the Plan. The information is based on the exchange control, securities and other laws in effect in the countries listed in this Country Addendum, as of [DATE]. . Such laws are often complex and change frequently. As a result, the Company strongly recommends that Participant not rely on the notifications herein as the only source of information relating to the consequences of his or her participation in the Plan because the information may be outdated when Participant exercises the Option or sells Shares acquired under the Plan. In addition, the notifications are general in nature and may not apply to Participant's particular situation, and the Company is not in a position to assure Participant of any particular result. Accordingly, Participant is advised to seek appropriate professional advice as to how the relevant laws in Participant's country may apply to Participant's situation. Finally, if Participant is a citizen or resident of a country other than the one in which Participant is currently working (or is considered as such for local law purposes) or if Participant moves to another country after the Option is granted, the information contained herein may not be applicable to Participant. 1 EXHIBIT A AVINGER, B RA MEDICAL SYSTEMS, INC. 2015 2018 EQUITY INCENTIVE PLAN EXERCISE NOTICE Avinger, Ra Medical Systems, Inc. 5626 Oberlin Drive, Suite 100, San Diego, CA 92121 2070 Las Palmas Drive Carlsbad, California 92011 Attention: Stock Administration 1. Exercise of Option. Effective as of today, , , the undersigned ("Purchaser") hereby elects to purchase shares (the "Shares") of the Common Stock of Avinger, Ra Medical Systems, Inc. (the "Company") under and pursuant to the 2015 2018 Equity Incentive Plan (the "Plan") and the Stock Option Agreement, dated and including the Notice of Grant, the Terms and Conditions of Stock Option Grant, and appendices and exhibits attached thereto (the "Award "Option Agreement"). The purchase price for the Shares will be $ , as required by the Award Option Agreement. View More

Tax Consequences. Participant has reviewed with its own tax advisors the U.S. federal, state, local and foreign tax consequences of this investment and the transactions contemplated by this Award Agreement. With respect to such matters, Participant relies solely on such advisors and not on any statements or representations of the Company or any of its agents, written or oral. Participant understands that Participant (and not the Company) shall be responsible for Participant's own tax liability that may arise as a... result of this investment or the transactions contemplated by this Award Agreement. 9 AVINGER, SVMK INC. 2015 2018 EQUITY INCENTIVE PLAN STOCK OPTION AGREEMENT COUNTRY ADDENDUM TERMS AND CONDITIONS This Country Addendum includes additional terms and conditions that govern the Option granted to Participant under the Plan if Participant works in one of the countries listed below. If Participant is a citizen or resident of a country (or is considered as such for local law purposes) other than the one in which he or she is currently working or if Participant relocates to another country after receiving the Option, the Company will, in its discretion, determine the extent to which the terms and conditions contained herein will be applicable to Participant. Certain capitalized terms used but not defined in this Country Addendum shall have the meanings set forth in the Plan, the and/or the Award Agreement to which this Country Addendum is attached. NOTIFICATIONS This Country Addendum also includes notifications relating to exchange control and other issues of which Participant should be aware with respect to his or her participation in the Plan. The information is based on the exchange control, securities and other laws in effect in the countries listed in this Country Addendum, as of [DATE]. Such laws are often complex and change frequently. As a result, the Company strongly recommends that Participant not rely on the notifications herein as the only source of information relating to the consequences of his or her participation in the Plan because the information may be outdated when Participant exercises the Option or sells Shares acquired under the Plan. In addition, the notifications are general in nature and may not apply to Participant's particular situation, and the Company is not in a position to assure Participant of any particular result. Accordingly, Participant is advised to seek appropriate professional advice as to how the relevant laws in Participant's country may apply to Participant's situation. Finally, if Participant is a citizen or resident of a country other than the one in which Participant is currently working (or is considered as such for local law purposes) or if Participant moves to another country after the Option is granted, the information contained herein may not be applicable to Participant. 1 EXHIBIT A AVINGER, SVMK INC. 2015 2018 EQUITY INCENTIVE PLAN EXERCISE NOTICE Avinger, SVMK Inc. 5626 Oberlin Drive, Suite 100, One Curiosity Way San Diego, Mateo, CA 92121 94403 Attention: Stock Administration 1. Exercise of Option. Effective as of today, , , the undersigned ("Purchaser") hereby elects to purchase shares (the "Shares") of the Common Stock of Avinger, SVMK Inc. (the "Company") under and pursuant to the 2015 2018 Equity Incentive Plan (the "Plan") and the Stock Option Agreement, dated and including the Notice of Grant, the Terms and Conditions of Stock Option Grant, and appendices and exhibits attached thereto (the "Award Agreement"). The purchase price for the Shares will be $ , as required by the Award Agreement. View More