EX-10.4



 Exhibit 10.4 

REGIONAL MANAGEMENT CORP. 

2015 LONG-TERM INCENTIVE PLAN 

PERFORMANCE-CONTINGENT 

RESTRICTED STOCK UNIT AWARD AGREEMENT 

THIS PERFORMANCE-CONTINGENT RESTRICTED STOCK UNIT AWARD AGREEMENT (the “Agreement”) is made effective as of the date set
forth on the signature page hereto (hereinafter called the “Date of Grant”), between Regional Management Corp., a Delaware corporation (hereinafter called the “Company”), and the individual set forth on the
signature page hereto (hereinafter called the “Participant”), pursuant to the Regional Management Corp. 2015 Long-Term Incentive Plan, as it may be amended and/or restated (the “Plan”), which Plan is incorporated
herein by reference and made a part of this Agreement. 
  

	1.	Grant of Award. 

 The Company hereby grants to the Participant a Restricted Stock Unit
Award in the form of an Award of performance-based and service-based restricted stock units (the “Award”), which represents a contingent right to acquire shares of Common Stock (the “Shares”). For the purposes
herein, the Shares subject to the Award are units that will be reflected in a book account maintained by the Company and that will be settled in shares of Common Stock if and only to the extent permitted under the Plan and this Agreement. Prior to
issuance of any shares of Common Stock, the Award shall represent an unsecured obligation of the Company, payable (if at all) only from the Company’s general assets. The Award is subject to the terms and conditions of the Plan and this
Agreement, including the provisions set forth on the signature page hereto and Schedule A, which is attached hereto and expressly made a part of this Agreement. 
  

	2.	Definitions. 

 Whenever the following terms are used in this Agreement, they shall have
the meanings set forth below. Capitalized terms not otherwise defined herein shall have the same meanings as in the Plan. 
 (a)
Cause. “Cause” shall mean a Participant’s termination of employment or service resulting from the Participant’s (i) termination for “Cause” as defined under the Participant’s employment, change in
control, consulting or other similar agreement with the Company or an Affiliate, if any, or (ii) if the Participant has not entered into any such agreement (or, if any such agreement does not define “Cause”), then “Cause”
shall mean: (A) the Participant’s engagement in misconduct which is materially injurious to the Company or its Affiliates, (B) the Participant’s continued refusal to substantially perform his duties to the Company, (C) the
Participant’s repeated dishonesty in the performance of his duties to the Company, (D) the Participant’s commission of an act or acts constituting any (x) fraud against, or misappropriation or embezzlement from, the Company or
any of its Affiliates, (y) crime involving moral turpitude, or (z) offense that could result in a jail sentence of at least one year or (E) the Participant’s material breach of any confidentiality, non-solicitation or
non-competition covenant entered into between the Participant and the Company. The determination of “Cause” shall be made by the Administrator and its determination shall be final and conclusive. Without in any way limiting 







 the effect of the foregoing, for purposes of the Plan and this Agreement, a Participant’s employment or
service shall also be deemed to have terminated for Cause if, after the Participant’s employment or service has terminated, facts and circumstances are discovered that would have justified, in the opinion of the Administrator, a termination for
Cause. 
 (b) Good Reason. “Good Reason” shall mean (i) “Good Reason” as defined under the Participant’s
employment, change in control, consulting or other similar agreement with the Company or an Affiliate, if any, or (ii) if the Participant has not entered into any agreement (or, if any such agreement does not define “Good Reason”),
then, a “Good Reason” shall mean any of the following without the Participant’s consent: (A) with respect to Employees or Consultants, a change caused by the Company in the Participant’s duties and responsibilities which is
materially inconsistent with the Participant’s position at the Company, or a material reduction in the Participant’s annual base salary (excluding any reduction in the Participant’s salary that is part of a plan to reduce salaries of
comparably situated employees of the Company generally); and (B) with respect to Directors, the Participant’s ceasing to serve as a Director, or, if the Company is not the surviving Company in a Change of Control event, a member of the
board of directors of the surviving entity, in either case, due to the Participant’s failure to be nominated to serve as a director of such entity or the Participant’s failure to be elected to serve as a director of such entity, but not
due to the Participant’s decision not to continue service on the Board of Directors of the Company or the board of directors of the surviving entity, as the case may be; provided that, in any case, notwithstanding anything to the contrary in
the foregoing subparts (i) or (ii), the Participant shall only have “Good Reason” to terminate employment or service following the applicable entity’s failure to remedy the act which is alleged to constitute “Good
Reason” within thirty (30) days following such entity’s receipt of written notice from the Participant specifying such act, so long as such notice is provided within sixty (60) days after such event has first occurred. The
determination of “Good Reason” shall be made by the Administrator and its determination shall be final and conclusive. 
 (c)
Qualifying Termination. “Qualifying Termination” shall mean the termination of employment or service (i) as a result of the Participant’s death, Disability or Retirement, (ii) by the Company and its Affiliates without
Cause, or (iii) by the Participant with Good Reason. 
 (d) Retirement. “Retirement” shall have the meaning given in an
employment, change in control, consulting or other similar agreement, if any, to which the Participant is a party, or, if there is no such agreement (or if such agreement does not define “Retirement”), then “Retirement” shall
mean the termination of employment or service by the Participant on or after (i) the Participant’s attainment of age 65, or (ii) the Participant’s attainment of age 55 and completion of ten (10) years of service. For this
purpose, the Participant shall be credited with a year of service for each consecutive twelve-month period he is employed or in service during his period of employment or service with the Company. Employment or service shall not be deemed to be
terminated or interrupted by a leave of absence, sick leave or vacation granted to the Participant by the Company. The Administrator shall have authority to determine if a Retirement has occurred. 

  
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	3.	Vesting; Forfeiture. 

 (a) The actual number of Shares, if any, that may be earned and
vested during the Performance Period will be determined by the Administrator following the end of the Performance Period based on attainment of the Performance Goals, as set forth on the signature page hereto and as provided in Schedule A; provided,
however, that (except as otherwise provided in Section 3), the Award shall not vest, in whole or in part, and the Participant shall not be entitled to any Shares, unless the Participant remains employed or in service from the Date of Grant
until the Vesting Date (as defined on the signature page hereto). The Administrator has authority to determine whether and to what degree the Award shall be deemed earned and vested. 

(b) If the Participant’s employment or service with the Company is terminated during the Performance Period for any reason other than a
Qualifying Termination (including but not limited to a termination for Cause), the Award shall immediately terminate and the Participant shall have no rights with respect to the Award or the Shares underlying the Award. 

(c) Notwithstanding Sections 3(a) and (b) herein, if the Participant’s employment or service with the Company is terminated during
the Performance Period due to a Qualifying Termination, then a pro-rata portion of the Award, determined as of the date of the Qualifying Termination in accordance with the provisions of this Agreement and Schedule A, shall be eligible to be earned
and vested based on attainment of the Performance Goals during the Performance Period as specified in this Agreement and in Schedule A as if the Participant’s employment or service had not terminated. 

(d) Notwithstanding Sections 3(a) and (b) herein, in the event a Change of Control occurs during the Performance Period, the Award shall
be deemed earned and vested as follows: 
 (i) To the extent that the successor or surviving company in the Change of Control
event does not assume or substitute for the Award (or in which the Company is the ultimate parent corporation and does not continue the Award) on substantially similar terms or with substantially equivalent economic benefits (as determined by the
Administrator) as Awards outstanding under the Plan immediately prior to the Change of Control event, the Award shall be deemed earned and vested as if the Target Performance Goal for the Performance Period had been met as of the date of the Change
of Control. 
 (ii) Further, in the event that the Award is substituted, assumed or continued as provided in
Section 3(d)(i) herein, the Award will nonetheless become earned and vested if the Participant’s employment or service is terminated by the Company and its Affiliates without Cause or by the Participant with Good Reason within six months
before (in which case the Award shall be deemed earned and vested as if the Target Performance Goal for the Performance Period had been met as of the effective date of the Change of Control) or one year (or such other period after a Change of
Control as may be stated in a Participant’s employment, change in control, consulting or other similar agreement, if applicable) after the effective date of a Change of Control (in which case the Award shall be deemed earned and vested as if
the Target Performance Goal for the Performance Period had been met as of the Participant’s Termination Date). 

  
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	4.	Settlement of Award; Delivery of Shares. 

 (a) No certificate or certificates for Shares
shall be issued at the time of grant of the Award. A certificate or certificates for the Shares underlying the Award (or, in the case of uncertificated Shares, other written evidence of ownership in accordance with Applicable Law) shall be issued in
the name of the Participant (or his beneficiary) only in the event, and to the extent, that the Award has vested and been earned in accordance with the provisions of this Agreement, including Schedule A. Any Shares or other benefits payable pursuant
to the Award shall, upon vesting of the Award, be distributed to the Participant (or his beneficiary) within 70 days following the Vesting Date. Notwithstanding the foregoing, the following provisions shall apply: (a) any distributions as a
result of a Change of Control as provided in Section 3(d)(i) shall be paid within 70 days following the date of the Change of Control; and (b) any distributions due to termination of employment or service following a Change of Control as
provided in Section 3(d)(ii) shall be paid within 70 days following the Participant’s Termination Date. If the 70-day period described herein begins in one calendar year and ends in another, the Participant (or his beneficiary) shall not
have the right to designate the calendar year of the payment (except as otherwise provided below with respect to a delay in payments if the Participant is a “specified employee”). Further, if calculation of the amount of the payment is not
administratively practicable due to events beyond the control of the Participant (or his beneficiary), the payment will be treated as made within the applicable 70-day time period specified herein if the payment is made during the first taxable year
of the Participant in which the calculation of the amount of the payment is administratively practicable or otherwise in accordance with Code Section 409A. Notwithstanding the foregoing, if the Participant is or may be a “specified
employee” (as defined under Code Section 409A), and the distribution is considered deferred compensation under Code Section 409A, then such distribution if made due to separation from service shall be subject to delay as provided in
Section 20 of the Plan (or any successor provision thereto). 
 (b) Except as otherwise provided in this Section 4(b), the
Participant shall not be deemed to be the holder of any Shares subject to the Award and shall not have any dividend rights, voting rights or other rights as a stockholder unless and until (and only to the extent that) the Award has vested and
certificates for such Shares have been issued to him (or, in the case of uncertificated shares, other written evidence of ownership in accordance with Applicable Law shall have been provided). As of any date that the Company pays an ordinary cash
dividend on its common stock, the Company shall credit to the Participant’s book account a dollar amount equal to (i) the per share cash dividend paid by the Company on its common stock on such date, multiplied by (ii) that number of
Shares equal to the number of Target Units set forth on the signature page hereto (a “Dividend Equivalent Right”). Any Dividend Equivalent Rights credited pursuant to the foregoing provisions of this Section 4(b) shall be subject to
the same vesting, Performance Goals, payment and other terms, conditions and restrictions as the Shares subject to the Award (and, for clarification, shall not be paid unless and until the corresponding portion of the Shares subject to the Award
have been earned and vested); provided, however, that the amount of any Dividend Equivalent Rights that become earned and vested pursuant to the terms of this Agreement and Schedule A shall be paid in cash. 

(c) Notwithstanding any other provision of the Plan or this Agreement to the contrary, no Shares shall be distributable upon vesting of the
Award prior to the completion of any registration or qualification of the Award or the Shares under any Applicable Law (including, but not limited to, the requirements of the Securities Act) that the Administrator shall in its sole discretion
determine to be necessary or advisable. 

  
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 (d) The Company shall not be liable to the Participant for damages relating to any delays in
issuing the certificates to him (subject to any Code Section 409A requirements), any loss of the certificates, or any mistakes or errors in the issuance of the certificates or in the certificates themselves. Notwithstanding the foregoing, the
issuance of Shares may, in the Company’s discretion, be effected on a non-certificated basis, to the extent permitted under the Plan. 

(e) The Award, if vested in accordance with the terms of this Agreement, shall be payable in whole Shares. The total number of Shares that may
be acquired upon vesting of the Award (or portion thereof) shall be rounded down to the nearest whole share. 
  

	5.	No Right to Continued Employment or Service; No Right to Further Awards. 

 Neither the
Plan nor this Agreement nor any other action related to the Plan shall confer upon the Participant any right to continue in the employ or service of the Company or interfere in any way with the right of the Company or an Affiliate to terminate the
Participant’s employment or service at any time. Except as otherwise provided in the Plan or this Agreement, all rights of the Participant with respect to the unvested portion of the Award shall terminate on the Participant’s Termination
Date. The grant of the Award does not create any obligation to grant further awards. 
  

	6.	Legend on Certificates. 

 The Shares acquired upon vesting of the Award shall be subject
to the rules, regulations and other requirements of the Securities and Exchange Commission, any stock exchange upon which such Shares are listed and any other Applicable Law, and the Administrator may cause a legend or legends to be put on any
certificates for such Shares to make appropriate reference to such restrictions. 
  

	7.	Transferability. 

 The Award may not be assigned, alienated, pledged, attached, sold or
otherwise transferred or encumbered by the Participant otherwise than by will or by the laws of descent and distribution, and any such purported assignment, alienation, pledge, attachment, sale, transfer or encumbrance shall be void and
unenforceable against the Company or any Affiliate; provided that the designation of a beneficiary shall not constitute an assignment, alienation, pledge, attachment, sale, transfer or encumbrance. No such permitted transfer of the Award to heirs or
legatees of the Participant shall be effective to bind the Company unless the Administrator shall have been furnished with written notice thereof and a copy of such evidence as the Administrator may deem necessary to establish the validity of the
transfer and the acceptance by the transferee or transferees of the terms and conditions hereof. 

  
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	8.	Withholding; Tax Consequences. 

 (a) The Participant may be required to pay to the
Company or any Affiliate, and the Company shall have the right and is hereby authorized to withhold (including from payroll or any other amounts payable to the Participant), any applicable withholding taxes in respect of the Award, its vesting or
any payment or transfer under or with respect to the Award and to take such other action as may be necessary in the opinion of the Administrator to satisfy all obligations for the payment of such withholding taxes; provided, however, that no amounts
shall be withheld in excess of the Company’s statutory minimum withholding liability. Without limiting the generality of the foregoing, to the extent permitted by the Administrator, the Participant may satisfy, in whole or in part, the
foregoing withholding liability by delivery of shares of Common Stock held by the Participant (which are fully vested and not subject to any pledge or other security interest) or by having the Company withhold from the number of Shares otherwise
deliverable to the Participant hereunder Shares with a Fair Market Value not in excess of the statutory minimum withholding liability. The Participant further agrees to make adequate provision for any sums required to satisfy all applicable federal,
state, local and foreign tax withholding obligations of the Company which may arise in connection with the Award. 
 (b) The Participant
acknowledges that the Company has made no warranties or representations to the Participant with respect to the tax consequences (including but not limited to income tax consequences) with respect to the transactions contemplated by this Agreement,
and the Participant is in no manner relying on the Company or its representatives for an assessment of such tax consequences. The Participant acknowledges that there may be adverse tax consequences upon the grant or vesting of the Award and/or the
acquisition or disposition of the Shares subject to the Award and that he has been advised that he should consult with his own attorney, accountant and/or tax advisor regarding the decision to enter into this Agreement and the consequences thereof.
The Participant also acknowledges that the Company has no responsibility to take or refrain from taking any actions in order to achieve a certain tax result for the Participant. 

 

	9.	Compliance with Applicable Law. 

 Upon the acquisition of any Shares pursuant to the
vesting of the Award, the Participant will make or enter into such written representations, warranties and agreements as the Administrator may reasonably request in order to comply with Applicable Law or with the Plan or this Agreement.
Notwithstanding any other provision in the Plan or this Agreement to the contrary, the Company shall not be obligated to issue, deliver or transfer Shares, to make any other distribution of benefits or to take any other action, unless such delivery,
distribution or action is in compliance with Applicable Law (including but not limited to the requirements of the Securities Act). 
  

	10.	Notices. 

 Any notice necessary under this Agreement shall be addressed to the Company in
care of its Secretary at the principal executive office of the Company and to the Participant at the address appearing in the personnel records of the Company for the Participant or to either party at such other address as either party hereto may
hereafter designate in writing to the other. Any such notice shall be deemed effective upon receipt thereof by the addressee. 

  
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	11.	Governing Law. 

 This Agreement shall be governed by and construed in accordance with the
laws of the state of Delaware without regard to conflicts of laws, and in accordance with applicable federal laws of the United States. Any and all disputes between the Participant or any person claiming through him and the Company or any Affiliate
relating to the Plan or this Agreement shall be brought only in the state courts of Greenville, South Carolina, or the United States District Court for the District of South Carolina, Greenville division, as appropriate. 

 

	12.	Award Subject to Plan. 

 By entering into this Agreement, the Participant agrees and
acknowledges that the Participant has received and read a copy of the Plan and Plan prospectus. The Participant acknowledges and agrees that the Award is subject to the Plan. The terms and provisions of the Plan, as they may be amended from time to
time, are hereby incorporated herein by reference. In the event of a conflict between any express term or provision contained herein and a term or provision of the Plan, the applicable terms and provisions of the Plan will govern and prevail, unless
the Administrator determines otherwise. 
  

	13.	Signature in Counterparts. 

 This Agreement may be signed in counterparts, each of which
shall be an original, with the same effect as if the signatures thereto and hereto were upon the same instrument. 
  

	14.	Amendment; Waiver; Superseding Effect. 

 This Agreement may be modified or amended as
provided in the Plan. The waiver by the Company of a breach of any provision of this Agreement by the Participant shall not operate or be construed as a waiver of any subsequent breach by the Participant. The Agreement supersedes any statements,
representations or agreements of the Company with respect to the grant of the Award or any related rights, and the Participant hereby waives any rights or claims related to any such statements, representations or agreements. 

 

	15.	Recoupment and Forfeiture. 

 As a condition to receiving the Award, the Participant
agrees that he shall abide by the Company’s Compensation Recovery Policy and Stock Ownership and Retention Policy (including but not limited to such policy’s stock retention requirements) and/or other policies adopted by the Company or an
Affiliate, each as in effect from time to time and to the extent applicable to the Participant. Further, the Participant shall be subject to such compensation recovery, recoupment, forfeiture or other similar provisions as may apply under Applicable
Law. 

  
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	16.	Administration. 

 The authority to construe and interpret this Agreement and the Plan,
and to administer all aspects of the Plan, shall be vested in the Administrator, and the Administrator shall have all powers with respect to this Agreement as are provided in the Plan, including but not limited to the sole authority to determine
whether and to what degree the Award is earned and vested. Any interpretation of this Agreement by the Administrator and any decision made by it with respect to this Agreement is final and binding. 

 

	17.	Severability. 

 The provisions of this Agreement are severable and if any one or more
provisions shall be held illegal or invalid for any reason, such illegality or invalidity shall not affect the remaining parts of this Agreement, and the Agreement shall be construed and enforced as if the illegal or invalid provision had not been
included. 
  

	18.	Right of Offset. 

 Notwithstanding any other provision of the Plan or this Agreement, the
Company may at any time (subject to any Code Section 409A considerations) reduce the amount of any payment or benefit otherwise payable to or on behalf of the Participant by the amount of any obligation of the Participant to the Company or an
Affiliate that is or becomes due and payable, and, by entering into this Agreement, the Participant shall be deemed to have consented to such reduction. 

[Signature Page to Follow] 

  
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 SIGNATURE PAGE TO PERFORMANCE-CONTINGENT 

RESTRICTED STOCK UNIT AWARD AGREEMENT 

IN WITNESS WHEREOF, the parties have caused this Agreement to be effective as of the Date of Grant specified below. 

 

			
	Date of Grant:		[                    ]
		
	Performance Period:		[                    , 20     to
                    , 20    .]
		
			The actual number of Shares, if any, subject to the Award that may be earned shall be determined based on the attainment of the performance goals specified in Schedule A, as determined by the Administrator following the end of
the Performance Period; provided, however, that except as provided herein, no Shares shall vest and be issuable to the Participant unless the Participant is continuously employed by or in service with the Company from the Date of Grant until the
Vesting Date and the provisions of Section 1 of Schedule A are met.
		
	Number of Target Units:		The aggregate target number of restricted stock units for the Performance Period is [                    ] (the “Target
Units”). Notwithstanding the foregoing, in the event that the Participant’s Employment with the Company is terminated due to a Qualifying Termination, then a pro-rata portion of the Target Units may be earned and vested in accordance with
this Agreement and Schedule A. The pro-rata portion that may be earned and vested shall be determined by multiplying the total number of the Target Units by a fraction, the numerator of which is the number of calendar days from the first day of the
Performance Period through the date of the Qualifying Termination, and the denominator of which is the total number of calendar days in the Performance Period. Following a Qualifying Termination, the use of the term “Target Units” shall
mean the pro-rata portion of the Target Units as determined pursuant to the immediately preceding sentence.
		
	Vesting Date:		[                    ]


  
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	Number of Target Units Earned:		[        ]% of the Target Units shall be eligible to be earned based on attainment of the Threshold Performance Goal for the Performance Period, subject to continued employment or service as
provided herein except in the case of a Qualifying Termination.
		
			[            ]% of the Target Units shall be eligible to be earned based on attainment of the Target Performance Goal for the Performance Period, subject to continued
employment or service as provided herein except in the case of a Qualifying Termination.
		
			[            ]% of the Target Units shall be eligible to be earned based on attainment of the Maximum Performance Goal for the Performance Period, subject to continued
employment or service as provided herein except in the case of a Qualifying Termination.
		
			One Share of the Company’s stock will be issued for each Target Unit earned and vested in accordance with this Agreement and Schedule A.

  

			
	 Participant:
  

	Printed Name: [            ]
	
	Regional Management Corp.
		
	By:		 
	Name:		 
	Its:		 



  
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 Schedule A 

REGIONAL MANAGEMENT CORP. 

2015 LONG-TERM INCENTIVE PLAN 

PERFORMANCE-CONTINGENT 

RESTRICTED STOCK UNIT AWARD AGREEMENT 

Schedule A sets forth the performance goals for the performance-based and service-based Restricted Stock Unit Award (the
“Award”) under the Regional Management Corp. 2015 Long-Term Incentive Plan, as it may be amended and/or restated (the “Plan”), evidenced by the Performance-Contingent Restricted Stock Unit Award Agreement (the
“Agreement”) to which it is attached. Capitalized terms not expressly defined in this Schedule A but defined in the Plan or the Agreement shall have the same definitions as in the Plan and/or the Agreement, as applicable. 

1. Target Units; Vesting Terms: The aggregate target number of restricted stock units for the Performance Period is:
[            ] (the “Target Units”). Notwithstanding the foregoing, in the event that the Participant’s employment or service with the Company is terminated due to a
Qualifying Termination, then a pro-rata portion of the Target Units may be earned and vested in accordance with this Agreement and Schedule A. The pro-rata portion that may be earned and vested shall be determined by multiplying the total number of
the Target Units by a fraction, the numerator of which is the number of calendar days from the first day of the Performance Period through the date of the Qualifying Termination, and the denominator of which is the total number of calendar days in
the Performance Period. Except as otherwise provided in this Agreement, the Award is subject to both continued service and performance requirements as follows: 

(a) Threshold Performance Goal: [            ]% of the Target Units subject
to the Award shall vest and be earned if (i) the Company’s [            ] meets or exceeds [            ] for the
Performance Period (the “Threshold Performance Goal”), and (ii) the Participant is employed by or in service with the Company on the Vesting Date and has been continuously employed or in service since the Date of Grant. Except as
otherwise provided in this Agreement, both the performance condition described in Section 1(a)(i) and the service condition described in Section 1(a)(ii) must be met in order for any of the Units to vest pursuant to this Section 1(a). 

(b) Target Performance Goal: [            ]% of the Target Units subject to
the Award shall vest and be earned if (i) [            ] meets or exceeds [            ] for the Performance Period (the
“Target Performance Goal”), and (ii) the Participant is employed by or in service with by the Company on the Vesting Date and has been continuously employed or in service since the Date of Grant. Except as otherwise provided in this
Agreement, both the performance condition described in Section 1(b)(i) and the service condition described in Section 1(b)(ii) must be met in order for any of the Units to vest pursuant to this Section 1(b). 

(c) Maximum Performance Goal: [            ]% of the Target Units subject to
the Award shall vest and be earned if (i) [            ] meets or exceeds [            ] for the Performance Period (the
“Maximum Performance Goal”), and (ii) the Participant is 

  
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employed by or in service with the Company on the Vesting Date and has been continuously employed or in service since the Date of Grant. Except as otherwise provided in this Agreement, both the
performance condition described in Section 1(c)(i) and the service condition described in Section 1(c)(ii) must be met in order for any of the Units to vest pursuant to this Section 1(c). 

Notwithstanding the foregoing, the Award shall not be deemed payable, in whole or in part, until both of the following events have occurred:
(A) the completion of the Company’s audited financial statements for the fiscal year ending [            ], and (B) the Administrator’s written certification regarding
if and to the extent the applicable performance goals have been met. 
 2. Definition: [Insert definition of performance
criteria.] 
 3. Determination of Number of Target Units Earned; Additional Terms: The total number of Target Units that
may be eligible to be earned under the Award is between [            ]% and [            ]% of the number of Target Units (as
adjusted as provided herein in the case of a Qualifying Termination) based on attainment of [            ] for the Performance Period. If
[            ] for the Performance Period is below the Threshold Performance Goal, no Target Units are earned for the Performance Period; if
[            ] performance for the Performance Period is at the Threshold Performance Goal, [            ]% of the Target Units
are earned for the Performance Period; if [            ] performance for the Performance Period is at the Target Performance Goal,
[            ]% of the Target Units are earned for the Performance Period; if [            ] performance for the Performance
Period is at the Maximum Performance Goal, [            ]% of the Target Units are earned for the Performance Period, subject in all cases, except in the case of a Qualifying Termination,
to the Participant’s continued employment from the Date of Grant until the Vesting Date. As further clarification, the Target Units deemed earned for [            ] results between
(A) the Threshold Performance Goal and the Target Performance Goal and (B) the Target Performance Goal and the Maximum Performance Goal will be calculated using linear interpolation. 

  
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