CAPITALSOURCE INC
EX-10.21.3
<DOCUMENT>
<TYPE>EX-10.21.3
<SEQUENCE>11
<FILENAME>w50322exv10w21w3.htm
<DESCRIPTION>EX-10.21.3
<TEXT>
<HTML>
<HEAD>
<TITLE>exv10w21w3</TITLE>
</HEAD>
<BODY bgcolor="#FFFFFF">
<!-- PAGEBREAK -->
<H5 align="left" style="page-break-before:always">&nbsp;</H5><P>
<DIV style="font-family: 'Times New Roman',Times,serif">

<DIV align="right" style="font-size: 10pt; margin-top: 6pt">
<B>Exhibit 10.21.3</B>
</DIV>


<DIV align="right" style="font-size: 10pt; margin-top: 12pt"><B>Grant No.: &#171;NUM&#187;</B>
</DIV>


<DIV align="center" style="font-size: 10pt; margin-top: 18pt"><B>CAPITALSOURCE INC.<BR>
THIRD AMENDED AND RESTATED EQUITY INCENTIVE PLAN</B>
</DIV>


<DIV align="Center" style="font-size: 10pt; margin-top: 6pt"><B>RESTRICTED STOCK UNIT AGREEMENT</B>

</DIV>

<DIV align="left" style="font-size: 10pt; margin-top: 6pt">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;CapitalSource Inc., a Delaware corporation (the &#147;Company&#148;), hereby grants restricted stock
units (&#147;Restricted Stock Units&#148;) for shares of its common stock (&#147;Stock&#148;) to the Grantee named
below, subject to the vesting and other conditions set forth below. Additional terms and
conditions of the grant are set forth in the attached Restricted Unit Agreement (the &#147;Agreement&#148;)
and in the Company&#146;s Third Amended and Restated Equity Incentive Plan (as amended from time to
time, the &#147;Plan&#148;).
</DIV>
<DIV align="left" style="font-size: 10pt; margin-top: 6pt">Name of Grantee: &#171;FIRST_NAME&#187; &#171;MIDDLE_NAME&#187; &#171;LAST_NAME&#187;
</DIV>

<DIV align="left" style="font-size: 10pt; margin-top: 6pt">Grantee&#146;s Social Security Number: &#171;SSN&#187;
</DIV>

<DIV align="left" style="font-size: 10pt; margin-top: 6pt">Number of Restricted Stock Units: &#171;SHARES&#187;
</DIV>

<DIV align="left" style="font-size: 10pt; margin-top: 6pt">Grant Date: &#171;GRANT_DATE&#187;
</DIV>

<DIV align="left" style="font-size: 10pt; margin-top: 6pt">Vest Base Date: &#171;VEST_BASE_DATE&#187;
</DIV>

<DIV align="left" style="font-size: 10pt; margin-top: 6pt">Vesting Schedule:
</DIV>


<DIV align="left" style="font-size: 10pt; margin-top: 6pt">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<B><I>By your signature below, you agree to all of the terms and conditions described herein, in the
attached Agreement and in the Plan, a copy of which is available on the Company&#146;s intranet. You
acknowledge that you have carefully reviewed the Plan, and agree that the Plan will control in the
event any provision of this cover sheet or Agreement should appear to be inconsistent.</I></B>
</DIV>
<DIV align="center">
<TABLE style="font-size: 10pt" cellspacing="0" border="0" cellpadding="0" width="100%">
<!-- Begin Table Head -->
<TR valign="bottom">
    <TD width="35%">&nbsp;</TD>
    <TD width="2%">&nbsp;</TD>
    <TD width="10%">&nbsp;</TD>
    <TD width="2%">&nbsp;</TD>
    <TD width="2%">&nbsp;</TD>
    <TD width="2%">&nbsp;</TD>
    <TD width="20%">&nbsp;</TD>
    <TD width="2%">&nbsp;</TD>
    <TD width="25%">&nbsp;</TD>
</TR>
<!-- End Table Head -->
<!-- Begin Table Body -->
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">Date:
</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR style="font-size: 1px">
    <TD valign="top" style="border-top: 1px solid #000000"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top" style="border-top: 1px solid #000000">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">Grantee</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">Date:</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR style="font-size: 1px">
    <TD valign="top" style="border-top: 1px solid #000000"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top" style="border-top: 1px solid #000000">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">CapitalSource Inc.</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">Title:</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<!-- End Table Body -->
</TABLE>
</DIV>


<DIV align="left" style="font-size: 10pt; margin-top: 12pt"><U>Attachment</U>
</DIV>


<DIV align="left" style="font-size: 10pt; margin-top: 6pt">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;This is not a stock certificate or a negotiable instrument.
</DIV>

<P align="center" style="font-size: 10pt"><!-- Folio -->1<!-- /Folio -->
</DIV>

<!-- PAGEBREAK -->
<P><HR noshade><P>
<H5 align="left" style="page-break-before:always">&nbsp;</H5><P>

<DIV style="font-family: 'Times New Roman',Times,serif">

<DIV align="center" style="font-size: 10pt; margin-top: 18pt"><B>CAPITALSOURCE INC.<BR>
THIRD AMENDED AND RESTATED EQUITY INCENTIVE PLAN</B>
</DIV>


<DIV align="Center" style="font-size: 10pt; margin-top: 6pt"><B>RESTRICTED STOCK UNIT AGREEMENT</B>

</DIV>
<DIV align="center">
<TABLE style="font-size: 10pt" cellspacing="0" border="0" cellpadding="0" width="100%">
<!-- Begin Table Head -->
<TR valign="bottom">
    <TD width="25%">&nbsp;</TD>
    <TD width="5%">&nbsp;</TD>
    <TD width="70%">&nbsp;</TD>
</TR>
<!-- End Table Head -->
<!-- Begin Table Body -->
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px"><B>Restricted Stock Units</B>
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">This Agreement evidences an award of
restricted stock units in the number
set forth on the cover sheet and
subject to the vesting and other
conditions set forth herein, in the
Plan and on the cover sheet (the
&#147;Restricted Stock Units&#148;).</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px"><B>Transfer of Unvested Restricted
Stock Units</B>
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">Unvested Restricted Stock Units may
not be sold, assigned, transferred,
pledged, hypothecated or otherwise
encumbered, whether by operation of
law or otherwise, nor may the
Restricted Stock Units be made
subject to execution, attachment or
similar process. If you attempt to
do any of these things, the
Restricted Stock Unit will
immediately become forfeited.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px"><B>Vesting</B>
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">The Company will issue your
Restricted Stock Units in the name
set forth on the cover sheet.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">Your Restricted Stock Units shall
vest in accordance with the vesting
schedule set forth on the cover
sheet so long as you continue in
Service on the vesting dates set
forth on the cover sheet.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px"><B>Delivery</B>
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">As your Restricted Stock Units vest,
the Company will issue the shares of
Stock to which the then vested
Restricted Stock Units relate.
Notwithstanding the preceding
sentence, if the shares of Stock
would otherwise be delivered to you
during a period in which you are:</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">(i) subject to a lock-up agreement
restricting your ability to sell
shares of Stock in the open market
or (ii)&nbsp;restricted from selling
shares of Stock in the open market
because you are not then eligible to
sell under the Company&#146;s insider
trading or similar plan as then in
effect (whether because a trading
window is not open or you are
otherwise restricted from trading),
delivery of the shares of Stock will
be delayed until the first date on
which you are no longer prohibited
from selling shares of Stock due to
a lock-up agreement or insider
trading or similar plan restriction,
but in any event no later than the
later of (i)&nbsp;March&nbsp;15 of the
calendar year following the calendar
year in which the Restricted Stock
Units vested and (ii)&nbsp;the last day
of the calendar year in which the
shares of Stock otherwise would have
been delivered.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px"><B>Evidence of Issuance</B>
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">The issuance of the Stock under the
grant of Restricted Stock Units
evidenced by this Agreement shall be
evidenced in such a manner as the
Company, in its discretion, will
deem appropriate, including, without
limitation, book-entry, registration
or issuance of one or more Stock
certificates. You will have no
further rights with regard to a
Restricted Stock Unit once the share
of Stock related to such Restricted
Stock Unit has been issued.</TD>
</TR>
<!-- End Table Body -->
</TABLE>
</DIV>


<P align="center" style="font-size: 10pt"><!-- Folio -->2<!-- /Folio -->
</DIV>

<!-- PAGEBREAK -->
<P><HR noshade><P>
<H5 align="left" style="page-break-before:always">&nbsp;</H5><P>

<DIV style="font-family: 'Times New Roman',Times,serif">

<DIV align="center">
<TABLE style="font-size: 10pt" cellspacing="0" border="0" cellpadding="0" width="100%">
<!-- Begin Table Head -->
<TR valign="bottom">
    <TD width="25%">&nbsp;</TD>
    <TD width="5%">&nbsp;</TD>
    <TD width="70%">&nbsp;</TD>
</TR>
<!-- End Table Head -->
<!-- Begin Table Body -->
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px"><B>Forfeiture of Unvested Restricted
Stock Units</B>
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">Unless the termination of your
Service triggers accelerated vesting
of your Restricted Stock pursuant to
the terms of this Agreement, the
Plan, or any other written agreement
between the Company (or any
Affiliate) and you, you will
automatically forfeit to the Company
all of the unvested shares of
Restricted Stock in the event your
Service terminates for any reason.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px"><B>Forfeiture of Rights</B>
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">If you should take actions in
violation or breach of or in
conflict with any non-competition
agreement, any agreement prohibiting
solicitation of employees or clients
of the Company or any Affiliate
thereof or any confidentiality
obligation with respect to the
Company or any Affiliate thereof or
otherwise in competition with the
Company or any Affiliate thereof,
the Company has the right to cause
an immediate forfeiture of your
rights to this Restricted Stock Unit
and the Restricted Stock Unit shall
immediately expire.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">In addition, if you have received
Shares in connection with Restricted
Stock Units during the two year
period prior to your actions, you
will owe the Company a cash payment
(or forfeiture of shares) in an
amount determined as follows: (1)
for any Shares that you have sold
prior to receiving notice from the
Company, the amount will be the
proceeds received from the sale(s),
and (2)&nbsp;for any Shares that you
still own, the amount will be the
number of Shares owned times the
Fair Market Value of the Shares on
the date you receive notice from the
Company (provided, that the Company
may require you to satisfy your
payment obligations hereunder either
by forfeiting and returning to the
Company the shares or any other
shares or making a cash payment or a
combination of these methods as
determined by the Company in its
sole discretion).</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px"><B>Leaves of Absence</B>
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">For purposes of this Agreement, your
Service does not terminate when you
go on a <I>bona fide </I>employee leave of
absence that was approved by the
Company in writing if the terms of
the leave provide for continued
Service crediting, or when continued
Service crediting is required by
applicable law. Your Service
terminates in any event when the
approved leave ends unless you
immediately return to active
employee work.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">The Company determines, in its sole
discretion, which leaves count for
this purpose, and when your Service
terminates for all purposes under
the Plan.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px"><B>Withholding Taxes</B>
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">You agree as a condition of this
grant that you will make acceptable
arrangements to pay any withholding
or other taxes that may be due as a
result of the vesting or receipt of
the Restricted Stock Units or the
Stock. In the event that the
Company determines that any federal,
state, local or foreign tax or
withholding payment is required
relating to the vesting of the
Restricted Stock Unit or receipt of
Stock arising from this grant, the
Company shall have the right to
require such payments</TD>
</TR>
<!-- End Table Body -->
</TABLE>
</DIV>


<P align="center" style="font-size: 10pt"><!-- Folio -->3<!-- /Folio -->
</DIV>

<!-- PAGEBREAK -->
<P><HR noshade><P>
<H5 align="left" style="page-break-before:always">&nbsp;</H5><P>

<DIV style="font-family: 'Times New Roman',Times,serif">

<DIV align="center">
<TABLE style="font-size: 10pt" cellspacing="0" border="0" cellpadding="0" width="100%">
<!-- Begin Table Head -->
<TR valign="bottom">
    <TD width="25%">&nbsp;</TD>
    <TD width="5%">&nbsp;</TD>
    <TD width="70%">&nbsp;</TD>
</TR>
<!-- End Table Head -->
<!-- Begin Table Body -->
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">from you, or
withhold such amounts from other
payments due to you from the Company
or any Affiliate (including
withholding the delivery of vested
shares of Stock otherwise
deliverable under this Agreement).</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px"><B>Retention Rights</B>
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">This Agreement and the grant
evidenced hereby do not give you the
right to be retained by the Company
(or any Affiliate) in any capacity.
Unless otherwise specified in an
employment or other written
agreement between the Company (or
any Affiliate) and you, the Company
(and any Affiliate) reserve the
right to terminate your Service at
any time and for any reason.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px"><B>Stockholder Rights</B>
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">You, or your estate or heirs, do not
have any of the rights of a
shareholder with respect to any
unvested Restricted Stock Unit.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">You will, however, be entitled to
receive, upon the Company&#146;s payment
of a cash dividend on outstanding
shares of Stock, an amount of cash,
or Restricted Stock Units (as
determined by the Company from time
to time) equal to the per-share
dividend paid on the shares of
Restricted Stock Units that you hold
as of the record date for such
dividend, which shall be subject to
the same vesting, forfeiture and
other conditions as the associated
Restricted Stock Units. No
adjustments are made for dividends
or other rights if the applicable
record date occurs before your
certificate is issued (or an
appropriate book entry is made),
except as described in the Plan.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">Your grant shall be subject to the
terms of any applicable agreement of
merger, liquidation or
reorganization in the event the
Company is subject to such corporate
activity.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px"><B>Applicable Law</B>
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">This Agreement will be interpreted
and enforced under the laws of the
State of Delaware, other than any
conflicts or choice of law rule or
principle that might otherwise refer
construction or interpretation of
this Agreement to the substantive
law of another jurisdiction.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px"><B>The Plan</B>
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">The text of the Plan is incorporated
in this Agreement by reference.<BR><BR>
<B><I>Certain capitalized terms used in
this Agreement are defined in the
Plan, and have the meaning set forth
in the Plan.</I></B></TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">This Agreement, the associated cover
sheet, and the Plan constitute the
entire understanding between you and
the Company regarding this grant.
Any prior agreements, commitments or
negotiations concerning this grant
are superseded; except that any
written employment, consulting,
confidentiality, non-competition
and/or severance agreement between
you and the Company (or any
Affiliate) shall supersede this
Agreement with respect to its
subject matter.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px"><B>Data Privacy</B>
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">In order to administer the Plan, the
Company may process personal data
about you. Such data includes, but
is not limited to, information
provided in this Agreement or the
cover sheet hereto and any changes</TD>
</TR>
<!-- End Table Body -->
</TABLE>
</DIV>


<P align="center" style="font-size: 10pt"><!-- Folio -->4<!-- /Folio -->
</DIV>

<!-- PAGEBREAK -->
<P><HR noshade><P>
<H5 align="left" style="page-break-before:always">&nbsp;</H5><P>

<DIV style="font-family: 'Times New Roman',Times,serif">

<DIV align="center">
<TABLE style="font-size: 10pt" cellspacing="0" border="0" cellpadding="0" width="100%">
<!-- Begin Table Head -->
<TR valign="bottom">
    <TD width="25%">&nbsp;</TD>
    <TD width="5%">&nbsp;</TD>
    <TD width="70%">&nbsp;</TD>
</TR>
<!-- End Table Head -->
<!-- Begin Table Body -->
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">thereto, other appropriate personal
and financial data about you such as
your contact information, payroll
information and any other
information that might be deemed
appropriate by the Company to
facilitate the administration of the
Plan.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">By accepting this grant, you give
explicit consent to the Company to
process any such personal data.</TD>
</TR>
<TR valign="bottom"><!-- Blank Space -->
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px">&nbsp;</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">&nbsp;</TD>
</TR>
<TR valign="bottom">
    <TD valign="top"><DIV style="margin-left:0px; text-indent:-0px"><B>Code Section&nbsp;409A</B>
</DIV></TD>
    <TD>&nbsp;</TD>
    <TD align="left" valign="top">It is intended that this Award
comply with Section&nbsp;409A of the Code
(&#147;Section&nbsp;409A&#148;) or an exemption to
Section&nbsp;409A. To the extent that
the Company determines that you
would be subject to the additional
20% tax imposed on certain
non-qualified deferred compensation
plans pursuant to Section&nbsp;409A as a
result of any provision of this
Agreement, such provision shall be
deemed amended to the minimum extent
necessary to avoid application of
such additional tax. The nature of
any such amendment shall be
determined by the Company. For
purposes of this Award, a
termination of employment only
occurs upon an event that would be a
Separation from Service within the
meaning of Section&nbsp;409A.</TD>
</TR>
<!-- End Table Body -->
</TABLE>
</DIV>

<DIV align="left" style="font-size: 10pt; margin-top: 6pt"><B><I>By signing the cover sheet of this Agreement, you agree to all of the terms and conditions
described above and in the Plan.</I></B>
</DIV>



<P align="center" style="font-size: 10pt"><!-- Folio -->5<!-- /Folio -->
</DIV>




</BODY>
</HTML>
</TEXT>
</DOCUMENT>
