Form of Porter Bancorp, Inc. Restricted Stock Award Agreement



 Exhibit 10.4 
 FORM OF 
 PORTER BANCORP, INC. 
 RESTRICTED STOCK AWARD AGREEMENT 
 Porter Bancorp, Inc. (“Porter”) grants as of                     , 20     (the “Grant
Date”) to                                      (the
“Employee” or “you”) the number of shares set forth below, of the non-voting common stock of Porter under the Porter Bancorp, Inc. Amended and Restated 2006 Stock Incentive Plan (the “Plan”). A copy of the Plan is
attached, and any capitalized terms used but not defined in this Agreement shall have the meaning given them in the Plan. 
 GRANT
OF AWARD. Subject to the terms and conditions of this Agreement and the Plan, Porter hereby grants to you a Restricted Stock Award in the amount of
             shares of Stock (the “Shares”). These shares will be issued to you after you sign this Agreement, but are subject to forfeiture if you terminate employment
with Porter. 
 RESTRICTION PERIOD. The Restricted Stock vests at the rate of [10%] on each one-year
anniversary of the Grant Date stated above, provided you are still employed by PBI Bank, Porter’s subsidiary, at the vesting date. [However, your Restricted Stock will become 100% vested if there is a Change in Control of Porter as
defined in the Plan.] 
 TAXATION OF AWARD. Your Restricted Stock will be taxable
when it vests, at the value on the vesting date. See the attachment to this Agreement explaining your option to include the value of the shares in income within 30 days of the Grant Date. You may only choose this option if you make arrangements
satisfactory to Porter to pay the required withholding taxes due now if the election is made. Check below if you wish to make this election: 
                              I elect to make an 83(b) tax election to include the value of
Shares granted to me in income now. 
 TRANSFER RESTRICTIONS. Until such time as the Shares become vested in accordance
with schedule set forth above, the Shares shall not be transferred, pledged or disposed of except by will or the laws of descent and distribution, and are subject to forfeiture in accordance with this Agreement and the Plan. Under the Plan, Porter
has a right of first refusal to purchase the Shares, and you must offer to sell them to Porter before you can sell them to a third party. 
 ACKNOWLEDGMENTS. By signing below, you acknowledge that you have received a copy of the Plan, and you hereby accept the Shares subject to all the terms and provisions of the Plan. Nothing contained in the Plan or this
Agreement shall give you any rights to continued employment by PBI Bank or interfere in any way with the right of Porter or the bank to terminate your employment or change your compensation at any time. 
  

									
		 		 		 	PORTER BANCORP, INC.
				
	  
	 		 	By:	 	  

	Employee	 		 		 	
					
	Date:	 	  
	 		 	Date:	 	  









 Important Information About Section 83(b) Election to Include Value of Restricted Stock Grant in Income at Grant
Date: 
 As a recipient of a restricted stock grant under the Porter Bancorp, Inc. Amended and Restated 2006 Stock Incentive Plan, you may
make an election (called an “83(b) election”) to recognize compensation income when the stock is granted, even though the stock is then subject to a risk of forfeiture (vesting). Making an 83(b) election causes current taxation of the fair
market value of the stock granted, and withholding taxes are immediately due. If you make an 83(b) election, you must make arrangements satisfactory to Porter to pay those withholding taxes now. 
 By making an 83(b) election, any later appreciation in the stock will be taxed as capital gain income, and your holding period for capital gain purposes
will begin on the date of taxation. An 83(b) election must be made, if at all, within 30 days after the transfer of the stock to you. 
 The downside of making an 83(b) election is that the election is generally irrevocable. Also, if you forfeit the stock, you may not receive any deduction for the amount previously included in income. 
 To the extent an 83(b) election is not made, Porter will be treated as the owner of the stock that continues to be subject to restriction for tax
purposes, so any dividends will be treated as compensation paid to you by Porter, and will therefore be subject to withholding and FICA and Medicare taxes. 
  

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 ELECTION TO INCLUDE VALUE 
 OF RESTRICTED STOCK AWARD IN GROSS INCOME 
 PURSUANT TO SECTION 83(b) OF THE
INTERNAL REVENUE CODE 
                          [insert date] 
 The undersigned hereby elects, under IRC Section 83(b) to include in gross income, as compensation for services, the excess of the fair market value
at the time of transfer of the property described below over the amount paid for such property. 
 The following information is supplied in
accordance with Treasury Regulation §1.83-2(e): 
  

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

  

							
		 	 Name:
	 	  
	 	
				
		 	 Address:
	 	  
	 	
			
		 	  
	 	
			
		 	  
	 	
				
		 	 SSN:
	 	  
	 	

 2. The property with respect to which the election is being made is non-voting common stock of
Porter Bancorp, Inc. 
 3. The property was transferred on
                     [insert date]. The taxable year for which election is made is calendar year
20        . 
 4. The nature of the restrictions or risks of forfeiture to which the property
is subject is that if the undersigned ceases to be employed by Porter Bancorp or its subsidiary, the unvested portion of the undersigned’s restricted stock will be forfeited. The undersigned vests in the property at the rate of 10% on each
anniversary of the grant date or upon a change in control as defined in the Restricted Stock Grant Plan. 
 5. The fair market value of
property at the time of transfer (determined without regard to any lapse restriction) was $            . 
 6. The taxpayer received the property solely for the performance of services. 
 7. Copies of this statement have been have been furnished, as required by Reg 1.83-2(d), to Porter Bancorp, Inc. and its subsidiary for which the
services were performed. 
  

	
	  



 Instructions for Filing: File this statement within 30 days from the Grant Date with IRS at
the address you will use to file your 1040 for the tax year involved as stated in item 3 above, AND file it with your tax return for that year. 
 Note: optional provisions, at the discretion of the Compensation Committee, are in bold italics. 
  

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