Common use of Furnishing statement to employer Clause in Contracts

Furnishing statement to employer. A copy of this statement has been furnished to Iatros Health Network, Inc. Dated: --------------- Signature: -------------------------------- Name: -------------------------------- INSTRUCTIONS FOR SECTION 83(B) ELECTION FORM: 1. Review and complete all items on this form, including: - Address and taxpayer identification number (i.e., Social Security number) (Item 1) - Date of transfer (Item 3) - Fair market value per share and in the aggregate (Item 5) - Signature and date (bottom) 2. Provide a copy of this form within 30 days of the date of transfer to: - Iatros Health Network, Inc. - Director, Internal Revenue Service Center, of the Service Center where you expect to file your income tax return 3. Attach a copy of this form to your 1999 Federal income tax return IATROS HEALTH NETWORK, INC. CHANGE OF CONTROL AGREEMENT THIS AGREEMENT made and entered into as of the 26th day of February, 1999, by and between Iatros Health Network, Inc., a Delaware corporation (the "Company") and Xxxxxxx X. Xxxxxxxx, an Executive Vice President of the Company (the "Executive"), and.

Furnishing statement to employer. A copy of this statement has been furnished to Iatros Health Network, Inc. Dated: --------------- _______________ Signature: -------------------------------- _______________________ Name: -------------------------------- _______________________ INSTRUCTIONS FOR SECTION 83(B) ELECTION FORM: 1. Review and complete all items on this form, including: - Address and taxpayer identification number (i.e., Social Security number) (Item 1) - Date of transfer (Item 3) - Fair market value per share and in the aggregate (Item 5) - Signature and date (bottom) 2. Provide a copy of this form within 30 days of the date of transfer to: - Iatros Health Network, Inc. - Director, Internal Revenue Service Center, of the Service Center where you expect to file your income tax return 3. Attach a copy of this form to your 1999 Federal income tax return IATROS HEALTH NETWORK, INC. CHANGE OF CONTROL AGREEMENT THIS AGREEMENT made and entered into as of the 26th day of February, 1999, by and between Iatros Health Network, Inc., a Delaware corporation (the "Company") and Xxxxxx X. Xxxxxxx X. XxxxxxxxIII, an Executive Vice President of the Company Company's Chief Operating Officer (the "Executive"), and.

Furnishing statement to employer. A copy of this statement has been furnished to Iatros Health Network, Inc. Dated: --------------- Signature: -------------------------------- --------------------------------- Name: -------------------------------- --------------------------------- INSTRUCTIONS FOR SECTION 83(B) ELECTION FORM: 1. Review and complete all items on this form, including: - Address and taxpayer identification number (i.e., Social Security number) (Item 1) - Date of transfer (Item 3) - Fair market value per share and in the aggregate (Item 5) - Signature and date (bottom) 2. Provide a copy of this form within 30 days of the date of transfer to: - Iatros Health Network, Inc. - Director, Internal Revenue Service Center, of the Service Center where you expect to file your income tax return 3. Attach a copy of this form to your 1999 Federal income tax return IATROS HEALTH NETWORK, INC. CHANGE OF CONTROL AGREEMENT THIS AGREEMENT made and entered into as of the 26th day of February, 1999, by and between Iatros Health Network, Inc., a Delaware corporation (the "Company") and Xxxxxxx Xxxxxx X. XxxxxxxxXxxx, an the Company's Chief Executive Vice President of the Company Officer (the "Executive"), and.

Furnishing statement to employer. A copy of this statement has been furnished to Iatros Health Network, Inc. Dated: --------------- _______________ Signature: -------------------------------- __________________________ Name: -------------------------------- __________________________ INSTRUCTIONS FOR SECTION 83(B) ELECTION FORM: 1. Review and complete all items on this form, including: - Address and taxpayer identification number (i.e., Social Security number) (Item 1) - Date of transfer (Item 3) - Fair market value per share and in the aggregate (Item 5) - Signature and date (bottom) 2. Provide a copy of this form within 30 days of the date of transfer to: - Iatros Health Network, Inc. - Director, Internal Revenue Service Center, of the Service Center where you expect to file your income tax return 3. Attach a copy of this form to your 1999 Federal income tax return IATROS HEALTH NETWORK, INC. CHANGE OF CONTROL AGREEMENT THIS AGREEMENT made and entered into as of the 26th day of February, 1999, by and between Iatros Health Network, Inc., a Delaware corporation (the "Company") and Xxxxxxx X. XxxxxxxxXxxxxx Xxxxx, an Executive Vice President of the Company (the "Executive"), and.