Maryland
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84-4132422
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(State or Other Jurisdiction of
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(I.R.S. Employer Identification No.)
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Incorporation or Organization)
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Mr. David P. Mansfield
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Edward A. Quint, Esquire
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President and Chief Executive Officer
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Thomas P. Hutton, Esquire
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Provident Bancorp, Inc.
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Luse Gorman, PC
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5 Market Street
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5335 Wisconsin Ave., N.W., Suite 780
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Amesbury, Massachusetts 01913
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Washington, DC 20015-2035
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(978) 388-0050
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(202) 274-2000
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(Name, Address and Telephone
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Number of Agent for Service)
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Large accelerated filer ◻
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Accelerated filer ⌧
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Non-accelerated filer ◻
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Smaller reporting company ⌧
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Emerging growth company ⌧
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Title of Securities to be Registered
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Amount to be Registered (1)
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Proposed Maximum Offering Price Per Share
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Proposed Maximum Aggregate Offering Price
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Amount of Registration Fee
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Common stock, par value $0.01 per share
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1,429,734
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9.76(2)
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$13,954,204
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$1,523
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(1) |
Represents the maximum number of shares of the registrant’s common stock, par value $0.01 (“Common Stock”), reserved for issuance under the Provident Bancorp, Inc. 2020 Equity Incentive Plan (the “Incentive Plan”). Pursuant to Rule 416
under the Securities Act of 1933, as amended (the “Securities Act”), this registration statement also covers additional shares that may become issuable under the Equity Incentive Plan by reason of certain corporate transactions or events,
including any stock split, stock dividend or similar adjustment of the outstanding Common Stock of Provident Bancorp, Inc. (the “Company”) pursuant to 17 C.F.R. Section 230.416(a).
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(2) |
Determined pursuant to 17 C.F.R. Section 230.457(h)(1) of the Securities Act.
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Regulation S-K
Exhibit Number
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Document
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Reference to Prior Filing or
Exhibit No. Attached Hereto
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*
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Attached as Exhibit 5
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**
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Attached as Exhibit 10.2
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Attached as Exhibit 10.3
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Attached as Exhibit 10.4
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Contained in Exhibit 5
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Attached as Exhibit 23.2
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Contained on Signature Page
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* |
Incorporated by reference to Exhibit 4 to the Registration Statement on Form S-1 (File No. 333-232018) originally filed by the Company under the Securities Act of 1933 with the Commission on June 7, 2019, and all amendments or reports
filed for the purpose of updating such description.
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** |
Incorporated by reference to Appendix A to the proxy statement for the Special Meeting of Stockholders of Provident Bancorp, Inc. (File No. 001-39090), filed by the Company under the Exchange Act on October 19, 2020.
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Item 9. |
Undertakings
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PROVIDENT BANCORP, INC.
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By:
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/s/ David P. Mansfield |
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David P. Mansfield
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President and Chief Executive Officer
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(Duly Authorized Representative)
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Signatures
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Title
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Date
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/s/ David P. Mansfield |
President, Chief Executive Officer
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November 23, 2020
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David P. Mansfield
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and Director
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(Principal Executive Officer)
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/s/ Carol L. Houle |
Executive Vice President and Chief
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November 23, 2020
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Carol L. Houle
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Operating Officer (Principal Financial and Accounting Officer)
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/s/ Frank G. Cousins, Jr. |
Director
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November 23, 2020
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Frank G. Cousins, Jr.
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/s/ James A. DeLeo |
Director
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November 23, 2020
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James A. DeLeo
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Signatures
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Title
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Date
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/s/ Lisa B. DeStefano |
Director
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November 23, 2020
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Lisa B. DeStefano
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/s/ Jay E. Gould |
Director
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November 23, 2020
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Jay E. Gould
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/s/ Laurie H. Knapp |
Director
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November 23, 2020
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Laurie H. Knapp
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/s/ Barbara Piette |
Director
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November 23, 2020
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Barbara Piette
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/s/ Joseph B. Reilly |
Director
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November 23, 2020
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Joseph B. Reilly
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/s/ Arthur W Sullivan |
Director
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November 23, 2020
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Arthur W. Sullivan
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/s/ Charles F. Withee |
Director
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November 23, 2020
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Charles F. Withee
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Re: |
Provident Bancorp, Inc. - Registration Statement on Form S-8
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Very truly yours,
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/s/ Luse Gorman, PC |
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LUSE GORMAN, PC
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1.
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Name of Participant:______________________
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2.
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Date of Grant: __________, 202 .
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3.
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Total number of shares of Company common stock, $0.01 par value per share, that may be acquired pursuant to this Option:________
(subject to adjustment pursuant to Section 9 hereof). |
•
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This Award is intended to be an Incentive Stock Option. The Option will be an Incentive Stock Option to the maximum extent permitted under the tax laws, which means that up to $100,000 of Options that vest in any one calendar year
will be Incentive Stock Options (based on the exercise price of the Option).
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•
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Please note that for purposes of determining the maximum number of Options that can vest in any one calendar year as Incentive Stock Options, the Options granted to you pursuant to this Agreement that vest in
a calendar year will be aggregated with any earlier Option grant you received that vest in the same calendar year. If you vest in the maximum number of Incentive Stock Options in which you are permitted to vest for a calendar year under a
prior Option Award, any Options that you receive under this Agreement that vest in the same calendar year will be considered Non-Qualified Stock Options.
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4.
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Exercise price per share: $ _______
(subject to adjustment pursuant to Section 9 below)
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5. |
Expiration Date of Option: _________, 20 . Notwithstanding anything in this Agreement to the contrary, no part of this Option may be exercised at any time on or after the expiration
date.
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6. |
Vesting Schedule. Unless sooner vested in accordance with the terms of the Plan and this Agreement, the Option granted hereunder will vest (i.e., become exercisable) in accordance with the following
schedule:
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7. |
Exercise Procedure and Delivery of Notice of Exercise of Option. This Option may be exercised in whole or in part by the Participant’s delivery to the Company of written notice (the “Notice of Exercise of Option” attached hereto as Exhibit A or as otherwise acceptable to the Company) setting forth the number of shares with respect to which this Option is to be exercised, together with
payment by cash or other means acceptable to the Committee, in accordance with Section 2.2(b) of the Plan.
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8. |
Delivery of Shares. Delivery of shares of Stock upon the exercise of this Option will comply with all applicable laws (including the requirements of the Securities Act) and the applicable
requirements of any securities exchange or similar entity.
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9. |
Adjustment Provisions.
This Option, including the number of shares subject to the Option and the exercise price, will be adjusted upon the occurrence of the events specified in, and in accordance with the provisions of, Section 3.4 of the Plan.
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10. |
Accelerated Vesting and Exercisability Period.
The vesting of this Option will accelerate as set forth in the following provisions:
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(i)
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Death. In the event of the Participant’s Termination of Service by reason of death, any unvested portion of the Option subject to this Agreement will vest and any
unexercised portion of the Option may thereafter be exercised by the Participant’s legal representative or beneficiaries for a period of one (1) year from the Participant’s death.
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(ii)
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Disability. In the event of the Participant’s Termination of Service by reason of the Participant’s Disability, any unvested portion of this
Option will vest and any unexercised portion of the Option may thereafter be exercised by the Participant or the Participant’s legal representative for a period of one (1) year following the Termination of Service due to Disability.
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(iii)
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Retirement. In the event of the Participant’s Termination of Service by reason of Retirement, any unvested portion of this Option will immediately expire and be
forfeited as of the date of the Termination of Service. The Participant may exercise any Options vested as of that date for a period of one (1) year from the date of Termination of Service by reason of Retirement.
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(iv)
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Change in Control. In the event of the Participant’s Involuntary Termination of Service at or following a Change in Control, any unvested portion of the Option will
vest and any unexercised portion of the Option may be exercised by the Participant or the Participant’s legal representative for a period of one (1) year following the Participant’s Involuntary Termination of Service.
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(v)
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Termination for Cause. In the event of the Participant’s Termination of Service for Cause, all Options subject to this
Agreement that have not been exercised will immediately expire and be forfeited.
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(vi)
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Other Termination. In the event of the Participant’s Termination from Service for any reason other than due to death,
Disability, Retirement, Involuntary Termination at or following a Change in Control or for Cause, this Option may thereafter be exercised, only to the extent it was exercisable at the time of the termination and only for a period of three
(3) months following the termination.
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11. |
Miscellaneous.
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11.1 |
No Option will confer upon the Participant any rights as a stockholder of the Company prior to the date on which the individual fulfills all conditions for receipt of such rights.
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11.2 |
This Agreement may not be amended or otherwise modified unless evidenced in writing and signed by the Company and the Participant.
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11.3 |
Except as otherwise provided by the Committee, Incentive Stock Options under the Plan are not transferable except (1) as designated by the Participant by will or by the laws of descent and distribution, (2) to a trust established by the
Participant, or (3) between spouses incident to a divorce or pursuant to a domestic relations order, provided, however, that in the case of a transfer described under (3), the Option will not qualify as an Incentive Stock Option as of the
day of the transfer.
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11.4 |
Under current tax laws, an Option that is exercised as an Incentive Stock Option is not subject to ordinary income taxes so long as it is held for the requisite holding period, e.g., two (2) years from the date of grant of the Option and
one (1) year from the date of exercise, whichever is later.
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11.5 |
This Agreement will be governed by and construed in accordance with the laws of the Commonwealth of Massachusetts.
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11.6 |
The granting of this Option does not confer upon the Participant any right to be retained in the service of the Company or any subsidiary.
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11.7 |
This Option is subject to forfeiture in accordance with the provisions of Section 7.17 of the Plan or as otherwise adopted by the Company.
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___ |
Cash or personal, certified or cashier’s check in the sum of $_______, in full/partial payment of the purchase price.
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Stock of the Company with a fair market value of $______ in full/partial payment of the purchase price.*
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My check in the sum of $_______ and stock of the Company with a fair market value of $______, in full/partial payment of the purchase price.*
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___ |
A net settlement of the Option, using a portion of the shares obtained on exercise in payment of the exercise price of the Option (and, if applicable, any minimum required tax withholding).
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___ |
Selling ______ shares from my Option shares through a broker in full/partial payment of the purchase price.
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1. |
Name of Participant:__________________
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2. | Date of Grant: __________, 202 . |
3.
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Total number of shares of Company common stock, $0.01 par value per share, that may be acquired pursuant to this Option:
_____________
(subject to adjustment pursuant to Section 9 hereof). |
•
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This is a Non-Qualified Stock Option.
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4. |
Exercise price per share: $ _______
(subject to adjustment pursuant to Section 9 below)
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5. |
Expiration Date of Option: _________, 20 . Notwithstanding anything in this Agreement to the contrary, no part of this Option may be exercised at any time on or after the expiration
date.
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6. |
Vesting Schedule. Unless sooner vested in accordance with the terms of the Plan and this Agreement, the Option granted hereunder will vest (i.e., become exercisable) in accordance with the following
schedule:
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7. |
Exercise Procedure and Delivery of Notice of Exercise of Option. This Option may be exercised in whole or in part by the Participant’s delivery to the Company of written notice (the “Notice of Exercise of Option” attached hereto as Exhibit A or as otherwise acceptable to the Company) setting forth the number of shares with respect to which this Option is to be exercised, together with
payment by cash or other means acceptable to the Committee, in accordance with Section 2.2(b) of the Plan.
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8. |
Delivery of Shares. Delivery of shares of Stock upon the exercise of this Option will comply with all applicable laws (including the requirements of the Securities Act) and the applicable
requirements of any securities exchange or similar entity.
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9. |
Adjustment Provisions.
This Option, including the number of shares subject to the Option and the exercise price, will be adjusted upon the occurrence of the events specified in, and in accordance with the provisions of, Section 3.4 of the Plan.
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10. |
Accelerated Vesting and Exercisability Period.
The vesting of this Option will accelerate as set forth in the following provisions:
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(i)
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Death. In the event of the Participant’s Termination of Service by reason of death, any unvested portion of the Option subject to this Agreement will vest and any
unexercised portion of the Option may thereafter be exercised by the Participant’s legal representative or beneficiaries for a period of one (1) year from the Participant’s death.
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(ii)
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Disability. In the event of the Participant’s Termination of Service by reason of the Participant’s Disability, any unvested portion of this Option will vest and any
unexercised portion of the Option may thereafter be exercised by the Participant or the Participant’s legal representative for a period of one (1) year following the Termination of Service due to Disability.
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(iii)
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Retirement. In the event of the Participant’s Termination of Service by reason of Retirement, any unvested portion of this Option will immediately expire and be
forfeited as of the date of the Termination of Service. The Participant may exercise any Options vested as of that date for a period of one (1) year from the date of Termination of Service by reason of Retirement.
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(iv)
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Change in Control. In the event of the Participant’s Involuntary Termination of Service at or following a Change in Control, any unvested portion of the Option will
vest and any unexercised portion of the Option may be exercised by the Participant or the Participant’s legal representative for a period of one (1) year following the Participant’s Involuntary Termination of Service.
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(v)
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Termination for Cause. In the event of the Participant’s Termination of Service for Cause, all Options subject to this
Agreement that have not been exercised will immediately expire and be forfeited.
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(vi) |
Other Termination. In the event of the Participant’s Termination from Service for any reason other than due to death, Disability, Retirement, Involuntary
Termination at or following a Change in Control or for Cause, this Option may thereafter be exercised, only to the extent it was exercisable at the time of the termination and only for a period of three (3) months following the termination.
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11.1 |
No Option will confer upon the Participant any rights as a stockholder of the Company prior to the date on which the individual fulfills all conditions for receipt of such rights.
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11.2 |
This Agreement may not be amended or otherwise modified unless evidenced in writing and signed by the Company and the Participant.
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11.3 |
At the discretion of the Committee, a Non-Qualified Option granted under the Plan may be transferable by the Participant, provided, however, that transfers will be limited to Immediate Family Members of Participants, trusts and
partnerships established for the primary benefit of such family members or to charitable organizations, and provided, further, that the transfers are not made for consideration to the Participant.
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11.4 |
This Agreement will be governed by and construed in accordance with the laws of the Commonwealth of Massachusetts.
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11.5 |
This Option will be subject to any required federal, state and local tax withholding, which may be effected in the manner or manners permitted by the Company.
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11.6 |
The granting of this Option does not confer upon the Participant any right to be retained in the service of the Company or any subsidiary.
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11.7 |
This Option is subject to forfeiture in accordance with the provisions of Section 7.17 of the Plan or as otherwise adopted by the Company.
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___ |
Cash or personal, certified or cashier’s check in the sum of $_______, in full/partial payment of the purchase price.
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___ |
Stock of the Company with a fair market value of $______ in full/partial payment of the purchase price.*
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___ |
My check in the sum of $_______ and stock of the Company with a fair market value of $______, in full/partial payment of the purchase price.*
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___ |
A net settlement of the Option, using a portion of the shares obtained on exercise in payment of the exercise price of the Option (and, if applicable, any minimum required tax withholding).
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___ |
Selling ______ shares from my Option shares through a broker in full/partial payment of the purchase price.
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1. |
Name of Participant: ____________________________
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2. |
Date of Grant: ____________________________
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3.
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Total number of shares of Company common stock, $0.01 par value per share, covered by this Restricted Stock Award: __________
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4. |
Vesting Schedule. Except as otherwise provided in the Plan or this Agreement, this Restricted Stock Award shall vest as follows:
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5. |
Grant of Restricted Stock Award. The Restricted Stock Award will be in the form of issued and outstanding shares of Stock registered in the name of the Participant and held by the Company, together
with a stock power executed by the Participant in favor of the Company, pending the vesting or forfeiture of the Restricted Stock. Notwithstanding the foregoing, the Company may, in its sole discretion, issue Restricted Stock in any other
format (e.g., electronically) in order to facilitate the paperless transfer of the Awards.
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6. |
Terms and Conditions.
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6.1 |
The Participant will have the right to vote the shares of Restricted Stock awarded and outstanding under this Agreement on matters that require a shareholder vote.
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6.2 |
Any cash dividends or distributions declared with respect to shares of Restricted Stock awarded and outstanding under this Agreement will be distributed to the Participant at the time the underlying shares of Restricted Stock vest.
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7. |
Delivery of Shares. Delivery of shares of Stock under this Restricted Stock Award will comply with all applicable laws (including, the requirements of the Securities Act), and the applicable
requirements of any securities exchange or similar entity.
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8. |
Adjustment Provisions. This Restricted Stock Award, including the number of shares subject to the Restricted Stock Award, will be adjusted upon the occurrence of the events specified in, and in
accordance with the provisions of, Section 3.4 of the Plan.
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9. |
Effect of Termination of Service on Restricted Stock Award.
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9.1 |
Upon the Participant’s Termination of Service, this Restricted Stock Award will vest as follows:
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(i)
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Death. In the event of the Participant’s Termination of Service by reason of death, any unvested shares of Restricted Stock subject to this Agreement will immediately
vest.
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(ii)
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Disability. In the event of the Participant’s Termination of Service by reason of Disability, any unvested shares of Restricted Stock subject to this Agreement will
immediately vest.
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(iii)
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Retirement. In the event of the Participant’s Termination of Service by reason of Retirement, any unvested shares of Restricted Stock subject to this Agreement will expire and be forfeited as of
the date of the Termination of Service.
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(iv)
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Change in Control. In the event of the Participant’s Involuntary Termination of Service at or following a Change in Control, any unvested shares of Restricted Stock subject to this Agreement will
immediately vest.
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(v)
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Termination for Cause. In the event of the Participant’s Termination of Service for Cause, any unvested shares of Restricted
Stock subject to this Agreement will expire and be forfeited as of the date of the Termination of Service.
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(vi)
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Other Termination. In the event of the Participant’s Termination of Service for any reason other than due
to death, Disability or for Cause or an Involuntary Termination of Service at or following a Change in Control, any unvested shares of Restricted Stock subject to this Agreement will expire and be forfeited as of the date of the Termination
of Service.
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10.1 |
This Restricted Stock Award will confer upon the Participant any rights as a stockholder of the Company with respect to the shares underlying the Award prior to the date on which the individual fulfills all conditions for receipt of such
rights.
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10.2 |
This Agreement may not be amended or otherwise modified unless evidenced in writing and signed by the Company and the Participant.
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10.3 |
This Restricted Stock Award is not transferable except as provided for in the Plan.
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10.4 |
This Restricted Stock Award will be governed by and construed in accordance with the laws of the Commonwealth of Massachusetts.
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10.5 |
This Restricted Stock Award is subject to all laws, regulations and orders of any governmental authority which may be applicable thereto and, notwithstanding any of the provisions hereof, the Company will not be obligated to issue any
shares of Stock hereunder if the issuance of the shares would constitute a violation of any such law, regulation or order or any provision thereof.
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10.6 |
Restricted Stock Awards under this Agreement are subject to any required federal, state and local tax withholding which may be effected in the manner or manners permitted by the Company.
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10.7 |
Nothing in this Agreement will interfere with or limit in any way the right of the Company or any Affiliate to terminate the employment or service of the Participant at any time, nor confer upon the Participant any right to continue in the
employ or service of the Company or any Affiliate.
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10.8 |
In the event of a conflict between the terms of this Agreement and the Plan, the terms of the Plan will control.
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10.9 |
This Award Agreement shall be binding upon any successor of the Company, in accordance with the terms of this Agreement and the Plan.
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