METROPOLITAN HEALTH NETWORKS, INC. Restricted Stock Award Agreement for Independent Directors
Grant
No.: ______
DRAFT
-
SUBJECT
TO COMPLETION
STANDARD
FORM-
RESTRICTED
STOCK AWARD
FOR
DIRECTORS
METROPOLITAN
HEALTH NETWORKS, INC.
Restricted
Stock Award Agreement for Independent Directors
_________
Shares of Restricted Stock
THIS
AGREEMENT
(this
“Agreement”) dated as of the ______ day of __________, 2007, between
METROPOLITAN
HEALTH NETWORKS, INC.,
a
Florida corporation (the “Company”) and _________________________________
(“Participant”) is made pursuant and subject to the provisions of the Company’s
Omnibus Equity Compensation Plan (the “Plan”), a copy of which has been made
available to Participant. All terms used herein that are defined in the Plan
have the same meaning given them in the Plan.
1. Award
of Stock.
Pursuant to the Plan, the Company, on [___________] (the “Date of Grant”)
granted to Participant, subject to the terms and conditions of the Plan and
subject further to the terms and conditions herein set forth, an Award of ______
shares of Restricted Stock.
2. Restrictions.
The
shares of Restricted Stock are nontransferable and are subject to forfeiture
until vested.
3. Vesting.
Subject
to paragraph 5 and except as provided in paragraphs 4 and 6 below, Participant’s
interest in the shares of Restricted Stock shall become transferable and
nonforfeitable (“Vested”) on the one (1) year anniversary of the Date of Grant.
4. Death
or Disability.
In the
event of Participant’s death or Disability (as defined in the Plan) while
serving as a member of the Board of Directors (a “Director”) of the Company and
prior to the forfeiture of the shares of Restricted Stock under paragraph 6,
all
shares of Restricted Stock that are not then Vested shall become Vested as
of
the date of Participant’s termination of service as a Director of the Company on
account of death or Disability.
5. Change
in Control.
Notwithstanding any other provision of this Agreement, all shares of Restricted
Stock not previously forfeited shall become Vested upon a Change in Control
(as
such term is defined in Section 13.2 of the Plan).
6. Forfeiture.
Upon
the Participant’s termination of service as a Director of the Company (and all
affiliates) for any reason (other than on account of the Participant’s death or
becoming Permanently and Totally Disabled or in connection with a Change in
Control), all non-Vested shares of Restricted Stock granted under this Agreement
shall be forfeited as of the date of termination and the escrow shall be
terminated.
7. Escrow
for Restricted Shares.
(a) Until
the
Restricted Stock is Vested, the underlying shares shall be held by the Company
in escrow. Upon becoming vested, a share certificate for the newly vested shares
shall be delivered to the Participant as soon as administratively feasible
after
the date of vesting.
(b) Subject
to the requirements of Paragraph 8, the Participant shall have all the rights
of
a shareholder with respect to the shares held in escrow, including the right
to
vote the shares and to receive all dividends and other distributions paid with
respect to the shares.
(c) Any
shares held in escrow under this Agreement shall be held, and a certificate
shall be issued, in the name of the Participant. The Participant does hereby
irrevocably constitute and appoint the Company’s Chief Financial Officer and
Controller as Participant’s attorney to transfer any forfeited shares on the
books of the Company with full power of substitution in the premises. The Chief
Financial Officer and/or the Controller shall use the authority granted in
this
paragraph 7 to cancel any shares of Restricted Stock that are
forfeited.
8. Share
Distributions and Dividends.
If a
dividend or other distribution declared with respect to Company shares is
payable in shares, any shares distributed with respect to the shares of
Restricted Stock held in escrow hereunder also shall be held in escrow subject
to the same terms and restrictions applicable to the escrowed shares to which
such distribution relates. If the Shares held in escrow shall be changed into
or
exchangeable for a different number or kind of stock or other securities of
the
Company or other corporation (whether through reorganization, reclassification,
recapitalization, stock split-up, merger or otherwise), such substituted stock
or other securities shall be held in escrow subject to the same terms and
restrictions as were applicable to the replaced shares of Restricted
Stock.
9. Confidentiality
and Non-Competition.
Notwithstanding any other provision of this Agreement, any Restricted Stock
granted pursuant to this Agreement or the proceeds from the sale of any shares
of Vested Restricted Stock shall be forfeited by you if you engage in any
conduct that violates any non-competition, confidentiality or non-solicitation
obligation owed by you to the Company (or any of its affiliates or subsidiaries)
whether pursuant to an agreement, policy, common law, statute or otherwise.
You
acknowledge that this grant constitutes good, valuable and sufficient
consideration for your performance of those provisions.
10. Fractional
Shares.
A
fractional share shall not be issued hereunder, and when any provision hereof
may cause a fractional share to be issued, any such fractional share shall
be
disregarded.
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11. No
Right to Continued Participation as Director of the
Company.
Neither
the Plan nor this Agreement shall confer upon you any right to continue serving
as a Director of (or any other relationship with) the Company or any subsidiary,
affiliate, or parent thereof, or limit in any respect the right of the Company
or any subsidiary, affiliate, or parent thereof to terminate your services
as a
Director of, or other relationship with, the Company or any subsidiary,
affiliate, or parent thereof, as the case may be, at any time.
12. Adjustments.
In the
event that, after the date hereof, the outstanding shares of the Company's
common stock shall be increased or decreased or changed into or exchanged for
a
different number or kind of shares of stock or other securities of the Company
or of another corporation through reorganization, merger or consolidation,
recapitalization, reclassification, stock split, split-up, combination or
exchange of shares or declaration of any dividends payable in common stock,
the
Committee shall appropriately adjust the number of shares of Restricted Stock
(to the nearest possible full share), and such adjustment shall be effective
and
binding for all purposes of this Agreement and the Plan.
13. Governing
Law.
Except
as otherwise required by applicable law, this Agreement shall be governed by
and
construed in accordance with the laws of the State of Florida, but without
regard to the principle of conflict of laws thereof. If any one or more
provisions of this Agreement shall be found to be illegal or unenforceable
in
any respect, the validity and enforceability of the remaining provisions hereof
shall not in any way be affected or impaired thereby.
14. Plan
Documents.
This
Agreement is qualified in its entirety by reference to the provisions of the
Plan, as amended from time to time, which are hereby incorporated herein by
reference. Capitalized terms not defined herein shall have the meaning ascribed
to them in the Plan. However, notwithstanding the above, no Plan amendment
may
deprive you of any Restricted Stock theretofore granted under the Plan without
your consent, and no Plan amendment requiring shareholder approval (if any)
may
be made without such shareholder approval. The interpretation and construction
by the Committee of the Plan, this Agreement, the Restricted Stock granted
hereunder, and such rules and regulations as may be adopted by the Committee
for
the purpose of administering the Plan, shall be final and binding upon you.
Until the Restricted Stock shall expire, terminate, or Vest in full, the Company
shall, upon written request therefore, send a copy of the Plan, in its
then-current form, to you or any other person or entity then entitled to the
Restricted Stock.
15. Binding
Effect.
This
Agreement shall be binding upon and inure to the benefit of the successors
and
assigns of the Company and upon the legal representatives, executors,
administrators, heirs, legatees and any permitted assignee of the
Participant.
16. Section
83(b) Election.
The
Participant may make a Section 83(b) election to treat the shares of Restricted
Stock granted to him under Paragraph 1 as taxable income at the time of transfer
under this Agreement. A section 83(b) election form (with accompanying
instructions) which may be used for this purpose is attached to this Agreement
as Exhibit A.
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17. Tax
Withholding.
Participant shall make arrangements, satisfactory to the Company, for the
satisfaction of income and employment tax withholding requirements related
to
the Restricted Stock. In accordance with such procedures as may be established
by the Committee, Participant may surrender shares of common stock, including
shares of Vested Restricted Stock, in satisfaction of the tax withholding
requirement; provided, however, that the number of shares to be surrendered
or
withheld shall be determined using the minimum rate at which income and
employment taxes must be withheld and the Fair Market Value of common stock
as
of the date of withholding.
18. Notices.
All
notices and other communications required or permitted hereunder shall be in
writing and deemed to have been received on the date of delivery if delivered
by
hand or overnight express, or three days after the date of posting if mailed
by
registered or certified mail, postage prepaid, addressed to the Company, c/o
General Counsel, at 000 X. Xxxxxxxxxx Xxxxxx, Xxxxx 000, Xxxx Xxxx Xxxxx,
Xxxxxxx 00000, and to Participant at Participant’s address as set forth on the
signature page hereto (or such other address to which the Company or you hereby
notify the other party hereto to send such notices and communications). Such
notices and other communications shall not be considered delivered until
actually received or deemed received pursuant to this
Section 18.
19. Further
Assurances.
The
parties agree to execute such further instruments and to take such further
action as may reasonably be necessary to carry out the intent of this
Agreement.
20. Entire
Agreement.
This
Agreement constitutes the entire agreement between the Company and Participant
and supersedes any prior agreements and understandings, oral or written, between
the Company and you concerning the subject matter of this
Agreement.
21. Construction.
The
section headings contained in this Agreement are for reference only and shall
have no effect on the interpretation of any of the provisions of this
Agreement.
22. Amendment.
This
Agreement may (except as provided in the Plan) only be amended, altered or
modified by a written instrument signed by the parties hereto, or their
respective successors, and it may not be terminated (except as provided herein
or in the Plan).
-4-
IN
WITNESS WHEREOF,
the
Company has caused this Agreement to be signed by a duly authorized officer,
and
Participant has affixed his signature hereto.
METROPOLITAN
HEALTH NETWORKS, INC.
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By:
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Xxxxxxx
X. Xxxxxx, Chairman
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DIRECTOR
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Address:
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Social
Security Number:
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Grant
No.: ______
EXHIBIT
A
ELECTION
TO INCLUDE VALUE OF RESTRICTED PROPERTY
IN
GROSS INCOME IN YEAR OF TRANSFER UNDER SECTION 83(b)
Pursuant
to Section 83(b) of the Internal Revenue Code of 1986, as amended, I hereby
elect to include in my gross income at the time of transfer the amount
includible under Section 83(b) with respect to the restricted property described
below, in accordance with applicable regulations:
1. |
The
name, address and taxpayer information number of the undersigned
are:
|
Name:
____________________________________________________________
Address:
____________________________________________________________
Taxpayer
Identification Number: ___________________________________________
2. |
Description
of property with respect to which the election is being
made:
|
__________________________
shares of common stock, $.001 par value, of Metropolitan Health Networks,
Inc.
3.
|
Date
on which the property was transferred and taxable year for which
the
election is made:
|
Date
of
transfer: _______________
Taxable
year for which election made: Calendar year ______
4. |
The
nature of the restriction(s) to which the property is
subject:
|
Forfeiture
in the event that the undersigned terminates his/her services as a member of
the
Board of Directors of Metropolitan Health Networks, Inc. before the restricted
shares becomes vested in accordance with the terms of the Restricted Stock
Award
Agreement.
5. |
Fair
market value at time of
transfer:
|
The
fair
market value at the time of transfer (determined without regard to any
restrictions other than restrictions which by their terms will never lapse)
of
the property with respect to which this election is being made is ______ per
share, for an aggregate fair market value of $_____________.
6. |
Amount
paid for the
property:
|
No
amount
has been paid by the undersigned for said property.
7. |
Furnishing
statement to company:
|
A
copy of
this statement has been furnished to Metropolitan Health Networks,
Inc.
Signature:
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Name:
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INSTRUCTIONS
FOR SECTION 83(b) ELECTION FORM:
1. Review
and complete all items on this form, including:
§
|
Address
and taxpayer identification number (i.e., Social Security number)
(Item
1)
|
§
|
Date
of transfer (Item 3)
|
§
|
Fair
market value per share and in the aggregate (Item
5)
|
§
|
Signature
and date (bottom)
|
2. Provide
a
copy of this form within 30 days of the date of the agreement to:
§
|
the
CFO or Controller for Metropolitan Health Networks,
Inc.
|
§
|
Director,
Internal Revenue Service Center, of the Service Center where you
expect to
file your income tax return
|
3. Attach
a
copy of this form to your Federal income tax return for the calendar year
involved.