0001104659-22-009517 Sample Contracts

INTERCEPT PHARMACEUTICALS, INC. PERFORMANCE-BASED AWARD AGREEMENT
Award Agreement • January 31st, 2022 • Intercept Pharmaceuticals, Inc. • Pharmaceutical preparations • Delaware

This Performance-Based Award Agreement (the “Performance-Based Award Agreement”), dated as of ________ ___, 2022 (the “Date of Grant”), is made by and between Intercept Pharmaceuticals, Inc. (the “Company”) and the participant named above (the “Participant”) under the Intercept Pharmaceuticals, Inc. 2022 Cash Incentive Plan, as it may be amended from time to time (the “Plan”). The Participant has been granted a Performance-Based Award, as described below (the “Performance-Based Award”), subject to the Participant’s acceptance of the attached Performance-Based Award Terms and Conditions (the “Performance-Based LTIP Terms and Conditions”) and the Plan, both of which are made a part hereof and are incorporated herein by reference.

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