Evolution Petroleum Corporation Performance Share Unit Award Agreement
EXHIBIT 4.5.1
Evolution Petroleum Corporation
Performance Share Unit Award Agreement
This Performance Share Unit Award Agreement (this "Agreement") is made and entered into as of [DATE] (the "Grant Date") by and between Evolution Petroleum Corporation, a Nevada corporation (the "Company") and [NAME] (the "Participant").
WHEREAS, the Company has adopted the Evolution Petroleum Corporation 2016 Equity Incentive Plan (the "Plan") pursuant to which Performance Share Units may be granted; and
WHEREAS, the Committee has determined that it is in the best interests of the Company and its shareholders to grant the award of Performance Share Units provided for herein.
NOW, THEREFORE, the parties hereto, intending to be legally bound, agree as follows:
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The amendment or modification of any Award pursuant to this Section 20 shall be at the Committee’s sole discretion and neither the Committee nor the Company shall be obligated to amend or modify any Award or the Plan, nor shall the Company be liable for any adverse tax or other consequences to a Participant resulting from such amendments or modifications or the Committee’s failure to make any such amendments or modifications for purposes of complying with Code Section 409A or for any other purpose. To the extent the Committee amends or modifies an Award pursuant to this Section 20, the Participant shall receive notification of any such changes to his or her Award and, unless the Committee determines otherwise, the changes described in such notification shall be deemed to amend the terms and conditions of the Award and this Agreement.
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[SIGNATURE PAGE FOLLOWS]
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date first above written.
| EVOLUTION PETROLEUM CORPORATION |
| By: ________________________ Name: Title: |
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Evolution Petroleum Corporation
| PARTICIPANT By: ________________________ |
| Name: |
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Evolution Petroleum Corporation
Exhibit 1
Performance Period
The Performance Period shall commence on [DATE] and end on [DATE].
Performance Measures
The number of Performance Shares earned shall be determined by reference to the Company’s [PERFORMANCE MEASURE]
[CONTINUED]
Determining Performance Shares Earned Pursuant to Performance Share Units
Except as otherwise provided in the Plan or the Agreement, the number of Performance Shares earned with respect to the Performance Period shall be determined by the performance measure. [FORMULA FOR DETERMINING NUMBER OF PERFORMANCE SHARES THAT WILL BE EARNED].
Award Range
Depending on the Company’s achievement of the performance measure above, the Participant may earn between zero percent (0%) and [MAXIMUM PERCENTAGE] of the Target Award.
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