Form of LM Funding America, Inc. 2015 Omnibus Incentive Plan Stock Option Award



 Exhibit 10.5 

LM FUNDING AMERICA, INC. 

2015 OMNIBUS INCENTIVE PLAN 

STOCK OPTION AWARD AGREEMENT 
  

											
	 								
	 								
	 								
						
	Dear		                                      
      :								

 You have been granted an option (this “Option”) to purchase shares of the common stock of LM Funding
America, Inc. (the “Company”) pursuant to the Company’s 2015 Omnibus Incentive Plan (the “Plan”) and this Stock Option Award Agreement (this “Option Agreement”). This Option is granted under
and governed by the terms and conditions of the Plan and this Option Agreement. Additional provisions regarding this Option and definitions of capitalized terms used and not defined in this Option Agreement can be found in the Plan.  

 

			
	Grant Date:		_____________ ___, 20__
		
	Type of Option:		 € Incentive Stock Option
 €
Nonqualified Stock Option

		
	Number of Option Shares:		____________
		
	Exercise Price per Share:		$__.__
		
	Term:		 This Option shall expire on the tenth anniversary of the Grant Date (the “Expiration Date”), unless terminated earlier
pursuant to the terms of this Option Agreement or the Plan. Notwithstanding the foregoing, if this Option is designated as an Incentive Stock Option and is granted to an employee who, at the time of the grant, owns (directly or indirectly, within
the meaning of Code Section 424(d)) more than ten percent (10%) of the total combined voting power of all classes of stock of the Company or of any Subsidiary, then the Expiration Date shall mean the fifth anniversary of the Grant Date.

 
 Upon termination or expiration of this Option, all your rights hereunder shall
cease.

		
	Vesting:		 This Option will vest with respect to one third (1/3) of the total number of Option Shares on each of the first three (3) anniversaries of
the Grant Date, provided that you are continuously employed with or in the service of the Company or its Affiliates through the applicable anniversary date.
  

The vesting of this Option may be accelerated in the Administrator’s sole discretion if it determines circumstances so
warrant.










			
		
	Termination of Employment:		 The following conditions apply in the event that your employment or service with the Company and its Affiliates is terminated prior to the
Expiration Date of this Option. In no event, however, will the time periods described herein extend the term of this Option beyond its Expiration Date or beyond the date this Option is otherwise cancelled or terminates pursuant to the provisions of
the Plan.
  

a.      Termination Other than As a Result of Death, Disability or Cause. If your
employment or service terminates (at a time when you could not have been terminated for Cause) other than by reason of your death or Disability and other than for Cause, then the unvested portion of this Option shall automatically terminate
immediately and the vested portion of this Option shall automatically terminate 90 days after the date of such termination.
  

b.      Termination for Cause. If your employment or service terminates for
Cause, then this Option shall automatically terminate immediately on the date of such termination.
  

c.      Termination As a Result of Death or Disability. If your employment or
service terminates by reason of your death or Disability (at a time when you could not have been terminated for Cause), then the unvested portion of this Option shall automatically terminate immediately and the vested portion of this Option shall
automatically terminate 12 months after such termination.
  

d.      Determination of Cause After Termination. Notwithstanding the foregoing,
if after your employment or service terminates the Company determines that it could have terminated you for Cause had all relevant facts been known at the time of your termination, then the Company may terminate this Option immediately upon such
determination, and you will be prohibited from exercising this Option thereafter. In such event, you will be notified of the termination of this Option.
  

If the date this Option terminates as specified above (other than as a result of a termination for Cause) falls on a day on which the stock market is not open
for trading or on a date on which you are prohibited by Company policy (such as an insider trading policy) from exercising the Option, the termination date shall be automatically extended to the first available trading day following the original
termination date, but not beyond the Expiration Date.

		
	Manner of Exercise:		You may exercise this Option only if it has not been forfeited or has not otherwise expired, and only to the extent this Option is vested. To exercise this Option, you must comply with such exercise and notice procedures as the
Administrator may establish from time to time, including, without limitation, payment of the exercise price and any applicable tax withholding amounts. Unless otherwise


  
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			 determined by the Administrator, the payment of the exercise price and applicable tax withholding amounts may be made at your election (i) in
cash or its equivalent (e.g., by check), (ii) in Shares having a Fair Market Value equal to the aggregate exercise price for the Shares being purchased and satisfying such other requirements as may be imposed by the Administrator (provided that such
Shares have been held by the Participant for no less than six months or such other period, if any, as established from time to time by the Administrator to avoid adverse accounting treatment under generally accepted accounting principles) or (iii)
partly in cash and partly in such Shares. To the extent expressly permitted by the Administrator, the payment of the exercise price and applicable tax withholding amounts may be made at your election by any of the foregoing methods or by having the
Company withhold from the Shares otherwise issuable upon exercise a whole number of shares with a Fair Market Value equal to the exercise price and applicable tax withholding amounts and issuing the net number of remaining Shares to you.
Notwithstanding anything to the contrary herein, the amount to be withheld may not exceed the total minimum federal, state and local tax withholding obligations associated with the transaction to the extent needed for the Company and its Affiliates
to avoid an accounting charge.
  
 A properly completed notice of stock option exercise
(or such other notice as is prescribed) will become effective upon receipt of the notice and any required payment by the Company (or its designee); provided that the Company may suspend exercise of the Option pending its determination of whether
your employment will be or could have been terminated for Cause and, if such a determination is made, your notice of stock option exercise (or such other notice as is prescribed) will automatically be rescinded.

 
 If, following your death, your beneficiary or heir, or such other person or persons as may
acquire your rights under this Option by will or by the laws of descent and distribution, wishes to exercise this Option, such person must contact the Company and prove to the Company’s satisfaction that such person has the right and is
entitled to exercise this Option.
  
 Your ability to exercise this Option, or the manner
of exercise or payment of withholding taxes, may be restricted by the Company if required by applicable law or by the Company’s trading policies as in effect from time to time.

		
	 Restrictions on Resale
		By accepting this Option, you agree not to sell any shares of Stock acquired under this Option at a time when applicable laws, Company policies or an agreement between the Company and its underwriters prohibit a
sale.


  
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	Transferability:		You may not transfer or assign this Option for any reason, other than by will or the laws of descent and distribution or as otherwise set forth in the Plan. Any attempted transfer or assignment of this Option, other than as set
forth in the preceding sentence or the Plan, will be null and void.
		
	Market Stand-Off:		In connection with any underwritten public offering by the Company of its equity securities pursuant to an effective registration statement filed under the Securities Act of 1933, as amended (the “Securities Act”),
you agree that you shall not directly or indirectly sell, make any short sale of, loan, hypothecate, pledge, offer, grant or sell any option or other contract for the purchase of, purchase any option or other contract for the sale of, or otherwise
dispose of or transfer or agree to engage in any of the foregoing transactions with respect to, any Shares acquired under this Option without the prior written consent of the Company and the Company’s underwriters. Such restriction shall be in
effect for such period of time following the date of the final prospectus for the offering as may be requested by the Company or such underwriters. In no event, however, shall such period exceed one hundred eighty (180) days.
		
	Recoupment; Rescission of Exercise:		If the Administrator determines that recoupment of incentive compensation paid to you pursuant to this Option is required under any law or any recoupment policy of the Company, then this Option will terminate immediately on the date
of such determination to the extent required by such law or recoupment policy, any prior exercise of this Option may be deemed to be rescinded, and the Administrator may recoup any such incentive compensation in accordance with such recoupment
policy or as required by law. The Company shall have the right to offset against any other amounts due from the Company to you the amount owed by you hereunder and any exercise price and withholding amount tendered by you with respect to any such
incentive compensation.
		
	Notice of Disqualifying Disposition:		If this Option is designated as an Incentive Stock Option and you sell Shares that were acquired through the exercise of this Option within two years from the Grant Date or one year from the date of exercise, you must notify the
Administrator of the sale to permit proper treatment of the compensation expense.
		
	Restrictions on Exercise, Issuance and Transfer of Shares:		 a.      General. No individual may exercise this Option, and no shares of Stock subject to this
Option will be issued, unless and until the Company has determined to its satisfaction that such exercise and issuance will comply with all applicable federal and state securities laws, rules and regulations of the Securities and Exchange
Commission, rules of any stock exchange on which shares of Stock of the Company may then be traded, or any other applicable laws. In addition, if required by underwriters for the Company, you agree to enter into a lock-up agreement with respect to
any shares of Stock acquired or to be acquired under this Option.



  
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			 b.      Securities Laws. You acknowledge that you are acquiring this Option, and the right to
purchase the shares of Stock subject to this Option, for investment purposes only and not with a view toward resale or other distribution thereof to the public which would be in violation of the Securities Act. You agree and acknowledge with respect
to any shares of Stock that have not been registered under the Securities Act, that: (i) you will not sell or otherwise dispose of such shares of Stock, except as permitted pursuant to a registration statement declared effective under the Securities
Act and qualified under any applicable state securities laws, or in a transaction which in the opinion of counsel for the Company is exempt from such required registration, and (ii) that a legend containing a statement to such effect will be placed
on the certificates evidencing such shares of Stock. Further, as additional conditions to the issuance of the shares of Stock subject to this Option, you agree (with such agreement being binding upon any of your beneficiaries, heirs, legatees and/or
legal representatives) to do the following prior to any issuance of such shares of Stock: (i) to execute and deliver to the Company such investment representations and warranties as are required by the Company; (ii) to enter into a restrictive stock
transfer agreement if required by the Board; and (iii) to take or refrain from taking such other actions as counsel for the Company may deem necessary or appropriate for compliance with the Securities Act, and any other applicable federal or state
securities laws, regardless of whether the shares of Stock have at that time been registered under the Securities Act, or otherwise qualified under any applicable state securities laws.

		
	Miscellaneous:		 •       This Option Agreement may be amended only by written
consent signed by both you and the Company, unless the amendment is not to your detriment or the amendment is otherwise permitted without your consent by the Plan.
  

•       The failure of the Company to enforce any provision of this Option
Agreement at any time shall in no way constitute a waiver of such provision or of any other provision hereof.
  

•       You will have none of the rights of a stockholder of the Company with
respect to this Option until Shares are transferred to you upon exercise of the Option.
  

•       In the event any provision of this Option Agreement is held illegal or
invalid for any reason, such illegality or invalidity shall not affect the legality or validity of the remaining provisions of this Option Agreement, and this Option Agreement shall be construed and enforced as if the illegal or invalid provision
had not been included in this Option Agreement.



  
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			 •       As a condition to the grant of this Option, you
agree (with such agreement being binding upon your legal representatives, guardians, legatees or beneficiaries) that this Option Agreement shall be interpreted by the Administrator and that any interpretation by the Administrator of the terms of
this Option Agreement or the Plan, and any determination made by the Administrator pursuant to this Option Agreement or the Plan, shall be final, binding and conclusive.
  

•       This Option Agreement may be executed in counterparts.


 BY SIGNING BELOW AND AGREEING TO THIS STOCK OPTION AWARD AGREEMENT, YOU AGREE TO ALL OF THE TERMS AND
CONDITIONS DESCRIBED HEREIN AND IN THE PLAN. YOU ALSO ACKNOWLEDGE HAVING READ THIS AGREEMENT AND THE PLAN. 
  

							
	 LM FUNDING AMERICA, INC.
				
				
	 By: 
		 				 
			[Name of Authorized Officer]				[Name of Recipient]

 Date:
                                         
    

  
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 LM FUNDING AMERICA, INC. 

NOTICE OF STOCK OPTION EXERCISE 
 Your
completed form should be delivered to:
                                         
       ,
                                         
       . 
 Phone:
                                 

Fax:
                                         
                                   . Incomplete forms
may cause a delay in processing your option exercise. 
 OPTIONEE INFORMATION 

Please complete the following. PLEASE WRITE YOUR FULL LEGAL NAME SINCE THIS NAME MAY BE ON YOUR STOCK CERTIFICATE OR APPEAR IN THE BOOK ENTRY FOR YOUR
SHARES. 
 Name:
                                         
                                         
                                         
                                         
                               

Street Address:
                                         
                                         
                                         
                                         
                 
 City:
                                         
                    State:
                                         
                Zip Code:
                                         
            
 Work Phone #:
(            ) -              -
                     Home Phone #: (            ) -
             -                      

Social Security #:              -
             -              

DESCRIPTION OF OPTION(S) BEING EXERCISED 
 Please complete
the following for each option that you wish to exercise. 
  

											
	 Grant Date
	  	Type of Option
(specify ISO or
NQSO)	  	Exercise Price Per
Share	  	Number of Option
Shares Being
Purchased*	  	Total Exercise Price
(multiply Exercise Price Per
Share by Number of Option
Shares Being Purchased)	 
		  		  	$	  		  	$	 	  
		  		  	$	  		  	$	 	  
		  		  	$	  		  	$	 	  
		  		  	$	  		  	$	 	  
		  		  	$	  		  	$	 	  
	 Aggregate Exercise Price
	  		  		  		  	$	 	  

  

	*	Must be a whole number only. Exercise of fractional Option Shares is not permitted. 

 METHOD OF PAYMENT OF
OPTION EXERCISE PRICE 
 Please select only one: 
  

	 ̈	Cash Exercise. I am enclosing a check or money order payable to “LM Funding America, Inc.” for the Aggregate Exercise Price. 


 

	 ̈	 Cashless Exercise (Available Only to the Extent Expressly Permitted by the Company). I am exercising the Option pursuant to the cashless
exercise provisions provided for by the Company. The Company will withhold from the Shares otherwise issuable upon exercise a whole number of shares with a Fair Market Value equal to (or less than) the Aggregate Exercise Price, and will then issue
the net number of remaining Shares to me. If the whole number of Shares to be withheld does not exactly equal my Aggregate Exercise Price, then the Company 










	 	
will withhold the whole number of Shares necessary to cover my Aggregate Exercise Price, and will issue a check to me equal to the Fair Market Value of any fractional Share not needed. If your
option is designated in the Option agreement as an incentive stock option (“ISO”), then selecting this method of payment may result in the Option losing its ISO status and being treated as a nonqualified stock option for tax purposes.


  

	 ̈	Share Delivery. I am enclosing the following certificate(s) for shares of LM Funding America, Inc. common stock to pay for all or a part of the Aggregate Exercise Price. The Fair Market Value of these shares will
be determined as of the date this form is received by the Company. 

  

					
	 Certificate Number
	  	 Certificate Date
	  	 Number of Shares



The Company is instructed to apply the number of shares indicated above towards the Aggregate Exercise Price. If the number of shares
indicated above covers less than the Aggregate Exercise Price, I also have enclosed (or will promptly provide) a check or money order made payable to “LM Funding America, Inc.” for the balance of the Aggregate Exercise Price. If the number
of shares indicated above covers more than the Aggregate Exercise Price, the Company will issue to me a new stock certificate for the whole number of shares not needed to pay the purchase price, and if necessary, a check in the amount of the Fair
Market Value of any fractional share. 
  

	 ̈	Cashless Exercise Through a Broker-Dealer. I have requested through the broker specified below to (select only one): 

  

	 ̈	Sell to Cover. Sell or margin only enough of the option being exercised to cover the Aggregate Exercise Price (and tax withholding, if elected below), deliver the sale or margin loan proceeds directly to
LM Funding America, Inc., and deposit the remaining shares and any residual cash in my brokerage account. 

  

	 ̈	Same-Day-Sale. Sell or margin all of the shares of common stock issuable upon exercise of the options, deliver a portion of the sale or margin loan proceeds directly to LM Funding America, Inc. to pay the
Aggregate Exercise Price (and tax withholding, if elected below), and deposit any remaining cash proceeds in my brokerage account. 


Sale Price*:
                                        
Sale Date*:
                                         
                                    

 

	*	The sale price and sale date are required in order to execute the cashless exercise. 


Broker-Dealer Name:
                                         
                                         
                                         
                                         

 Contact Person:
                                         
                                         
                                         
                                         
          
 DWAC – Depository Trust Company (DTC) #:
                                         
                                         
                                       

Brokerage Account #:
                                         
                                         
                                         
                                       

Broker Phone #: (            ) -
             -              Broker Fax #:
(            ) -              -
                                 

If your option is designated in the Option agreement as an ISO, then selecting this method of payment may result in the Option losing its ISO
status and being treated as a nonqualified stock option for tax purposes.  
 * It is your responsibility to contact a broker to
open a brokerage account and sell your stock option shares. LM Funding America, Inc. WILL NOT send this form to your broker. 
 CERTIFICATE OR BOOK
ENTRY INSTRUCTIONS 
 Do not complete this portion if you elected a cashless exercise through a broker-dealer. (Shares issued pursuant to a cashless
exercise through a broker-dealer will be automatically sent to your specified broker.) 

  
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 Please select only one: 

Name(s) in which the purchased shares will be issued: 
  

	 ̈	In my name only 

  

	 ̈	In the names of my spouse and myself as community property 

  

	 ̈	In the names of my spouse and myself as joint tenants with the rights of survivorship 

 Spouse’s name (if
applicable):
                                         
                                         
                                         
                          

The certificate or notice of book entry for the purchased shares should be sent to the following address (complete only if to be sent to a different
address than specified in Part 1): 
 Street Address:
                                         
                                         
                                         
                                         
                          

City:
                                         
                    State:
                                         
                Zip Code:
                                         
                    
 METHOD OF SATISFYING TAX
WITHHOLDING OBLIGATION 
 Please select only one. You do not need to complete this Part if you are exercising incentive stock options
(ISOs) or if you are a non-employee director or consultant. 
  

	 ̈	Cash. I am enclosing a check or money order payable to “LM Funding America, Inc.” for the withholding tax amount. 

  

	 ̈	Tax Amount Request. Please notify me of the amount of withholding taxes that will be due as a result of this option exercise. I understand that, after receiving notification of the withholding tax amount, I must
immediately remit to the Company a check or money order payable to “LM Funding America, Inc.” for that amount. I understand that the Company will not process my option exercise until it receives the check or money order covering the
withholding tax amount due. 

  

	 ̈	Share Delivery. I am enclosing the following certificate(s) for shares of LM Funding America, Inc. common stock to pay for all or a part of the withholding tax amount. The Fair Market Value of these shares (as
defined in the Plan) will be determined as of the date this form is received by the Company. 

  

					
	 Certificate Number
	 	 Certificate Date
	 	 Number of Shares



The Company is instructed to apply the number of shares indicated above towards the withholding tax amount. If the number of shares indicated
above covers less than the withholding tax amount, I also have enclosed (or will promptly provide) a check or money order made payable to “LM Funding America, Inc.” for the balance of the withholding tax amount If the number of shares
indicated above covers more than the withholding tax amount, the Company will issue to me a new stock certificate or create a new book entry for the whole number of shares not needed to pay the purchase price, and if necessary, a check in the amount
of the Fair Market Value of any fractional share. 
  

	 ̈	Share Withholding (Available Only to the Extent Expressly Permitted by the Company). The Company is instructed to withhold that number of whole shares otherwise issuable as a result of the exercise of the
Option(s) having a Fair Market Value on the date of exercise equal to the aggregate minimum federal, state and local taxes required to be withheld. If such number of shares covers more than the aggregate minimum taxes required to be withheld, the
Company will issue to me a check in the amount of the Fair Market Value of any fractional share. 

  

	 ̈	Broker Exercise. I have elected to exercise my option(s) through a broker. The broker will sell sufficient Shares to pay for the tax amount and will remit that amount to LM Funding America, Inc.


 ACKNOWLEDGEMENTS AND SIGNATURE 
  

	1.	I understand that all sales of LM Funding America, Inc. common stock received upon exercise of this option are subject to compliance with the company’s policy on securities trades. 


 

	2.	I hereby acknowledge that I have received and read a copy of the plan of LM Funding America, Inc. under which the Option(s) listed above were issued and a copy of the plan, and understand the tax consequences of an
exercise. 


  
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	3.	I understand that this Notice cannot be revoked. If I have selected a cashless exercise through a broker-dealer, I personally guarantee that the Aggregate Exercise Price and applicable taxes will be paid to LM Funding
America, Inc. in full in the event the Company does not receive the full amount from the broker for any reason. 

 Signature:
                                         
                                         
      
                                    Date:
                                         
                    
 FOR COMPANY USE ONLY: 

Received by the Company on
                                         
                                         
                                         
             . 

  
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