0001144204-15-068958 Sample Contracts

FORM OF AMENDMENT TO RESTRICTED STOCK AND CASH INCENTIVE AGREEMENT

Restricted Stock and Cash Incentive Agreement • December 2nd, 2015 • Symmetry Surgical Inc. • Orthopedic, prosthetic & surgical appliances & supplies

• Contract Type
  Restricted Stock and Cash Incentive Agreement
• Filed
  December 2nd, 2015
• Company
  Symmetry Surgical Inc.
• Industry
  Orthopedic, prosthetic & surgical appliances & supplies

THIS AMENDMENT TO RESTRICTED STOCK AND CASH INCENTIVE AGREEMENT (the “Amendment”) is made on this 1st day of December, 2015 ("Effective Date") between Symmetry Surgical Inc., a Delaware corporation (the “Company”), and _______________ (“Grantee”).