0001638833-17-000010 Sample Contracts

NON-EMPLOYEE DIRECTOR RESTRICTED STOCK AWARD AGREEMENT
Restricted Stock Award Agreement • April 3rd, 2017 • Surgery Partners, Inc. • Services-general medical & surgical hospitals, nec • 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”).

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