PERFORMANCE UNIT AWARD AGREEMENT INFUSYSTEM HOLDINGS, INC. EQUITY PLANPerformance Unit Award Agreement • May 27th, 2020 • InfuSystem Holdings, Inc • Surgical & medical instruments & apparatus • Delaware
Contract Type FiledMay 27th, 2020 Company Industry JurisdictionThis Performance Unit Award Agreement (this "Agreement") is entered into on _____________, 20__ ("Date of Grant") by and between InfuSystem Holdings, Inc. (the "Company") and _______________ (the "Grantee"). The Performance Units granted pursuant to this Agreement (the "Performance Units") are in all respects subject to the terms and conditions of the InfuSystem Holdings, Inc. 2014 Equity Plan (the "Plan"), which is incorporated by reference herein, and the receipt of which is hereby acknowledged by Grantee. Any capitalized terms that are not defined in this Agreement have the same meaning as in the Plan.