Exhibit
10.26


 


RESTRICTED STOCK AGREEMENT


 


HEALTHPOINTCAPITAL DENTAL HOLDINGS, INC.


 


AGREEMENT
made as of the 17th day of April, 2007 (the “Grant Date”), between
HealthpointCapital Dental Holdings, Inc. (the “Company”), a Delaware
corporation, and William Ross, (the “Participant”).


 


WHEREAS,
the Company has adopted the HealthpointCapital Dental Holdings, Inc. 2007
Executive, Director and Consultant Stock Plan (the “Plan”) to promote the
interests of the Company by providing an incentive for employees, directors and
consultants of the Company or its Affiliates;


 


WHEREAS,
pursuant to the provisions of the Plan, the Company desires to offer to the
Participant shares of the Company’s common stock, $0.0001 par value per share (“Common
Stock”), in accordance with the provisions of the Plan, all on the terms and
conditions hereinafter set forth;


 


WHEREAS,
Participant wishes to accept said offer; and


 


WHEREAS,
the parties hereto understand and agree that any terms used and not defined
herein have the meanings ascribed to such terms in the Plan and that any and
all references herein to employment of the Participant by the Company shall
include the Participant’s employment or service as an employee, director or
consultant of the Company or any Affiliate.


 


NOW,
THEREFORE, in consideration of the promises and the mutual covenants contained
herein and for other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the parties hereto hereby agree
as follows:


 


1.             Terms of Grant. The Participant hereby accepts the offer of the
Company to issue to the Participant, in accordance with the terms of the Plan
and this Agreement, 100,000 Shares
of the Company’s Common Stock (such shares, subject to adjustment pursuant to Section 24
of the Plan and Subsection 2.1(i) hereof, the “Granted Shares”) at a
purchase price per share of $0.001 (the “Purchase Price”), receipt of which is
hereby acknowledged by the Company by the Participant’s prior service to the
Company and which amount will be reported as income on the Participant’s W-2
for this calendar year. The Participant hereby agrees to become a party to the
Stockholders’ Agreement dated August 21, 2006 between the Company and its
stockholders (the “Stockholders’ Agreement”), and Participant agrees to execute
any certificates or other documentation that the Company reasonably deems
appropriate in order for the Participant to become a party to the Stockholders’
Agreement. In addition to the restrictions expressly set forth in this
Agreement, the Granted Shares hereby shall not be transferred by the
Participant except as permitted in the Stockholders’ Agreement.


 

















 


2.1.          Company’s Lapsing Repurchase Right.


 


(a)           Lapsing Repurchase Right. Except as set forth in Subsections
2.1(b), 2.1(c) and 2.1(d) hereof, in the event that for any reason
the Participant is no longer an employee, director or consultant of the Company
or an Affiliate prior to the third anniversary of the Date of Reference, the
Company (or its designee) shall have the option, but not the obligation, to
purchase from the Participant (or the Participant’s Survivor), and, in the
event the Company exercises such option, the Participant (or the Participant’s
Survivor) shall be obligated to sell to the Company (or its designee), at a
price per Granted Share equal to the Purchase Price, all or any part of the
Granted Shares set forth in clauses (i) and (ii) below (the “Lapsing
Repurchase Right”). The Company’s Lapsing Repurchase Right shall be valid for a
period of one year commencing with the date of such termination of employment
or service. Notwithstanding any other provision hereof, in the event the
Company is prohibited during such one year period from exercising its Lapsing
Repurchase Right by Section 160 of the Delaware General Corporation Law as
amended from time to time (or any successor provision), then the time period
during which such Lapsing Repurchase Right may be exercised shall be extended
until 30 days after the Company is first not so prohibited. For the purposes of
this Agreement, “Date of Reference” shall be August 21, 2006.


 


(i)            If such termination is prior to the first
anniversary of the Date of Reference, the Company shall have the option to
repurchase all of the Granted Shares acquired by the Participant hereunder.


 


(ii)           If such termination is on or after the
first anniversary of the Date of Reference, but prior to the third anniversary
of the Date of Reference, the Company shall have the option to repurchase all
of the Granted Shares less one-third of the Granted Shares for each full 12
month period elapsed after the Date of Reference that the Participant continues
to serve as an employee, director or consultant of the Company or an Affiliate.


 


(b)           Effect of Termination for Disability or upon Death. The following rules apply if the
Participant ceases to be an employee, director or consultant of the Company or
an Affiliate by reason of Disability or death: to the extent the Company’s
Lapsing Repurchase Right has not lapsed as of the date of Disability or death,
as case may be, the Company may exercise such Lapsing Repurchase Right;
provided, however, that the Company’s Lapsing Repurchase Right shall be deemed
to have lapsed to the extent of a pro rata portion of the Granted Shares
through the date of Disability or death, as would have lapsed had the
Participant not become Disabled or died, as the case may be. The proration
shall be based upon the number of days accrued in such current vesting period
prior to the Participant’s date of Disability or death, as the case may be.


 


(c)           Effect of a For Cause Termination. Notwithstanding anything to the
contrary contained in this Agreement, in the event the Company or an Affiliate
terminates the Participant’s employment or service for “cause” (as defined in
the Plan) or in the event the Administrator determines, within one year after
the Participant’s termination, that either prior or subsequent to the
Participant’s termination the Participant engaged in conduct that would
constitute “cause,” all of the Granted Shares then held by the Participant
shall be forfeited to the


 


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Company
immediately as of the time the Participant is notified that he or she has been
terminated for “cause” or that he or she engaged in conduct which would
constitute “cause”.


 


(d)           Effect of Change of Control. Except as otherwise provided in
Subsection 2.1(c) above, the Company’s Lapsing Repurchase Right shall
terminate, and the Participant’s ownership of all Granted Shares then owned by
the Participant shall become vested in accordance with the terms and conditions
set forth in Section 24 of the Plan.


 


(e)           Closing. In the event that the Company exercises the Lapsing
Repurchase Right, the Company shall notify the Participant, or, in the case of
the Participant’s death, his or her Survivor, in writing of its intent to
repurchase the Granted Shares. Such notice may be mailed by the Company up to
and including the last day of the time period provided for above for exercise
of the Lapsing Repurchase Right. The notice shall specify the place, time and
date for payment of the repurchase price (the “Closing”) and the number of
Granted Shares with respect to which the Company is exercising the Lapsing
Repurchase Right. The Closing shall be not less than ten days nor more than 60
days from the date of mailing of the notice, and the Participant or the
Participant’s Survivor with respect to the Granted Shares which the Company
elects to repurchase shall have no further rights as the owner thereof from and
after the date specified in the notice. At the Closing, the repurchase price
shall be delivered to the Participant or the Participant’s Survivor and the
Granted Shares being repurchased, duly endorsed for transfer, shall, to the
extent that they are not then in the possession of the Company, be delivered to
the Company by the Participant or the Participant’s Survivor.


 


(f)            Escrow. The certificates representing all Granted Shares
acquired by the Participant hereunder which from time to time are subject to
the Lapsing Repurchase Right shall be delivered to the Company and the Company
shall hold such Granted Shares in escrow as provided in this Subsection 2.1(f).
The Company shall promptly release from escrow and deliver to the Participant a
certificate for the whole number of Granted Shares, if any, as to which the
Company’s Lapsing Repurchase Right has lapsed as the Participant’s ownership of
such Granted Shares becomes vested from time to time. In the event of a
repurchase by the Company of Granted Shares subject to the Lapsing Repurchase Right,
the Company shall release from escrow and cancel a certificate for the number
of Granted Shares so repurchased. Any securities distributed in respect of the
Granted Shares held in escrow, including, without limitation, shares issued as
a result of stock splits, stock dividends or other recapitalizations, shall
also be held in escrow in the same manner as the Granted Shares.


 


(g)           Prohibition on Transfer. The Participant recognizes and agrees that all
Granted Shares which are subject to the Lapsing Repurchase Right may not be
sold, transferred, assigned, hypothecated, pledged, encumbered or otherwise
disposed of, whether voluntarily or by operation of law, other than to the
Company (or its designee). However, the Participant, with the approval of the Administrator,
may transfer the Granted Shares for no consideration to or for the benefit of
the Participant’s Immediate Family (including, without limitation, to a trust
for the benefit of the Participant’s Immediate Family or to a partnership or
limited liability company for one or more members of the Participant’s
Immediate Family), subject to such limits as the Administrator may establish,
and the transferee shall remain subject to all the terms and conditions
applicable to this Agreement prior to such transfer and each such transferee
shall so


 


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acknowledge in
writing as a condition precedent to the effectiveness of such transfer. The
term “Immediate Family” shall mean the Participant’s spouse, former spouse,
parents, children, stepchildren, adoptive relationships, sisters, brothers,
nieces and nephews and grandchildren (and, for this purpose, shall also include
the Participant. The Company shall not be required to transfer any Granted
Shares on its books which shall have been sold, assigned or otherwise
transferred in violation of this Subsection 2.1(g), or to treat as the owner of
such Granted Shares, or to accord the right to vote as such owner or to pay
dividends to, any person or organization to which any such Granted Shares shall
have been so sold, assigned or otherwise transferred, in violation of this
Subsection 2.1(g).


 


(h)           Failure to Deliver Granted Shares to be Repurchased. In the event that the Granted Shares to
be repurchased by the Company under this Agreement are not in the Company’s
possession pursuant to Subsection 2.1(f) above or otherwise and the
Participant or the Participant’s Survivor fails to deliver such Granted Shares
to the Company (or its designee), the Company may elect (i) to establish a
segregated account in the amount of the repurchase price, such account to be
turned over to the Participant or the Participant’s Survivor upon delivery of
such Granted Shares, and (ii) immediately to take such action as is
appropriate to transfer record title of such Granted Shares from the
Participant to the Company (or its designee) and to treat the Participant and
such Granted Shares in all respects as if delivery of such Granted Shares had
been made as required by this Agreement. The Participant hereby irrevocably
grants the Company a power of attorney which shall be coupled with an interest
for the purpose of effectuating the preceding sentence.


 


(i)            Adjustments. The Plan contains provisions covering the treatment
of Shares in a number of contingencies such as stock splits and mergers.
Provisions in the Plan for adjustment with respect to the Granted Shares and
the related provisions with respect to successors to the business of the
Company are hereby made applicable hereunder and are incorporated herein by
reference.


 


2.2           General Restrictions on Transfer of Granted Shares.


 


(a)           Limitations on Transfer. In addition to the restrictions set forth above in Section 2.1,
the Granted Shares acquired by the Participant hereunder and no longer subject
to the provisions of Section 2.1 herein (the “Vested Shares”) shall not be
transferred by the Participant except as permitted herein, shall be subject to
the provisions of Sections 2.1 (f), (g) and (h) above and shall be
subject to the repurchase rights described herein.


 


(b)           Right to Repurchase following Termination of Service. If the Participant’s service as an
employee, director or consultant with the Company or an Affiliate shall be
terminated for any reason other than for “cause” (as defined in the Plan), including
due to death or Disability, then the Company shall have the option to
repurchase the Vested Shares not previously repurchased in accordance with the
provisions of Section 2.1 of this Agreement as follows:


 


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(i)            The Company’s option to repurchase the
Vested Shares in the event of termination of service under this Section 2.2(b) shall
be valid for a period of one year commencing with the date of such termination
of service.


 


(ii)           In the event the Company shall be
entitled to and shall elect to exercise its option to repurchase the Vested
Shares under this Section 2.2(b), the Company shall notify the
Participant, or in case of death, his or her Survivor, in writing of its intent
to repurchase the Vested Shares. Such written notice may be mailed by the
Company up to and including the last day of the time period provided for in Section 2.2(b)(i) for
exercise of the Company’s option to repurchase.


 


(iii)          The
written notice to the Participant shall specify the address at, and the time
and date on, which payment of the Repurchase Price (as defined herein) is to be
made (the “Closing”). The date specified shall not be less than ten days nor
more than 60 days from the date of the mailing of the notice, and the Participant
or the Participant’s Survivor with respect to the Vested Shares shall have no
further rights as the owner thereof from and after the date specified in the
notice. At the Closing, the Repurchase Price shall be delivered to the
Participant or the Participant’s Survivor and the Vested Shares being
purchased, duly endorsed for transfer, shall, to the extent that they are not
then in the possession of the Company, be delivered to the Company by the
Participant or the Participant’s Survivor.


 


(iv)          The price paid per share for any Vested
Shares repurchased hereunder (the “Repurchase Price”) shall equal the Fair
Market Value of such Vested Shares determined in accordance with the Plan as of
the date of termination of service, provided, however, in the event of a
termination by the Company or an Affiliate for “cause” (as defined in the
Plan), the per share repurchase price of the Shares to be sold to the Company
upon exercise of its option under this Section 2.2 shall be equal to the
Purchase Price.


 


(c)           Right to Repurchase on Proposed Transfer. It shall be a condition precedent to the
validity of any sale or other transfer of any Vested Shares by the Participant
that the following restrictions be complied with (except as hereinafter
otherwise provided):


 


(i)            No Vested Shares owned by the Participant
may be sold, pledged or otherwise transferred (including by gift or devise) to
any person or entity, voluntarily, or by operation of law, except in accordance
with the terms and conditions hereinafter set forth.


 


(ii)           Before selling or otherwise transferring
all or part of the Vested Shares, the Participant shall give written notice of
such intention to the Company which notice shall include the name of the
proposed transferee, the proposed purchase price per share, the terms of
payment of such purchase price and all other matters relating to such sale or
transfer and shall be accompanied by a copy of the binding written agreement of
the


 


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proposed
transferee to purchase the Vested Shares of the Participant. Such notice shall
constitute a binding offer by the Participant to sell to the Company such
number of the Vested Shares then held by the Participant as are proposed to be
sold in the notice at the monetary price per share designated in such notice,
payable on the terms offered to the Participant by the proposed transferee
(provided, however, that the Company shall not be required to meet any
non-monetary terms of the proposed transfer, including, without limitation,
delivery of other securities in exchange for the Vested Shares proposed to be
sold). The Company shall give written notice to the Participant as to whether
such offer has been accepted in whole by the Company within 60 days after its
receipt of written notice from the Participant. The Company may only accept
such offer in whole and may not accept such offer in part. Such acceptance
notice shall fix a time, location and date for the closing on such purchase (“Closing
Date”) which shall not be less than ten nor more than sixty days after the
giving of the acceptance notice, provided, however, if any of the Shares to be
sold pursuant to this Section 2.2(c) have been held by the
Participant for less than six months, then the Closing Date may be extended by
the Company until no more than ten days after such Shares have been held by the
Participant for six months. At the Closing, the Participant shall accept
payment as set forth herein and shall deliver to the Company in exchange
therefor the Granted Shares being repurchased, duly endorsed for transfer, to
the extent that they are not then in the possession of the Company.


 


(iii)          If
the Company shall fail to accept any such offer, the Participant shall be free
to sell all, but not less than all, of the Vested Shares set forth in his
notice to the designated transferee at the price and terms designated in the
Participant’s notice, provided that (i) such sale is consummated within
six months after the giving of notice by the Participant to the Company as
aforesaid, and (ii) the transferee first agrees in writing to be bound by
the provisions of this Section 2.2(c) so that he or she (and all
subsequent transferees) shall thereafter only be permitted to sell or transfer
the Vested Shares in accordance with the terms hereof. After the expiration of
such six months, the provisions of this Section 2.2(c) shall again
apply with respect to any proposed voluntary transfer of the Vested Shares.


 


(iv)          The provisions of this Section 2.2(c) may
be waived by the Company. Any such waiver may be unconditional or based upon
such conditions as the Company may impose.


 


(v)           The restrictions on transfer contained in
this Section 2.2(c) shall not apply to (a) transfers by the
Participant to his or her spouse or children or to a trust for the benefit of
his or her spouse or children, (b) transfers by the Participant to his or
her guardian or conservator, and (c) or transfers by the Participant, in
the event of his or her death, to his or her executor(s) or administrator(s) or
to trustee(s) under his or her will (collectively, “Permitted Transferees”);
provided however, that in any such event the Vested Shares so transferred in
the hands of each such Permitted Transferee shall remain subject to this
Agreement, and each such Permitted Transferee shall so acknowledge in writing
as a condition precedent to the effectiveness of such transfer.


 


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(d)           The provisions of Section 2.2 (a) through (d) shall
terminate upon the effective date of the registration of the Shares pursuant to
the Securities Exchange Act of 1934.


 


(e)           The Participant agrees that in the event the Company
proposes to offer for sale to the public any of its equity securities and such
Participant is requested by the Company and any underwriter engaged by the
Company in connection with such offering to sign an agreement restricting the
sale or other transfer of Shares, then it will promptly sign such agreement and
will not transfer, whether in privately negotiated transactions or to the public
in open market transactions or otherwise, any Shares or other securities of the
Company held by him or her during such period as is determined by the Company
and the underwriters, not to exceed 90 days following the closing of the
offering, plus such additional period of time as may be required to comply with
Marketplace Rule 2711 of the National Association of Securities Dealers, Inc.
or similar rules thereto (such period, the “Lock-Up Period”). Such
agreement shall be in writing and in form and substance reasonably satisfactory
to the Company and such underwriter and pursuant to customary and prevailing
terms and conditions. Notwithstanding whether the Participant has signed such
an agreement, the Company may impose stop-transfer instructions with respect to
the Shares or other securities of the Company subject to the foregoing
restrictions until the end of the Lock-Up Period.


 


(f)            The Participant acknowledges and agrees that neither
the Company nor, its shareholders nor its directors and officers, has any duty
or obligation to disclose to the Participant any material information regarding
the business of the Company or affecting the value of the Shares before, at the
time of, or following a termination of the employment of the Participant by the
Company or an Affiliate, including, without limitation, any information
concerning plans for the Company to make a public offering of its securities or
to be acquired by or merged with or into another firm or entity.


 


3.             Legend. In addition to any legend required pursuant to the
Plan, all certificates representing the Granted Shares to be issued to the Participant
pursuant to this Agreement shall have endorsed thereon a legend substantially
as follows:


 


“The
shares represented by this certificate are subject to restrictions set forth in
a Restricted Stock Agreement dated as of April 17, 2007 with this Company,
a copy of which Agreement is available for inspection at the offices of the
Company or will be made available upon request.”


 


4.             Purchase for Investment; Securities Law Compliance. If the offering and sale of the Granted
Shares have not been effectively registered under the 1933 Act, the Participant
hereby represents and warrants that he or she is acquiring the Granted Shares
for his or her own account, for investment, and not with a view to, or for sale
in connection with, the distribution of any such Granted Shares. The
Participant specifically acknowledges and agrees that any sales of Granted
Shares shall be made in accordance with the requirements of the 1933 Act, in a
transaction as to which the Company shall have received an opinion of counsel
satisfactory to it confirming such compliance. The Participant shall be bound
by the provisions of the following legend which shall be endorsed upon the
certificate(s) evidencing the Shares issued:


 


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“The
shares represented by this certificate have been taken for investment and they
may not be sold or otherwise transferred by any person, including a pledgee,
unless (1) either (a) a Registration Statement with respect to such
shares shall be effective under the Securities Act of 1933, as amended, or (b) the
Company shall have received an opinion of counsel satisfactory to it that an
exemption from registration under such Act is then available, and (2) there
shall have been compliance with all applicable state securities laws.”


 


5.             Rights as a Stockholder. The Participant shall have all the rights of a
stockholder with respect to the Granted Shares, including voting and dividend
rights, subject to the transfer and other restrictions set forth herein and in
the Plan.


 


6.             Incorporation of the Plan. The Participant specifically
understands and agrees that the Granted Shares issued under the Plan are being
sold to the Participant pursuant to the Plan, a copy of which Plan the
Participant acknowledges he or she has read and understands and by which Plan
he or she agrees to be bound. The provisions of the Plan are incorporated
herein by reference.


 


7.             Tax Liability of the Participant and Payment of Taxes. The Participant acknowledges and agrees
that any income or other taxes due from the Participant with respect to the
Granted Shares issued pursuant to this Agreement, including, without
limitation, the Lapsing Repurchase Right, shall be the Participant’s
responsibility. Without limiting the foregoing, the Participant agrees that, to
the extent that the lapsing of restrictions on disposition of any of the
Granted Shares or the declaration of dividends on any such shares before the lapse
of such restrictions on disposition results in the Participant’s being deemed
to be in receipt of earned income under the provisions of the Code, the Company
shall be entitled to immediate payment from the Participant of the amount of
any tax required to be withheld by the Company.


 


Upon
execution of this Agreement, the Participant may file an election under Section 83
of the Code in substantially the form attached as Exhibit B. The
Participant acknowledges that if he does not file such an election, as the
Granted Shares are released from the Lapsing Repurchase Right in accordance
with Section 2.1, the Participant will have income for tax purposes equal
to the fair market value of the Granted Shares at such date, less the price
paid for the Granted Shares by the Participant.


 


8.             Equitable Relief. The Participant specifically acknowledges and agrees
that in the event of a breach or threatened breach of the provisions of this
Agreement or the Plan, including the attempted transfer of the Granted Shares
by the Participant in violation of this Agreement, monetary damages may not be
adequate to compensate the Company, and, therefore, in the event of such a
breach or threatened breach, in addition to any right to damages, the Company
shall be entitled to equitable relief in any court having competent
jurisdiction. Nothing herein shall be construed as prohibiting the Company from
pursuing any other remedies available to it for any such breach or threatened
breach.


 


9.             No Obligation to Maintain Relationship. The Company is not by the Plan or this Agreement
obligated to continue the Participant as an employee, director or consultant of
the


 


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Company or an
Affiliate. The Participant acknowledges: (i) that the Plan is
discretionary in nature and may be suspended or terminated by. the Company at
any time; (ii) that the grant of the Shares is a one-time benefit which
does not create any contractual or other right to receive future grants of
shares, or benefits in lieu of shares; (iii) that all determinations with
respect to any such future grants, including, but not limited to, the times
when shares shall be granted, the number of shares to be granted, the purchase
price, and the time or times when each share shall be free from a lapsing
repurchase right, will be at the sole discretion of the Company; (iv) that
the Participant’s participation in the Plan is voluntary; (v) that the
value of the Shares is an extraordinary item of compensation which is outside
the scope of the Participant’s employment contract, if any; and (vi) that
the Shares are not part of normal or expected compensation for purposes of
calculating any severance, resignation, redundancy, end of service payments,
bonuses, long-service awards, pension or retirement benefits or similar
payments.


 


10.           Notices. Any notices required or permitted by the terms of
this Agreement or the Plan shall be given by recognized courier service,
facsimile, registered or certified mail, return receipt requested, addressed as
follows:


 


If
to the Company:


 


HealthpointCapital
Dental Holdings, Inc.


One
Perimeter Park South, Suite 230S


Birmingham,
AL 35243


 


If
to the Participant:


 


William Ross


6046 Songbird Drive


Pensacola, FL 32503


 


 


or to such other
address or addresses of which notice in the same manner has previously been
given. Any such notice shall be deemed to have been given on the earliest of
receipt, one business day following delivery by the sender to a recognized
courier service, or three business days following mailing by registered or
certified mail.


 


11.           Benefit of Agreement. Subject to the provisions of the Plan and the other
provisions hereof, this Agreement shall be for the benefit of and shall be
binding upon the heirs, executors, administrators, successors and assigns of
the parties hereto.


 


12.           Governing Law. This Agreement shall be construed and enforced in
accordance with the laws of the State of Delaware, without giving effect to the
conflict of law principles thereof. For the purpose of litigating any dispute
that arises under this Agreement, whether at law or in equity, the parties
hereby consent to exclusive jurisdiction in New York and agree that such
litigation shall be conducted in the courts of New York County, New York or the
federal courts of the United States for the Southern District of New York.


 


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13.           Severability. If any provision of this Agreement is held to be
invalid or unenforceable by a court of competent jurisdiction, then such
provision or provisions shall be modified to the extent necessary to make such
provision valid and enforceable, and to the extent that this is impossible,
then such provision shall be deemed to be excised from this Agreement, and the
validity, legality and enforceability of the rest of this Agreement shall not
be affected thereby.


 


14.           Entire Agreement. This Agreement, together with the Plan, constitutes
the entire agreement and understanding between the parties hereto with respect
to the subject matter hereof and supersedes all prior oral or written
agreements and understandings relating to the subject matter hereof. No
statement, representation, warranty, covenant or agreement not expressly set
forth in this Agreement shall affect or be used to interpret, change or restrict
the express terms and provisions of this Agreement provided, however, in any
event, this Agreement shall be subject to and governed by the Plan.


 


15.           Modifications and Amendments; Waivers and Consents. The terms and provisions of this
Agreement may be modified or amended as provided in the Plan. Except as
provided in the Plan, the terms and provisions of this Agreement may be waived,
or consent for the departure therefrom granted, only by written document
executed by the party entitled to the benefits of such terms or provisions. No
such waiver or consent shall be deemed to be or shall constitute a waiver or
consent with respect to any other terms or provisions of this Agreement,
whether or not similar. Each such waiver or consent shall be effective only in the
specific instance and for the purpose for which it was given, and shall not
constitute a continuing waiver or consent.


 


16.           Consent of Spouse/Domestic Partner. If the Participant has a spouse or a domestic
partner as of the date of this Agreement, the Participant’s spouse or domestic
partner shall execute a Consent of Spouse/Domestic Partner in the form of Exhibit A
hereto, effective as of the date hereof. Such consent shall not be deemed to
confer or convey to the spouse or domestic partner any rights in the Granted
Shares that do not otherwise exist by operation of law or the agreement of the
parties. If the Participant subsequent to the date hereof, marries, remarries
or applies to the Company for domestic partner benefits, the Participant shall,
not later than 60 days thereafter, obtain his or her new spouse/domestic
partner’s acknowledgement of and consent to the existence and binding effect of
all restrictions contained in this Agreement by having such spouse/domestic
partner execute and deliver a Consent of Spouse/Domestic Partner in the form of
Exhibit A.


 


17.           Counterparts. This Agreement may be executed in one or more
counterparts, and by different parties hereto on separate counterparts, each of
which shall be deemed an original, but all of which together shall constitute
one and the same instrument.


 


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18.           Data Privacy. By entering into this Agreement, the Participant: (i) authorizes
the Company and each Affiliate, and any agent of the Company or any Affiliate
administering the Plan or providing Plan record keeping services, to disclose
to the Company or any of its Affiliates such information and data as the
Company or any such Affiliate shall request in order to facilitate the grant of
Shares and the administration of the Plan; (ii) waives any data privacy
rights he or she may have with respect to such information; and (iii) authorizes
the Company and each Affiliate to store and transmit such information in
electronic form.


 


[THE NEXT PAGE IS THE SIGNATURE PAGE]


 


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IN
WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day
and year first above written.


 


	
   

  	
  HealthpointCapital
  Dental Holdings, Inc.

  
	
   

  	
   

  
	
   

  	
   

  
	
   

  	
  By:

  	
  /s/ R.
  Steven Boggan

  
	
   

  	
  Name:

  	
  R. Steven Boggan

  
	
   

  	
  Title:

  	
  President and
  Chief Executive Officer

  
	
   

  	
   

  
	
   

  	
   

  
	
   

  	
  PARTICIPANT:

  
	
   

  	
   

  
	
   

  	
   

  
	
   

  	
  /s/ William Ross

  
	
   

  	
  Name: William Ross

  



 


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