EX-10.19A 3 v392033_ex10-19a.htm EXHIBIT 10.19A

 

Exhibit 10.19a

 

Pursuant to the terms and conditions of the Company’s 2014 Incentive Plan (the “Plan”), you have been granted an Incentive Stock Option to purchase ________ shares of stock as outlined below.

 

Granted To:  Employee Name  
   
Grant Date:  mm/dd/yyyy  
   
Granted:  ##  
   
Grant Price:  $## Total Cost to Exercise:  $##
   
Expiration Date:  mm/dd/yyy  
   
Vesting Schedule:  

 

By my signature below, I hereby acknowledge receipt of this Grant on the date shown above, which has been issued to me under the terms and conditions of the Plan. I further acknowledge receipt of the copy of the Plan and agree to conform to all of the terms and conditions of the Grant and the Plan.

 

Signature:     Date: