HEALTHSPRING, INC. RESTRICTED SHARE AWARD AGREEMENT (Officer and Employee)
EXHIBIT 10.4
THIS RESTRICTED SHARE AWARD AGREEMENT (this “Agreement”) is made and entered into as of the
___ day of , 2007 (the “Grant Date”), between HealthSpring, Inc., a Delaware
corporation, together with its subsidiaries (the “Company”), and
(the
“Grantee”). Capitalized terms not otherwise defined herein shall have the meaning ascribed to such
terms in the HealthSpring, Inc. 2006 Equity Incentive Plan (the “Plan”).
(a) The
Company hereby grants to the Grantee an award (the “Award”) of shares
of Common Stock (the “Shares” or the “Restricted Shares”) on the terms and conditions set forth in
this Agreement and as otherwise provided in the Plan.
(b) The Grantee’s rights with respect to the Award shall remain forfeitable at all times prior
to the dates on which the restrictions shall lapse in accordance with Sections 2 and
3 hereof.
(a) Except as provided herein and subject to such other exceptions as may be determined by the
Committee in its discretion, the “Restricted Period” for twenty five (25%) of the Restricted Shares
granted herein shall expire on the each anniversary of the date hereof.
(b) The Grantee shall have all rights of a stockholder with respect to the Restricted Shares,
including the right to receive dividends and the right to vote such Shares, subject to the
following restrictions:
(i) the Grantee shall not be entitled to delivery of the stock certificate for any Shares
until the expiration of the Restricted Period as to such Shares;
(ii) none of the Restricted Shares may be sold, assigned, transferred, pledged, hypothecated
or otherwise encumbered or disposed of during the Restricted Period as to such Shares; and
(iii) except as otherwise determined by the Committee at or after the grant of the Award
hereunder, any Restricted Shares as to which the applicable “Restricted Period” has not expired
shall be forfeited, and all rights of the Grantee to such Shares shall terminate, without further
obligation on the part of the Company, unless the Grantee remains in the continuous employment of
the Company for the entire Restricted Period.
(c) Notwithstanding the foregoing, the Restricted Period shall automatically terminate as to
all Restricted Shares awarded hereunder (as to which such Restricted Period has not previously
terminated) upon the occurrence of termination of the Grantee’s employment from the Company, a
Subsidiary or Affiliate which results from Grantee’s death or Disability (to be determined in the
sole discretion of the Committee).
Any Shares, any other securities of the Company and any other property (except for cash
dividends) distributed with respect to the Restricted Shares shall be subject to the same
restrictions, terms and conditions as such Restricted Shares.
(a) As of the date hereof, certificates representing the Restricted Shares shall be registered
in the name of the Grantee and held by the Company or transferred to a custodian appointed by the
Company for the account of the Grantee subject to the terms and conditions of the Plan and shall
remain in the custody of the Company or such custodian until their delivery to the Grantee as set
forth in Section 4(b) hereof or their reversion to the Company as set forth in Section 2(b) hereof.
(b) Certificates representing Restricted Shares in respect of which the applicable Restricted
Period has lapsed pursuant to this Agreement shall be delivered to the Grantee upon request
following the date on which the restrictions on such Restricted Shares lapse.
(c) Each certificate representing Restricted Shares shall bear a legend in substantially the
following form or substance:
THIS CERTIFICATE AND THE SHARES OF STOCK REPRESENTED HEREBY ARE SUBJECT TO THE TERMS
AND CONDITIONS (INCLUDING
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FORFEITURE AND RESTRICTIONS AGAINST TRANSFER) CONTAINED IN THE HEALTHSPRING, INC.
2006 EQUITY INCENTIVE PLAN (THE “PLAN”) AND THE RESTRICTED SHARE AWARD AGREEMENT
(THE “AGREEMENT”) BETWEEN THE OWNER OF THE RESTRICTED SHARES REPRESENTED HEREBY AND
HEALTHSPRING, INC. (THE “COMPANY”). THE RELEASE OF SUCH SHARES FROM SUCH TERMS AND
CONDITIONS SHALL BE MADE ONLY IN ACCORDANCE WITH THE PROVISIONS OF THE PLAN AND THE
AGREEMENT AND ALL OTHER APPLICABLE POLICIES AND PROCEDURES OF THE
COMPANY, COPIES OF
WHICH ARE ON FILE AT THE COMPANY.
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included in the Award that number of whole shares necessary to satisfy such taxes as of the
date the restrictions lapse with respect to such Shares based on the Fair Market Value of the
Shares.
To the Company: | HealthSpring, Inc. | |||
00 Xxxxxxx Xxx, Xxxxx 000 | ||||
Xxxxxxxxx, Xxxxxxxxx 00000 | ||||
Attn: General Counsel | ||||
To the Grantee: | The address then maintained with respect to the Grantee in the Company’s records. |
13. Governing Law. The validity, construction and effect of this Agreement shall be
determined in accordance with the laws of the State of Delaware without giving effect to conflicts
of laws principles.
(Remainder of Page Intentionally Left Blank.)
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IN WITNESS WHEREOF, the parties have caused this Restricted Share Award Agreement to be duly
executed effective as of the day and year first above written.
HEALTHSPRING, INC. | ||||||
By: | ||||||
GRANTEE: | ||||||
Please Print | ||||||
GRANTEE: | ||||||
Signature |
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