Exhibit 99 SYMBION STOCK INCENTIVE PLAN RESTRICTED STOCK AGREEMENT GRANT NUMBER __________R THIS AGREEMENT is made and entered into on this ______ day of ___________, 20__, by and between Symbion, Inc. (the "Company") and __________ (the...Symbion Stock Incentive Plan Restricted Stock Agreement • January 11th, 2005 • Symbion Inc/Tn • Services-offices & clinics of doctors of medicine • Tennessee
