0001144204-06-012513 Sample Contracts

Lauderdale Lakes, FL 33311
Program Stock Option Agreement • March 30th, 2006 • 21st Century Holding Co • Fire, marine & casualty insurance • Florida

THIS AGREEMENT CERTIFIES THAT, for value received, and for his service _______________________ ("Optionee") is entitled to purchase from 21st Century Holding Company, a Florida corporation, ("21st Century"), ________ (___) shares of 21st Century's common stock (treasury stock), $.01 par value per share (the "Common Stock"), at the price of $ ____per share (the "Exercise Price"), subject to the terms and conditions of this Agreement and 21st Century’s 2001 Franchise Program Stock Option Plan (the "Plan").

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