SYNERGETICS USA, INC. Date of Grant: Employee Restricted Stock Agreement Employee: No. of Shares:Synergetics Usa Inc • June 13th, 2006 • Electromedical & electrotherapeutic apparatus • Missouri
This Agreement will certify that the employee named above (“Employee”) is awarded the number of restricted shares of common stock, $0.001 par value per share (the “Common Stock”), of Synergetics USA, Inc. (the “Company”), designated above (the “Restricted Stock”), pursuant to the Company’s Amended and Restated 2001 Stock Plan (the “Plan”), as of the date indicated above (the “Grant Date”) and subject to the terms, conditions and restrictions in the Plan and those set forth below. Any capitalized, but undefined, term used in this Agreement shall have the meaning ascribed to it in the Plan. Employee’s signature below constitutes Employee’s acceptance of this award and acknowledgment of Employee’s agreement to all the terms, conditions and restrictions contained in the Plan and this Agreement.
