ATRION CORPORATION. FIRST: The name of the corporation is Atrion Corporation (the “Corporation”).
ATRION CORPORATION. By: -------------------------------------- Name: ------------------------------------ Title: ----------------------------------- PARTICIPANT ----------------------------------- [Name] EXHIBIT A TO AWARD AGREEMENT Participant: --------------------------- Grant Date: --------------------------- Option Price: $ ------------------------- Can Only Be Must Be Shares Subject to Option Exercised After Exercised Before ------------------------ --------------- ---------------- EXHIBIT B TO AWARD AGREEMENT PARTIAL EXERCISE Date of No. of Shares No. of Shares Signature of Exercise Purchased Remaining Endorsing Officer -------- --------------- ------------- --------------------- -------- --------------- ------------- --------------------- -------- --------------- ------------- --------------------- -------- --------------- ------------- --------------------- -------- --------------- ------------- --------------------- -------- --------------- ------------- ---------------------
ATRION CORPORATION. BY: ------------------------------------- Name: ------------------------------------- Title: ------------------------------------- Dated this the ______ day of __________________, _____.
