EX-10.4



 Exhibit 10.4 
 THERMO FISHER SCIENTIFIC INC. 
 PERFORMANCE RESTRICTED STOCK UNIT
AGREEMENT 
 Granted Under 
 the 2008 Stock Incentive Plan 
 1. Award of Restricted Stock Units. 

This agreement (the “Agreement”) sets forth the terms and conditions of an award by Thermo Fisher Scientific Inc., a Delaware
corporation (the “Company”), on                     , 2013 (the “Award Date”) to
                     (the “Participant”) of              restricted stock units
of the Company (individually, an “RSU” and collectively, the “RSUs”). Each RSU represents the right to receive one share of common stock, $1.00 par value, of the Company (“Common Stock”) pursuant to the terms,
conditions and restrictions set forth in this Agreement and in the Company’s 2008 Stock Incentive Plan (the “Plan”). The shares of Common Stock that are issuable upon vesting of the RSUs are referred to in this Agreement as Shares and
the number of RSUs shown above is referred to as the “Target Award.” Capitalized terms used in this Agreement and not otherwise defined shall have the same meaning as in the Plan. 
 2. Vesting Schedule. 
 Except as otherwise provided in paragraphs
(b) through (d) of Section 3, the RSUs shall vest in accordance with Schedule A attached hereto and incorporated herein provided that on each Vesting Date (as defined in Schedule A), the Participant is, and has been at all times since
the Award Date, an employee, officer or director of, or consultant or advisor to, the Company (an “Eligible Participant”). 
 3.
Additional Vesting Provisions. 
 (a) Termination of Relationship with the Company. In the event that the
Participant ceases to be an Eligible Participant for any reason other than those set forth in paragraphs (b) through (d) below before the Final Vesting Date (as defined in Schedule A), the RSUs that have not previously vested shall
be immediately forfeited to the Company. 
 (b) Death or Disability. In the event that the Participant’s employment
with the Company is terminated by reason of death or Disability after the Performance Certification Date (as defined in Schedule A) but prior to the Final Vesting Date, then all unvested RSUs (based on the number of RSUs determined on the
Performance Certification Date to be eligible to be received) shall vest 100% upon the date of such death or Disability. 
 (c)
Change in Control Event. In the event that the Participant’s employment or service is terminated by the Company due to a Qualifying Termination within 18 months after a Change in Control Event that occurs prior to the Performance
Certification Date, then all unvested RSUs (based on the number of RSUs determined to be eligible to be received assuming 







 
the last day of the performance period was the last day of the fiscal quarter immediately prior to the Change in Control Event) shall vest immediately upon such Qualifying Termination (without
regard to performance for any periods following the last day of the fiscal quarter immediately prior to the Change in Control Event), provided that the Compensation Committee has certified the achievement of the performance conditions. In the event
of such termination on or after the Performance Certification Date but before the Final Vesting Date, then all unvested RSUs (based on the number of RSUs determined on the Performance Certification Date to be eligible to be received) shall vest upon
the date of such termination. 
 (d) Retirement. If the Participant Retires from the Company after the later of
(i) the Performance Certification Date or (ii) the second anniversary of the Award Date, then nevertheless the Participant shall become vested in the remaining RSUs to be delivered (calculated based on the units earned as of the
Performance Certification Date). 
 (e) Discharge for Cause. In the event that the Participant is discharged by the
Company for Cause, all unvested RSUs and all vested RSUs that have not been delivered in accordance with Section 4 below shall terminate immediately upon the effective date of such discharge. The Participant shall be considered to have been
discharged for Cause if the Company determines, within 30 days after the Participant’s resignation, that discharge for Cause was warranted. 
 4. Delivery of Shares 
 (a) Except as provided in (b) below, the
Company shall deliver the Shares that become issuable pursuant to an RSU within the sixty-day period following the date the RSUs vest pursuant to Sections 2 or 3 above, but in no event later than the last day of the period specified in Treas. Reg.
section 1.409A-1(b)(4)(i)(A). 
 (b) In the event that a Participant Retires under the conditions of Section 3(d) above,
the Company shall deliver the Shares that become issuable pursuant to an RSU, to the extent not previously delivered, within the sixty-day period following the date such RSUs would have vested had the Participant remained employed with the Company.

 The Company shall not be obligated to deliver Shares to the Participant unless the issuance and delivery of such Shares shall
comply with all relevant provisions of law and other legal requirements including, without limitation, any applicable federal or state securities laws and the requirements of any stock exchange upon which shares of Common Stock may then be listed.

 5. Meaning and Use of Certain Terms. 
 For purposes of this Agreement, 
 (a) “Change in Control Event” has the
meaning ascribed to it in the Plan, except that for purposes of Section 4, the liquidation of the Company shall not be treated as a Change in Control Event. Payments in connection with the liquidation of the Company shall be made only as
permitted under section 409A of the Code (“Section 409A”). 







 (b) “Disability” or “Disabled”. A Participant shall be deemed to be
disabled at such time as the Participant is receiving disability benefits under the Company’s Long Term Disability Coverage, as then in effect; provided however that the Participant shall not be treated as Disabled unless the disability is
described under Section 409A. 
 (c) “Qualifying Termination”. A Participant has a Qualifying Termination if the
Participant’s employment or service is terminated by the Company without Cause or by the Participant for Good Reason and such termination results in a separation from service under Section 409A. 

(d) “Retire” or “Retirement”. A Participant shall be deemed to have retired from the Company upon his or her
resignation from employment with the Company either (i) after the age of 55 and the completion of 10 continuous years service to the Company comprising at least 20 hours per week or (ii) after the age of 60 and the completion of 5
continuous years service to the Company comprising at least 20 hours per week. 
 6. Restrictions on Transfer. 

The Participant shall not sell, assign, transfer, pledge, hypothecate or otherwise dispose of, by operation of law or otherwise
(collectively “transfer”) any RSUs, or any interest therein, except by will or the laws of descent and distribution. 
 7.
Provisions of the Plan. 
 This Agreement is subject to the provisions of the Plan, a copy of which is furnished to the
Participant with this Agreement. 
 8. Dividends; Other Corporate Transactions. 

(a) If at any time during the period between the Performance Certification Date and the date that Shares are delivered after the RSU
vests, the Company pays a dividend or other distribution with respect to its Common Stock, including without limitation a distribution of shares of the Company’s stock by reason of a stock dividend, stock split or otherwise, then on the date
the Shares issuable upon vesting of the RSU are delivered, the Company shall pay the Participant, at the time of delivery of Shares pursuant to Section 4, the dividend or other distribution that would have been paid on such Shares if the
Participant had owned such Shares during the period beginning on the Performance Certification Date and ending on the respective delivery date. No dividend or other distribution shall be paid with respect to RSUs that are forfeited. 

(b) In the event of a Reorganization Event, then the rights of the Company under this Agreement and all other terms of this Agreement
(including without limitation vesting provisions) shall inure to the benefit of the Company’s successor and shall apply to the cash, securities or other property which the Common Stock was converted into or exchanged for pursuant to such
Reorganization Event in the same manner and to the same extent as they applied to the Shares. Such cash, securities or other property shall be delivered or paid at the time provided in Section 4. 

(c) Except as set forth in Section 8(a) or (b) above and in the Plan, neither the Participant nor any person claiming under or
through the Participant shall be, or have any rights or privileges of, a stockholder of the Company in respect of the Shares issuable pursuant to the RSUs granted hereunder until the Shares have been delivered to the Participant. 







 9. Withholding Taxes; No Section 83(b) Election. 

(a) The Participant expressly acknowledges that the delivery of Shares to the Participant will give rise to “wages” subject to
withholding. Unless the Participant provides notice to the Company prior to the delivery of the Shares that the Participant will make payment to the Company on the date of delivery to satisfy all required withholding taxes, the Participant hereby
authorizes the Company to hold back from the shares to be delivered pursuant to Section 4 of this Agreement that number of shares calculated to satisfy all such federal, state, local or other applicable taxes required to be withheld in
connection with such delivery of Shares; provided, however, that the total tax withholding where Shares are being used to satisfy such tax obligations cannot exceed the Company’s minimum statutory withholding obligations (based on minimum
statutory withholding rates for federal and state tax purposes, including payroll taxes, that are applicable to such wages). 

(b) The Participant acknowledges that no election under Section 83(b) of the Code may be filed with respect to this Award.

 10. No Right To Employment or Other Status. The grant of an award of RSUs shall not be construed as giving the Participant the right
to continued employment or any other relationship with the Company. The Company expressly reserves the right at any time to dismiss or otherwise terminate its relationship with the Participant free from any liability or claim under the Plan or this
Agreement, except as expressly provided herein. 
 11. Conflicts With Other Agreements. In the event of any conflict or inconsistency
between the terms of this Agreement and any employment, severance or other agreement between the Company and the Participant, the terms of this Agreement shall govern. 
 12. Governing Law. This Agreement shall be governed by and interpreted in accordance with the laws of the State of Delaware without regard to any applicable conflicts of laws. 

13. Unfunded Rights. The right of the Participant to receive Common Stock pursuant to this Agreement is an unfunded and unsecured obligation of
the Company. The Participant shall have no rights under this Agreement other than those of an unsecured general creditor of the Company. 
 14.
Compliance with Section 409A of the Code. This Agreement is intended to provide for deferred compensation that is exempt from or compliant with Section 409A and shall be interpreted consistently with such intent. Accordingly, a
Participant shall have no right to designate the taxable year of payment. Notwithstanding any other provision of this Agreement, if and to the extent any portion of any payment under this Agreement to the Participant is payable upon his or her
separation from service and the Participant is a specified employee as 







 
defined in Section 409A(a)(2)(B)(i), as determined by the Company in accordance with its procedures, by which determination the Participant (through accepting the Award) agrees that he or
she is bound, such portion of the payment, compensation or other benefit shall not be paid before the day that is six months plus one day after the date of “separation from service”, except as Section 409A may then permit. 

The Company makes no representations or warranty and shall have no liability to the Participant or any other person if any provisions of
or payments, compensation or other benefits under this Agreement are determined to constitute nonqualified deferred compensation subject to Section 409A but do not satisfy the conditions of that section. 

15. Restrictive Covenants. If the Participant engages in any conduct in breach of any noncompetition, nonsolicitation or confidentiality
obligations to the Company under any agreement, policy or plan of the Company, then such conduct shall also be deemed to be a breach of the terms of the Plan and this Agreement. Upon such breach, this RSU shall be cancelled and, to the extent some
or all of this RSU vested within a period of 12 months prior to such breach, the Participant shall be required to forfeit to the Company, upon demand, any Shares acquired by the Participant upon such vesting or cash acquired upon sale. 







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

					
	THERMO FISHER SCIENTIFIC INC.
		
	By:	 	  

		 	Title:	 	  



 

					
	Address:	 	  

		 	  

	
	  

	
	  

	[Name of Participant]
		
	Address: