0001193125-14-022070.txt : 20140127 0001193125-14-022070.hdr.sgml : 20140127 20140127151833 ACCESSION NUMBER: 0001193125-14-022070 CONFORMED SUBMISSION TYPE: 8-K PUBLIC DOCUMENT COUNT: 3 CONFORMED PERIOD OF REPORT: 20140123 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: 20140127 DATE AS OF CHANGE: 20140127 FILER: COMPANY DATA: COMPANY CONFORMED NAME: INTERVEST BANCSHARES CORP CENTRAL INDEX KEY: 0000927807 STANDARD INDUSTRIAL CLASSIFICATION: NATIONAL COMMERCIAL BANKS [6021] IRS NUMBER: 133699013 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K SEC ACT: 1934 Act SEC FILE NUMBER: 000-23377 FILM NUMBER: 14548835 BUSINESS ADDRESS: STREET 1: 1 ROCKEFELLER PLAZA STREET 2: SUITE 400 CITY: NEW YORK STATE: NY ZIP: 10020-2002 BUSINESS PHONE: 2122182800 MAIL ADDRESS: STREET 1: 1 ROCKEFELLER PLAZA STREET 2: SUITE 400 CITY: NEW YORK STATE: NY ZIP: 10020-2002 8-K 1 d663133d8k.htm 8-K 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

Date of Report (Date of Earliest Event Reported): January 23, 2014

 

 

INTERVEST BANCSHARES CORPORATION

(Exact Name of Registrant as Specified in Charter)

 

 

 

Delaware   000-23377   13-3699013

(State or other jurisdiction

of incorporation)

 

(Commission

File Number)

 

(IRS Employer

Identification Number)

 

1 Rockefeller Plaza, Suite 400 New York, New York   10020-2002
(Address of Principal Executive Offices)   (Zip Code)

Registrant’s Telephone Number Including Area Code: (212) 218-2800

 

 

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):

 

  ¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

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

 

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

 

  ¨ 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.

On January 23, 2014, the Board of Directors of Intervest Bancshares Corporation (the “Company”), upon recommendation of its Compensation Committee, granted awards of restricted common stock and common stock appreciation rights under the Company’s shareholder-approved 2013 Equity Incentive Plan (the “Equity Incentive Plan”) to the Company’s executive officers.

On January 23, 2014, restricted stock awards in the amount of 2,400 shares of the Company’s common stock were awarded to each of the following: Lowell Dansker, Chairman and Chief Executive Officer; John Arvonio, Chief Financial Officer; Keith Olsen, President of Intervest National Bank; Stephen Helman, Vice President; and Robert Tonne, Vice President of Intervest National Bank. The grant date fair value for each award was $7.65. The awards vest in three installments, with one third vesting on each of the first, second and third anniversary of grant, subject to the executive’s continued employment with the Company and subject to accelerated vesting upon the death or disability of the executive or upon a change in control of the Company. The Form of Restricted Stock Award Agreement governing the above awards is attached hereto as Exhibit 10.1.

On January 23, 2014, cash settled Stock Appreciation Rights (“SARs”) were also awarded to the executive officers of the Company. The SARs were likewise granted under the Equity Incentive Plan. Specifically, Lowell Dansker, Keith Olsen, Stephen Helman, John Arvonio and Robert Tonne were granted SARs for 27,600 shares, 17,600 shares, 12,600 shares, 12,600 shares and 7,600 shares, respectively. The SARs have an exercise price of $7.65 per share, a term of 5 years from the date of grant and vest in three equal installments on the first, second and third anniversaries of the grant date, subject to the executive’s continued service to the Company. The SARs are exercisable for thirty (30) days after the holder terminates service to the Company, unless such termination is due to the holder’s death or disability, in which case the SARs are exercisable for one year after termination. The SARs are subject to accelerated vesting upon the death or disability of the holder or upon a change in control of the Company. The Form of Stock Appreciation Right Award Agreement governing the above awards is attached hereto as Exhibit 10.2.

On January 23, 2014, the Compensation Committee also approved restricted stock awards to the non-employee directors of the Company. Each of the non-employee directors received an award of 10,000 shares of restricted stock, and the grant date fair value for each award was $7.65. The restricted stock awards also vest in three equal installments on the first, second and third anniversaries of the grant date, subject to the director’s continuing service as a director of the Company and subject to accelerated vesting upon the death or disability of the director or upon a change in control of the Company. The Form of Restricted Stock Award Agreement governing these awards is the same as Exhibit 10.1 attached hereto.

The grants of restricted stock awards and stock appreciation rights are subject to other terms and conditions of the Equity Incentive Plan and to the terms of the Company’s Restricted Stock Award and Stock Appreciation Rights Agreements.


On January 23, 2014, the Board of Directors of the Company, upon the recommendation of its Compensation Committee, also approved increases in the annual salaries of certain of the Company’s executive officers as follows:

 

Name and Title

   Prior Salary      New Salary  

Keith A. Olsen

     

President, Intervest National Bank

   $ 570,000       $ 620,000   

Stephen A. Helman

     

Vice President

   $ 285,000       $ 300,000   

John J. Arvonio

     

Chief Financial Officer

   $ 275,000       $ 290,000   

Robert F. Tonne

     

VP-Credit Officer Intervest National Bank

   $ 195,000       $ 205,000   

The increases are effective retroactive to January 1, 2014.

Item 9.01 Financial Statements and Exhibits

 

  (d) Exhibits

 

Exhibit
No.

  

Description

10.1    Form of Restricted Stock Award Agreement
10.2    Form of Stock Appreciation Rights Agreement


SIGNATURES

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 thereunto duly authorized.

 

    INTERVEST BANCSHARES CORPORATION
Date: January 27, 2014     By:  

/s/ Lowell S. Dansker

      Lowell S. Dansker
      Chairman and Chief Executive Officer
          (Principal Executive Officer)
Date: January 27, 2014     By:  

/s/ John J. Arvonio

      Chief Financial and Accounting Officer
          (Principal Financial Officer)
EX-10.1 2 d663133dex101.htm FORM OF RESTRICTED STOCK AWARD AGREEMENT Form of Restricted Stock Award Agreement

Exhibit 10.1

FORM OF RESTRICTED STOCK AWARD AGREEMENT

Name of Participant:                             

Date of Grant:                     

Number of Shares:                 

Value of each Share on Date of Grant:                     

This Restricted Stock Agreement (the “Agreement”), dated as of                      is made between Intervest Bancshares Corporation (the “Company”) and the above-named individual (the “Participant”) to record the granting of Restricted Common Stock on                      (the “Grant Date”) to the Participant pursuant to the Company’s 2013 Equity Incentive Plan (the “Plan”) by the Company’s Compensation Committee pursuant to the Plan.

The Company and the Participant hereby agree as follows:

1. Grant. The Company hereby grants to the Participant, as of the Grant Date, subject to and in accordance with the terms and conditions of the Plan and this Agreement,              shares of the Company’s Common Stock, par value $1.00 per share (the “Common Stock”). The grant of shares of Common Stock to the Participant, evidenced by this Agreement, is an award of Restricted Stock (as defined in the Plan) and such shares of Restricted Stock are referred to in this Agreement as the “Shares.”

2. Vesting. Ownership of the shares shall vest in             , equal, annual installments on the                      anniversaries of the Grant Date, provided that, on the vesting date, the Participant is serving as an {officer/director}of the Company.

Notwithstanding the foregoing vesting date, if, prior to the first anniversary of the Grant Date, there is a Change of Control of the Company (as that term is defined in the Plan) or the Participant’s service to us terminates because of death or disability, all Shares not yet vested shall become immediately vested.

3. Forfeiture. Shares that do not become vested in accordance with the vesting set forth in Section 2 shall be forfeited to the Company.

4. Legend. Each share certificate representing the Shares shall bear a legend indicating that such Shares are “Restricted Stock” and are subject to the provisions of this Agreement and the Plan.

5 Stock Issuance.

(a) The Company shall issue the Shares in book entry form, registered in the name of the Participant with notations regarding the applicable restrictions on transfer imposed under this Agreement; provided, however, that the Company may, in its discretion, elect to issue such shares in certificate form as provided below.

(b) Any certificates representing the Shares that may be delivered to the Participant by the Company prior to vesting shall be redelivered to the Company to be held by the Company until the restrictions on such Shares have lapsed and the Shares shall thereby have become vested or the shares represented thereby have been forfeited hereunder. Such certificates shall bear a legend as contemplated by Section 4.

(c) Promptly after the vesting of the Shares pursuant to Section 2, the Company shall, as applicable, either remove the notations on any shares issued in book entry form which have vested or deliver to the Participant a certificate or certificates evidencing the number of Shares which have vested. The Participant shall deliver to the Company any representations or other documents required by this Agreement or the Plan.


(d) If the Company elects to issue certificates to the Participant, the Participant shall be required to execute a stock power, in the form attached as Exhibit A, with respect to the Shares. The Company shall not deliver any certificates in accordance with this Agreement unless and until the Company shall have received such stock power executed by the Participant. The Participant, by acceptance of this award, shall be deemed to appoint, and does so appoint by execution of this Agreement, the Company and each of its authorized representatives as the Participant’s attorney(s)-in-fact to effect any transfer of unvested forfeited Shares (or Shares otherwise reacquired by the Company hereunder) to the Company as may be required pursuant to the Plan or this Agreement and to execute such documents as the Company or such representatives deem necessary or advisable in connection with any such transfer.

6. Rights as a Shareholder. Except for the transfer and other restrictions set forth elsewhere in this Agreement and in the Plan, the Participant, as record holder of the Shares, shall possess all the rights of a holder of the Company’s common stock, including the right to receive dividends on and to vote the Shares; provided, however, that prior to becoming vested and transferable, the certificates representing such Shares shall be held by the Company for the benefit of the Participant. As the Shares become vested and transferable, certificates representing such Shares shall be released to the Participant.

7. Transferability. The Shares may not be sold, transferred, pledged, assigned, encumbered, or otherwise alienated or hypothecated until they become fully vested and transferable in accordance with Section 2 of this Agreement and then only to the extent permitted under the Agreement and the Plan and any applicable securities laws. Prior to full vesting and transferability, all rights with respect to the Shares granted to a Participant under the Plan shall be available, during such Participant’s lifetime, only to such Participant.

8 Section 83(b) Election. The Participant may elect, within 30 days of the Grant Date, pursuant to Section 83(b) of the Internal Revenue Code, to include in his or her gross income the fair market value of the Shares covered by this Agreement in the taxable year of grant. The election must be made by filing the appropriate notice with the Internal Revenue Service within 30 days of the Grant Date. If the Participant makes such election, the Participant shall promptly notify the Company by submitting to the Company a copy of the election notice filed with the Internal Revenue Service.

9 Adjustment of Shares. As provided in the Plan, in the event of any change in the Common Stock of the Company by reason of any stock dividend, stock split, recapitalization, merger, consolidation, split-up, combination or exchange of Shares, or of any similar change affecting the Common Stock, the Shares shall be adjusted automatically consistent with such change to prevent substantial dilution or enlargement of the rights granted to, or available for, the Participant.

10 The Plan. The Participant hereby acknowledges receipt of a copy of the Plan and agrees to be bound by all of the terms and provisions thereof, including any that might conflict with those contained in this Agreement. Capitalized terms used in this Agreement and not otherwise defined herein shall have the meaning given to such terms under the Plan.

11 Notices. All notices to the Company shall be in writing and sent to the Company’s Secretary at the Company’s offices. Notices to the Participant shall be addressed to the Participant at the Participant’s address as it appears in the Company’s records.

 

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IN WITNESS WHEREOF, the Company and the Participant have caused this Restricted Stock Agreement to be executed on the date set forth opposite their respective signatures, it being understood that the Grant Date may differ from the date of signature.

 

Dated:              20          INTERVEST BANCSHARES CORPORATION
    By:  

 

    Name:  
    Title:  
Dated:              20         

 

    Participant Name:

 

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EXHIBIT A

STOCK POWER

FOR VALUE RECEIVED, the undersigned does hereby sell, assign and transfer to Intervest Bancshares Corporation (the “Company”),                  Shares of the Company’s common stock represented by Certificate No.                             . The undersigned authorizes the Secretary of the Company to transfer the stock on the books of the Company in the event of any forfeiture of any shares issued under the Restricted Stock Agreement dated as of             , 20      between the Company and the undersigned.

 

Dated:                       

 

  [Participant’s Name]

 

4

EX-10.2 3 d663133dex102.htm FORM OF STOCK APPRECIATION RIGHTS AGREEMENT Form of Stock Appreciation Rights Agreement

Exhibit 10.2

FORM OF STOCK APPRECIATION RIGHT AWARD AGREEMENT

This Stock Appreciation Right Award Agreement (this “Agreement”), dated as of             , 20    , is made between Intervest Bancshares Corporation (the “Company”) and the individual named below (the “Participant”) to record the granting of Stock Appreciation Rights (“SARs”) to the Participant pursuant to the Company’s 2013 Equity Incentive Plan (the “Plan”) by the Compensation Committee of the Company’s Board of Directors.

The Company and the Participant hereby agree as follows:

1. Terms of Award. The following terms used in this Agreement shall have the meanings set forth in this Section 1:

 

  (a) The “Participant” is                             .

 

  (b) The “Grant Date” is             , 20    .

 

  (c) The number of Shares subject to this SAR Award:                     .

 

  (d) The “Expiration Date” is             , 20     .

 

  (e) The “Exercise Price” is $         per share.

Capitalized terms used in this Agreement but not defined herein shall have the meanings given to such terms in the Plan.

2. Grant of SAR Award. The Company hereby grants to the Participant, as of the Grant Date, SARs on the number of shares of the Company’s common stock (the “Shares”) specified above. This SAR Award is a “Free Standing Award” within the meaning of Section 7.1(a) of the Plan. This SAR Award represents the right, upon exercise, to receive a cash payment only of an amount determined by multiplying (a) the difference between the fair market value of a Share on the date of exercise (the “Fair Market Value”) over the Exercise Price, by (b) the number of Shares with respect to which the SAR Award is exercised (the product of (a) and (b) is referred to herein as the “SAR Payment Amount”). In no event shall this SAR Award entitle the Participant to receive any Shares. For purposes of computing the SAR Payment Amount, the Fair Market Value shall mean the closing price for one share as reported by the principal stock exchange on which the Shares are traded on the date the SAR Exercise Election, as that term is defined below, is received by the Company; provided, however, that if a SAR Exercise Election is received after the close of trading for a particular day but prior to the opening of trading for the following trading day, then the closing price for one Share as of the most recent close of trading on such exchange will be deemed to be the Fair Market Value, even if such close occurred on a previous day.

3. Vesting. Subject to the Participant’s continued service with the Corporation or its Subsidiaries unless otherwise provided in Section 4(b) and Section 6 below, the SARs shall become vested and may be exercised as follows: (a) with respect to one-third (1/3) of the Shares, on the first anniversary of the Grant Date, or             , 20    ; (b) with respect to an additional one-third (1/3) of the Covered Shares, on the second anniversary of the Grant Date, or             , 20    ; and (c) with respect to the remaining one-third (1/3) of the Covered Shares, on the third anniversary of the Grant Date, or             , 20    . [Notwithstanding the foregoing, the Committee may, in its sole discretion, provide for accelerated vesting of the SARs at any time and for any reason.] [Notwithstanding the foregoing vesting date, if, prior to the third anniversary of the Grant Date, there is a Change of Control of the Company (as that term is defined in the Plan) or the Participant’s employment terminates because of death or disability, all Shares not yet vested shall become immediately vested.]


4. Exercise.

(a) The SAR Award shall be exercisable by written notice (in the form attached hereto) which shall state the election to exercise the SARs and the number of Shares as to which the SARs are to be exercised (a “SAR Exercise Election”). Such written notice shall be signed by the Participant and shall be delivered in person, by certified mail or by such other means as approved in writing by the Company and which results in written confirmation of actual receipt by the Secretary of the Company. Such SARs shall be deemed to be exercised upon receipt by the Company of such written notice. In no event may this SAR Award be exercised for less than the lesser of (i) 500 shares and (ii) the number of unexercised Shares remaining under the SAR Award. This SAR Award shall be exercisable only when the Fair Market Value per share of common stock subject to the SAR Award exceeds the Exercise Price.

(b) The Committee may suspend the right to exercise the SARs during any period for which the Committee determines, in its sole discretion, that such suspension would be advisable or necessary in order to comply with the requirements of (i) any applicable federal securities law or rule or regulation thereunder, (ii) any rule of a national securities exchange, national securities association, or other self-regulatory organization, (iii) any other federal or state law or regulation, or (iv) any written policy of the Company in effect on the date of the proposed exercise (each a “SAR Exercise Suspension”). Notwithstanding the foregoing, no SAR Exercise Suspension shall extend the term of this SAR Award beyond the Expiration Date (as defined below) or in a manner that would otherwise result in the SARs becoming nonqualified deferred compensation subject to Section 409A of the Code.

5. Settlement of SAR. Settlement of the SAR Payment Amount shall be made by delivering a cash payment to the Participant equal to the SAR Payment Amount. Such payment shall be made within thirty (30) days following a SAR Exercise Election, and shall be subject to any applicable tax withholding obligations. The Company may direct that any of its Subsidiaries (a “Designated Subsidiary”) deliver the SAR Payment Amount, subject to any applicable tax withholding obligations, to the Participant and, in such case, such payment shall be treated as having been made directly by such Designated Subsidiary to the Participant. If this SAR Award remains outstanding on the Expiration Date, the entire remaining vested but unexercised portion of this SAR Award shall be deemed to have been exercised as of the Expiration Date and such automatic exercise shall be treated as a SAR Exercise Election.

6. Termination of Services; Forfeiture. Notwithstanding any other provision of this Agreement, upon a termination of Participant’s services with the Company and its Subsidiaries, (i) regardless of the reason for such termination, each unvested SAR shall be immediately canceled and terminated, (ii) unless such termination of Participant’s service was for “cause” (as determined by the Committee in its sole discretion), each vested SAR shall be exercisable for a period of ninety (90) days following such termination and, if not exercised prior to the end of such ninety (90) day period shall be deemed to have been exercised as of the last day of such ninety (90) day period and such automatic exercise shall be treated as a SAR Exercise Election, and (iii) if the termination of the Participant’s services with the Company and its Subsidiaries was for “cause” (as determined by the Committee in its sole discretion), each vested SAR shall be immediately canceled and terminated. For clarity, this SAR Award shall expire and shall no longer be exercisable when all of the SARs hereunder have been either exercised or canceled and terminated.

7. Rights as a Stockholder. Participant shall have no rights as a stockholder with respect to any Shares subject to this SAR Award.

 

2


8. Adjustments. In the event of any stock dividend, reclassification, subdivision or combination or similar transaction affecting this SAR Award, the rights of the Participant will be adjusted as provided in Section 11 of the Plan.

9. Non-Transferability. Without the express written consent of the Committee, which may be withheld for any reason in its sole discretion, the SARs may not be transferred in any manner otherwise than by will or by the laws of descent or distribution and may be exercised during the Participant’s lifetime only by the Participant. The terms of the Plan and this Agreement shall be binding upon the Participant’s executors, administrators, heirs, successors and assigns. Any attempt to transfer the SARs in any manner, contrary to the terms and provisions of this Agreement and/or the Plan shall be null and void and without legal force or effect.

10. Tax Withholding The Participant hereby agrees that the Company or any applicable Designated Subsidiary may take any reasonable actions necessary to comply with income and employment tax withholding obligations as may be required of the Company or any applicable Designated Subsidiary under applicable law on account of this SAR Award. Pursuant to Section 5 above, any such withholding required as a result of delivery of a SAR Payment Amount shall be taken from such SAR Payment Amount to the extent possible. Any withholding required of the Company as a result of delivery of this SAR Award or for any other reason that cannot be taken immediately from a SAR Payment Amount may be withheld from payroll or other amounts payable to Participant.

11. No Employment Rights. Neither the Plan nor this SAR Award shall confer upon the Participant any right with respect to continuing employment by the Company or any subsidiary of the Company nor shall they interfere in any way with the right of the Company or any subsidiary of the Company to terminate the Participant’s employment at any time, with or without Cause.

12. The Plan; Amendment This SAR Award is subject in all respects to the terms, conditions, limitations and definitions contained in the Plan. In the event of any discrepancy or inconsistency between this Agreement and the Plan, the terms and conditions of the Plan shall govern and control. The Committee shall have the right, in its sole discretion, to modify or amend this Agreement from time to time in accordance with and as provided in the Plan. The Company shall give written notice to the Participant of any such modification or amendment of this Agreement as soon as practicable after the adoption thereof. This Agreement may also be modified or amended by a writing signed by both the Company and the Participant, without the consent of any other person.

13. Binding Agreement; Assignment. This Agreement shall inure to the benefit of, be binding upon, and be enforceable by the Company and its successors and assigns. The Participant shall not assign (except in accordance with Section 10 hereof) any part of this Agreement without the prior express written consent of the Company.

14. Headings. The titles and headings of the various sections of this Agreement have been inserted for convenience of reference only and shall not be deemed to be a part of this Agreement.

15. Counterparts. This Agreement may be executed in one or more counterparts, each of which shall be deemed to be an original, but all of which shall constitute one and the same instrument.

 

3


16. Severability. The invalidity or unenforceability of any provision of this Agreement in any jurisdiction shall not affect the validity, legality or enforceability of the remainder of this Agreement in such jurisdiction or the validity, legality or enforceability of any provision of this Agreement in any other jurisdiction, it being intended that all rights and obligations of the parties hereunder shall be enforceable to the fullest extent permitted by law.

17. Acquired Rights. The Participant acknowledges and agrees that: (a) the Company may terminate or amend the Plan at any time; (b) the award of SARs made under this Agreement is completely independent of any other award or grant and is made at the sole discretion of the Company; (c) no past grants or awards (including, without limitation, the SARs awarded hereunder) give the Participant any right to any grants or awards in the future whatsoever; and (d) any benefits granted under this Agreement are not part of the Participant’s ordinary salary, and shall not be considered as part of such salary in the event of severance, redundancy or resignation.

18. Applicable Law. This Agreement shall be governed by and construed in accordance with the domestic laws of the State of New York without giving effect to any choice or conflict of law provision or rule (whether of the State of New York or any other jurisdiction) that would cause the application of the laws of any jurisdiction other than the State of New York.

19. Notices. All notices to the Company shall be in writing and sent to the Company’s Secretary at the Company’s offices. Notices to the Participant shall be addressed to the Participant at the Participant’s address as it appears in the Company’s records.

[Signature page follows]

 

4


IN WITNESS WHEREOF, the Company and the Participant have caused this Stock Appreciation Right Award Agreement to be executed on the date set forth opposite their respective signatures, it being understood that the Grant Date is set forth on the first page of this Agreement and may differ from the date of signature.

 

Dated:             , 20         INTERVEST BANCSHARES CORPORATION
    By:  

 

    Name:  
    Title:  
    Participant:
Dated:             , 20        

 

    Name:  

 

5


EXHIBIT A

STOCK APPRECIATION RIGHT (“SAR”) EXERCISE NOTICE

Intervest Bancshares Corporation

One Rockefeller Plaza, Suite 400

New York, New York 10020-2002

Attention: Secretary

 

  1. Exercise of SAR. Effective as of             , 20    , the undersigned (“Participant”) hereby elects to exercise a stock appreciation right with respect to                  shares of the Common Stock (the “Shares”) of Intervest Bancshares Corporation (the “Company”) pursuant to the stock appreciation right award agreement (the “Agreement”) by and between Participant and the Company, dated             , 20     and pursuant to the 2013 Equity Incentive Plan (the “Plan”).

 

  2. Representations of Participant. Participant acknowledges that Participant has received, read and understood the Plan and the Agreement and agrees to abide by and be bound by their terms and conditions.

 

  3. Tax Consultation. Participant understands that Participant may suffer tax consequences as a result of Participant’s exercise of rights under the Agreement and this Exercise Notice. Participant represents that Participant has consulted with his or her own independent tax advisor in connection with exercising rights under the SAR Award and that Participant is not relying on the Company for any tax advice.

 

  4. Entire Agreement. The Plan and the Agreement are incorporated herein by reference and constitute the entire agreement of the parties and supersede in their entirety all prior undertakings and agreements of the Company and Participant with respect to the subject matter hereof.

By this exercise, Participant agrees to provide such additional documents as the Company may require pursuant to the Plan and to provide for the payment by the Participant to the Company, in the manner designated by the Company, of Participant’s withholding obligations, if any, relating to this exercise which is not satisfied from the SAR Payment Amount.

 

  Very truly yours,
 

 

  (Signature)
 

 

  (Name – Printed)
  Address:  

 

   

 

 

6