Restricted Stock and Cash Incentive Sample Contracts

RESTRICTED STOCK AND CASH INCENTIVE AGREEMENT - EXECUTIVE OFFICER
Restricted Stock and Cash Incentive • March 13th, 2015 • Symmetry Surgical Inc. • Orthopedic, prosthetic & surgical appliances & supplies • Tennessee

THIS RESTRICTED STOCK AND CASH INCENTIVE AGREEMENT (the “Agreement”) is made on this 2nd day of January, 2015 ("Grant Date") between Symmetry Surgical Inc., a Delaware corporation (the “Company”), and _______________ (“Grantee”).

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