Exhibit 10.3

 

AWARD NO.                                       

 

Name: _____________________

 

[img1.gif]
CAREGUIDE, INC.

STOCK OPTION GRANT NOTICE

(2007 Equity Incentive Plan)

 

CareGuide (the “Company”), pursuant to its 2007 Equity Incentive Plan (the
“Plan”), hereby grants to Optionholder an option to purchase the number of
shares of the Company’s Common Stock set forth below. This option is subject to
all of the terms and conditions as set forth herein and in the Stock Option
Agreement, the Plan and the Notice of Exercise, all of which are attached hereto
and incorporated herein in their entirety.

Optionholder:

                                                                         

Date of Grant:

                                                                         

Vesting Commencement Date:

                                                                         

Number of Shares Subject to Option:

                                                                         

Exercise Price (Per Share):

                                                                         

Total Exercise Price:

                                                                         

Expiration Date:

                                                                         

Type of Grant:

o Incentive Stock Option[1]

o Nonstatutory Stock Option

 

Exercise Schedule:

o Same as Vesting Schedule

o Early Exercise Permitted

 

Vesting Schedule:

[To Be Added]

 

Payment:

By one or a combination of the following items (described in the Stock Option
Agreement):

By cash or check

Pursuant to a Regulation T Program if the Shares are publicly traded

By delivery of already-owned shares if the Shares are publicly traded

[Optional: By deferred payment]

Additional Terms/Acknowledgements: The undersigned Optionholder acknowledges
receipt of, and understands and agrees to, this Grant Notice, the Stock Option
Agreement and the Plan. Optionholder further acknowledges that as of the Date of
Grant, this Grant Notice, the Stock Option Agreement and the Plan set forth the
entire understanding between Optionholder and the Company regarding the
acquisition of stock in the Company and supersede all prior oral and written
agreements on that subject with the exception of (i) options previously granted
and delivered to Optionholder under the Plan, and (ii) the following agreements
only:

OTHER
AGREEMENTS:                                                                  
                                                             

                                          
                                                             

CareGuide, Inc.

Optionholder:

By:                                           
                                                                                
                                                                             
                                               

 

Signature

Signature

Title:                                           
                                            Date:
                                                                               

Date:                                          
                                    

ATTACHMENTS: Stock Option Agreement, 2007 Equity Incentive Plan and Notice of
Exercise

_________________________

 If this is an incentive stock option, it (plus your other outstanding incentive
stock options) cannot be first exercisable for more than $100,000 in any
calendar year. Any excess over $100,000 is a nonstatutory stock option.

 

 

318457 v1/RE