-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, RG0rBa3z9rBmbySPCtNyRtWG3X6OBRqsb2NFVTw1xHZaaSQLiY/CQodvaxinH9vr LFFKsGcUPQxAryOGyGzcuA== 0001104659-10-047330.txt : 20100903 0001104659-10-047330.hdr.sgml : 20100903 20100903160452 ACCESSION NUMBER: 0001104659-10-047330 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 6 CONFORMED PERIOD OF REPORT: 20100902 ITEM INFORMATION: Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers: Compensatory Arrangements of Certain Officers ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20100903 DATE AS OF CHANGE: 20100903 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NEW FRONTIER MEDIA INC CENTRAL INDEX KEY: 0000847383 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MOTION PICTURE & VIDEO TAPE DISTRIBUTION [7822] IRS NUMBER: 841084061 STATE OF INCORPORATION: CO FISCAL YEAR END: 0331 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-23697 FILM NUMBER: 101057790 BUSINESS ADDRESS: STREET 1: 7007 WINCHESTER CIRCLE STREET 2: SUITE 200 CITY: BOULDER STATE: CO ZIP: 80301 BUSINESS PHONE: 3037868700 MAIL ADDRESS: STREET 1: 7007 WINCHESTER CIRCLE STREET 2: SUITE 200 CITY: BOULDER STATE: CO ZIP: 80301 FORMER COMPANY: FORMER CONFORMED NAME: NEW FRONTIER MEDIA INC /CO/ DATE OF NAME CHANGE: 19970627 FORMER COMPANY: FORMER CONFORMED NAME: NATIONAL SECURITIES HOLDING CORPORATION DATE OF NAME CHANGE: 19920703 FORMER COMPANY: FORMER CONFORMED NAME: STRATEGIC ACQUISITIONS INC DATE OF NAME CHANGE: 19600201 8-K 1 a10-16632_18k.htm 8-K

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 


 

FORM 8-K

 

CURRENT REPORT

Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

 

September 2, 2010

Date of Report (Date of earliest event reported)

 

New Frontier Media, Inc.

(Exact Name of registrant as specified in charter)

 

Colorado

 

000-23697

 

84-1084061

(State or other jurisdiction
of incorporation)

 

(Commission File Number)

 

(IRS Employer
Identification No.)

 

7007 Winchester Circle, Suite 200, Boulder, Colorado 80301

(Address of principal executive offices)

 

(303) 444-0900

(Registrant’s telephone number, including area code)

 

N/A

(Former name or former address, if changed since last report.)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

 

o            Written communication pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

o            Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

o            Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

o            Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

 



 

Item 5.02                                             Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.

 

(e)

 

On September 2, 2010, the Compensation Committee of the Board of Directors (the “Board”) of the New Frontier Media, Inc. (the “Company”) approved forms of Incentive Stock Option Agreement, Nonqualified Stock Option Agreement, Restricted Stock Award Agreement, Bonus Stock Award Agreement and Stock Appreciation Right Award Agreement (collectively, the “Form Agreements”) for use in connection with future grants of Company stock options, restricted stock (“Restricted Stock”), common stock (“Common Stock”) and stock appreciation rights (“SAR”) made under the New Frontier Media, Inc. 2010 Equity Incentive Plan (the “Incentive Plan”).  The Incentive Plan was approved by the Company’s shareholders on August 23, 2010 at its 2010 Annual Meeting of Shareholders.  A summary description of the Form Agreements is set forth below.

 

Incentive Stock Option Agreement

 

The Incentive Stock Option Agreement provides for the grant by the Company of an incentive stock option (“ISO”), within the meaning of Internal Revenue Code (the “Code”) Section 422, to an eligible participant, as defined in the Incentive Plan (each, an “Eligible Participant”), to purchase Common Stock pursuant to the Incentive Plan.  The number of shares subject to the ISO grant, purchase price per share, expiration date and vesting date and conditions will be determined by the Company at the time of such ISO grant, unless otherwise set forth in the Incentive Plan.

 

Nonqualified Stock Option Agreement

 

The Nonqualified Stock Option Agreement provides for the grant by the Company of a nonqualified stock option (“NQSO”) to an Eligible Participant, to purchase Common Stock pursuant to the Incentive Plan.  Such NQSO is not intended to qualify as an ISO within the meaning of Code Section 422.  The number of shares subject to the NQSO grant, purchase price per share, expiration date and vesting date and conditions will be determined by the Company at the time of such NQSO grant, unless otherwise set forth in the Incentive Plan.

 

Restricted Stock Award Agreement

 

The Restricted Stock Award Agreement provides for the grant by the Company of Restricted Stock to an Eligible Participant pursuant to the Incentive Plan.  The number of shares of Restricted Stock subject to the Restricted Stock grant, purchase price per share, expiration date and vesting date and conditions will be determined by the Company at the time of such Restricted Stock grant, unless otherwise set forth in the Incentive Plan.

 

Bonus Stock Award Agreement

 

The Bonus Stock Award Agreement provides for the grant by the Company of a Common Stock bonus award (the “Bonus Award”) to an Eligible Participant pursuant to the Incentive Plan.  The number of shares subject to the Bonus Award and the purchase price per share will be determined by the Company at the time of such Bonus Award grant.

 

Stock Appreciation Right Award Agreement

 

The Stock Appreciation Right Award Agreement provides for the grant by the Company of a SAR to an Eligible Participant pursuant to the Incentive Plan.  The number of shares subject to the SAR, base price of the SAR per share, exercise price (if any), expiration date and vesting date and conditions will be determined by the Company at the time of such SAR grant, unless otherwise set forth in the Incentive Plan.

 

2



 

The foregoing summary description of the Form Agreements is qualified in its entirety by reference to such Form Agreements, copies of which are filed as Exhibits 99.1, 99.2, 99.3, 99.4, and 99.5, respectively, to this Current Report on Form 8-K and incorporated by reference herein.

 

Item 9.01               Financial Statements and Exhibits.

 

(d) Exhibits

 

Exhibit No.

 

Exhibit Description

99.1

 

Form of New Frontier Media, Inc. 2010 Equity Incentive Plan Incentive Stock Option Agreement

 

 

 

99.2

 

Form of New Frontier Media, Inc. 2010 Equity Incentive Plan Nonqualified Stock Option Agreement

 

 

 

99.3

 

Form of New Frontier Media, Inc. 2010 Equity Incentive Plan Restricted Stock Award Agreement

 

 

 

99.4

 

Form of New Frontier Media, Inc. 2010 Equity Incentive Plan Bonus Stock Award Agreement

 

 

 

99.5

 

Form of New Frontier Media, Inc. 2010 Equity Incentive Plan Stock Appreciation Right Award Agreement

 

3



 

SIGNATURE

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

Date: September 3, 2010

NEW FRONTIER MEDIA, INC.

 

 

 

 

 

 

 

By:

/s/ Michael Weiner

 

Name:

Michael Weiner

 

Title:

Chief Executive Officer

 

4



 

EXHIBIT INDEX

 

Exhibit No.

 

Exhibit Description

99.1

 

Form of New Frontier Media, Inc. 2010 Equity Incentive Plan Incentive Stock Option Agreement

 

 

 

99.2

 

Form of New Frontier Media, Inc. 2010 Equity Incentive Plan Nonqualified Stock Option Agreement

 

 

 

99.3

 

Form of New Frontier Media, Inc. 2010 Equity Incentive Plan Restricted Stock Award Agreement

 

 

 

99.4

 

Form of New Frontier Media, Inc. 2010 Equity Incentive Plan Bonus Stock Award Agreement

 

 

 

99.5

 

Form of New Frontier Media, Inc. 2010 Equity Incentive Plan Stock Appreciate Right Award Agreement

 

5


 

EX-99.1 2 a10-16632_1ex99d1.htm EX-99.1

EXHIBIT 99.1

 

NEW FRONTIER MEDIA, INC.  2010 EQUITY INCENTIVE PLAN

INCENTIVE STOCK OPTION AGREEMENT

 

PARTICIPANT:

 

DATE OF GRANT:

 

AGREEMENT between New Frontier Media, Inc. (the “Company”), and the above named Participant (“Participant ”), an Employee of the Company.

 

The Company and Participant agree as follows:

 

1.                                       Precedence of Plan.  This Agreement is subject to and shall be construed in accordance with the terms and conditions of the New Frontier Media, Inc. 2010 Equity Incentive Plan (the “Plan”), as now or hereinafter in effect.  Any capitalized terms that are used in this Agreement without being defined and that are defined in the Plan shall have the meaning specified in the Plan.

 

2.                                       Grant of Option.  Participant is hereby granted an Incentive Stock Option, within the meaning of Code Section 422 (the “Option”), to purchase Common Stock of the Company pursuant to the Plan.  The number of shares as to which the Option is granted, the purchase price per share, the expiration date and the vesting dates and conditions of such Option are set forth below:

 

Number of Shares Subject to Option:

 

 

Purchase Price per Share:

 

 

Expiration Date:*

 

 

Vesting Date(s)/Conditions:

 

 

 


*Unless sooner terminated as provided in the Plan, the Option shall expire and terminate on the expiration date, and in no event shall the Option be exercisable after that date.

 

3.                                       Manner of Exercise.  Except as provided in this Agreement, the Option shall be exercisable, in whole or in part, in the manner provided in the Plan.

 

4.                                       Time of Exercise.  The Option granted hereby shall become vested in and exercisable by Participant subject to the vesting schedule above; provided, however, that Participant must have been in Continuous Service from the date of grant of the Option until the date specified in the vesting schedule or until the conditions specified in the vesting schedule have been satisfied.

 

5.                                       General Provisions.

 

(a)                                  Withholding.  In the event the Incentive Stock Option is reclassified as a Nonqualified Stock Option, Participant shall satisfy his or her obligation for any federal, state or local taxes required by law to be withheld with respect to the exercise of the Option in cash, or by

 

1



 

certified bank cashier’s check, or by any other method permitted by the Company.  The Company’s obligation to deliver a certificate representing the Common Stock acquired upon exercise of the Option is subject to the payment by Participant of any applicable federal, state and local withholding tax.

 

(b)                                 Amendment.  Subject to the terms and conditions of the Plan, including compliance with Code section 409A, the Plan Administrator may modify, extend or renew the Option, or accept the surrender of the Option to the extent not theretofore exercised and authorize the granting of new Options in substitution therefore, except that no such action shall diminish or impair the rights under the Option without the consent of Participant.

 

(c)                                  Receipt of Plan.  By entering into this Agreement, Participant acknowledges (i) that he or she has received and read a copy of the Plan and (ii) that this Agreement is subject to and shall be construed in accordance with the terms and conditions of the Plan, as now or hereinafter in effect.

 

(d)                                 Legends.  Certificates representing Common Stock acquired upon exercise of this Option may contain such legends and transfer restrictions as the Company shall deem reasonably necessary or desirable, including, without limitation, legends restricting transfer of the Common Stock until there has been compliance with federal and state securities laws and until Participant or any other holder of the Common Stock has paid the Company such amounts as may be necessary in order to satisfy any withholding tax liability of the Company resulting from a disqualifying disposition described in Code Section 422(a).

 

(e)                                  Not an Employment Contract.  This Agreement is not an employment contract and nothing in this Agreement shall be deemed to create in any way whatsoever any obligation on the part of Participant to remain in the Continuous Service of the Company, or of the Company to continue Participant in the Continuous Service of the Company.

 

(f)                                    Effect on Employee Benefits.  Participant agrees that the Option will constitute special incentive compensation that will not be taken into account as “salary” or “compensation” or “bonus” in determining the amount of any payment under any pension, retirement, profit sharing or other remuneration plan of the Company unless so provided in such plan.

 

(g)                                 Confidentiality of Information.  By entering into this Agreement, Participant acknowledges that the information regarding the grant of Options contained herein is confidential and may not be shared by the Participant with anyone other than Participant’s immediate family and personal financial advisor.

 

(h)                                 Specific Enforcement.  Because of the unique value of the Common Stock, in addition to any other remedies that the Company may have upon the breach of the agreements contained herein, the obligations of Participant shall be specifically enforceable.

 

(i)                                     Costs of Enforcement.  In any action at law or in equity to enforce any of the provisions or rights under this Agreement, the unsuccessful party of such litigation, as determined by any court of competent jurisdiction in a final judgment or decree, shall pay the successful party or parties all costs, expenses and reasonable attorneys’ fees incurred therein by such party or parties (including without limitation such costs, expenses and fees on any appeals), and if such successful party shall recover judgment in any action or proceeding, such costs, expenses and attorneys’ fees shall be included as part of the judgment.

 

2



 

(j)                                     Further Action.  The parties agree to execute such further instruments and to take such further action as reasonably may be necessary to carry out the intent of this Agreement.

 

(k)                                  Interpretation.  The interpretations and constructions of any provision of and determinations on any question arising under the Plan or this Agreement shall be made by the Plan Administrator, and all such interpretations, constructions and determinations shall be final and conclusive as to all parties.  This Agreement, as issued pursuant to the Plan, constitutes the entire agreement between the parties pertaining to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations and understandings.  The invalidity or unenforceability of any provision hereof shall in no way affect the validity or enforceability of any other provision hereof.  This Agreement may be executed in counterparts, all of which shall be deemed to be one and the same instrument, and it shall be sufficient for each party to have executed at least one, but not necessarily the same, counterpart.  The headings contained in this Agreement are for reference purposes only and shall not affect the meaning or interpretation of this Agreement in any way.

 

(l)                                     Assignment.  This Agreement shall be binding upon the parties and their respective legal representatives, beneficiaries, successors and assigns.

 

(m)                               Notices.  All notices or other communications that are required to be given or may be given to either party pursuant to the terms of this Agreement shall be in writing and shall be delivered personally or by registered or certified mail, postage prepaid, to the address of the parties as set forth following the signature of such party.  Notice shall be deemed given on the date of delivery in the case of personal delivery or on the delivery or refusal date as specified on the return receipt in the case of registered or certified mail.  Either party may change its address for such communications by giving notice thereof to the other party in conformity with this section.

 

(n)                                 Governing Law; Venue.  This Agreement and the rights and obligations of the parties hereto shall be governed by and construed in accordance with the laws of the State of Colorado.  The parties agree that any action brought by either party to interpret or enforce any provision of this Plan or of the Award Agreements shall be brought in, and each party agrees to, and does hereby, submit to the jurisdiction and venue of, the appropriate state or federal court for the district encompassing the Company’s principal place of business.

 

IN WITNESS WHEREOF, the Company, by a duly authorized officer of the Company, and Participant have executed this Agreement, effective as of the date of grant.

 

NEW FRONTIER MEDIA, INC.

 

PARTICIPANT

 

 

 

 

 

 

By:

 

 

 

 

 

 

Signature

Title:

 

 

 

 

 

 

Print Name

Date:

 

 

 

 

 

Date:

 

 

 

 

7007 Winchester Circle, Suite 200

 

Address:

 

Boulder, CO 80301

 

 

 

 

 

 

3


EX-99.2 3 a10-16632_1ex99d2.htm EX-99.2

EXHIBIT 99.2

 

NEW FRONTIER MEDIA, INC.  2010 EQUITY INCENTIVE PLAN
NONQUALIFIED STOCK OPTION AGREEMENT

 

PARTICIPANT:

 

DATE OF GRANT:

 

AGREEMENT between New Frontier Media, Inc. (the “Company”), and the above named Participant (“Participant”), an Employee or Director of the Company.

 

The Company and Participant agree as follows:

 

1.                                       Precedence of Plan.  This Agreement is subject to and shall be construed in accordance with the terms and conditions of the New Frontier Media, Inc.  2010 Equity Incentive Plan (the “Plan”), as now or hereinafter in effect.  Any capitalized terms that are used in this Agreement without being defined and that are defined in the Plan shall have the meaning specified in the Plan.

 

2.                                       Grant of Option.  Participant is hereby granted a Nonqualified Stock Option (the “Option”) to purchase Common Stock of the Company pursuant to the Plan.  The Option is not intended to qualify as an Incentive Stock Option within the meaning of Code Section 422.  The number of shares as to which the Option is granted, the purchase price per share, the expiration date and the vesting dates and conditions of such Option are set forth below:

 

Number of Shares Subject to Option:

 

 

Purchase Price per Share:

 

 

Expiration Date:*

 

 

Vesting Date(s)/Conditions:

 

 

 


*Unless sooner terminated as provided in the Plan, the Option shall expire and terminate on the expiration date, and in no event shall the Option be exercisable after that date.

 

3.                                       Manner of Exercise.  Except as provided in this Agreement, the Option shall be exercisable, in whole or in part, in the manner provided in the Plan.

 

4.                                       Time of Exercise.  The Option granted hereby shall become vested in and exercisable by Participant subject to the vesting schedule above; provided, however, that Participant must have been in Continuous Service from the date of grant of the Option until the date specified in the vesting schedule or until the conditions specified in the vesting schedule have been satisfied.

 

5.                                       General Provisions.

 

(a)                                  Withholding.  Participant shall satisfy his or her obligation for any federal, state or local taxes required by law to be withheld with respect to the exercise of the Option pursuant to the Plan.  The Company’s obligation to deliver a certificate representing the Common Stock acquired

 

1



 

upon exercise of the Option is subject to the payment by Participant of any applicable federal, state and local withholding tax.

 

(b)                                 Amendment.  Subject to the terms and conditions of the Plan, including compliance with Code section 409A, the Plan Administrator may modify, extend or renew the Option, or accept the surrender of the Option to the extent not theretofore exercised and authorize the granting of new Options in substitution therefore, except that no such action shall diminish or impair the rights under the Option without the consent of Participant.

 

(c)                                  Receipt of Plan.  By entering into this Agreement, Participant acknowledges (i) that he or she has received and read a copy of the Plan and (ii) that this Agreement is subject to and shall be construed in accordance with the terms and conditions of the Plan, as now or hereinafter in effect.

 

(d)                                 Legends.  Certificates representing Common Stock acquired upon exercise of this Option may contain such legends and transfer restrictions as the Company shall deem reasonably necessary or desirable, including, without limitation, legends restricting transfer of the Common Stock until there has been compliance with federal and state securities laws and until Participant or any other holder of the Common Stock has paid the Company such amounts as may be necessary in order to satisfy any withholding tax liability of the Company.

 

(e)                                  Not an Employment Contract.  This Agreement is not an employment contract and nothing in this Agreement shall be deemed to create in any way whatsoever any obligation on the part of Participant to remain in the Continuous Service of the Company, or of the Company to continue Participant in the Continuous Service of the Company.

 

(f)                                    Effect on Employee Benefits.  Participant agrees that the Option will constitute special incentive compensation that will not be taken into account as “salary” or “compensation” or “bonus” in determining the amount of any payment under any pension, retirement, profit sharing or other remuneration plan of the Company unless so provided in such plan.

 

(g)                                 Confidentiality of Information.  By entering into this Agreement, Participant acknowledges that the information regarding the grant of Options contained herein is confidential and may not be shared with anyone other than Participant’s immediate family and personal financial advisor.

 

(h)                                 Specific Enforcement.  Because of the unique value of the Common Stock, in addition to any other remedies that the Company may have upon the breach of the agreements contained herein, the obligations of Participant shall be specifically enforceable.

 

(i)                                     Costs of Enforcement.  In any action at law or in equity to enforce any of the provisions or rights under this Agreement, the unsuccessful party of such litigation, as determined by any court of competent jurisdiction in a final judgment or decree, shall pay the successful party or parties all costs, expenses and reasonable attorneys’ fees incurred therein by such party or parties (including without limitation such costs, expenses and fees on any appeals), and if such successful party shall recover judgment in any action or proceeding, such costs, expenses and attorneys’ fees shall be included as part of the judgment.

 

(j)                                     Further Action.  The parties agree to execute such further instruments and to take such further action as reasonably may be necessary to carry out the intent of this Agreement.

 

2



 

(k)                                  Interpretation.  The interpretations and constructions of any provision of and determinations on any question arising under the Plan or this Agreement shall be made by the Plan Administrator, and all such interpretations, constructions and determinations shall be final and conclusive as to all parties.  This Agreement, as issued pursuant to the Plan, constitutes the entire agreement between the parties pertaining to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations and understandings.  The invalidity or unenforceability of any provision hereof shall in no way affect the validity or enforceability of any other provision hereof.  This Agreement may be executed in counterparts, all of which shall be deemed to be one and the same instrument, and it shall be sufficient for each party to have executed at least one, but not necessarily the same, counterpart.  The headings contained in this Agreement are for reference purposes only and shall not affect the meaning or interpretation of this Agreement in any way.

 

(l)                                     Assignment.  This Agreement shall be binding upon the parties and their respective legal representatives, beneficiaries, successors and assigns.

 

(m)                               Notices.  All notices or other communications that are required to be given or may be given to either party pursuant to the terms of this Agreement shall be in writing and shall be delivered personally or by registered or certified mail, postage prepaid, to the address of the parties as set forth following the signature of such party.  Notice shall be deemed given on the date of delivery in the case of personal delivery or on the delivery or refusal date as specified on the return receipt in the case of registered or certified mail.  Either party may change its address for such communications by giving notice thereof to the other party in conformity with this section.

 

(n)                                 Governing Law; Venue.  This Agreement and the rights and obligations of the parties hereto shall be governed by and construed in accordance with the laws of the State of Colorado.  The parties agree that any action brought by either party to interpret or enforce any provision of this Plan or of the Award Agreements shall be brought in, and each party agrees to, and does hereby, submit to the jurisdiction and venue of, the appropriate state or federal court for the district encompassing the Company’s principal place of business.

 

IN WITNESS WHEREOF, the Company, by a duly authorized officer of the Company, and Participant have executed this Agreement, effective as of the date of grant.

 

NEW FRONTIER MEDIA, INC.

 

PARTICIPANT

 

 

 

 

 

 

By:

 

 

 

 

 

 

Signature

Title:

 

 

 

 

 

 

Print Name

Date:

 

 

 

 

 

Date:

 

 

 

 

7007 Winchester Circle, Suite 200

 

Address:

 

Boulder, CO 80301

 

 

 

 

 

 

3


EX-99.3 4 a10-16632_1ex99d3.htm EX-99.3

EXHIBIT 99.3

 

NEW FRONTIER MEDIA, INC.  2010 EQUITY INCENTIVE PLAN
RESTRICTED STOCK AWARD AGREEMENT

 

PARTICIPANT:

 

DATE OF GRANT:

 

AGREEMENT between New Frontier Media, Inc.  (the “Company”), and the above named Participant (“Participant”), an Employee or Director of the Company.

 

The Company and Participant agree as follows:

 

1.                                       Precedence of Plan.  This Agreement is subject to and shall be construed in accordance with the terms and conditions of the New Frontier Media, Inc.  2010 Equity Incentive Plan (the “Plan”), as now or hereinafter in effect.  Any capitalized terms that are used in this Agreement without being defined and that are defined in the Plan shall have the meaning specified in the Plan.

 

2.                                       Grant of Restricted Stock.  Participant is hereby granted an Award of restricted Common Stock (the “Award”) pursuant to the Plan.  The Restricted Stock Award is for that number of shares of Common Stock (the “Shares”) with a purchase price per Share (which may be zero), vesting dates and/or conditions, and the expiration date of such Award as set forth below:

 

Number of Shares Subject to Grant:

 

 

Purchase Price per Share:

 

 

Expiration Date:

 

 

Vesting Date:

 

 

 

3.                                       Stock Register and Certificates.  The Shares shall be recorded in the stock register of the Company in the name of Participant.  A stock certificate or certificates representing the Shares shall be registered in the name of Participant, but such certificates shall remain in the custody of the Company.  Participant shall deposit with the Company a Stock Assignment Separate from Certificate in the form attached below as Exhibit A, endorsed in blank, so as to permit retransfer to the Company of all or a portion of the Shares that shall be forfeited or otherwise not become vested in accordance with the Plan and this Agreement.

 

4.                                       Restrictions.  Participant shall have the right to vote the Shares (to the extent of the voting rights of said Shares, if any), to receive and retain all regular cash dividends and such other distributions, as the Board of Directors of the Company may, in its discretion, designate, pay or distribute on such Shares, and to exercise all other rights, powers and privileges of a holder of Common Stock with respect to such Shares, except as set forth in this Agreement and the Plan.

 

1



 

5.                                       Unvested Shares Subject to Forfeiture.  In the event that Participant terminates Continuous Service with the Company for any reason, including Disability of Participant, any unvested portion of the Shares held by Participant as of the date of such termination of Continuous Service shall be forfeited to the Company as of the date of termination of Continuous Service at the Purchase Price per Share set forth above.

 

6.                                       Responsibility for Taxes.  Participant may complete and file with the Internal Revenue Service an election in substantially the form attached hereto as Exhibit B pursuant to Section 83(b) of the Internal Revenue Code (“Code”) to be taxed currently on the Fair Market Value of the Shares, without regard to the vesting restrictions set forth in this Agreement.  Participant shall be responsible for all taxes associated with the acceptance of the Award, including any tax liability associated with the representation of Fair Market Value if the election is made pursuant to Code Section 83(b).

 

7.                                       General Provisions.

 

(a)                                  Withholding.  Participant shall reimburse the Company, in cash, by certified or bank cashier’s check, or any other form of legal payment permitted by the Company for any federal, state or local taxes required by law to be withheld with respect to the vesting of the Shares.  The Company shall have the right to deduct from any salary or other payments to be made to Participant any federal, state or local taxes required by law to be so withheld.  The Company’s obligation to deliver a certificate to Participant representing the Shares upon vesting of the Award is subject to the payment by Participant of any applicable federal, state and local withholding tax.

 

(b)                                 Amendment.  Subject to the terms and conditions of the Plan, the Plan Administrator may modify, extend or renew the Award, or accept the surrender of the Award to the extent not theretofore exercised and authorize the granting of new Awards in substitution therefore, except that no such action shall diminish or impair the rights under the Award without the consent of Participant.

 

(c)                                  Receipt of Plan.  By entering into this Agreement, Participant acknowledges (i) that he or she has received and read a copy of the Plan and (ii) that this Agreement is subject to and shall be construed in accordance with the terms and conditions of the Plan, as now or hereinafter in effect.

 

(d)                                 Legends.  Certificates representing the Shares prior to vesting shall contain the following legend or a legend similar thereto:

 

THIS CERTIFICATE AND THE SHARES OF STOCK REPRESENTED HEREBY ARE SUBJECT TO THE PROVISIONS OF THE COMPANY’S 2010 EQUITY INCENTIVE PLAN AND AN AGREEMENT BETWEEN THE COMPANY AND THE REGISTERED HOLDER WHEREBY THE TRANSFER IN ANY MANNER OF SUCH SHARES OF STOCK OR ANY INTEREST THEREIN IS RESTRICTED AND THE SHARES OF STOCK ARE SUBJECT TO FORFEITURE.  A COPY OF SAID PLAN AND SAID AGREEMENT MAY BE INSPECTED AT THE PRINCIPAL OFFICE OF THE COMPANY.

 

Certificates may also contain such other legends and transfer restrictions as the Company shall deem reasonably necessary or desirable, including, without limitation, legends restricting transfer of the Common Stock until there has been compliance with federal and state securities laws.

 

(e)                                  Not an Employment Contract.  This Agreement is not an employment contract and nothing in this Agreement shall be deemed to create in any way whatsoever any obligation on the

 

2



 

part of Participant to remain in the Continuous Service of the Company, or of the Company to continue Participant in the Continuous Service of the Company.

 

(f)                                    Effect on Employee Benefits.  Participant agrees that the Award will constitute special incentive compensation that will not be taken into account as “salary” or “compensation” or “bonus” in determining the amount of any payment under any pension, retirement, profit sharing or other remuneration plan of the Company unless so provided in such plan.

 

(g)                                 Confidentiality of Information.  By entering into this Agreement, Participant acknowledges that the information regarding the grant of Shares contained herein is confidential and may not be shared with anyone other than Participant’s immediate family and personal financial advisor.

 

(h)                                 Specific Enforcement.  Because of the unique value of the Shares, in addition to any other remedies that the Company may have upon the breach of the agreements contained herein, the obligations of Participant shall be specifically enforceable.

 

(i)                                     Costs of Enforcement.  In any action at law or in equity to enforce any of the provisions or rights under this Agreement, the unsuccessful party of such litigation, as determined by any court of competent jurisdiction in a final judgment or decree, shall pay the successful party or parties all costs, expenses and reasonable attorneys’ fees incurred therein by such party or parties (including without limitation such costs, expenses and fees on any appeals), and if such successful party shall recover judgment in any action or proceeding, such costs, expenses and attorneys’ fees shall be included as part of the judgment.

 

(j)                                     Further Action.  The parties agree to execute such further instruments and to take such further action as reasonably may be necessary to carry out the intent of this Agreement.

 

(k)                                  Interpretation.  The interpretations and constructions of any provision of and determinations on any question arising under the Plan or this Agreement shall be made by the Plan Administrator, and all such interpretations, constructions and determinations shall be final and conclusive as to all parties.  This Agreement, as issued pursuant to the Plan, constitutes the entire agreement between the parties pertaining to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations and understandings.  The invalidity or unenforceability of any provision hereof shall in no way affect the validity or enforceability of any other provision hereof.  This Agreement may be executed in counterparts, all of which shall be deemed to be one and the same instrument, and it shall be sufficient for each party to have executed at least one, but not necessarily the same, counterpart.  The headings contained in this Agreement are for reference purposes only and shall not affect the meaning or interpretation of this Agreement in any way.

 

(l)                                     Assignment.  This Agreement shall be binding upon the parties and their respective legal representatives, beneficiaries, successors and assigns.

 

(m)                               Notices.  All notices or other communications that are required to be given or may be given to either party pursuant to the terms of this Agreement shall be in writing and shall be delivered personally or by registered or certified mail, postage prepaid, to the address of the parties as set forth following the signature of such party.  Notice shall be deemed given on the date of delivery in the case of personal delivery or on the delivery or refusal date as specified on the return

 

3



 

receipt in the case of registered or certified mail.  Either party may change its address for such communications by giving notice thereof to the other party in conformity with this section.

 

(n)                                 Governing Law; Venue.  This Agreement and the rights and obligations of the parties hereto shall be governed by and construed in accordance with the laws of the State of Colorado.  The parties agree that any action brought by either party to interpret or enforce any provision of this Plan or of the Award Agreements shall be brought in, and each party agrees to, and does hereby, submit to the jurisdiction and venue of, the appropriate state or federal court for the district encompassing the Company’s principal place of business.

 

IN WITNESS WHEREOF, the Company, by a duly authorized officer of the Company, and Participant have executed this Agreement, effective as of the date of grant.

 

NEW FRONTIER MEDIA, INC.

 

PARTICIPANT

 

 

 

 

 

 

By:

 

 

 

 

 

 

Signature

Title:

 

 

 

 

 

 

Print Name

Date:

 

 

 

 

 

Date:

 

 

 

 

7007 Winchester Circle, Suite 200

 

Address:

 

Boulder, CO 80301

 

 

 

 

 

 

4



 

EXHIBIT A

 

STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE

 

FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers unto New Frontier Media, Inc. , a Colorado corporation (the “Company”)                                                        (                  ) shares of Common Stock of the Company, standing in the undersigned’s name on the books of said corporation represented by Certificate No.                                   , and does hereby irrevocably constitute and appoint the Secretary of the Company as attorney to transfer the said stock on the books of the said corporation with full power of substitution in the premises.

 

Dated:

 

 

 

 

 

 

Signature

 

 

 

 

 

 

 

 

 

 

 

Print Name

 



 

EXHIBIT B

 

ELECTION TO INCLUDE VALUE OF RESTRICTED PROPERTY IN GROSS INCOME
PURSUANT TO SECTION 83(b) OF THE INTERNAL REVENUE CODE

 

This election form is to be filed with the IRS Service Center with which the Participant files his or her return. It should be mailed “Certified Mail” and postmarked by the post office to establish proof of timely filing.  Timely filing requires such mailing to occur within thirty (30) days following the date of the grant.  One copy must be provided to the Company and one copy must be filed with the Participant’s tax return for the taxable year of exercise.  Participant may also wish to determine the relevant state tax procedure for the state in which Participant resides.

 

Pursuant to the Restricted Stock Award Agreement entered into by and between the undersigned Participant and New Frontier Media, Inc. , a Colorado corporation (the “Company”), as of           , 20     (the “Award Agreement”), Participant has acquired                        shares of Common Stock of the Company (the “Shares”) which are subject to a substantial risk of forfeiture under the Award Agreement.  Participant desires to make an election to have the Shares taxed under the provisions of Section 83(b) of the Internal Revenue Code of 1986, as amended (the “Code”) at the time Participant acquired the Shares.

 

Therefore, pursuant to Code Section 83(b) and Treasury Regulation Section 1.83-2, Participant hereby makes an election to report as taxable income in                     [YEAR] the Shares’ fair market value on                                                 [DATE], the date on which Participant acquired the Shares (or any subsequent date that may be determined to be the date of transfer for purposes of the Code).

 

The following information is supplied in accordance with Treasury Regulation Section 1.83-2(e):

 

1.                                       The name, address and social security number of Participant:

 

 

 

2.                                       A description of the property with respect to which the election is being made:

 

Shares of Common Stock of New Frontier Media, Inc. , a Colorado corporation.

 

3.                                       The date on which the property was transferred:                        .

 

The taxable year for which such election is made: Calendar Year                  .

 

4.                                       The restrictions to which the property is subject:

 

The Shares are subject to forfeiture to the Company for no consideration should Participant’s employment with the Company terminate or should other specified events occur.  Shares vest only upon the passage of time.  Upon any transfer by Participant, the Shares will be subject to the same restrictions.

 

5.                                       The fair market value on                                   , 20     , of the property with respect to which the election is being made, determined without regard to any lapse restrictions: $                              .

 



 

6.                                       The amount paid for such property:  $                                            .

 

7.                                       A copy of this election has been furnished to the Secretary of the Company pursuant to Treasury Regulations Section 1.83-2(e)(7).

 

 

 

 

Signature

 

 

 

Print Name:

 

 

 

 

 

 

Date

 


EX-99.4 5 a10-16632_1ex99d4.htm EX-99.4

EXHIBIT 99.4

 

NEW FRONTIER MEDIA, INC.  2010 EQUITY INCENTIVE PLAN
BONUS STOCK AWARD AGREEMENT

 

PARTICIPANT:

 

DATE OF GRANT:

 

AGREEMENT between New Frontier Media, Inc.  (the “Company”), and the above named Participant (“Participant”), an Employee or Director of the Company.

 

The Company and Participant agree as follows:

 

1.                                       Precedence of Plan.  This Agreement is subject to and shall be construed in accordance with the terms and conditions of the New Frontier Media, Inc.  2010 Equity Incentive Plan (the “Plan”), as now or hereinafter in effect.  Any capitalized terms that are used in this Agreement without being defined and that are defined in the Plan shall have the meaning specified in the Plan.

 

2.                                       Grant of Bonus Stock.  Participant is hereby granted an Award of Bonus Stock (the “Award”) pursuant to the Plan.  The Bonus Stock Award is for that number of shares of Common Stock (the “Shares”) with a purchase price per Share (which may be zero), as set forth below:

 

Number of Shares Subject to Grant:

Purchase Price per Share:

 

3.                                       Stock Register and Certificates.  The Shares shall be recorded in the stock register of the Company in the name of Participant.  A stock certificate or certificates representing the Shares shall be registered in the name of Participant.

 

4.                                       Responsibility for Taxes.  Participant shall be responsible for all taxes associated with the acceptance of the Award.

 

5.                                       General Provisions.

 

(a)                                  Withholding.  Participant shall reimburse the Company, in cash, by certified or bank cashier’s check, or any other form of legal payment permitted by the Company for any federal, state or local taxes required by law to be withheld with respect to the award of the Shares.  The Company shall have the right to deduct from any salary or other payments to be made to Participant any federal, state or local taxes required by law to be so withheld.  The Company’s obligation to deliver a certificate to Participant representing the Shares is subject to the payment by Participant of any applicable federal, state and local withholding tax.

 

(b)                                 Receipt of Plan.  By entering into this Agreement, Participant acknowledges (i) that he or she has received and read a copy of the Plan and (ii) that this Agreement is subject to and shall be construed in accordance with the terms and conditions of the Plan, as now or hereinafter in effect.

 

1



 

(c)                                  Not an Employment Contract.  This Agreement is not an employment contract and nothing in this Agreement shall be deemed to create in any way whatsoever any obligation on the part of Participant to remain in the Continuous Service of the Company, or of the Company to continue Participant in the Continuous Service of the Company.

 

(d)                                 Effect on Employee Benefits.  Participant agrees that the Award will constitute special incentive compensation that will not be taken into account as “salary” or “compensation” or “bonus” in determining the amount of any payment under any pension, retirement, profit sharing or other remuneration plan of the Company unless so provided in such plan.

 

(e)                                  Confidentiality of Information.  By entering into this Agreement, Participant acknowledges that the information regarding the grant of Shares contained herein is confidential and may not be shared with anyone other than Participant’s immediate family and personal financial advisor.

 

(f)                                    Specific Enforcement.  Because of the unique value of the Shares, in addition to any other remedies that the Company may have upon the breach of the agreements contained herein, the obligations of Participant shall be specifically enforceable.

 

(g)                                 Costs of Enforcement.  In any action at law or in equity to enforce any of the provisions or rights under this Agreement, the unsuccessful party of such litigation, as determined by any court of competent jurisdiction in a final judgment or decree, shall pay the successful party or parties all costs, expenses and reasonable attorneys’ fees incurred therein by such party or parties (including without limitation such costs, expenses and fees on any appeals), and if such successful party shall recover judgment in any action or proceeding, such costs, expenses and attorneys’ fees shall be included as part of the judgment.

 

(h)                                 Further Action.  The parties agree to execute such further instruments and to take such further action as reasonably may be necessary to carry out the intent of this Agreement.

 

(i)                                     Interpretation.  The interpretations and constructions of any provision of and determinations on any question arising under the Plan or this Agreement shall be made by the Plan Administrator, and all such interpretations, constructions and determinations shall be final and conclusive as to all parties.  This Agreement, as issued pursuant to the Plan, constitutes the entire agreement between the parties pertaining to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations and understandings.  The invalidity or unenforceability of any provision hereof shall in no way affect the validity or enforceability of any other provision hereof.  This Agreement may be executed in counterparts, all of which shall be deemed to be one and the same instrument, and it shall be sufficient for each party to have executed at least one, but not necessarily the same, counterpart.  The headings contained in this Agreement are for reference purposes only and shall not affect the meaning or interpretation of this Agreement in any way.

 

(j)                                     Assignment.  This Agreement shall be binding upon the parties and their respective legal representatives, beneficiaries, successors and assigns.

 

(k)                                  Notices.  All notices or other communications that are required to be given or may be given to either party pursuant to the terms of this Agreement shall be in writing and shall be delivered personally or by registered or certified mail, postage prepaid, to the address of the parties as set forth following the signature of such party.  Notice shall be deemed given on the date of

 

2



 

delivery in the case of personal delivery or on the delivery or refusal date as specified on the return receipt in the case of registered or certified mail.  Either party may change its address for such communications by giving notice thereof to the other party in conformity with this section.

 

(l)                                     Governing Law; Venue.  This Agreement and the rights and obligations of the parties hereto shall be governed by and construed in accordance with the laws of the State of Colorado.  The parties agree that any action brought by either party to interpret or enforce any provision of this Plan or of the Award Agreements shall be brought in, and each party agrees to, and does hereby, submit to the jurisdiction and venue of, the appropriate state or federal court for the district encompassing the Company’s principal place of business.

 

IN WITNESS WHEREOF, the Company, by a duly authorized officer of the Company, and Participant have executed this Agreement, effective as of the date of grant.

 

NEW FRONTIER MEDIA, INC.

 

PARTICIPANT

 

 

 

 

 

 

By:

 

 

 

 

 

 

Signature

Title:

 

 

 

 

 

 

Print Name

Date:

 

 

 

 

 

Date:

 

 

 

 

7007 Winchester Circle, Suite 200

 

Address:

 

Boulder, CO 80301

 

 

 

 

 

 

3


EX-99.5 6 a10-16632_1ex99d5.htm EX-99.5

EXHIBIT 99.5

 

NEW FRONTIER MEDIA, INC.  2010 EQUITY INCENTIVE PLAN
STOCK APPRECIATION RIGHT AWARD AGREEMENT

 

PARTICIPANT:

 

DATE OF GRANT:

 

AGREEMENT between New Frontier Media, Inc. (the “Company”), and the above named Participant (“Participant ”), an Employee or Director of the Company.

 

The Company and Participant agree as follows:

 

1.                                       Precedence of Plan.  This Agreement is subject to and shall be construed in accordance with the terms and conditions of the New Frontier Media, Inc. 2010 Equity Incentive Plan (the “Plan”), as now or hereinafter in effect.  Any capitalized terms that are used in this Agreement without being defined and that are defined in the Plan shall have the meaning specified in the Plan.

 

2.                                       Grant of Stock Appreciation Right.  Participant is hereby granted a Stock Appreciation Right (“SAR”) pursuant to the Plan.  The number of shares as to which the SAR is granted and the expiration date of such SAR are set forth below:

 

Number of Shares Subject to SAR:

 

 

Base Price of SAR per Share (FMV of Share on date of Grant):

 

 

Exercise Price (if any):

 

 

Expiration Date:*

 

 

Vesting Date(s)/Conditions:

 

 

 


*Unless sooner terminated as provided in the Plan, the SAR shall expire and terminate on the expiration date, and in no event shall the SAR be exercisable after that date.

 

3.                                       Manner of Exercise.  The SAR shall be exercisable for the number of Shares valued as of the date of exercise that is equal to the positive difference of the Fair Market Value of the Share on the date of exercise less the Base Price of the SAR multiplied by the number of Shares subject to the SAR, rounded down to the nearest whole Share.  The value of any fractional Share shall be paid in cash.

 

4.                                       Time of Exercise.  The SAR granted hereby shall become vested in and exercisable by Participant in accordance with the vesting schedule above; provided, however, that Participant must have been in Continuous Service from the date of grant of the SAR until the date specified in the vesting schedule or until the conditions specified in the vesting schedule have been satisfied.

 

1



 

5.                                       General Provisions.

 

(a)                                  Withholding.  Participant shall satisfy his or her obligation for any federal, state or local taxes required by law to be withheld with respect to the payment of the SAR in cash, or by certified bank cashier’s check, or by any other method permitted by the Company.  The Company’s obligation to deliver a certificate representing the Common Stock acquired upon [payment/exercise] of the SAR is subject to the payment by Participant of any applicable federal, state and local withholding tax.

 

(b)                                 Amendment.  Subject to the terms and conditions of the Plan, including compliance with Code section 409A, the Plan Administrator may modify, extend or renew the Option, or accept the surrender of the Option to the extent not theretofore exercised and authorize the granting of new Options in substitution therefore, except that no such action shall diminish or impair the rights under the Option without the consent of Participant.

 

(c)                                  Receipt of Plan.  By entering into this Agreement, Participant acknowledges (i) that he or she has received and read a copy of the Plan and (ii) that this Agreement is subject to and shall be construed in accordance with the terms and conditions of the Plan, as now or hereinafter in effect.

 

(d)                                 Legends.  Certificates representing Common Stock acquired upon exercise of this SAR may contain such legends and transfer restrictions as the Company shall deem reasonably necessary or desirable, including, without limitation, legends restricting transfer of the Common Stock until there has been compliance with federal and state securities laws and until Participant or any other holder of the Common Stock has paid the Company such amounts as may be necessary in order to satisfy any withholding tax liability of the Company.

 

(e)                                  Not an Employment Contract.  This Agreement is not an employment contract and nothing in this Agreement shall be deemed to create in any way whatsoever any obligation on the part of Participant to remain in the Continuous Service of the Company, or of the Company to continue Participant in the Continuous Service of the Company.

 

(f)                                    Effect on Employee Benefits.  Participant agrees that the SAR will constitute special incentive compensation that will not be taken into account as “salary” or “compensation” or “bonus” in determining the amount of any payment under any pension, retirement, profit sharing or other remuneration plan of the Company unless so provided in such plan.

 

(g)                                 Confidentiality of Information.  By entering into this Agreement, Participant acknowledges that the information regarding the grant of SARs contained herein is confidential and may not be shared by the Participant with anyone other than Participant’s immediate family and personal financial advisor.

 

(h)                                 Specific Enforcement.  Because of the unique value of the Common Stock, in addition to any other remedies that the Company may have upon the breach of the agreements contained herein, the obligations of Participant shall be specifically enforceable.

 

(i)                                     Costs of Enforcement.  In any action at law or in equity to enforce any of the provisions or rights under this Agreement, the unsuccessful party of such litigation, as determined by any court of competent jurisdiction in a final judgment or decree, shall pay the successful party or parties all costs, expenses and reasonable attorneys’ fees incurred therein by such party or parties

 

2



 

(including without limitation such costs, expenses and fees on any appeals), and if such successful party shall recover judgment in any action or proceeding, such costs, expenses and attorneys’ fees shall be included as part of the judgment.

 

(j)                                     Further Action.  The parties agree to execute such further instruments and to take such further action as reasonably may be necessary to carry out the intent of this Agreement.

 

(k)                                  Interpretation.  The interpretations and constructions of any provision of and determinations on any question arising under the Plan or this Agreement shall be made by the Plan Administrator, and all such interpretations, constructions and determinations shall be final and conclusive as to all parties.  This Agreement, as issued pursuant to the Plan, constitutes the entire agreement between the parties pertaining to the subject matter hereof and supersedes all prior and contemporaneous agreements, representations and understandings.  The invalidity or unenforceability of any provision hereof shall in no way affect the validity or enforceability of any other provision hereof.  This Agreement may be executed in counterparts, all of which shall be deemed to be one and the same instrument, and it shall be sufficient for each party to have executed at least one, but not necessarily the same, counterpart.  The headings contained in this Agreement are for reference purposes only and shall not affect the meaning or interpretation of this Agreement in any way.

 

(l)                                     Assignment.  This Agreement shall be binding upon the parties and their respective legal representatives, beneficiaries, successors and assigns.

 

(m)                               Notices.  All notices or other communications that are required to be given or may be given to either party pursuant to the terms of this Agreement shall be in writing and shall be delivered personally or by registered or certified mail, postage prepaid, to the address of the parties as set forth following the signature of such party.  Notice shall be deemed given on the date of delivery in the case of personal delivery or on the delivery or refusal date as specified on the return receipt in the case of registered or certified mail.  Either party may change its address for such communications by giving notice thereof to the other party in conformity with this section.

 

(n)                                 Governing Law; Venue.  This Agreement and the rights and obligations of the parties hereto shall be governed by and construed in accordance with the laws of the State of Colorado.  The parties agree that any action brought by either party to interpret or enforce any provision of this Plan or of the Award Agreements shall be brought in, and each party agrees to, and does hereby, submit to the jurisdiction and venue of, the appropriate state or federal court for the district encompassing the Company’s principal place of business.

 

3



 

IN WITNESS WHEREOF, the Company, by a duly authorized officer of the Company, and Participant have executed this Agreement, effective as of the date of grant.

 

NEW FRONTIER MEDIA, INC.

 

PARTICIPANT

 

 

 

 

 

 

By:

 

 

 

 

 

 

Signature

Title:

 

 

 

 

 

 

Print Name

Date:

 

 

 

 

 

Date:

 

 

 

 

7007 Winchester Circle, Suite 200

 

Address:

 

Boulder, CO 80301

 

 

 

 

 

 

4


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