Form of Stock Option
EXHIBIT 10.4
Form of
Stock Option
Granted by
FFBW, INC.
under the
FFBW, INC.
2021 EQUITY INCENTIVE PLAN
This stock option agreement (“Option”
or “Agreement”) is and will be subject in every respect to the provisions of the 2021 Equity Incentive Plan (the “Plan”) of FFBW, Inc. (the “Company”) which are incorporated herein by
reference and made a part hereof, subject to the provisions of this Agreement. A copy of the Plan has been provided, or made available, to each person granted a stock option pursuant to the Plan. The holder of this Option (the “Participant”) hereby accepts this Option, subject to all the terms and provisions of the Plan and this Agreement, and agrees that all decisions under
and interpretations of the Plan and this Agreement by the Compensation Committee of the Board of Directors of the Company (“Committee”) will be
final, binding and conclusive upon the Participant and the Participant’s heirs, legal representatives, successors and permitted assigns. Except where the context otherwise requires, the term “Company” will include the parent and all present and
future subsidiaries of the Company as defined in Section 424(e) and 424(f) of the Internal Revenue Code of 1986, as amended from time to time (the “Code”).
Capitalized terms used herein but not defined will have the same meaning as in the Plan.
1.
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Name of Participant._____________________
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2.
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Date of Grant. ________________, 20 .
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3.
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Total number of shares of Company common stock, $0.01 par value per share, that
may be acquired pursuant to this Option._____________
(subject to adjustment pursuant to Section 10
hereof).
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•
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This is a Non-Qualified Option.
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4.
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Exercise price per share. $_____________________
(subject to adjustment pursuant to Section 10
below)
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5. |
Expiration Date of Option. _____________, 20 . Notwithstanding anything in this Agreement to the contrary, no part
of this Option may be exercised at any time on or after the expiration date.
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6. |
Vesting Schedule. Unless sooner vested in accordance with the terms of the Plan and this Agreement, the Option granted hereunder will vest (i.e., become exercisable) in accordance with the following schedule:
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Vesting Date
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Number of Options Vesting
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Vesting will automatically accelerate pursuant to Sections 2.7 and 4.1 of the Plan (in the event of death, Disability or Involuntary
Termination following a Change in Control).
7. Exercise Procedure.
7.1 |
Delivery of Notice of Exercise of Option. This Option will be
exercised in whole or in part by the Participant’s delivery to the Company of written notice (the “Notice of Exercise of Option” attached
hereto as Exhibit A) setting forth the number of shares with respect to which this Option is to be exercised, together with payment by cash or other means acceptable to the Committee, including:
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•
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Cash or personal, certified or cashier’s check in full/partial payment of the purchase price.
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Stock of the Company in full/partial payment of the purchase price.
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By a net settlement of the Option, using a portion of the shares obtained on exercise in payment of the exercise price of the Option (and, if
applicable, any required tax withholding).
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•
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By selling shares from my Option shares through a broker in full/partial payment of the purchase price.
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7.2 |
“Fair Market Value” shall have the meaning set forth in Section
8.1(r) of the Plan.
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8.
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Delivery
of Shares.
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8.1 |
Delivery of Shares. Delivery of shares of Common Stock upon the
exercise of this Option will comply with all applicable laws (including the requirements of the Securities Act) and the applicable requirements of any securities exchange or similar entity.
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9.
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Change
in Control.
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9.1 |
In the event of the Participant’s Involuntary Termination following a Change in Control, all Options held by the Participant, whether or not exercisable at such time,
will become fully exercisable, subject to the expiration provisions otherwise applicable to the Option.
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9.2 |
A “Change in Control” will be deemed to have occurred as provided
in Section 4.2 of the Plan.
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10.
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Adjustment
Provisions.
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This Option, including the number of shares subject to the Option and the exercise price, will be adjusted upon
the occurrence of the events specified in, and in accordance with the provisions of Section 3.4 of the Plan.
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11.
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Termination
of Option and Accelerated Vesting.
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This Option will terminate upon the expiration date, except as set forth in the following provisions:
(i)
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Death. This Option will become
exercisable as to all shares subject to an outstanding Award, whether or not then exercisable, in the event of the Participant’s Termination of Service by reason of the Participant’s death. This Option may thereafter be exercised by the
Participant’s legal representative or beneficiaries for a period of one (1) year from the date of death, subject to termination on the expiration date of this Option, if earlier.
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(ii)
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Disability. This Option will become
exercisable as to all shares subject to an outstanding Award, whether or not then exercisable, in the event of the Participant’s Termination of Service by reason of the Participant’s Disability. This Option may thereafter be exercised for a
period of one (1) year from the date of such Termination of Service by reason of Disability, subject to termination on the Option’s expiration date, if earlier.
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(iii)
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Retirement. Vested Options may be
exercised for a period of one (1) year from the date of Termination of Service by reason of Retirement (and, for purposes of clarity, non-vested Options will be forfeited on the date of Termination of Service by reason of Retirement).
“Retirement” shall have the meaning set forth in Section 8.1(cc) of the Plan.
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(iv)
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Termination for Cause. If the
Participant’s Service has been terminated for Cause, all Options that have not been exercised will expire and be forfeited.
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(v)
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Other Termination. If the Participant’s
Service terminates for any reason other than due to death, Disability, Retirement, Involuntary Termination following a Change in Control or for Cause, this Option may thereafter be exercised, to the extent it was exercisable at the time of
such termination, for a period of three (3) months following termination.
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12.
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Miscellaneous.
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12.1 |
No Option will confer upon the Participant any rights as a stockholder of the Company prior to the date on which the individual fulfills all conditions for receipt of
such rights.
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12.2 |
This Agreement may not be amended or otherwise modified unless evidenced in writing and signed by the Company and the Participant.
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12.3 |
At the discretion of the Committee, a Non-Qualified Option granted under the Plan may be transferable by the Participant, provided, however, that transfers will be
limited to Immediate Family Members of Participants, trusts and partnerships established for the primary benefit of such family members or to charitable organizations, and provided, further, that the transfers are not made for consideration
to the Participant.
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12.4 |
This Agreement will be governed by and construed in accordance with the laws of the State of Wisconsin.
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12.5 |
This Option will be subject to any required federal, state and local tax withholding, which may be effected in the manner or manners permitted by the Company.
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12.6 |
The granting of this Option does not confer upon the Participant any right to be retained in the service of the Company or any subsidiary.
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12.7 |
This Option is subject to forfeiture in accordance with the provisions of Section 7.17 of the Plan or as otherwise adopted by the Company.
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[Signature Page to Follow]
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IN WITNESS WHEREOF, the Company has caused this Agreement to be executed in its name and on its behalf as of the
date of grant of this Option set forth above.
FFBW, INC.
By:________________________________
Its: ________________________________
PARTICIPANT’S ACCEPTANCE
The undersigned hereby accepts the foregoing Option and agrees to the terms and conditions hereof, including the
terms and provisions of the 2021 Equity Incentive Plan. The undersigned hereby acknowledges receipt of a copy of the Company’s 2021 Equity Incentive Plan.
PARTICIPANT
___________________________________
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EXHIBIT A
NOTICE OF EXERCISE OF OPTION
I hereby exercise the stock option (the “Option”) granted to me by FFBW, Inc. (the “Company”) or its affiliate, subject to all the terms
and provisions set forth in the Stock Option Agreement (the “Agreement”) and the FFBW, Inc. 2021 Equity Incentive Plan (the “Plan”) referred to therein, and notify you of my desire to purchase __________________ shares of common stock of the Company
(“Common Stock”) for a purchase price of $______ per share.
I elect to pay the exercise price by:
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Cash or personal, certified or cashier’s check in the sum of $_______, in full/partial payment of the purchase price.
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Stock of the Company with a fair market value of $______ in full/partial payment of the purchase price.*
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A net settlement of the Option, using a portion of the shares obtained on exercise in payment of the exercise price of the Option (and, if applicable, any required tax
withholding).
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Selling ______ shares from my Option shares through a broker in full/partial payment of the purchase price.
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I understand that after this exercise, ____________ shares of Common Stock remain subject to the Option, subject to
all terms and provisions set forth in the Agreement and the Plan.
I hereby represent that it is my intention to acquire these shares for the following purpose:
___ investment
___ resale or distribution
Please note: if your intention is to resell (or distribute within the meaning of Section 2(11) of the Securities
Act of 1933) the shares you acquire through this Option exercise, the Company or transfer agent may require an opinion of counsel that such resale or distribution would not violate the Securities Act of 1933 prior to your exercise of such Option.
Date: ____________, _____. _________________________________________
Participant’s signature
* If I elect to exercise by exchanging shares I already own, I will constructively
return shares that I already own to purchase the new option shares. If my shares are in certificate form, I must attach a separate statement indicating the certificate number of the shares I am treating as having exchanged. If the shares are held
in “street name” by a registered broker, I must provide the Company with a notarized statement attesting to the number of shares owned that will be treated as having been exchanged. I will keep the shares that I already own and treat them as if
they are shares acquired by the option exercise. In addition, I will receive additional shares equal to the difference between the shares I constructively exchange and the total new option shares that I acquire.
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