|                           |
|---------------------------|
|                           |  |  |  |  |  |  |
| Date of Grant:            |   | November 8, 2013 |   |   | Option No.: | 2013- |
|                      |   |   |   |   |   |
| Name of Optionee:         |   |   |   |   |   |
|                      |   |   |   |   |   |
| Number of Shares:         |   |   |   |   |   |
|                      |   |   |   |   |   |
| Exercise Price Per Share: |   | $1.395 |   |   |   |
|                      |   |   |   |   |   |
| Expiration Date:          |   | November 8, 2023 |   |   |   |
|                      |   |   |   |   |   |

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|--------|
|        |  |  |  |
|   | • |   | If the Company meets or exceeds the Performance Target, one hundred percent (100%) of the Performance Options shall vest. |

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|--------|
|        |  |  |  |
|   | • |   | If the Company’s achievement is ninety percent (90%) of the Performance Target (the “Threshold Level”) or greater, but less than the Performance Target, a pro rata portion (based on linear interpolation) of the Performance Options shall vest, and the number of Performance Options vesting shall be determined based on the amount by which the Company’s performance exceeded the Threshold Level, up to achievement of the Performance Target, with the number of Performance Options that may vest being reduced by 2% for every 1% of variance below the Performance Target (but above the Threshold Level). |

|        |
|--------|
|        |  |  |  |
|   | • |   | If the degree of variance below the Performance Target is not a whole number, then for the purpose of determining whether the Threshold Level is achieved, or the degree of variance below the Performance Target, the Committee shall round the resulting number down to the nearest whole number. |

|        |
|--------|
|        |  |  |  |
|   | • |   | If the Company does not achieve the Threshold Level of performance, no portion of the Performance Options shall vest and the Performance Options shall be immediately void. |

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|--------|
|        |  |  |  |
|   | • |   | In no event shall any Performance Options vest as to more than one hundred percent (100%) of the shares subject to the Performance Target. |

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|-------------------------------------------------------------------------------------------------------------------------------|
|                                                                                                                               |  |  |
|                                                                                                                          |   |   |
| Date:                     |   |   |
|                                                                                                                          |   | Signature of Optionee |
|                                                                                                                          |   |   |
|                                                                                                                          |   | Name of Optionee |
|                                                                                                                          |   |   |
|                                                                                                                          |   | Address |
|                                                                                                                          |   |   |
|                                                                                                                          |   | City, State, Zip Code |

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