0001193125-05-095936 Sample Contracts

RESTRICTED STOCK AGREEMENT
Restricted Stock Agreement • May 4th, 2005 • Symmetry Medical Inc. • Orthopedic, prosthetic & surgical appliances & supplies • New York

THIS RESTRICTED STOCK AGREEMENT (this “Agreement”) is made as of , 200 between Symmetry Medical Inc., a Delaware corporation (the “Company”), and (“Grantee”).

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