0001104659-11-058130 Sample Contracts

ADCARE HEALTH SYSTEMS, INC. INCENTIVE STOCK OPTION AGREEMENT UNDER THE 2011 STOCK INCENTIVE PLAN

Incentive Stock Option Agreement • October 27th, 2011 • Adcare Health Systems Inc • Services-skilled nursing care facilities • Ohio

• Contract Type
  Incentive Stock Option Agreement
• Filed
  October 27th, 2011
• Company
  Adcare Health Systems Inc
• Industry
  Services-skilled nursing care facilities
• Jurisdiction
  Ohio

AdCare Health Systems, Inc. (the “Company”) hereby grants, effective this day of , , (the “Effective Date”) to (the “Optionee”) an option (the “Option”) to purchase shares (the “Option Shares”) of its common stock, without par value (the “Common Stock”), at a price of Dollars ($ ) per share (the “Exercise Price”) pursuant to the Company’s 2011 Stock Incentive Plan (the “Plan”) and on the following terms and condition (capitalized terms not otherwise defined herein shall have the meanings given them in the Plan):

ADCARE HEALTH SYSTEMS, INC. NON-STATUTORY STOCK OPTION AGREEMENT UNDER THE 2011 STOCK INCENTIVE PLAN

Non-Statutory Stock Option Agreement • October 27th, 2011 • Adcare Health Systems Inc • Services-skilled nursing care facilities • Ohio

• Contract Type
  Non-Statutory Stock Option Agreement
• Filed
  October 27th, 2011
• Company
  Adcare Health Systems Inc
• Industry
  Services-skilled nursing care facilities
• Jurisdiction
  Ohio

AdCare Health Systems, Inc. (the “Company”) hereby grants, effective this day of , (the “Effective Date”) to (the “Optionee”) an option (the “Option”) to purchase shares (the “Option Shares”) of its common stock, without par value (the “Common Stock”), at a price of Dollars ($ ) per share (the “Exercise Price”) pursuant to the Company’s 2011 Stock Incentive Plan (the “Plan”) and on the following terms and condition (capitalized terms not otherwise defined herein shall have the meanings given them in the Plan):