EXHIBIT 4.3
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Form of Stock Option Agreement under the Xxxxxx City Bancorp, Inc. 2000 Stock
Option Plan.
XXXXXX CITY BANCORP, INC.
2000 STOCK OPTION PLAN
STOCK OPTION AGREEMENT
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NAME OF OPTIONEE SOCIAL SECURITY NUMBER
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STREET ADDRESS
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CITY STATE ZIP CODE
This Stock Option Agreement is intended to set forth the terms and conditions on
which a Stock Option has been granted under the Xxxxxx City Bancorp, Inc. 2000
Stock Option Plan. Set forth below are the specific terms and conditions
applicable to this Stock Option. Attached as Exhibit A are its general terms and
conditions.
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Option Grant (A) (B) (C) (D) (E)
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Grant Date: 01/13/00 01/13/00 01/13/00 01/13/00 01/13/00
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Class of Optioned Shares* Common Common Common Common Common
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No. of Optioned Shares*
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Exercise Price Per Share*
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Option Type (ISO or NQSO)
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VESTING
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Earliest Exercise Date* 01/13/01 01/13/02 01/13/03 01/13/04 01/13/05
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Option Expiration Date* 01/12/10 01/12/10 01/12/10 01/12/10 01/12/10
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*SUBJECT TO ADJUSTMENT AS PROVIDED IN THE PLAN AND THE GENERAL TERMS AND
CONDITIONS.
By signing where indicated below, Xxxxxx City Bancorp, Inc. (the "Company")
grants this Stock Option upon the specified terms and conditions, and the
Optionee acknowledges receipt of this Stock Option Agreement, including Exhibit
A, and agrees to observe and be bound by the terms and conditions set forth
herein and acknowledges receipt of a Prospectus dated January 20, 2000 for the
Xxxxxx City Bancorp, Inc. 2000 Stock Option Plan.
XXXXXX CITY BANCORP, INC. OPTIONEE
By
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NAME:
TITLE: CHAIRMAN, COMPENSATION COMMITTEE
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INSTRUCTIONS: This page should be completed by or on behalf of the Compensation
Committee. Any blank space intentionally left blank should be crossed out. An
option grant consists of a number of optioned shares with uniform terms and
conditions. Where options are granted on the same date with varying terms and
conditions (for example, varying exercise prices or earliest exercise dates),
the options should be recorded as a series of grants each with its own uniform
terms and conditions.
