FORM OF STOCK OPTION FORFEITURE AGREEMENTForm of Stock Option Forfeiture Agreement • November 19th, 2018 • Amplify Energy Corp • Crude petroleum & natural gas • Delaware
Contract Type FiledNovember 19th, 2018 Company Industry JurisdictionThis Stock Option Forfeiture Agreement (this “Agreement”) is made by and between Amplify Energy Corp., a Delaware corporation (the “Company”), and the individual (the “Participant”) whose name is set forth on the signature page attached here to (the “Signature Page”), effective as of the date set forth on the Signature Page as the “Date of Forfeiture”. Capitalized terms not otherwise defined in this Agreement shall have the meanings ascribed to those terms in the Plan.