0001193125-11-125726 Sample Contracts

SOLTA MEDICAL, INC.
Restricted Stock Unit Agreement • May 4th, 2011 • Solta Medical Inc • Electromedical & electrotherapeutic apparatus • California

You (“Grantee”) have been granted an award of market performance-based Restricted Stock Units under the Company’s 2006 Equity Incentive Plan (the “Plan”). The date of this Restricted Stock Unit Agreement (the “Agreement”) is the Grant Date defined below. Subject to the provisions of Appendix A and the Plan, which are attached hereto and incorporated herein in their entirety, the principal features of this award are as follows:

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