AMERISAFE, INC. 2005 EQUITY INCENTIVE PLAN RESTRICTED STOCK AWARD AGREEMENTEquity Incentive Plan Restricted Stock Award Agreement • March 15th, 2006 • Amerisafe Inc • Fire, marine & casualty insurance • Texas
THIS RESTRICTED STOCK AWARD AGREEMENT (this “Agreement”), dated as of ___, 200___is entered into between AMERISAFE, INC., a Texas corporation (the “Company”), and (“Grantee”). Capitalized terms used herein but not defined shall have the meanings assigned to those terms in the AMERISAFE, Inc. 2005 Equity Incentive Plan (the “Plan”).
