Exhibit 10.4
FORM OF
NON-STATUTORY STOCK OPTION AWARD AGREEMENT
FOR THE CHICOPEE BANCORP, INC. 2007 EQUITY INCENTIVE PLAN
This Award Agreement is provided to _______________ (the "Participant")
by Chicopee Bancorp, Inc. (the "Company") as of _________, the date the
Compensation Committee (the "Committee") granted the Participant the right and
option to purchase Shares pursuant to the Chicopee Bancorp, Inc. 2007 Equity
Incentive Plan (the "2007 Plan"), subject to the terms and conditions of the
2007 Plan and this Award Agreement:
1. OPTION GRANT: You have been granted a
NON-STATUTORY STOCK OPTION
(referred to in this Agreement as
your "Option"). Your Option is
NOT intended to qualify as an
"incentive stock option" under
Section 422 of the Internal
Revenue Code of 1986, as amended.
2. NUMBER OF SHARES
SUBJECT TO YOUR OPTION: ________ shares of Common Stock
("Shares"), subject to adjustment
as may be necessary pursuant to
Article 10 of the 2007 Plan.
3. GRANT DATE: ________
4. EXERCISE PRICE: You may purchase Shares covered by
your Option at a price of $______
per share.
Unless sooner vested in accordance with Section 2 of the Terms and
Conditions (attached hereto) or otherwise in the discretion of the Committee,
the Options shall vest (become exercisable) in accordance with the following
schedule:
Continuous Status
as a Participant Percentage of Number of Shares
after Grant Date Options Vested Available for Exercise Vesting Date
----------------- -------------- ---------------------- ------------
Less than 1 year _____ _____ ______
1 year _____ _____ ______
2 years _____ _____ ______
3 years _____ _____ ______
4 years _____ _____ ______
5 years _____ _____ ______
IN WITNESS WHEREOF, Chicopee Bancorp, Inc., acting by and through the
Compensation Committee of the Board of Directors, has caused this Award
Agreement to be executed as of the Grant Date set forth above.
CHICOPEE BANCORP, INC.
ACCEPTED BY PARTICIPANT: By:
---------------------------------------
On behalf of the Compensation Committee
--------------------------
[Name]
--------------------------
Date
TERMS AND CONDITIONS
1. GRANT OF OPTION. The Grant Date, Exercise Price and number of Shares
subject to your Option are stated on page 1 of this Award Agreement.
Capitalized terms used herein and not otherwise defined shall have the
meanings assigned to such terms in the 2007 Plan.
2. VESTING OF OPTIONS. The Option shall vest (become exercisable) in
accordance with the vesting schedule shown on page 1 of this Award
Agreement. Notwithstanding the vesting schedule on page 1, the Option
will also vest and become exercisable:
(a) Upon your death or Disability during your Continuous Status as
a Participant; or
(b) Upon a Change in Control.
3. TERM OF OPTIONS AND LIMITATIONS ON RIGHT TO EXERCISE. The term of the
Option will be for a period of ten (10) years, expiring at 5:00 p.m.,
Eastern Time, on the tenth anniversary of the Grant Date (the
"Expiration Date"). To the extent not previously exercised, the vested
portion of your Option will lapse prior to the Expiration Date upon the
earliest to occur of the following circumstances:
(a) Three (3) months after the termination of your Continuous
Status as a Participant for any reason other than your death
or Disability.
(b) Twelve (12) months after termination of your Continuous Status
as a Participant by reason of Disability.
(c) Twelve (12) months after the date of your death, if you die
while employed, or during the three-month period described in
subsection (a) above or during the twelve-month period
described in subsection (b) above and before the Option would
otherwise lapse. Upon your death, your beneficiary (designated
pursuant to the terms of the 2007 Plan) may exercise your
Option.
(d) At the end of the remaining original term of the Option if
your employment is involuntarily or constructively terminated
within twelve (12) months of a Change in Control.
The Committee may, prior to the lapse of your Option under the
circumstances described in paragraphs (a), (b), (c) or (d) above,
extend the time to exercise your Option as determined by the Committee
in writing and subject to federal regulations. If you return to
employment with the Company during the designated post-termination
exercise period, then you will be restored to the status as a
Participant you held prior to such termination, but no vesting credit
will be earned for any period you were not in Continuous Status as a
Participant. If you or your beneficiary exercises an Option after your
termination of service, the Option may be exercised only with respect
to the Shares that were otherwise vested on the date of your
termination of service.
4. EXERCISE OF OPTION. You may exercise your Option by providing:
(a) a written notice of intent to exercise to [NAME] at the
address and in the form specified by the Committee from time
to time; and
(b) payment to the Company in full for the Shares subject to the
exercise (unless the exercise
is a cashless exercise). Payment for the Shares can be made in
cash, Company common stock ("stock swap"), a combination of
cash and Company common stock or by means of a cashless
exercise (if permitted by the Committee).
5. BENEFICIARY DESIGNATION. You may, in a manner determined by the
Committee, designate a beneficiary to exercise your rights under the
2007 Plan and to receive any distribution with respect to this Option
upon your death. A beneficiary, legal guardian, legal representative,
or other person claiming any rights under the 2007 Plan is subject to
all terms and conditions of this Award Agreement and the 2007 Plan, and
to any additional restrictions deemed necessary or appropriate by the
Committee. If you have not designated a beneficiary or none survives
you, the Option may be exercised by the legal representative of your
estate, and payment shall be made to your estate. You may change or
revoke a beneficiary designation at any time provided the change or
revocation is filed with the Company.
6. WITHHOLDING. The Company or any employer Affiliate has the authority
and the right to deduct or withhold, or require you to remit to the
Company, an amount sufficient to satisfy federal, state, and local (if
any) withholding taxes and employment taxes (I.E., FICA and FUTA).
OUTSIDE DIRECTORS OF THE COMPANY ARE SELF-EMPLOYED AND ARE NOT SUBJECT
TO TAX WITHHOLDING.
7. LIMITATION OF RIGHTS. This Option does not confer on you or your
beneficiary designated pursuant to Paragraph 5 any rights as a
shareholder of the Company unless and until the Shares are in fact
issued in connection with the exercise of the Option. Nothing in this
Award Agreement shall interfere with or limit in any way the right of
the Company or any Affiliate to terminate your employment at any time,
nor confer upon you any right to continue in the service of the Company
or any Affiliate.
8. RESTRICTIONS ON TRANSFER AND PLEDGE. You may not pledge, encumber, or
hypothecate your right or interest in this Option to or in favor of any
party other than the Company or an Affiliate, and this Option shall not
be subject to any lien, obligation, or liability of the Participant to
any other party other than the Company or an Affiliate. You may not
assign or transfer this Option other than by will or the laws of
descent and distribution or pursuant to a domestic relations order that
would satisfy Section 414(p)(1)(A) of the Code if such Section applied
to an Option under the 2007 Plan; provided, however, that the Committee
may (but need not) permit other requested transfers. Only you or any
permitted transferee may exercise this Option during your lifetime.
9. PLAN CONTROLS. The terms contained in the 2007 Plan are incorporated
into and made a part of this Award Agreement and this Award Agreement
shall be governed by and construed in accordance with the 2007 Plan. In
the event of any actual or alleged conflict between the provisions of
the 2007 Plan and the provisions of this Award Agreement, the
provisions of the 2007 Plan will control.
10. SUCCESSORS. This Award Agreement shall be binding upon any successor of
the Company, in accordance with the terms of this Award Agreement and
the 2007 Plan.
11. SEVERABILITY. If any one or more of the provisions contained in this
Award Agreement is invalid, illegal or unenforceable, the other
provisions of this Award Agreement will be construed and enforced as if
the invalid, illegal or unenforceable provision had never been included
in this Award Agreement.
12. NOTICE. Notices and communications under this Award Agreement must be
in writing and either personally delivered or sent by registered or
certified United States mail, return receipt requested, postage
prepaid. Notices to the Company must be addressed to:
Chicopee Bancorp, Inc.
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Attn: Compensation Committee
or any other address designated by the Company in a written notice to
the Participant. Notices to you will be directed to your address, as
then currently on file with the Company, or to any other address that
you provide in a written notice to the Company.
13. STOCK RESERVE. The Company shall at all times during the term of this
Agreement reserve and keep available a sufficient number of Shares to
satisfy the requirements of this Agreement.
