DELCATH SYSTEMS, INC.
2004 STOCK INCENTIVE PLAN
Stock Grant Agreement
To: [NAME]
We are pleased to notify you that, by action of the Compensation and Stock
Option Committee (hereinafter called the "Committee") on [DATE] a stock grant of
[NUMBER] shares of the Common Stock, $0.01 par value, of Delcath Systems, Inc.
(herein called the "Company"), was approved pursuant to the Company's 2004 Stock
Incentive Plan (the "2004 Plan"). Pursuant to Section 9.1 of the 2004 Plan,
please confirm your acceptance of this stock grant by signing below and
returning this agreement to the Company.
We urge you to review this opportunity carefully and consult with your own
tax advisor prior to accepting the grant so that you understand the tax
consequences of your receiving this grant. By your signature hereto, you also
acknowledge receipt of a copy of the Company's Prospectus dated October 21, 2004
relating to the 2004 Plan.
Sincerely yours,
DELCATH SYSTEMS, INC.
By:_______________________________
[NAME]
[TITLE]:
Agreed to and Accepted
this ___ day of [DATE].
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[NAME]
