0001104659-13-061335 Sample Contracts

RESTRICTED STOCK AGREEMENT KIPS BAY MEDICAL, INC.
Restricted Stock Agreement • August 8th, 2013 • Kips Bay Medical, Inc. • Surgical & medical instruments & apparatus • Minnesota

THIS AGREEMENT is made effective as of this day of , 20 , by and between Kips Bay Medical, Inc., a Delaware corporation (the “Company”), and (“Participant”).

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NONQUALIFIED STOCK OPTION AGREEMENT KIPS BAY MEDICAL, INC.
Nonqualified Stock Option Agreement • August 8th, 2013 • Kips Bay Medical, Inc. • Surgical & medical instruments & apparatus • Minnesota

THIS AGREEMENT is made effective as of this day of , 20 , by and between Kips Bay Medical, Inc., a Delaware corporation (the “Company”), and (“Participant”).

INCENTIVE STOCK OPTION AGREEMENT KIPS BAY MEDICAL, INC.
Incentive Stock Option Agreement • August 8th, 2013 • Kips Bay Medical, Inc. • Surgical & medical instruments & apparatus • Minnesota

THIS AGREEMENT is made effective as of this day of , 20 , by and between Kips Bay Medical, Inc., a Delaware corporation (the “Company”), and (“Participant”).

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