0001193125-16-505204 Sample Contracts

SURGERY PARTNERS, INC. FORM OF RESTRICTED STOCK AWARD AGREEMENT

Restricted Stock Award Agreement • March 15th, 2016 • Surgery Partners, Inc. • Services-general medical & surgical hospitals, nec • Tennessee

• Contract Type
  Restricted Stock Award Agreement
• Filed
  March 15th, 2016
• Company
  Surgery Partners, Inc.
• Industry
  Services-general medical & surgical hospitals, nec
• Jurisdiction
  Tennessee

This agreement (the “Agreement”) evidences a grant of Restricted Stock by Surgery Partners, Inc. (the “Company”) to the undersigned (the “Grantee”), pursuant to and subject to the terms of the Surgery Partners, Inc. 2015 Omnibus Incentive Plan (as amended from time to time, the “Plan”).