AMERISAFE, INC. 2005 EQUITY INCENTIVE PLAN NONQUALIFIED STOCK OPTION AWARD AGREEMENT2005 Equity Incentive Plan Nonqualified Stock Option Award Agreement • October 31st, 2005 • Amerisafe Inc • Fire, marine & casualty insurance • Texas
Contract Type FiledOctober 31st, 2005 Company Industry JurisdictionTHIS OPTION AWARD AGREEMENT (this “Agreement”), dated as of ____________ ____, 2005 is entered into between AMERISAFE, Inc., a Texas corporation (the “Company”), and Mark R. Anderson (“Optionee”). Capitalized terms used herein but not defined shall have the meanings assigned to those terms in the AMERISAFE, Inc. 2005 Equity Incentive Plan (the “Plan”). Optionee is currently an executive officer of the Company. Optionee will resign as an officer of the Company and its Subsidiaries as of December 31, 2005 but shall remain a consultant to the Company pursuant to an agreement dated October 27, 2005 (the “Consulting Agreement”).
AMERISAFE, INC. 2005 EQUITY INCENTIVE PLAN NONQUALIFIED STOCK OPTION AWARD AGREEMENT2005 Equity Incentive Plan Nonqualified Stock Option Award Agreement • October 31st, 2005 • Amerisafe Inc • Fire, marine & casualty insurance • Texas
Contract Type FiledOctober 31st, 2005 Company Industry JurisdictionTHIS OPTION AWARD AGREEMENT (this “Agreement”), dated as of ____________, is entered into between AMERISAFE, INC. a Texas corporation (the “Company”), and _____________________ (“Optionee”). Capitalized terms used herein but not defined shall have the meanings assigned to those terms in the AMERISAFE, Inc. 2005 Equity Incentive Plan (the “Plan”).