Document:

Ex101FLMMA8K

Back to Form 8-K

WellCare of Florida, Inc.
d/b/a Staywell Health Plan of Florida
Exhibit 10.1

ATTACHMENT I
EXHIBIT I-C
MANAGED CARE PLAN RATES; NOT FOR USE UNLESS APPROVED BY CMS.
REGION 2
	
																									
	REGION 2
	 
	HIV/AIDS
	Long-Term Care Program

	Age Band
	TANF
	SSI No Medicare
	Dual Eligible
	Child Welfare
	Dual Eligible
	Medicaid Only
	Dual Eligible
	Medicaid Only

	0-2 Months
	

	$1,305.22
	

	

	$20,746.91
	

	 
	

	$1,469.88
	

	 
	 
	 
	 

	3-11 Months
	

	$183.63
	

	

	$3,944.76
	

	 
	

	$421.03
	

	 
	 
	 
	 

	1-13 Years
	

	$107.01
	

	

	$355.36
	

	 
	

	$336.22
	

	 
	 
	 
	 

	14-54 Years Female
	

	$322.68
	

	 
	 
	 
	 
	 
	 
	 

	14-54 Years Male
	

	$131.26
	

	 
	 
	 
	 
	 
	 
	 

	14+ Years (Female and Male)
	 
	

	$791.75
	

	 
	

	$622.98
	

	 
	 
	 
	 

	55+ Years (Female and Male)
	

	$355.85
	

	 
	 
	 
	 
	 
	 
	 

	Under Age 65
	 
	 
	

	$161.30
	

	 
	 
	 
	

	$296.95
	

	

	$2,053.17
	

	Age 65+
	 
	 
	

	$111.44
	

	 
	 
	 
	

	$163.46
	

	

	$1,381.41
	

	Medicare Advantage/D-SNP
	 
	 
	TBD
	

	 
	 
	 
	 
	 

	HIV-AIDS
	 
	 
	 
	 
	

	$162.00
	

	

	$2,750.00
	

	 
	 

_______________
1.    This exhibit reflects the negotiated standard plan rates with the draft age factors provided in the ITN applied.  Final rates will be adjusted for effective time period for the region, changes in hospital rates, CHIP transition children, and any other program changes that may occur prior to implementation.
2.    A factor of 0.9 will be applied to the LTC Dual Eligible and LTC Medicaid Only rates for individuals enrolled in both the MMA and LTC components of a comprehensive plan.
3.    Rates shown reflect base rates and do not include the impacts of risk adjustment.

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

AHCA Contract No. FP020, Attachment I, Exhibit I-C, Page 1 of 8

WellCare of Florida, Inc.
d/b/a Staywell Health Plan of Florida

ATTACHMENT I
EXHIBIT I-C
MANAGED CARE PLAN RATES; NOT FOR USE UNLESS APPROVED BY CMS.
REGION 3
	
																									
	REGION 3
	 
	HIV/AIDS
	Long-Term Care Program

	Age Band
	TANF
	SSI No Medicare
	Dual Eligible
	Child Welfare
	Dual Eligible
	Medicaid Only
	Dual Eligible
	Medicaid Only

	0-2 Months
	

	$1,524.23
	

	

	$24,932.62
	

	 
	

	$1,528.29
	

	 
	 
	 
	 

	3-11 Months
	

	$214.44
	

	

	$4,740.62
	

	 
	

	$437.76
	

	 
	 
	 
	 

	1-13 Years
	

	$124.97
	

	

	$427.05
	

	 
	

	$349.58
	

	 
	 
	 
	 

	14-54 Years Female
	

	$376.83
	

	 
	 
	 
	 
	 
	 
	 

	14-54 Years Male
	

	$153.28
	

	 
	 
	 
	 
	 
	 
	 

	14+ Years (Female and Male)
	 
	

	$951.48
	

	 
	

	$647.73
	

	 
	 
	 
	 

	55+ Years (Female and Male)
	

	$415.56
	

	 
	 
	 
	 
	 
	 
	 

	Under Age 65
	 
	 
	

	$158.08
	

	 
	 
	 
	

	$304.95
	

	

	$2,393.91
	

	Age 65+
	 
	 
	

	$109.22
	

	 
	 
	 
	

	$167.86
	

	

	$1,610.66
	

	Medicare Advantage/D-SNP
	 
	 
	TBD
	

	 
	 
	 
	 
	 

	HIV-AIDS
	 
	 
	 
	 
	

	$190.00
	

	

	$2,800.00
	

	 
	 

_______________
1.    This exhibit reflects the negotiated standard plan rates with the draft age factors provided in the ITN applied.  Final rates will be adjusted for effective time period for the region, changes in hospital rates, CHIP transition children, and any other program changes that may occur prior to implementation.
2.    A factor of 0.9 will be applied to the LTC Dual Eligible and LTC Medicaid Only rates for individuals enrolled in both the MMA and LTC components of a comprehensive plan.
3.    Rates shown reflect base rates and do not include the impacts of risk adjustment.

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

AHCA Contract No. FP020, Attachment I, Exhibit I-C, Page 2 of 8

WellCare of Florida, Inc.
d/b/a Staywell Health Plan of Florida

ATTACHMENT I
EXHIBIT I-C
MANAGED CARE PLAN RATES; NOT FOR USE UNLESS APPROVED BY CMS.
REGION 4
	
																									
	REGION 4
	 
	HIV/AIDS
	Long-Term Care Program

	Age Band
	TANF
	SSI No Medicare
	Dual Eligible
	Child Welfare
	Dual Eligible
	Medicaid Only
	Dual Eligible
	Medicaid Only

	0-2 Months
	

	$1,367.96
	

	

	$24,570.90
	

	 
	

	$1,759.83
	

	 
	 
	 
	 

	3-11 Months
	

	$192.45
	

	

	$4,671.84
	

	 
	

	$504.08
	

	 
	 
	 
	 

	1-13 Years
	

	$112.16
	

	

	$420.86
	

	 
	

	$402.54
	

	 
	 
	 
	 

	14-54 Years Female
	

	$338.19
	

	 
	 
	 
	 
	 
	 
	 

	14-54 Years Male
	

	$137.57
	

	 
	 
	 
	 
	 
	 
	 

	14+ Years (Female and Male)
	 
	

	$937.68
	

	 
	

	$745.86
	

	 
	 
	 
	 

	55+ Years (Female and Male)
	

	$372.96
	

	 
	 
	 
	 
	 
	 
	 

	Under Age 65
	 
	 
	

	$179.37
	

	 
	 
	 
	

	$294.88
	

	

	$2,571.25
	

	Age 65+
	 
	 
	

	$123.93
	

	 
	 
	 
	

	$162.32
	

	

	$1,729.98
	

	Medicare Advantage/D-SNP
	 
	 
	TBD
	

	 
	 
	 
	 
	 

	HIV-AIDS
	 
	 
	 
	 
	

	$160.00
	

	

	$2,550.00
	

	 
	 

_______________
1.    This exhibit reflects the negotiated standard plan rates with the draft age factors provided in the ITN applied.  Final rates will be adjusted for effective time period for the region, changes in hospital rates, CHIP transition children, and any other program changes that may occur prior to implementation.
2.    A factor of 0.9 will be applied to the LTC Dual Eligible and LTC Medicaid Only rates for individuals enrolled in both the MMA and LTC components of a comprehensive plan.
3.    Rates shown reflect base rates and do not include the impacts of risk adjustment.

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

AHCA Contract No. FP020, Attachment I, Exhibit I-C, Page 3 of 8

WellCare of Florida, Inc.
d/b/a Staywell Health Plan of Florida

ATTACHMENT I
EXHIBIT I-C
MANAGED CARE PLAN RATES; NOT FOR USE UNLESS APPROVED BY CMS.
REGION 5
	
																									
	REGION 5
	 
	HIV/AIDS
	Long-Term Care Program

	Age Band
	TANF
	SSI No Medicare
	Dual Eligible
	Child Welfare
	Dual Eligible
	Medicaid Only
	Dual Eligible
	Medicaid Only

	0-2 Months
	

	$1,731.48
	

	

	$27,327.79
	

	 
	

	$2,112.01
	

	 
	 
	 
	 

	3-11 Months
	

	$243.60
	

	

	$5,196.03
	

	 
	

	$604.96
	

	 
	 
	 
	 

	1-13 Years
	

	$141.96
	

	

	$468.08
	

	 
	

	$483.10
	

	 
	 
	 
	 

	14-54 Years Female
	

	$428.06
	

	 
	 
	 
	 
	 
	 
	 

	14-54 Years Male
	

	$174.13
	

	 
	 
	 
	 
	 
	 
	 

	14+ Years (Female and Male)
	 
	

	$1,042.89
	

	 
	

	$895.12
	

	 
	 
	 
	 

	55+ Years (Female and Male)
	

	$472.07
	

	 
	 
	 
	 
	 
	 
	 

	Under Age 65
	 
	 
	

	$135.35
	

	 
	 
	 
	

	$283.14
	

	

	$2,592.37
	

	Age 65+
	 
	 
	

	$93.52
	

	 
	 
	 
	

	$155.86
	

	

	$1,744.19
	

	Medicare Advantage/D-SNP
	 
	 
	TBD
	

	 
	 
	 
	 
	 

	HIV-AIDS
	 
	 
	 
	 
	

	$158.00
	

	

	$3,000.00
	

	 
	 

_______________
1.    This exhibit reflects the negotiated standard plan rates with the draft age factors provided in the ITN applied.  Final rates will be adjusted for effective time period for the region, changes in hospital rates, CHIP transition children, and any other program changes that may occur prior to implementation.
2.    A factor of 0.9 will be applied to the LTC Dual Eligible and LTC Medicaid Only rates for individuals enrolled in both the MMA and LTC components of a comprehensive plan.
3.    Rates shown reflect base rates and do not include the impacts of risk adjustment.

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

AHCA Contract No. FP020, Attachment I, Exhibit I-C, Page 4 of 8

WellCare of Florida, Inc.
d/b/a Staywell Health Plan of Florida

ATTACHMENT I
EXHIBIT I-C
MANAGED CARE PLAN RATES; NOT FOR USE UNLESS APPROVED BY CMS.
REGION 6
	
																									
	REGION 6
	 
	HIV/AIDS
	Long-Term Care Program

	Age Band
	TANF
	SSI No Medicare
	Dual Eligible
	Child Welfare
	Dual Eligible
	Medicaid Only
	Dual Eligible
	Medicaid Only

	0-2 Months
	

	$1,506.57
	

	

	$24,186.03
	

	 
	

	$1,574.26
	

	 
	 
	 
	 

	3-11 Months
	

	$211.95
	

	

	$4,598.67
	

	 
	

	$450.93
	

	 
	 
	 
	 

	1-13 Years
	

	$123.52
	

	

	$414.27
	

	 
	

	$360.10
	

	 
	 
	 
	 

	14-54 Years Female
	

	$372.46
	

	 
	 
	 
	 
	 
	 
	 

	14-54 Years Male
	

	$151.51
	

	 
	 
	 
	 
	 
	 
	 

	14+ Years (Female and Male)
	 
	

	$922.99
	

	 
	

	$667.22
	

	 
	 
	 
	 

	55+ Years (Female and Male)
	

	$410.75
	

	 
	 
	 
	 
	 
	 
	 

	Under Age 65
	 
	 
	

	$131.77
	

	 
	 
	 
	

	$290.00
	

	

	$2,503.12
	

	Age 65+
	 
	 
	

	$91.04
	

	 
	 
	 
	

	$159.63
	

	

	$1,684.14
	

	Medicare Advantage/D-SNP
	 
	 
	TBD
	

	 
	 
	 
	 
	 

	HIV-AIDS
	 
	 
	 
	 
	

	$168.00
	

	

	$3,050.00
	

	 
	 

_______________
1.    This exhibit reflects the negotiated standard plan rates with the draft age factors provided in the ITN applied.  Final rates will be adjusted for effective time period for the region, changes in hospital rates, CHIP transition children, and any other program changes that may occur prior to implementation.
2.    A factor of 0.9 will be applied to the LTC Dual Eligible and LTC Medicaid Only rates for individuals enrolled in both the MMA and LTC components of a comprehensive plan.
3.    Rates shown reflect base rates and do not include the impacts of risk adjustment.

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

AHCA Contract No. FP020, Attachment I, Exhibit I-C, Page 5 of 8

WellCare of Florida, Inc.
d/b/a Staywell Health Plan of Florida

ATTACHMENT I
EXHIBIT I-C
MANAGED CARE PLAN RATES; NOT FOR USE UNLESS APPROVED BY CMS.
REGION 7
	
																									
	REGION 7
	 
	HIV/AIDS
	Long-Term Care Program

	Age Band
	TANF
	SSI No Medicare
	Dual Eligible
	Child Welfare
	Dual Eligible
	Medicaid Only
	Dual Eligible
	Medicaid Only

	0-2 Months
	

	$1,404.70
	

	

	$24,057.01
	

	 
	

	$1,802.88
	

	 
	 
	 
	 

	3-11 Months
	

	$197.62
	

	

	$4,574.13
	

	 
	

	$516.42
	

	 
	 
	 
	 

	1-13 Years
	

	$115.17
	

	

	$412.06
	

	 
	

	$412.39
	

	 
	 
	 
	 

	14-54 Years Female
	

	$347.28
	

	 
	 
	 
	 
	 
	 
	 

	14-54 Years Male
	

	$141.26
	

	 
	 
	 
	 
	 
	 
	 

	14+ Years (Female and Male)
	 
	

	$918.07
	

	 
	

	$764.11
	

	 
	 
	 
	 

	55+ Years (Female and Male)
	

	$382.97
	

	 
	 
	 
	 
	 
	 
	 

	Under Age 65
	 
	 
	

	$132.24
	

	 
	 
	 
	

	$289.80
	

	

	$2,705.38
	

	Age 65+
	 
	 
	

	$91.37
	

	 
	 
	 
	

	$159.53
	

	

	$1,820.23
	

	Medicare Advantage/D-SNP
	 
	 
	TBD
	

	 
	 
	 
	 
	 

	HIV-AIDS
	 
	 
	 
	 
	

	$168.00
	

	

	$2,925.00
	

	 
	 

_______________
1.    This exhibit reflects the negotiated standard plan rates with the draft age factors provided in the ITN applied.  Final rates will be adjusted for effective time period for the region, changes in hospital rates, CHIP transition children, and any other program changes that may occur prior to implementation.
2.    A factor of 0.9 will be applied to the LTC Dual Eligible and LTC Medicaid Only rates for individuals enrolled in both the MMA and LTC components of a comprehensive plan.
3.    Rates shown reflect base rates and do not include the impacts of risk adjustment.

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

AHCA Contract No. FP020, Attachment I, Exhibit I-C, Page 6 of 8

WellCare of Florida, Inc.
d/b/a Staywell Health Plan of Florida

ATTACHMENT I
EXHIBIT I-C
MANAGED CARE PLAN RATES; NOT FOR USE UNLESS APPROVED BY CMS.
REGION 8
	
																									
	REGION 8
	 
	HIV/AIDS
	Long-Term Care Program

	Age Band
	TANF
	SSI No Medicare
	Dual Eligible
	Child Welfare
	Dual Eligible
	Medicaid Only
	Dual Eligible
	Medicaid Only

	0-2 Months
	

	$1,505.48
	

	

	$25,939.47
	

	 
	

	$1,391.90
	

	 
	 
	 
	 

	3-11 Months
	

	$211.80
	

	

	$4,932.06
	

	 
	

	$398.70
	

	 
	 
	 
	 

	1-13 Years
	

	$123.43
	

	

	$444.30
	

	 
	

	$318.38
	

	 
	 
	 
	 

	14-54 Years Female
	

	$372.19
	

	 
	 
	 
	 
	 
	 
	 

	14-54 Years Male
	

	$151.40
	

	 
	 
	 
	 
	 
	 
	 

	14+ Years (Female and Male)
	 
	

	$989.91
	

	 
	

	$589.93
	

	 
	 
	 
	 

	55+ Years (Female and Male)
	

	$410.45
	

	 
	 
	 
	 
	 
	 
	 

	Under Age 65
	 
	 
	

	$139.16
	

	 
	 
	 
	

	$238.14
	

	

	$2,387.98
	

	Age 65+
	 
	 
	

	$96.15
	

	 
	 
	 
	

	$131.09
	

	

	$1,606.67
	

	Medicare Advantage/D-SNP
	 
	 
	TBD
	

	 
	 
	 
	 
	 

	HIV-AIDS
	 
	 
	 
	 
	

	$172.00
	

	

	$2,950.00
	

	 
	 

_______________
1.    This exhibit reflects the negotiated standard plan rates with the draft age factors provided in the ITN applied.  Final rates will be adjusted for effective time period for the region, changes in hospital rates, CHIP transition children, and any other program changes that may occur prior to implementation.
2.    A factor of 0.9 will be applied to the LTC Dual Eligible and LTC Medicaid Only rates for individuals enrolled in both the MMA and LTC components of a comprehensive plan.
3.    Rates shown reflect base rates and do not include the impacts of risk adjustment.

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

AHCA Contract No. FP020, Attachment I, Exhibit I-C, Page 7 of 8

WellCare of Florida, Inc.
d/b/a Staywell Health Plan of Florida

ATTACHMENT I
EXHIBIT I-C
MANAGED CARE PLAN RATES; NOT FOR USE UNLESS APPROVED BY CMS.
REGION 11
	
																									
	REGION 11
	 
	HIV/AIDS
	Long-Term Care Program

	Age Band
	TANF
	SSI No Medicare
	Dual Eligible
	Child Welfare
	Dual Eligible
	Medicaid Only
	Dual Eligible
	Medicaid Only

	0-2 Months
	

	$1,582.86
	

	

	$29,647.73
	

	 
	

	$2,292.43
	

	 
	 
	 
	 

	3-11 Months
	

	$222.69
	

	

	$5,637.14
	

	 
	

	$656.64
	

	 
	 
	 
	 

	1-13 Years
	

	$129.78
	

	

	$507.82
	

	 
	

	$524.37
	

	 
	 
	 
	 

	14-54 Years Female
	

	$391.32
	

	 
	 
	 
	 
	 
	 
	 

	14-54 Years Male
	

	$159.18
	

	 
	 
	 
	 
	 
	 
	 

	14+ Years (Female and Male)
	 
	

	$1,131.42
	

	 
	

	$971.60
	

	 
	 
	 
	 

	55+ Years (Female and Male)
	

	$431.55
	

	 
	 
	 
	 
	 
	 
	 

	Under Age 65
	 
	 
	

	$178.07
	

	 
	 
	 
	

	$289.82
	

	

	$2,787.50
	

	Age 65+
	 
	 
	

	$123.03
	

	 
	 
	 
	

	$159.53
	

	

	$1,875.48
	

	Medicare Advantage/D-SNP
	 
	 
	TBD
	

	 
	 
	 
	 
	 

	HIV-AIDS
	 
	 
	 
	 
	

	$165.00
	

	

	$3,525.00
	

	 
	 

_______________
1.    This exhibit reflects the negotiated standard plan rates with the draft age factors provided in the ITN applied.  Final rates will be adjusted for effective time period for the region, changes in hospital rates, CHIP transition children, and any other program changes that may occur prior to implementation.
2.    A factor of 0.9 will be applied to the LTC Dual Eligible and LTC Medicaid Only rates for individuals enrolled in both the MMA and LTC components of a comprehensive plan.
3.    Rates shown reflect base rates and do not include the impacts of risk adjustment.

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK

AHCA Contract No. FP020, Attachment I, Exhibit I-C, Page 8 of 8EX-10.1

[Consultant Award]

INDEPENDENCE REALTY TRUST, INC.

LONG TERM INCENTIVE PLAN

STOCK APPRECIATION RIGHTS AWARD CERTIFICATE

To the Grantee Named Below:

You have been granted stock appreciation rights (“SARs”) in the common stock (the “Common Stock”)
of Independence Realty Trust, Inc. (the “Company”) under Section 8.1 of the Independence Realty
Trust, Inc. Long Term Incentive Plan (the “Plan”). This Stock Appreciation Rights Award
Certificate (the “Award Certificate”) sets forth the aggregate number of shares under this Award
and its terms and conditions. This Award is contingent upon your acknowledgement and acceptance of
the terms and conditions as set forth in this Award Certificate and in the Plan.

	 	 	 
	Grant Date:
	 	January 31,, 2014

	Number of Shares:
	 	[      ]

	Fair Market Value per Share:
	 	U.S. $8.20. “Fair Market Value,” is defined as defined in the Plan.

	Expiration Date:
	 	The fifth anniversary of the Grant Date.

	Vesting:
	 	You are receiving this Award in your capacity as a Consultant to the Company

arising from your status as an employee of RAIT Financial Trust (“RAIT”).

Therefore, your award will vest provided that you (i) continue in your

employment with RAIT; the Company’s advisor or their respective affiliates; or

(ii) become and continue as an Employee or a Consultant of the Company through

the following: (each, a “Vesting Date”):

	 	 	First anniversary of Grant Date 1/3 of Grant

Second anniversary of Grant Date 1/3 of Grant

Third anniversary of the Grant Date 1/3 of Grant

        .

Your SARs will vest if the Company undergoes a Change in Control (as defined in

the Plan) and your service as a Consultant is terminated within one year of such

Change in Control.

	Termination of Service:
	 	If your employment service with RAIT; the Company’s advisor or their respective

affiliates terminates by reason of your Disability or death, then your SARs will

become fully vested and exercisable by you or your beneficiary.

If your employment service with RAIT; the Company’s advisor or their respective

affiliates terminates for any reason other than death, Disability or Change in

Control, then you shall forfeit any unvested SARS and your vested SARs will

terminate on the 30th day following the date of termination of

service. The above notwithstanding, if your employment service with RAIT; the

Company’s advisor or their respective affiliates terminates prior to full

vesting, but you continue to provide services to the Company as an Employee or

Consultant, then such termination of service shall not result in the forfeiture

of unvested SARs

	Exercise:
	 	You may exercise this SAR only to the extent vested and only if the SAR has not

expired or terminated. SARs shall expire on the fifth anniversary of the Grant

Date. Therefore, SARs must be exercised after vesting but before the fifth

anniversary of the Grant Date. To exercise this SAR, you must follow the

procedure and submit the form attached as Exhibit A hereto. If someone else

wants to exercise this SAR after your death, that person must contact the

Company and prove to the Company’s satisfaction that he or she is entitled to do

so. Your ability to exercise the SAR may be restricted by the Company or RAIT if

required by applicable law or the rules of any securities exchange on which the

shares of the Company or RAIT’s stock is then listed.

	 	 	 

	 	 	The amount of the payment for each SAR exercised shall equal (i) the Fair Market

Value of the shares of Common Stock on the date of exercise, less (ii) the Fair

Market Value specified above. The SAR shall be settled in whole shares of Stock

or in cash as determined at the discretion of the Company.

As a condition to exercise, the Company and/or RAIT may require you to execute

an “Investment Representation Statement” and enter into a shareholder’s

agreement or any other agreement required by the Board or shareholders in

general, with such terms and conditions as the Company and/or RAIT may

prescribe.

	Tax Liability of the

Participant and Payment of

Taxes
	 	You acknowledge and agree that any income or other taxes due from you with

respect to the SARs issued pursuant to this Award Certificate shall be your

responsibility. Upon exercise, you may elect to have a portion of the SAR amount

withheld in order to satisfy your tax obligations.

	Transferability:
	 	You may not transfer or assign this SAR for any reason, other than under your

will or as required by intestate laws. Any attempted transfer or assignment

will be null and void.

	Restrictions on Resale:
	 	By accepting this SAR, you agree not to sell any shares of Common Stock acquired

under this SAR at a time when applicable laws, Company or RAIT policies, any

stockholder agreement or other agreement to which you are a party or any or an

agreement between the Company and its underwriters, prohibit a sale.

	Miscellaneous:
	 	As a condition of the granting of this Award, you agree, for yourself and your

legal representatives or guardians, that this Award Certificate shall be

interpreted by the Board (or a committee thereof) and that any such

interpretation of the terms of this Award Certificate and any determination made

by the Board (or a committee thereof) pursuant to this Award Certificate shall

be final, binding and conclusive. This Award Certificate and the SAR granted

hereunder shall be governed by Maryland Law.

This Award is granted under and governed by the terms and conditions of the Plan, the provisions of
which are incorporated herein by reference. Additional provisions regarding this Award and
definitions of capitalized terms used and not defined in this Award Certificate can be found in the
Plan. Any inconsistency between this Award Certificate and the Plan shall be resolved in favor of
the Plan. The Participant hereby acknowledges receipt of a copy of the Plan. The invalidity or
unenforceability of any provisions of this Award Certificate shall not affect the validity or
enforceability of any other provision of this Award Certificate, which shall remain in full force
and effect.

BY SIGNING BELOW AND ACCEPTING THIS STOCK APPRECIATION RIGHT AWARD, YOU AGREE TO ALL OF THE

TERMS AND CONDITIONS DESCRIBED HEREIN AND IN THE PLAN. YOU ALSO ACKNOWLEDGE RECEIPT OF THE PLAN.

	 	 	 
	INDEPENDENCE REALTY TRUST, INC. GRANTEE

	 	

	By:      

Name: James J. Sebra

Title: Chief Financial Officer & Treasurer

	 	     

Name:     

1

EXHIBIT A

INDEPENDENCE REALTY TRUST, INC.

LONG TERM INCENTIVE PLAN

EXERCISE AND SETTLEMENT OF VESTED SARS

Capitalized terms used herein are defined as defined in the Stock Appreciation
Rights Award Certificate (the “Award Certificate”) to which this Exhibit is attached unless
otherwise defined herein. This Exhibit sets forth the procedures the Participant must
follow to exercise the SARs granted to the Participant pursuant to the Award Certificate.

Each SAR shall be exercisable on or after its applicable Vesting Date in accordance with the
terms of the Award Certificate and the Plan. Any such vesting is subject to the terms and
conditions of the Plan and your Award Certificate. A SAR shall be exercised upon delivery by the
Participant to RAIT’s Human Resources department of a completed exercise election form
(“Election Form”) substantially in the form attached as Appendix A to this Exhibit
specifying the number of SARs to be exercised and the date of exercise (which shall be
prospective). The number of SARs to be exercised may not exceed the number of vested SARs as of
the date of exercise. Upon approval by the Committee, the aggregate Value of exercised SARs shall
be settled and paid to Participant in cash, an equivalent value of shares of Common Stock or any
combination thereof as determined in the sole and exclusive discretion of the Committee.

In the Election Form, the Participant must designate a specific Exercise Date (MM/DD/YYYY).
Such Exercise Date must be (i) during the period (the “Vested Period”) at any time on or
after the date the Vesting Date until the termination of the vested SARs in accordance with the
terms and conditions of the Plan and the Award Certificate, (ii) prospective and (iii) no later
than thirty (30) days following submission of the Election Form. An Exercise Date is “prospective”
if it is submitted to, and accepted and approved by the Company before the determination of the
Fair Market Value on the relevant Exercise Date. You may designate the Exercise Date that is the
same date you submit the attached Election Form provided all the conditions specified above are
met. Your designation of the Exercise Date is irrevocable and is binding upon you and once it is
accepted and approved by the Company. Settlement will be completed within five (5) business days
of the Exercise Date. Settlement will be made in cash, an equivalent value of shares of Common
Stock, or a combination of the two as determined in the sole discretion of the Committee.

2

APPENDIX A

INDEPENDENCE REALTY TRUST, INC.

LONG TERM INCENTIVE PLAN

SARS EXERCISE ELECTION FORM

I, a participant under the Independence Realty Trust, Inc. Long Term Incentive Plan (the
“Plan”), or a person otherwise entitled to exercise the Stock Appreciation Rights
(“SARs”) thereunder, do hereby exercise the right to settlement of the following SARs on
the date of exercise (the “Exercise Date”) identified below:

	 	 	 
	Exercise Date:

Number of SARs:

Date of Grant:

Date of Vesting:

	 	     

     

     

     

(The Exercise Date must comply with the conditions set forth in the Notice of Ability to Exercise
Vested Stock Appreciation Rights relating to these SARs.) I understand that the Company may reduce
the amount paid to me as necessary to satisfy withholding tax obligations. I further understand
that the Company may settle the exercised SARs in cash or in the equivalent value of shares of
Common Stock of the Company or a combination of the two as determined in the sole discretion of the
Compensation Committee of the Board of Trustees of the Company.

Send a completed copy of this SAR Exercise Form to:

	 	 	 
	Independence Realty Trust, Inc.

	c/o RAIT Financial Trust

	Cira Center

	 	

	2929 Arch Street, 17th Floor

	Philadelphia, PA 19104

	Attn:

	 	Michele Rudoi

Human Resources

I understand that this election and the designation of the Exercise Date above are irrevocable once
accepted and approved by the Company.

Print Name Date

Signature

3

ACCEPTED AND APPROVED ON BEHALF OF INDEPENDENCE REALTY TRUST, INC:

By: Name & Title: Date

4

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