PERFORMANCE SHARE AWARD SURMODICS, INC. 2003 EQUITY INCENTIVE PLAN
Exhibit 99.4
PERFORMANCE SHARE AWARD
SURMODICS, INC.
2003 EQUITY INCENTIVE PLAN
2003 EQUITY INCENTIVE PLAN
THIS AGREEMENT, made effective as of this ______ day of ___, 20___, by and
between SurModics, Inc., a Minnesota corporation (the “Company”), and ______
(“Participant”).
W I T N E S S E T H:
WHEREAS, the Participant on the date hereof is a key employee, officer, director of or
consultant or advisor to the Company or one of its Subsidiaries; and
WHEREAS, the Company wishes to grant a performance share award to Participant pursuant to the
Company’s 2003 Equity Incentive Plan (the “Plan”) to entitle the Participant to shares of the
Company’s Common Stock upon the achievement of certain specified performance criteria; and
WHEREAS, the Administrator has authorized the grant of such performance share award to
Participant;
NOW, THEREFORE, in consideration of the premises and of the mutual covenants herein contained,
the parties hereto agree as follows:
1. Grant of Performance Share Award. The Company hereby grants to Participant on the
date set forth above (the “Date of Grant”) the right to receive up to ______ (___)
Performance Shares on the terms and conditions set forth herein (the “Performance Award”).
2. Performance Period. The Performance Period shall be the period beginning
______, 20___, and ending ______, 20___.
3. Performance Objectives; Vesting. Except as otherwise provided in Paragraph 6(l)
herein, the Performance Shares subject to this Performance Award shall vest only upon the
achievement of all or a portion of certain Performance Objectives, which much be achieved within
the Performance Period. The Performance Objectives and the extent to which achievement of all or
a portion of the Performance Objectives will result in the vesting of the Performance Shares are as
follows:
| Percentage or Number of | ||||
| Performance Objective(s) | Achievement | Shares Vested | ||
Notwithstanding the foregoing schedule, the Administrator may delay the vesting of all or any
portion of the Performance Shares pursuant to Paragraph 6(l) herein; provided, however, that such
delay shall not extend the Performance Period during which the above Performance Objectives must be
achieved. Subject to such other terms and conditions set forth in this Agreement, the Participant
shall not be entitled to the issuance of any portion of the Performance Shares subject to this
Performance Award until the Administrator determines the number of Performance Shares, if any,
which have vested.
4. Form, Time of Issuance. The Administrator shall, within ___(___) days after the
end of the Performance Period or at such earlier times as described in Paragraph 3 above, determine
the number of Performance Shares that have vested pursuant to Paragraph 3 above. Unless the
Administrator delays the vesting and issuance of such Performance Shares pursuant to Paragraph
6(l), such Performance Shares shall be issued in [the calendar year] [in which] [immediately
following] the date such Performance Shares become vested; provided, however, that the Participant
shall receive cash equal to the Fair Market Value of any fractional shares.
5. Termination of Employment.
a. Prior to Vesting. If, prior to the vesting of any Performance Shares, Participant
ceases to be [an employee] [a consultant] [a nonemployee director] of the Company or any Subsidiary
for any reason, the Participant shall forfeit all unvested Performance Shares, and this Performance
Award shall terminate; provided, however, that if the Administrator delays the vesting and issuance
of any Performance Shares pursuant to Paragraph 6(l), the Participant shall not forfeit any such
Performance Shares that otherwise would have vested prior to the termination of Participant’s
relationship had such vesting not been so delayed, and, upon the issuance of such delayed vested
Performance Shares, this Performance Award shall terminate.
b. After Vesting But Prior to Issuance. If Participant ceases to be [an employee] [a
consultant] [a nonemployee director] of the Company or any Subsidiary for any reason after
Performance Shares have vested but prior to the date such Shares are issued (as described in
Section 4 hereof), then Participant (or Participant’s estate in the event of his death)
shall be entitled to receive such vested Performance Shares as if such termination of employment
had not occurred. The number of such Performance Shares shall be determined by the Administrator
pursuant to Paragraph 3 and shall be issued at the time set forth in Paragraph 4. Upon the
issuance of the vested Performance Shares, this Performance Award shall terminate.
6. Miscellaneous.
a. Employment or Other Relationship; Rights as Shareholder. This Agreement shall not
confer on Participant any right to continuance of employment or any other relationship by the
Company or any of its Subsidiaries, nor will it interfere in any way with the right of the Company
to terminate such employment or relationship. Participant shall have no rights as a shareholder
with respect to shares subject to this Agreement until such shares, if any, have been issued to
Participant. The grant of this Award shall not prevent Participant from receiving, in the sole
discretion of the Administrator, additional performance share awards for subsequent performance
periods, whether or not those performance periods overlap with the Performance Period specified
herein to which this Award relates.
b. Shares Reserved. The Company shall at all times during the term of this Award
reserve and keep available such number of shares as will be sufficient to satisfy the requirements
of this Agreement.
c. Mergers, Recapitalizations, Stock Splits, Etc. Except as otherwise specifically
provided in any employment, change of control, severance or similar agreement executed by the
Participant and the Company, the Administrator may, at any time during the Performance Period
specified herein, pursuant and subject to Section 14 of the Plan, suspend, modify or terminate this
Agreement or any Performance Objectives set forth in Paragraph 3 upon the occurrence of any
extraordinary event which substantially effects the Company or its Subsidiary, including, but not
limited to, a merger, consolidation, exchange, divestiture (including a spin-off), reorganization
or liquidation of the Company or Subsidiary or the sale by the Company or its Subsidiary or
substantially all of its assets and the consequent discontinuance of its business.
d. Withholding Taxes. To permit the Company to comply with all applicable federal and
state income tax laws or regulations, the Company may take such action as it deems appropriate to
ensure that, if necessary, all applicable federal and state payroll, income or other taxes
attributable to this Award are withheld from any amounts payable by the Company to the Participant.
If the Company is unable to withhold such federal and state taxes, for whatever reason, the
Participant hereby agrees to pay to the Company an amount equal to the amount the Company would
otherwise be required to withhold under federal or state law prior to the issuance of any
certificates for the shares of Stock subject to this Award. Subject to such rules as the
Administrator may adopt, the Administrator may, in its sole discretion, permit Participant to
satisfy such withholding tax obligations, in whole or in part, by delivering shares of Common Stock
received pursuant to this Award, such shares having a Fair Market Value, as of the date the amount
of tax to be withheld is determined under applicable tax law, equal to the minimum amount required
to be withheld for tax purposes. Participant’s request to deliver shares for purposes of such
withholding tax obligations shall be made on or before the date that
triggers such obligations or, if later, the date that the amount of tax to be withheld is
determined under applicable tax law. Participant’s request shall be approved by the Administrator
and otherwise comply with such rules as the Administrator may adopt to assure compliance with Rule
16b-3 or any successor provision, as then in effect, of the General Rules and Regulations under the
Securities and Exchange Act of 1934, if applicable.
e. Nontransferability. The Performance Shares granted pursuant to this Agreement
shall not be transferred, assigned or pledged in any manner by the Participant, in whole or in
part, other than by will or by the laws of decent and distribution.
f. 2003 Equity Incentive Plan. The Award evidenced by this Agreement is granted
pursuant to the Plan, a copy of which has been made available to Participant and is hereby
incorporated into this Agreement. This Agreement is subject to and in all respects limited and
conditioned as provided in the Plan. All defined terms of the Plan shall have the same meaning
when used in this Agreement. The Plan governs this Award and the Participant and, in the event of
any questions as to the construction of this Agreement or of a conflict between the Plan and this
Agreement, the Plan shall govern, except as the Plan otherwise provides.
g. Lockup Period Limitation. Participant agrees that in the event the Company advises
Participant that it plans an underwritten public offering of its Common Stock in compliance with
the Securities Act of 1933, as amended, and that the underwriter(s) seek to impose restrictions
under which certain shareholders may not sell or contract to sell or grant any option to buy or
otherwise dispose of part or all of their stock purchase rights of the underlying Common Stock,
Participant hereby agrees that for a period not to exceed 180 days from the prospectus, Participant
will not sell or contract to sell or grant an option to buy or otherwise dispose of this Award or
any of the underlying shares of Common Stock without the prior written consent of the
underwriter(s) or its representative(s).
h. Stock Legend. The Administrator may require that the certificates for any shares
of Common Stock issued to Participant (or, in the case of death, Participant’s successors) shall
bear an appropriate legend to reflect the restrictions of Paragraph 6(f) of this Agreement;
provided, however, that failure to so endorse any of such certificates shall not render invalid or
inapplicable Paragraph 6(f).
i. Scope of Agreement. This Agreement shall bind and inure to the benefit of the
Company and its successors and assigns and the Participant and any successor or successors of the
Participant permitted by Paragraph 5(b) above.
j. Arbitration. Any dispute arising out of or relating to this Agreement or the
alleged breach of it, or the making of this Agreement, including claims of fraud in the inducement,
shall be discussed between the disputing parties in a good faith effort to arrive at a mutual
settlement of any such controversy. If, notwithstanding, such dispute cannot be resolved, such
dispute shall be settled by binding arbitration. Judgment upon the award rendered by the
arbitrator may be entered in any court having jurisdiction thereof. The arbitrator shall be a
retired state or federal judge or an attorney who has practiced securities or business litigation
for at least 10 years. If the parties cannot agree on an arbitrator within 20 days, any party may
request that the chief judge of the District
Court for Hennepin County, Minnesota, select an arbitrator. Arbitration will be conducted pursuant
to the provisions of this Agreement, and the commercial arbitration rules of the American
Arbitration Association, unless such rules are inconsistent with the provisions of this Agreement.
Limited civil discovery shall be permitted for the production of documents and taking of
depositions. Unresolved discovery disputes may be brought to the attention of the arbitrator who
may dispose of such dispute. The arbitrator shall have the authority to award any remedy or relief
that a court of this state could order or grant; provided, however, that punitive or exemplary
damages shall not be awarded. The arbitrator may award to the prevailing party, if any, as
determined by the arbitrator, all of its costs and fees, including the arbitrator’s fees,
administrative fees, travel expenses, out-of-pocket expenses and reasonable attorneys’ fees.
Unless otherwise agreed by the parties, the place of any arbitration proceedings shall be Hennepin
County, Minnesota.
k. Right to Amend. The Company hereby reserves the right to amend this Agreement
without Participant’s consent to the extent necessary or desirable to comply with the requirements
of Code Section 409A and the regulations, notices and other guidance of general application issued
thereunder.
x. Xxxxx of Payment for Section 162(m). In the event the Administrator reasonably
anticipates that the Company’s income tax deduction with respect to the vesting and issuance of any
shares of Stock required by this Agreement would be limited or eliminated by Code Section 162(m),
the Administrator may, subject to such terms and conditions as determined by the Administrator,
delay the vesting and issuance of all or a portion of such shares of Stock until the earlier of (i)
the date at which the Administrator reasonably anticipates that the corresponding income tax
deduction will not be so limited or eliminated, and (ii) the calendar year of the Participant’s
separation from service, as such term is defined in Code Section 409A and the regulations, notices
and other guidance of general applicability issued thereunder. In the event of such delay, this
Performance Award shall not terminate until the delayed vesting and issuance of such Performance
Shares has occurred.
x. Xxxxx in Payment for Specified Employee. In the event this Award is subject to
Code Section 409A and the Administrator determines that the Participant is a “specified employee”
within the meaning of Code Section 409A, then the issuance of any shares of Stock due to the
Participant’s separation from service shall not be issued earlier than the date that is six months
after such separation from service, but shall be issued during the calendar year following the year
in which the Participant’s separation from service occurs and within thirty (30) days after the
earliest possible date permitted under Code Section 409A.
ACCORDINGLY, the parties hereto have caused this Agreement to be executed on the day and year
first above written.
| SURMODICS, INC. | ||||||
| By: | ||||||
| Its: | ||||||
| Participant | ||||||
