Document:

Research Agreement

 Exhibit 10.27 

RESEARCH AGREEMENT 

NO.                  

BY AND BETWEEN 

SURGIVISION, INC. 

AND 
 THE
UNIVERSITY OF UTAH 
 This Research Agreement (“Agreement”) is entered into and effective as of
                                         
                   , by and between Surgi Vision, Inc, a Delaware corporation having a principal place of business at 200 N Cobb Parkway, Suite 140,
Marietta, Georgia 30062 (“Sponsor”) and the University of Utah, a body politic and corporate of the State of Utah (“University”). 

RECITALS 

WHEREAS, Sponsor wishes to fund research in MRI Guided EP Ablation as outlined in this Agreement; and 

WHEREAS, the performance of such research is consistent, compatible and beneficial to the academic role and mission of University as an
institution of higher education; and 
 WHEREAS, University is qualified to provide such research. 

AGREEMENT 

NOW, THEREFORE, for and in consideration of the mutual covenants, conditions and undertakings herein set forth, the parties agree as
follows: 
 1. Scope of Work. University agrees to perform certain research (“Research”) described in the Scope of Work set
forth in Appendix A, which is attached hereto and incorporated herein by this reference. 
 2. Period of Performance. The term of this
Agreement shall be one-year, commencing on the effective date of this Agreement. The Agreement shall automatically terminate one year from the effective date, unless both Sponsor and University agree in writing prior to the termination date, to
extend the Agreement for a subsequent one-year renewal term subject to the same terms and conditions stated herein. 
 3. Compensation and
Payment. 
 3.1 Compensation. Sponsor shall pay to University a total of $[***] USD (“Compensation”) in
consideration for this Agreement. The Compensation shall be used by the University substantially along the lines of the budget itemizing the costs of the Research, as set forth in Appendix B, which is attached hereto and incorporated herein by this
reference. 
  

	[***]	Indicates portions of this exhibit that have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment. 

 3.2 Payment. Sponsor shall pay an initial payment of $[***] of the Compensation
amount within 30 days of the effective date of this Agreement. Thereafter, monthly progress payments shall be made by Sponsor to University based upon monthly invoices submitted by University to Sponsor. The monthly invoices shall identify the
direct, facility and administrative costs. Invoices submitted to Sponsor shall be paid by Sponsor within thirty (30) days of receipt. Final payment shall include the unpaid balance of the Compensation and shall be paid upon completion of the
Research. Final payment of any remaining amount of Compensation unpaid at termination of the Agreement, if any, shall be made within 30 days of notification of completion of the Research. 

Invoices shall be delivered to: 

JOHN THOMAS 
 200
N. COBB PARKWAY 
 MARIETTA, GA 30062 

Compensation checks shall be payable to “The University of Utah” and shall be sent to: 

GARY S. GLEDHILL 

UNIVERSITY OF UTAH 

RESEARCH ACCOUNTING 

201 PRESIDENT’S CIRCLE, ROOM 406 

SALT LAKE CITY UT 84112-9020 

4. Technical Supervision. The person with primary responsibility for supervision of the performance of the Research at the University shall be
Dr. Nassir Marrouche. No other person shall replace or substitute for him in the supervisory responsibilities hereunder without the prior written approval of Sponsor, which may be granted or withheld at Sponsor’s sole discretion, and with
the consent of the University, which consent shall not be unreasonably withheld. 
 5. Reporting Requirements. University shall provide
written reports to Sponsor on the progress of the performance of Research as outlined or required in the Scope of Work. A final written report shall be furnished to Sponsor upon completion of the Research or within 60 days of the termination of the
Agreement, whichever is earlier. 
 6. Equipment. All equipment, instruments and materials purchased or used by University in connection
with performance of the Research shall at all times remain under the control and ownership of University. This provision does not apply to equipment, instruments or materials loaned to University by Sponsor, which shall remain the property of the
Sponsor and shall be returned to Sponsor upon termination of this Agreement. 
  

	[***]	Indicates portions of this exhibit that have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment. 

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 7. Publication and Confidentiality. 

7.1 Publication. In furtherance of University’s role as a public institution of higher education, it is necessary that
significant results of research activities be reasonably available for publication by the University, and Sponsor acknowledges that University may publish the results of research conducted in connection with this Agreement. 

Notwithstanding the foregoing, University agrees that it shall not publish the results of research conducted in connection with this
Agreement, without the prior written consent of Sponsor, until the expiration of six (6) months following the first to occur of either the termination of this Agreement or submission of the final written report required under Section 4
hereof. In the event University wishes to publish research results prior to the expiration of the above described six (6) month period, University shall first provide to Sponsor written notice of University’s intent to publish and a draft
of such publication. Sponsor shall have thirty (30) days after receipt of the draft publication to request in writing the removal of portions deemed by Sponsor to contain confidential or patentable material owned by Sponsor, or to request a
delay in submission of the draft for publication pending Sponsor’s application for patent protection. In either event, University shall have no obligation to delay publication of the draft for longer than six (6) months following delivery
of University’s notice to Sponsor of intent to publish. If University does not receive Sponsor’s written response to the notice of intent to publish within the thirty (30) day period, then Sponsor shall be deemed to have consented to
such publication. However, information supplied to University by Sponsor and identified by Sponsor as proprietary information shall not be included in any material published by University without prior written consent of Sponsor. 

7.2 Confidentiality. Confidentiality. Sponsor acknowledges that University is a governmental entity and thus subject to the Utah
Governmental Records Access Management Act, Section 63-2-101 et seq., Utah Code Ann. (1997 and Supp 2005 as amended) (“GRAMA”) and Section 53B-16-301 et seq., Utah Code Ann. (1994 and Supp. 2005). Pursuant to GRAMA, a sponsor of
research may submit a single claim of business confidentiality concerning confidential business records exchanged during the research project. Thereafter, no party may obtain confidential business records from the University absent a court order
requiring the University to disclose the records. 
 8. Indemnification. 

8.1 Indemnification by University. It is understood that the Institution is a governmental entity and is subject to the
Governmental Immunity Act of Utah, Section 63-30d-101 et seq., Utah Code Ann. (2004, as amended) (“Act”). It is further understood that nothing in this Agreement shall be construed as a waiver of any rights or defenses applicable to
the Institution under the Act, including without limitation, the provisions of Section 63-30d-604 regarding limitation of judgments. Subject to the provisions of the Act, University agrees to indemnify, defend and hold harmless Sponsor, its
directors, officers, agents and employees against any actions, suits, proceedings, liabilities and damages that may result from the negligent acts or omissions of University, its officers, agents or employees in connection with this Agreement up to
the limits of the Utah Governmental Immunity Act. 
  

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 8.2 Indemnification by Sponsor. Sponsor shall indemnify, defend and hold harmless

 University, its directors, officers, agents and employees against any actions, suits, proceedings, liabilities and damages
that may result from the negligent acts or omissions of Sponsor, its officers, agents or employees in connection with this Agreement. Sponsor shall not be responsible for any acts by employees, students or agents of University for Research carried
out under this Agreement. 
 8.3 Indemnification by University. University shall indemnify, defend and hold harmless
Sponsor, its directors, officers, agents and employees against any actions, suits, proceedings, liabilities and damages that may result from the negligent acts or omissions of University, its officers, agents or employees in connection with this
Agreement. 
 9. Compliance With Laws. In performance of the Research, Sponsor and University shall comply with all applicable federal,
state and local laws, codes, regulations, rules and orders. 
 10. Patents and Inventions. 

10.1 Background Intellectual Property. “Background Intellectual Property” means property and the legal right therein of
either or both parties developed before or independent of this Agreement, including inventions, patent applications, patents, copyrights, trademarks, mask works, trade secrets and any information embodying proprietary data such as technical data and
computer software. This Agreement does not grant and shall not be construed as implying that either party hereto shall have the right to use Background Intellectual Property of the other in connection with this Research except as otherwise provided
hereunder. 
 10.2 Notification of Inventions. Should any invention or improvement be developed during the course of the
Research, University shall notify Sponsor of such invention or improvement within thirty (30) days of knowledge of the invention or improvement. 

10.3 Ownership. The University shall own all right, title and interest in all inventions and improvements conceived or reduced to
practice solely by University or University personnel in the performance of the Research (hereinafter collectively “University Invention”). Sponsor shall own all right, title and interest in all inventions and improvements conceived or
reduced to practice by Sponsor, Sponsor personnel and/or consultants thereof in the performance of the Research (hereinafter collectively “Sponsor Invention”). The University and Sponsor will jointly own all right title and interest in all
inventions and improvements jointly conceived or reduced to practice by inventors at the University and at Sponsor in the performance of the Research (hereinafter collectively “Joint Invention”). Inventorship shall be determined in
accordance with U.S. Patent Law. 
 10.4 Grant of Non-Exclusive License. In consideration of Sponsor’s support of the
Research, University hereby grants to Sponsor an irrevocable fully paid-up, non-royalty bearing, worldwide non-exclusive license with the right to sublicense, any patent, copyright or other intellectual property right associated with any University
Invention, including the right to practice the University Invention and the right to make, have made, use, import, offer for sale and sell products and processes covered by the University invention. 

 

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 10.5 Option for Exclusive License. The University also grants to Sponsor a 6-month
Exclusive Option Period to any University Invention or to University’s interest in any Joint Invention, which option shall expire six (6) months after University has provided written notice to Sponsor of any such University Invention or
Joint Invention (“Option Period”). Upon exercise of the option in writing, the parties will meet within thirty (30) days to begin negotiating the terms of the license. The parties agree to negotiate in good faith. In the event an
exclusive license is not executed within six (6) months from the exercise of the option, or the option is not exercised within the Option Period, then subject to the non-exclusive license in 10.4, University shall be free to license the
University Invention or the University’s interest in any Joint Invention to others, at the University’s sole discretion with no further obligation to the Sponsor. In the event the University shall affirmatively decide to not pursue legal
protection of and/or abandon its rights to any such invention or improvement prior to exercise of said option, University shall timely notify Sponsor of this decision and assign to Sponsor all of the University’s rights, title and interest
therein. 
 11. Relationship of Parties. In assuming and performing the obligations of this Agreement, University and Sponsor are each
acting as independent parties and neither shall be considered or represent itself as a joint venturer, partner, agent or employee of the other. Neither party shall use the name or any trademark of the other party in any advertising, sales promotion
or other publicity matter without the prior written approval of the other party. University shall be responsible for determining what activities are appropriate under the Research and shall direct those activities. Sponsor shall not direct nor
determine what activities shall be carried out to perform the Research and shall not be held responsible for any activities carried out by researchers performing the Research at the University. 

12. Termination. This Agreement may be terminated by either party at any time, by giving written notice thereof to the other party. Such
termination shall be effective thirty (30) days after receipt of such notice. Termination shall not relieve either party of any obligation or liability accrued hereunder prior to such termination, or rescind or give rise to any right to rescind
any payments made prior to the time of such termination. 
 13. Uncontrollable Forces. Neither Sponsor nor University shall be considered
to be in default of this Agreement if delays in or failure of performance shall be due to uncontrollable forces the effect of which, by the exercise of reasonable diligence, the nonperforming party could not avoid. The term “uncontrollable
forces” shall mean any event which results in the prevention or delay of performance by a party of its obligations under this Agreement and which is beyond the control of the nonperforming party. It includes, but is not limited to, fire, flood,
earthquakes, storms, lightning, epidemic, war, riot, civil disturbance, sabotage, inability to procure permits, licenses, or authorizations from any state, local, or federal agency or person for any of the supplies, materials, accesses, or services
required to be provided by either Sponsor or University under this Agreement, strikes, work slowdowns or other labor disturbances, and judicial restraint. 

14. Miscellaneous. 
 14.1
Assignment. University shall not assign or transfer any interest in this Agreement, nor assign any claims for money due or to become due under this Agreement, without the prior written consent of the Sponsor. Sponsor shall have the right to
assign this Agreement and the rights under 10.4 and 10.5, with prior written consent of University, and such consent shall not be unreasonably withheld. 
  

 5 

 14.2 Entire Agreement. This Agreement, with its attachments, constitutes the entire
agreement between the parties regarding the subject matter hereof and supersedes any other written or oral understanding of the parties. This Agreement may not be modified except by written instrument executed by both parties. 

14.3 Successors and Assigns. This Agreement shall be binding upon and inure to the benefit of the parties, their successors and
permitted assigns. 
 14.4 Notices. Except as provided in Section 3 hereof regarding payment of invoices, any notice
or other communication required or permitted to be given to either party hereto shall be in writing and shall be deemed to have been received and properly given and effective: (a) on the date of delivery if delivered in person to an employee of
University or Sponsor during recipient’s normal business hours; or (b) on the date of delivery to the Notice Address if delivered by courier, express mail service or first-class mail, registered or certified, return receipt requested. Such
notice shall be sent or delivered to the respective addresses given below, or to such other address as either party shall designate by written notice given to the other party (Notice Address) as follows: 

In the case of University: 
  

					
	Technical	 		 	Contractual
			
	  	 		 	  
	Name: Dr. Marrouche	 		 	Brent Brown
	Title: Principal Investigator	 		 	UNIVERSITY OF UTAH
	Address: 30 N 1900 E, Rm 4A100	 		 	OFFICE OF SPONSORED PROJECTS
	Salt Lake City, UT 84132	 		 	 75 South 2000 East
 SALT
LAKE CITY UT 84112

 In the case of Sponsor: 
  

					
	Technical	 		 	Contractual
			
	  	 		 	  
	Name: Pete Piferi	 		 	Name: Kimble Jenkins
	Title: COO	 		 	Title: CEO
	Address: 50 N Front St.	 		 	Address: 50 N Front St.
	19th floor,
 Memphis TN 38103	 		 	19th floor,
Memphis TN 38103

 Correspondence to be sent with a courtesy copy to: 

Julie Richardson, Esq. 
 Myers Bigel
Sibley & Sajovec, P.A. 
 4140 Parklake Ave. 

Raleigh, NC 27627 (Fax: 919-854-1401) 
  

 6 

 14.5 Order of Precedence. In the event of any conflict, inconsistency or discrepancy
amount, the Agreement and any other documents listed below shall be resolved by giving precedence in the following order. 
 (a)
This Agreement including the Exhibits hereto 
 (b) Purchase Order issued by Sponsor. In the event a purchase order is issued
under this Agreement and such purchase order contains standardized terms and conditions, the terms and conditions of this Agreement shall supercede and replace all such purchase order standardized terms and conditions. 

14.6 Governing Law and Disputes. This Agreement shall be interpreted and construed in accordance with the laws of the State of
Utah, without application of any principles of choice of laws. Disputes that cannot be resolved by Sponsor and University shall be determined by a court of competent jurisdiction in the State of Utah. 

14.7 Nonwaiver. A waiver by either party of any breach of this Agreement shall not be binding upon the waiving party unless such
waiver is in writing. In the event of a written waiver, such a waiver shall not affect the waiving party’s rights with respect to any other or further breach. 

14.8 Use of Name. Sponsor may not use the name of University in any news release or advertising or any publications directed to the
general public without written approval of University. 
 14.9 Attorney Fees. The prevailing Party in any action or suit
to enforce the terms or conditions of this Agreement shall be entitled to recover its costs of court and reasonable attorneys’ fees incurred in enforcing the terms or conditions of this Agreement. 

 

 7 

 IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly
authorized representatives effective as of the day and year first written above. 
  

									
	SURGIVISION, INC	 		 	UNIVERSITY OF UTAH
	    “Sponsor”	 		 	    “University”
					
	By:	 	/s/ Kimble Jenkins	 		 	By:	 	/s/ Brent K. Brown
		 	Signature	 		 		 	Signature
	Name:	 	Kimble Jenkins	 		 	Name:	 	Brent K. Brown
	Title:	 	President	 		 	Title:	 	Director, Office of Sponsored Projects
	Date:	 	7/2/07	 		 	Date:	 	6/22/07
			
	NASSIR MARROUCHE	 		 	
	“Primary Researcher”	 		 	
					
	Signature:	 	/s/ Nassir Marrouche	 		 		 	
					
	Title:	 	 	 		 		 	
					
	Date:	 	 	 		 		 	

  

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 APPENDIX A 

RESEARCH SCOPE OF WORK 
 [Insert Scope
of Work referenced in Article 1.] 
  

 9 

 [***] 
  

	[***]	Indicates portions of this exhibit that have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment. 

 10 

 APPENDIX B 

RESEARCH AGREEMENT BUDGET 
 [Insert
Budget referenced in Article 3.1] 
  

 12 

 [***] 
  

	[***]	Indicates portions of this exhibit that have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment. 

 13 

 FIRST AMENDMENT TO THE RESEARCH AGREEMENT 

BY AND BETWEEN 

SURGIVISION, INC. 

AND 
 THE
UNIVERSITY OF UTAH 
 This is a first Amendment to the Research Agreement (“Agreement”), by and between
SurgiVision, Inc, a Delaware corporation having a principal place of business at 200 N Cobb Parkway, Suite 140, Marietta, Georgia 30062 (“Sponsor”) and the University of Utah, a body politic and corporate of the State of Utah
(“University”), executed by the Parties on July 2, 2007 and June 22, 2007, respectively. 
 The enumerated
provisions below replace the corresponding provisions in the original Agreement. All other provisions are unaffected by this first Amendment. 

NOW, THEREFORE, for and in consideration of the mutual covenants, conditions and undertakings set forth, the parties agree to amend the
Agreement as follows: 
 1. Scope of Work. University agrees to perform certain research (“Research”) described in the Scope of
Work set forth in Appendix A’, which is attached hereto and incorporated herein by this reference. 
 2. Period of Performance. The
term of this Agreement shall be two-years, commencing on November 15, 2007, which shall be the new Effective Date of the Agreement. The Agreement shall automatically terminate two years from the Effective Date, unless both Sponsor and
University agree in writing, prior to the termination date, to extend the Agreement for a subsequent one or two-year renewal term subject to the same terms and conditions stated herein, except that the monetary compensation may be altered if agreed
to by both Sponsor and University in writing. 
 3. Compensation and Payment. 

3.1 Compensation. Sponsor shall pay to University a total of $[***] USD ($[***] under the original Agreement and $[***] under this
first Amendment) in year one (reduced by any prior payments made since execution of the original Agreement) and a total of $[***] in year two (“Compensation”) in consideration for this Agreement. The Compensation shall be used by the
University substantially along the lines of the budget itemizing the costs of the Research, as set forth in Appendix B’, which is attached hereto and incorporated herein by this reference. 

3.2 Payment. Sponsor shall remit quarterly progress payments to University based upon quarterly invoices submitted by University to
Sponsor. The invoices shall identify the direct, facility and administrative costs. Invoices submitted to Sponsor shall be paid each quarter by Sponsor within 30 days of receipt. Final payment shall include the unpaid balance of the Compensation and
shall be paid upon completion of the Research. Final payment of any remaining amount of Compensation unpaid at termination of the Agreement, if any, shall be made within 30 days of notification of completion of the Research. 

 

	[***]	Indicates portions of this exhibit that have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment. 

  

 IN WITNESS WHEREOF, the parties have caused this Agreement to be executed by their duly
authorized representatives effective as of the day and year first written above. 
  

									
	SURGIVISION, INC	 		 	UNIVERSITY OF UTAH
	    “Sponsor”	 		 	    “University”
					
	By:	 	/s/ Kim Jenkins	 		 	By:	 	/s/ Brent K. Brown
		 	Signature	 		 		 	Signature
	Name:	 	Kim Jenkins	 		 	Name:	 	Brent K. Brown, Esq
		 	(Please print)	 		 		 	(Please print)
	Title:	 	CEO	 		 	Title:	 	Director, Office of Sponsored projects
	Date:	 	Nov 12, 2007	 		 	Date:	 	1/8/08
			
	NASSIR MARROUCHE	 		 	
	“Primary Researcher”	 		 	
					
	Signature:	 	/s/ Nassir Marrouche	 		 		 	
					
	Title:	 	 	 		 		 	
					
	Date:	 	 	 		 		 	

  

 2 

 APPENDIX A’ 

RESEARCH SCOPE OF WORK 

[***] 
  

	[***]	Indicates portions of this exhibit that have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment. 

  

 3 

 APPENDIX B’ 

RESEARCH AGREEMENT BUDGET 
 See attached
two sheets. 
  

 4 

 [***] 

 

	[***]	Indicates portions of this exhibit that have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment. 

 5 

 SECOND AMENDMENT TO THE RESEARCH AGREEMENT 

BY AND BETWEEN 

SURGIVISION, INC. 

AND 
 THE
UNIVERSITY OF UTAH 
 This is the second Amendment to the Research Agreement (as amended, the “Agreement”), by and
between SurgiVision, Inc, a Delaware corporation having a principal place of business at One Commerce Square, Suite 2550, Memphis, TN 38103 (“Sponsor”) and the University of Utah, a body politic and corporate of the State of Utah with a
place of business at 75 South 2000 East, Rm. 211 RAB, Salt Lake City, UT 84112 (“University”), executed by the Parties on July 2, 2007 and June 22, 2007, respectively. This Amendment has an effective date of April 24, 2009.

 NOW, THEREFORE, for and in consideration of the mutual covenants, conditions and undertakings set forth, the Parties agree to
amend the Agreement as follows: 
 1. Section 3.1 Compensation. Sponsor shall pay to University a total of $[***] ($[***] under the
original Agreement and previous Amendment) in consideration for this Agreement. The Compensation shall be used by the University substantially along the lines of the budget itemizing the costs of the Research, as set forth in Appendix B, which is
attached hereto and incorporated herein by this reference. 
 All other terms and conditions of the Agreement shall remain in
full force and effect and shall be unaffected by this Second Amendment to the Research Agreement. 
 IN WITNESS WHEREOF, the
parties have caused this Agreement to be executed by their duly authorized representatives effective as of the day and year first written above. 
  

									
	SURGIVISION, INC	 		 	UNIVERSITY OF UTAH
	    “Sponsor”	 		 	    “University”
					
	By:	 	/s/ Kim Jenkins	 		 	By:	 	/s/ Brent K. Brown
	Name:	 	Kim Jenkins	 		 	Name:	 	Brent K. Brown
	Title:	 	CEO	 		 	Title:	 	Director, Office of Sponsored Projects
	Date:	 	4/29/09	 		 	Date:	 	4/29/09
			
	NASSIR MARROUCHE	 		 	
	“Primary Researcher”	 		 	
					
	Signatures:	 	/s/ Nassir Marrouche	 		 		 	
	Date:	 	4/29/09	 		 		 	

  

	[***]	Indicates portions of this exhibit that have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment. 

 THIRD AMENDMENT TO THE RESEARCH AGREEMENT 

BY AND BETWEEN 

SURGIVISION, INC. 

AND 
 THE
UNIVERSITY OF UTAH 
 This is the third Amendment to the Research Agreement (as amended, the “Agreement”), by and
between SurgiVision, Inc., a Delaware corporation having a place of business at One Commerce Square, Suite 2550, Memphis, TN 38103 (“Sponsor”), and the University of Utah, a body politic and corporate of the State of Utah with a place of
business at 75 South 2000 East, Rm. 211, RAB, Salt Lake City, UT 84112 (“University”), executed by the Parties on July 2, 2007 and June 22, 2007, respectively. This Amendment has an effective date of May 1, 2009. 

NOW, THERFORE, for and in consideration of the mutual covenants, conditions and undertakings set forth, the Parties agree to amend the
Agreement as follows: 
  

	 	1.	In addition to the funding described in Section 3.1 of the Agreement (which aggregate amount has already been paid by Sponsor to University), Sponsor shall provide
to University aggregate funding up to $[***] (the “Additional Funding”) with respect to the 4-month period of May, June, July, and August of 2009 (i.e., $[***] per month). Such Additional Funding shall be allocated and applied by
University (a) to carry out the Research under the Agreement, and (b) as outlined in the budget in Appendix A. 

  

	 	2.	University acknowledges that Sponsor has already paid University $[***] of the Additional Funding. Sponsor shall pay University the remaining balance of the Additional
Funding according to the following schedule: (a) Sponsor shall pay University $[***] following signature of this Amendment by both parties; and (b) Sponsor shall pay University the final $[***] on or before August 31, 2009.

  

	 	3.	University will provide Sponsor, on a timely basis, with information reasonably requested by Sponsor with respect to University’s actual allocation and application
of Additional Funding paid by Sponsor. 

 All other terms and conditions of the Agreement shall remain in full
force and effect and shall be unaffected by this Third Amendment to the Research Agreement. 
 IN WITNESS WHEREOF, the parties
have caused this Agreement to be executed by their duly authorized representatives effective as of the day and year first written above. 
  

									
	SURGIVISION, INC	 		 	UNIVERSITY OF UTAH
	    “Sponsor”	 		 	    “University”
					
	By:	 	 	 		 	By:	 	 
	Name:	 	Kim Jenkins	 		 	Name:	 	Brent K. Brown
	Title:	 	CEO	 		 	Title:	 	Director, Office of Sponsored

  

	[***]	Indicates portions of this exhibit that have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment. 

 Appendix A 

May-August 2009 Amended Budget for 

SurgiVision/Siemens EP/MRI Collaboration Project 

[***] 
  

	[***]	Indicates portions of this exhibit that have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment. 

 2 

 FOURTH AMENDMENT TO THE RESEARCH AGREEMENT 

BY AND BETWEEN 

SURGIVISION, INC. 

AND 
 THE
UNIVERSITY OF UTAH 
 This is the Fourth Amendment to the Research Agreement (as previously amended, and as further amended
by this Fourth Amendment, the “Research Agreement”), by and between SurgiVision, Inc., a Delaware corporation having a place of business at One Commerce Square, Suite 2550, Memphis, TN 38103 (“Sponsor”), and the
University of Utah, a body politic and corporate of the State of Utah with a place of business at 75 South 2000 East, Rm. 211, RAB, Salt Lake City, UT 84112 (“University”), executed by the Parties on July 2, 2007 and
June 22, 2007, respectively. This Fourth Amendment is executed as of February 25, 2010, with an effective date of September 1, 2009. 

NOW, THERFORE, for and in consideration of the mutual covenants, conditions and undertakings set forth, the parties agree to amend the
Research Agreement as follows: 
 1. Defined Terms. Capitalized terms used but not defined in this Fourth Amendment shall
have the meanings ascribed to such terms in the Research Agreement. 
 2. Extended Scope of Work. The term of the
Research Agreement is extended through December 31, 2010. For the twelve (12) month period commencing January 1, 2010 and ending December 31, 2010, University agrees to perform research activities described in or contemplated by the
Scope of Work attached hereto as Exhibit A (the “SOW”) for Sponsor’s exclusive benefit and to cooperate with Sponsor to facilitate a timely and successful completion of such research activities. For purposes of the Research
Agreement, the term “Research” shall hereinafter include, without limitation, research activities described in or contemplated by the SOW. University shall provide Sponsor the deliverables set forth in the SOW, on or before the dates set
forth in the SOW. 
 3. Additional SVI Support for Research. 

(a) With respect to the four (4) month period commencing September 1, 2009 and ending December 31, 2009,
Sponsor shall provide to University aggregate funding in the amount of [***], which Sponsor shall pay in a single installment within thirty (30) days following the execution date of this Fourth Amendment. Such funding shall be allocated and applied
by University (i) to carry out the Research for Sponsor’s exclusive benefit, and (ii) to pay documented, reasonable and actual expenses in connection therewith. 

(b) Provided the Research Agreement is not earlier terminated, with respect to the twelve (12) month period
commencing January 1, 2010 and ending December 31, 2010, Sponsor shall provide to University aggregate funding in an amount up to [***] (the “Additional Funding”). The Additional Funding shall be allocated and applied by
University (i) to carry out research activities described in or contemplated by the SOW for Sponsor’s exclusive benefit, and (ii) to pay documented, reasonable and actual expenses in connection therewith, substantially in accordance
with the itemized budget attached hereto as Exhibit B. Subject to the ultimate and penultimate sentences of this paragraph, and provided the Research Agreement is 

 

	[***]	Indicates portions of this exhibit that have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment. 

 
not earlier terminated, Sponsor shall pay to University the Additional Funding in four (4) payments according to the following schedule: (A) the first payment, in an amount no more than [***]
will be due and payable as of April 15, 2010; (B) the second payment, in an amount no more than [***] will be due and payable as of July 15, 2010; (C) the third payment, in an amount no more than [***] will be due and payable as of October 15, 2010;
and (D) the fourth payment, in an amount no more than [***] will be due and payable as of January 15, 2011. Notwithstanding the foregoing to the contrary, Sponsor’s obligation to make each payment of the Additional Funding is contingent upon
University’s compliance with the Research Agreement, including, but in no way limited to, the SOW. Sponsor reserves the right to suspend or withhold any payment of funds if University fails to comply strictly with the terms and conditions of
the Research Agreement (which, for the avoidance of any doubt, includes this Fourth Amendment), including, but in no way limited to, the failure by University to achieve the milestones, and/or the failure by University to provide Sponsor the
milestone deliverables, as set forth in the SOW. 
 (c) University shall continue to account for the funding
provided by Sponsor separately in University’s books and records, provided all such funding may be accounted for in a single University project account. A systematic accounting record shall be kept by University of the receipt and disbursement
of funds. University shall retain original substantiating documents related to specific expenditures and make these records available for Sponsor’s review upon request. University shall be responsible for maintaining adequate financial records
of the research program. Sponsor, or a designated representative, reserves the right, upon reasonable written notice, to audit University’s books and records relating to the expenditure of the Additional Funding. 

(d) University shall provide Sponsor, on a timely basis as reasonably requested by Sponsor, with written reports that
describe in reasonable detail University’s actual allocation and application of funding provided by Sponsor (e.g., salaries, supplies, etc.). 

4. Amendment to Section 4 of the Research Agreement (Technical Supervision). Section 4 of the Research Agreement
(Technical Supervision) is hereby amended by adding the following at the end of such section: 
 “In the event
Dr. Nassir Marrouche leaves University or otherwise withdraws from his role in the performance of the Research, Sponsor may, in its sole discretion, terminate this Agreement or consent to University’s designation of a replacement or
substitute.” 
 5. Amendment to Section 5 of the Research Agreement (Reporting Requirements). Section 5 of
the Research Agreement (Reporting Requirements) is hereby amended by deleting the first sentence thereof in its entirety and substituting the following therefore: 

“University shall provide periodic written reports to Sponsor as requested by Sponsor, which reports shall set forth in reasonable
detail the status of the Research and the progress in the performance of the Research to achieve any applicable objectives and/or milestones.” 

6. Amendment to Section 7.1 of the Research Agreement (Publication). Section 7.1 of the Research Agreement (Publication)
is hereby amended by deleting the second paragraph thereof in its entirety and substituting the following therefore: 

“Notwithstanding the foregoing, to protect the confidentiality of Confidential Information (as defined below) and/or the
patentability of inventions and improvements conceived or reduced to practice in the performance of the Research, University agrees (for itself and all of its personnel) to provide to Sponsor, for Sponsor’s review and comment, any proposed
publications or presentations which will disclose any findings, data or results of the research conducted in connection with this Agreement as soon as 

 

	[***]	Indicates portions of this exhibit that have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment. 

 2 

 
possible, but in any event at least thirty (30) days prior to submission of a manuscript or abstract for publication or to the date of the presentation. If Sponsor reasonably determines that
the proposed publication or presentation contains patentable subject matter which requires protection, or discloses any Confidential Information, University agrees (for itself and all of its personnel) (i) to delay publication or presentation
for a period of time, not to exceed sixty (60) days, for the purpose of filing one or more patent applications and/or (ii) to delete any Confidential Information therefrom, other than results created by the University and included in a
publication by a University student conducting research under this Agreement where such publication is required for the student’s academic advancement. If no written response is received from Sponsor within Sponsor’s review period, the
publication or presentation may proceed without delay. In the event University defaults in the performance of its duties and obligation under this paragraph, Sponsor shall have the right (but not the obligation) to terminate this Agreement
immediately upon written notice to University.” 
 7. Amendment to Section 7.2 of the Research Agreement
(Confidentiality). Section 7.2 of the Research Agreement (Confidentiality) is hereby amended by deleting such section in its entirety and substituting the following therefore (provided these changes shall not apply retroactively from the
date of execution of this Amendment): 
 “7.2 Confidentiality. 

(a) During the term of this Agreement, (i) Sponsor may provide University with confidential information for use by
University personnel in carrying out the research activities under this Agreement and (ii) in the course of carrying out the research activities under this Agreement, University personnel may develop confidential information for the Company
(such information described in clauses (i) and (ii), the “Confidential Information”). Subject to the provisions of paragraph (b) below, University agrees (for itself and for all University personnel who will be using or
developing Confidential Information): 
 (1) to hold Confidential Information in strict confidence and not to
disclose Confidential Information to anyone other than University personnel working on research activities under this Agreement who have a need to know this information and who are obligated to comply with restrictions contained herein, except as
expressly provided in clause (ii) of the second paragraph of Section 7.1; 
 (2) to refrain from copying,
distributing, disclosing, or summarizing Confidential Information, except to University personnel identified in clause (i) above, or except as expressly provided in clause (ii) of the second paragraph of Section 7.1; 

(3) to treat Confidential Information with at least the same degree of care that University uses to protect the
confidentiality of its own most commercially sensitive information; 
 (4) to advise all University personnel to
whom Confidential Information is disclosed that Confidential Information is highly confidential and subject to stringent conditions of confidentiality, and that Confidential Information may not be disclosed to third parties, posted in whole or part
on the Internet, disclosed in publications or presentations, or otherwise handled or used in contravention of the terms of this Agreement; 

(5) to use Confidential Information only in connection with Research performed under this Agreement, and to cease use of
Confidential Information upon any termination of this Agreement (for whatever reason); and 
 (6) to return
Confidential Information to Sponsor upon termination of this Agreement (for whatever reason), and to retain only one copy (which includes any copy stored in computer memory) provided that University may retain one copy (which includes any copy
stored in computer memory) solely for archival purposes in order to determine University’s obligations hereunder. 
  

 3 

 The foregoing restrictions contained in this Section 7.2 shall not apply to any
information that (i) is already in the public domain or becomes available to the public through no breach of this Agreement; (ii) was lawfully in the possession of University prior to receipt from Sponsor, without an obligation of
confidentiality; (iii) is received by University independently from a third party free to lawfully disclose such information to University; or (iv) is subsequently independently developed by University, outside the scope of the research
activities under this Agreement and without use of the Confidential Information, as evidenced by University’s written records. Furthermore, if University is ordered to disclose any Confidential Information by a court or other governmental
entity having jurisdiction, University may disclose such Confidential Information, provided that University (A) gives Sponsor prompt written notice of the order so Sponsor can seek a protective order or similar relief and (B) reasonably
cooperates with Sponsor in protecting the confidential or proprietary nature of the Confidential Information required to be so disclosed. Except for the limited rights of use granted herein, nothing in this Agreement gives University or University
personnel any rights, title, license or interest whatsoever in any Confidential Information. All ownership and other rights therein are vested in and shall remain with Sponsor. 

(b) Sponsor acknowledges that University is a governmental entity subject to the Government Records Access and Management
Act, Utah Code §§ 63G-2-101 to -901, as amended, and Utah Code §§ 53B-16-301 through 53B-16-305, as amended (“Records Statutes”). As such, University’s confidentiality obligations under this Agreement shall be
subject in all respects to University’s compliance with Records Statutes. Pursuant to §§ 53B-16-304 and 63G-2-309 of the Utah Code, as amended, Sponsor hereby claims that the records it provides to University in connection with this
Agreement are confidential and protected against disclosure under Utah Code §§ 53B-16-302 and 63G-2-305, as amended, as such records relate to Sponsor’s proprietary research and development efforts. Accordingly, in the event that
University receives a request, pursuant to the Records Statutes, for records related to this Agreement, University shall be foreclosed, absent a court order or consent or acquiescence from Sponsor, from making the requested
disclosure. Notwithstanding the foregoing, in the event that University receives a request for records related to this Agreement, University shall, if deemed necessary by University’s legal counsel, release a general description of the
research conducted under this Agreement, excluding proprietary or competitive information, consistent with the provisions of §§ 53B-16-302 of the Utah Code, as amended. University shall promptly notify Sponsor in writing of any request it
receives for records related to this Agreement. 
 8. Amendment to Section 10.3 of the Research Agreement
(Ownership). Section 10.3 of the Research Agreement (Ownership) is hereby amended by deleting such section in its entirety and substituting the following therefore: 

“10.3 Ownership. The University shall own all right, title and interest in all inventions and improvements
conceived or reduced to practice, and all copyrightable materials created, solely by University or University personnel in the performance of the Research (hereinafter collectively “University Invention”). Sponsor shall own all right,
title and interest in all inventions and improvements conceived or reduced to practice, and all copyrightable materials created, by Sponsor, Sponsor personnel and/or consultants thereof in the performance of the Research (hereinafter collectively
“Sponsor Invention”). The University and Sponsor will jointly own all right, title and interest in all inventions and improvements jointly conceived or reduced to practice, and all copyrightable materials created, by personnel at the
University and at Sponsor in the performance of the Research (hereinafter collectively “Joint Invention”). Inventorship shall be determined in accordance with U.S. Patent Law.” 

 

 4 

 9. Amendment to Section 12 of the Research Agreement (Termination).
Section 12 of the Research Agreement (Termination) is hereby amended by deleting such section in its entirety and substituting the following therefore: 

“12. Termination. 

12.1 Term. Unless earlier terminated as provided below, the term of this Agreement shall continue through
December 31, 2010. 
 12.2 Default. If either Sponsor or University materially defaults in the
performance of any duty or obligation imposed upon it by this Agreement and such default continues for thirty (30) days after written notice thereof has been given to the defaulting party by the other party, such other party may (but need not)
give notice of the immediate termination of this Agreement. Notwithstanding the foregoing to the contrary, Sponsor may terminate this Agreement immediately upon notice to University in the event University defaults in the performance of its duties
and obligations under Section 7.1 or Section 7.2 of this Agreement. 
 12.3 Primary Researcher.
Sponsor shall have the right (but not the obligation) to terminate this Agreement upon written notice to University under the circumstances set forth in Section 4 hereof. 

12.4 Return of Confidential Information. Upon termination of this Agreement for any reason, University must
promptly return to Sponsor all of Sponsor’s Confidential Information then in the possession or under the control of University and/or any of its personnel, provided that University may retain one copy (which includes any copy stored in computer
memory) of the Confidential Information for archival purposes in order to determine University’s obligations hereunder. 

10. Amendment to Section 14 of the Research Agreement (Miscellaneous). Section 14 of the Research Agreement
(Miscellaneous) is hereby amended by adding the following Section 14.10: 
 “14.10 Research
Involving Animals. With respect to any research activities covered by this Agreement involving animal subjects, University agrees to comply with all applicable laws, rules and regulations of any governmental authority, agency or entity having
jurisdiction over the research (including, but not limited to, the 1966 Federal Animal Welfare Act and the 1985 Improved Standards of Laboratory Animals Acts.) This compliance includes, but is not limited to, the need for review and approval of
University’s animal research/procedures for animal care by the appropriate local Institutional Animal Care and Use Committee (IACUC). If such approval is required, University must provide a copy of this approval to Sponsor.” 

11. Amendment to Section 14 of the Research Agreement (Miscellaneous). Section 14 of the Research Agreement
(Miscellaneous) is hereby amended by adding the following Section 14.11: 
 “14.11 Prohibition on
Practice of Medicine. Notwithstanding anything to the contrary contained in this Agreement, the parties acknowledge that Sponsor is not authorized or qualified to engage in any activity which may be construed or deemed to constitute the practice
of medicine. Accordingly, University shall retain the authority to direct all medical decisions regarding the care and treatment of its 

 

 5 

 
patients and shall assume full responsibility for any clinical decisions made as a result of data, directly or indirectly, generated during the research activities conducted. Sponsor shall
neither exercise control over nor interfere with the physician-patient relationship. To the extent any act or service required of Sponsor under this Agreement should be construed or deemed by a governmental authority, agency or court to constitute
the practice of medicine, the performance of said act or service by Sponsor shall be deemed waived and forever unenforceable.” 

12. Amendment to Section 14 of the Research Agreement (Miscellaneous). Section 14 of the Research Agreement
(Miscellaneous) is hereby amended by adding the following Section 14.12: 
 “14.12 Anti-Kickback
Statute. In compliance with the federal Medicare/Medicaid Anti-Kickback Statute, each party represents that the funding to University has not been determined with regard to any implicit or explicit agreement to provide favorable procurement
decisions with regard to Sponsor’s products or product candidates, and have not been given in exchange for such decisions. Each party further represents that such compensation has not been determined with regard to the value or volume of any
business generated between the parties and that such compensation is consistent with fair market value in arm’s length transactions. The compensation provided hereunder is directly related to the costs of carrying out research, and includes no
incentive payment to any individual for identifying or recruiting human subjects. This Agreement is not intended to, and does not, induce the referral of patients or to induce purchase of any items or services reimbursed by any federal or state
health care program.” 
 13. Amendment to Section 14 of the Research Agreement (Miscellaneous). Section 14
of the Research Agreement (Miscellaneous) is hereby amended by adding the following Section 14.13: 

“14.13 Survival. The provisions of Section 7 (Publication and Confidentiality), Section 8
(Indemnification), Section 10 (Patents and Inventions) Section 12.4 (Return of Confidential Information), and Section 14 (Miscellaneous) of this Agreement (including subsections) will survive any termination of this Agreement.”

 14. Change of Address. Notices and other communications given to Sponsor under Section 14.4 (Notices) of the
Research Agreement shall be sent or delivered to the addresses set forth below, or to such other address(es) as Sponsor shall designate by written notice given to University: 

 

			
	Technical	  	Contractual
		
	Pete Piferi	  	Kimble Jenkins
	COO	  	CEO
	5 Musik	  	One Commerce Square, Ste. 2550
	Irvine, CA 92618	  	Memphis, TN 38103

 In each case with a courtesy copy
to: 
 Oscar Thomas 
 VP, Business
Affairs 
 One Commerce Square, Ste. 2550 

Memphis, TN 38103 
  

 6 

 15. Exhibits. The Exhibits attached to this Fourth Amendment are hereby incorporated
into and made a part of this Fourth Amendment. 
 16. Ratification and Confirmation of Research Agreement. The parties
each acknowledge and agree that the Research Agreement is in full force and effect and has been in full force and effect at all times since its execution. The terms and provisions of the Research Agreement, as modified by the terms of this Fourth
Amendment, are hereby ratified and confirmed in all respects. 
 [The next page is the signature page] 

***** 
  

 7 

 IN WITNESS WHEREOF, the parties have caused this Amendment to be executed by their duly
authorized representatives. 
  

									
	SURGIVISION, INC.	 		 	UNIVERSITY OF UTAH
	    “Sponsor”	 		 	    “University”
					
	By:	 	/s/ Kimble L. Jenkins	 		 	By:	 	/s/ Brent K. Brown
	Name:	 	Kimble L. Jenkins	 		 	Name:	 	Brent K. Brown
	Title:	 	CEO	 		 	Title:	 	Director, Office of Sponsored Projects

  

 8 

 Exhibit A 

Scope of Work 

[***] 
  

	[***]	Indicates portions of this exhibit that have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment. 

 9 

 Exhibit B 

Budget 

[See Attached] 
  

 16 

 [***] 

 

	[***]	Indicates portions of this exhibit that have been omitted and filed separately with the Securities and Exchange Commission pursuant to a request for confidential
treatment. 

 17Form of Restricted Stock Unit Award Agreement under the Fossil, Inc. 2008

 Exhibit 10.1 

Restricted Stock Unit Award 

Under the Fossil, Inc. 2008 Long-Term Incentive Plan 

For Non-U.S. Participants 

This RESTRICTED STOCK UNIT AWARD (the “Award”), is entered into effect as of the date of the grant (the “Effective
Date”) 
 W I T N E S S E T H: 

WHEREAS, the Company has adopted the Fossil, Inc. 2008 Long-Term Incentive Plan (the “Long-Term Incentive Plan”),
effective as of the Effective Date (as defined in the Long-Term Incentive Plan), with the objective of advancing the best interests of the Company, its Subsidiaries and its stockholders in order to attract, retain and motivate key employees with
additional incentives through the award of Restricted Stock Units; and 
 WHEREAS, the Long-Term Incentive Plan provides
that Eligible Participants of the Company or its Subsidiaries, as determined in the judgment of the Committee, may be granted an Award which may consist of grants of restricted units of common stock, par value $.01 per share (“Common
Stock”), of the Company; 
 NOW, THEREFORE, the Participant identified in the Notice of Grant is hereby awarded
Restricted Stock Units in accordance with the following terms: 
 1. Grant of Award; Restricted Stock Units.
Subject to the terms and conditions set forth in the Long-Term Incentive Plan, this Award, Appendix A and in the Notice of Grant, the Company hereby grants to the Participant an award of those Restricted Stock Units specified in the Notice of Grant,
subject to adjustment from time to time as provided in Articles 12-14 of the Long-Term Incentive Plan. Each Restricted Stock Unit shall consist of the right to receive, upon the Vesting Date, a share of Common Stock for each vested Unit, which shall
be electronically registered by the Company in the name of the Participant as promptly as practicable following the Vesting Date. 

2. Vesting. If the Participant remains continuously employed by the Company or a Subsidiary through each Vesting Date set
forth in the Notice of Grant, the Restricted Stock Units shall vest (it being understood that Units shall vest cumulatively) and the Company shall electronically register one share of Common Stock in the Participant’s name for each vested Unit.

 Notwithstanding the vesting conditions set forth in the Notice of Grant: (i) the Committee may in its discretion at any
time accelerate the vesting of Restricted Stock Units or otherwise waive or amend any conditions of a grant of a Restricted Stock Units; and (ii) all of the Restricted Stock Units shall vest upon a Change in Control of the Company or upon the
death of the Participant. 
 3. Termination of Employment. If the Participant’s active employment is
terminated by the Participant or by the Company or a Subsidiary (whether or not in breach of local labor laws) before a Vesting Date for any reason other than the Participant’s death, any then unvested Restricted Stock Units shall be forfeited
as of such termination and will not be extended by any notice or other period mandated under local law (e.g., active employment does not include 

 
a period of “garden leave” or similar period pursuant to local law). The Committee shall have the exclusive discretion to determine when the Participant is no longer actively employed
for purposes of the Restricted Stock Units. 
 4. Stock Certificates. Shares of Common Stock evidencing the
conversion of Restricted Stock Units into shares of Common Stock shall be electronically registered in the Participant’s name as of (or as promptly as practicable after) each Vesting Date. No stock certificate or certificates shall be issued
with respect to such shares of Common Stock, unless, the Participant requests delivery of the certificate or certificates by submitting a written request to the General Counsel requesting deliver of the certificates. Subject to Section 6 of
this Award, the Company shall deliver the certificates requested by the Participant to the Participant as soon as administratively practicable following the Company’s receipt of such request. Upon registration (or issuance) of any shares
hereunder, the Participant may be required to enter into such written representations, warranties and agreements as the Company may reasonably request in order to comply with applicable securities laws, the Long-Term Incentive Plan or with the
Notice of Grant. 
 5. Dividends. The Participants holding Restricted Stock Units shall be entitled to receive
dividend equivalent payments equal to any cash dividends and other distributions paid with respect to a corresponding number of shares of Common Stock, provided that if any such dividend equivalent payments or distributions are paid in shares of
Common Stock, the Fair Market Value of such shares of Common Stock shall be converted into Restricted Stock Units, and further provided that such Restricted Stock Units shall be subject to the same forfeiture restrictions and restrictions on
transferability as apply to the Restricted Stock Units with respect to which they relate. 
 6. Tax Withholding
Obligations. Regardless of any action the Company or the Participant’s actual employer (the “Employer”) takes with respect to any or all income tax (including U.S. federal, state and local tax and/or non-U.S. tax), social
insurance, payroll tax, payment on account or other tax-related items related to Participant’s participation in the Plan and legally applicable to Participant (“Tax-Related Items”), the Participant acknowledges that the ultimate
liability for all Tax-Related Items is and remains the Participant’s responsibility and may exceed the amount actually withheld by the Company or the Employer. Participant further acknowledges that the Company and/or the Participant’s
actual employer (i) make no representations or undertakings regarding the treatment of any Tax-Related Items in connection with any aspect of the Restricted Stock Units, including, but not limited to, the grant of the Restricted Stock Units,
the vesting or settlement of Restricted Stock Units, the conversion of the Restricted Stock Units into shares or the receipt of a dividend equivalent payment, the subsequent sale of any shares acquired at vesting and the receipt of any dividends;
and (ii) do not commit to and are under no obligation to structure the terms of the grant or any aspect of the Restricted Stock Units to reduce or eliminate the Participant’s liability for Tax-Related Items or achieve any particular tax
result. Further, if Participant has become subject to tax in more than one jurisdiction between the date of grant and the date of any relevant taxable event, Participant acknowledges that the Company and/or the Employer (or former employer, as
applicable) may be required to withhold or account for Tax-Related Items in more than one jurisdiction. 
 Prior to any relevant
taxable or tax withholding event, as applicable, the Participant shall pay, or make adequate arrangements satisfactory to the Company or to the Employer (in their sole discretion) to satisfy all Tax-Related Items. In this regard, the Participant
authorizes the Company or the Employer, or their respective agents, at their discretion, to satisfy the obligations with regard to all Tax-Related Items by one or a combination of the following: (1) withholding from

  

 - 2 - 

 
Participant’s wages or other cash compensation paid to the Participant by the Company and/or the Employer; or (2) withholding from proceeds of the sale of shares of Common Stock
acquired upon vesting or settlement of Restricted Stock Units either through a voluntary sale or through a mandatory sale arranged by the Company (on Participant’s behalf pursuant to this authorization); or (3) withholding in shares of
Common Stock to be issued upon vesting or settlement of Restricted Stock Units. 
 To avoid negative accounting treatment, the
Company may withhold or account for Tax-Related Items by considering applicable minimum statutory withholding amounts or other applicable withholding rates. If the obligation for Tax-Related Items is satisfied by withholding a number of shares of
Common Stock as described herein, the Participant understands that he or she will be deemed to have been issued the full number of shares of Common Stock subject to the converted Restricted Stock Units, notwithstanding that a number of shares are
held back solely for the purpose of paying the Tax-Related Items that are due as a result of any aspect of Participant’s participation in the Plan. 

Finally, the Participant shall pay to the Company or to the Employer any amount of Tax-Related Items that the Company or the Employer may
be required to withhold or account for as a result of any aspect of the Participant’s participation in the Plan that cannot be satisfied by the means previously described. The Company may refuse to deliver the shares or the proceeds of the sale
of shares of Common Stock to the Participant if the Participant fails to comply with the Participant’s obligations in connection with the Tax-Related Items as described herein. 

7. Nature of Grant. In accepting the Award, the Participant acknowledges that: 

(a) the Long-Term Incentive Plan is established voluntarily by the Company, it is discretionary in nature and may be modified, amended,
suspended or terminated by the Company at any time; 
 (b) the Award of Restricted Stock Units is voluntary and occasional and
does not create any contractual or other right to receive future awards of Restricted Stock Units, or benefits in lieu of Restricted Stock Units even if Restricted Stock Units have been awarded repeatedly in the past; 

(c) all decisions with respect to future awards, if any, will be at the sole discretion of the Company; 

(d) Participant’s participation in the Plan shall not create a right to further employment with the Employer and shall not interfere
with the ability of the Employer to terminate Participant’s employment relationship at any time; 
 (e) the
Participant’s participation in the Long-Term Incentive Plan is voluntary; 
 (f) Restricted Stock Units and the shares of
Common Stock subject to such Restricted Stock Units are extraordinary items that do not constitute compensation of any kind for services of any kind rendered to the Company or to the Employer, and which are outside the scope of the
Participant’s employment contract, if any; 
 (g) the Restricted Stock Units and the shares of Common Stock subject to such
Restricted Stock Units are not intended to replace any pension rights or compensation; 
  

 - 3 - 

 (h) Restricted Stock Units and the shares of Common Stock subject to such Restricted Stock
Units are not part of normal or expected compensation or salary for any purposes, including, but not limited to, calculation of any severance, resignation, termination, redundancy, end of service payments, bonuses, long-service awards, pension,
retirement or welfare benefits or similar payments and in no event should be considered as compensation for, or relating in any way to, past services for the Company or any Subsidiary; 

(i) neither the Award of Restricted Stock Units nor any provision of this Award Agreement, the Long-Term Incentive Plan or the policies
adopted pursuant to the Long-Term Incentive Plan confer upon the Participant any right with respect to employment, and the Restricted Stock Units shall not be interpreted to form an employment contract or relationship with the Company or any
Subsidiary; 
 (j) the future value of the underlying shares of Common Stock is unknown and cannot be predicted with certainty;

 (k) in consideration of the Award of Restricted Stock Units, no claim or entitlement to compensation or damages shall arise
from forfeiture of Restricted Stock Units resulting from termination of the Participant’s employment by the Company or the Employer (for any reason whatsoever and whether or not in breach of local labor laws) and the Participant irrevocably
releases the Company and the Employer from any such claim that may arise; if, notwithstanding the foregoing, any such claim is found by a court of competent jurisdiction to have arisen, then, by signing this Award Agreement, the Participant shall be
deemed irrevocably to have waived his or her entitlement to pursue such claim; and 
 (l) the Restricted Stock Units and the
benefits under the Plan, if any, will not automatically transfer to another company in the case of a merger, take-over or transfer of liability. 

8. No Advice Regarding Grant. The Company is not providing any tax, legal or financial advice, nor is the Company making
any recommendations regarding the Participant’s participation in the Plan, or the Participant’s acquisition or sale of the underlying shares of Common Stock. The Participant is hereby advised to consult with his or her own personal tax,
legal and financial advisors regarding participation in the Plan before taking any action related to the Plan. 

9. Data Privacy Notice and Consent. The Participant hereby explicitly and unambiguously consents to the
collection, use and transfer, in electronic or other form, of the Participant’s personal data as described in this Award Agreement and any other Restricted Stock Unit grant materials by and among, as applicable, the Employer, the Company and
its Subsidiaries for the exclusive purpose of implementing, administering and managing the Participant’s participation in the Long-Term Incentive Plan. 

The Participant understands that the Company and the Employer may hold certain personal information about the Participant,
including, but not limited to, the Participant’s name, home address and telephone number, date of birth, social insurance number or other identification number, salary, nationality, job title, any shares of stock or directorships held in the
Company, details of all Restricted Stock Units or any other entitlement to shares awarded, canceled, vested, unvested or outstanding in the Participant’s favor, for the exclusive purpose of implementing, administering and managing the Long-Term
Incentive Plan (“Data”). The Participant understands that Data may be transferred to any third parties assisting in the 

 

 - 4 - 

 
implementation, administration and management of the Long-Term Incentive Plan, that these recipients may be located in the Participant’s country or elsewhere, and that the recipient’s
country (e.g., the United States) may have different data privacy laws and protections than the Participant’s country. The Participant understands that the Participant may request a list with the names and addresses of any potential recipients
of the Data by contacting the Participant’s local human resources representative. The Participant authorizes the Company and any other possible recipients which may assist the Company (presently or in the future) with implementing,
administering and managing the Long-Term Incentive Plan to receive, possess, use, retain and transfer the Data, in electronic or other form, for the sole purpose of implementing, administering and managing the Participant’s participation in the
Long-Term Incentive Plan, including any requisite transfer of such Data as may be required to a broker or other third party with whom the shares received upon vesting of the Restricted Stock Units may be deposited. The Participant understands that
Data will be held only as long as is necessary to implement, administer and manage the Participant’s participation in the Long-Term Incentive Plan. The Participant understands that the Participant may, at any time, view data, request additional
information about the storage and processing of Data, require any necessary amendments to Data or refuse or withdraw the consents herein, in any case without cost, by contacting in writing the Participant’s local human resources representative.
The Participant understands, however, that refusal or withdrawal of his or her consent may affect the Participant’s ability to participate in the Long-Term Incentive Plan. For more information on the consequences of the Participant’s
refusal to consent or withdrawal of consent, the Participant understands that the Participant may contact the Participant’s local human resources representative. 

10. Assignability. Until the Restricted Stock Units are vested as provided above, they may not be sold, transferred,
pledged, assigned, or otherwise alienated other than in accordance with Section 16.7 of the Long-Term Incentive Plan or by will or the laws of descent and distribution at any time. Any attempt to do so contrary to the provisions hereof shall be
null and void. No assignment of the Restricted Stock Units herein granted shall be effective to bind the Company unless the Company shall have been furnished with written notice thereof and a copy of such documents and evidence as the Company may
deem necessary to establish the validity of the assignment and the acceptance by the assignee or assignees of the terms and conditions hereof. 

11. Rights as Stockholder. The Participant shall not have voting or any other rights as a stockholder of the Company with
respect to the Restricted Stock Units unless and until the underlying shares of Common Stock have been electronically registered by the Company in the Participant’s name. Upon settlement of the Restricted Stock Units into shares of Common Stock
electronically registered by the Company in the Participant’s name, the Participant will obtain full voting and other rights as a stockholder of the Company. 

12. Administration. The Committee shall have the power to interpret the Long-Term Incentive Plan, the Notice of Grant and
this Award, and to adopt such rules for the administration, interpretation, and application of the Long-Term Incentive Plan as are consistent therewith and to interpret or revoke any such rules. All actions taken and all interpretations and
determinations made by the Committee shall be final and binding upon the Participant, the Company, and all other interested persons. No member of the Committee shall be personally liable for any action, determination, or interpretation made in good
faith with respect to the Long-Term Incentive Plan or this Award. 
  

 - 5 - 

 13. Restrictions and Related Representations. Upon the acquisition of any
shares of Common Stock pursuant to the vesting of the Restricted Stock Units granted pursuant hereto, the Participant may be required to enter into such written representations, warranties and agreements as the Company may reasonably request in
order to comply with applicable securities laws, the Long-Term Incentive Plan or with this Award. In addition, to the extent a certificate or certificates are issued representing any shares, the certificate or certificates will be stamped or
otherwise imprinted with a legend in such form as the Company may require with respect to any applicable restrictions on sale or transfer, and the stock transfer records of the Company will reflect stop-transfer instructions, as appropriate, with
respect to such shares. 
 14. Notices and Electronic Delivery. Unless otherwise provided herein, any notice or
other communication hereunder shall be in writing and shall be given by registered or certified mail unless the Company, in its sole discretion, decides to deliver any documents related to current or future participation in the Long-Term Incentive
Plan or request the Participant’s consent to participate in the Long-Term Incentive Plan by electronic means. The Participant’s hereby consents to receive such documents by electronic delivery and agrees to participate in the Long-Term
Incentive Plan through an on-line or electronic system established and maintained by the Company or another third party designated by the Company. Any notice given by the Company to the Participant directed to him at his address on file with the
Company shall be effective to bind any other person who shall acquire rights hereunder. The Company shall be under no obligation whatsoever to advise or notify the Participant of the existence, maturity or termination of any rights hereunder and the
Participant shall be deemed to have familiarized himself with all matters contained herein and in the Long-Term Incentive Plan which may affect any of the Participant’s rights or privileges hereunder. 

15. Scope of Certain Terms. Whenever the term “Participant” is used herein under circumstances applicable to any
other person or persons to whom this Award may be assigned in accordance with the provisions of Section 10 (Assignability) of this Agreement, the term “Participant” shall be deemed to include such person or persons. The term
“Long-Term Incentive Plan” as used herein shall be deemed to include the Long-Term Incentive Plan and any subsequent amendments thereto, together with any administrative interpretations which have been adopted thereunder by the Committee
pursuant to Section 3.3 of the Long-Term Incentive Plan. Unless otherwise indicated, defined terms herein shall have the meaning ascribed to them in the Long-Term Incentive Plan. 

16. General Restrictions. This Award is subject to the requirement that, if at any time the Committee shall determine that
(a) the listing, registration or qualification of the shares of Common Stock subject or related thereto upon any securities exchange or under any state or federal law; (b) the consent or approval of any government regulatory body; or
(c) an agreement by the recipient of an Award with respect to the disposition of shares of Common Stock, is necessary or desirable (in connection with any requirement or interpretation of any federal or state securities law, rule or regulation)
as a condition of, or in connection with, the granting of such Award or the issuance, purchase or delivery of shares of Common Stock thereunder, such Award may not be consummated in whole or in part unless such listing, registration, qualification,
consent, approval or agreement shall have been effected or obtained free of any conditions not acceptable to the Committee. 

17. Adjustments for Changes in Capitalization. The number of Restricted Stock Units covered by this Award shall be subject
to adjustment in accordance with Articles 12-14 of the Long-Term Incentive Plan. 
  

 - 6 - 

 18. Severability. If all or any part of this Award or the Long-Term Incentive
Plan is declared by any court or governmental authority to be unlawful or invalid, such unlawfulness or invalidity shall not invalidate any portion of this Award or the Long-Term Incentive Plan not declared to be unlawful or invalid. Any Section of
this Award (or part of such a Section) so declared to be unlawful or invalid shall, if possible, be construed in a manner which will give effect to the terms of such Section or part of a Section to the fullest extent possible while remaining lawful
and valid. 
 19. No Right of Employment. Neither the granting of the Restricted Stock Units, the exercise of any
part hereof, nor any provision of the Long-Term Incentive Plan or this Award shall constitute or be evidence of any understanding, express or implied, on the part of the Company or any Subsidiary to employ the Participant for any specified period.

 20. Amendment. This Award may be amended only by a writing executed by the Company and the Participant which
specifically states that it is amending this Award. Notwithstanding the foregoing, this Award may be amended solely by the Committee by a writing which specifically states that it is amending this Award, so long as a copy of such amendment is
delivered to the Participant, and provided that no such amendment adversely affecting the rights of the Participant hereunder may be made without the Participant’s written consent. Without limiting the foregoing, the Committee reserves the
right to change, by written notice to the Participant, the provisions of the Restricted Stock Units or this Award in any way it may deem necessary or advisable to carry out the purpose of the grant as a result of any change in applicable laws or
regulations or any future law, regulation, ruling, or judicial decision, provided that any such change shall be applicable only to Restricted Stock Units which are then subject to restrictions as provided herein. 

21. Precondition of Legality. Notwithstanding anything to the contrary contained herein, the Participant agrees that the
Company will not be obligated to issue any shares pursuant to this Award, if the issuance of such shares would constitute a violation by the Participant or by the Company of any provision of any law or regulation of any governmental authority or any
national securities exchange or transaction quotation system. 
 22. Incorporation of the Long-Term Incentive
Plan. This Award is subject to the Long- Term Incentive Plan, a copy of which has been furnished to the Participant and for which the Participant acknowledges receipt. The terms and provisions of the Long-Term Incentive Plan are incorporated
by reference herein. In the event of a conflict between any term or provision contained here in and a term or provision of the Long-Term Incentive Plan, the applicable terms and provisions of the Long-Term Incentive Plan shall govern and prevail.

 23. Construction. The Restricted Stock Units are being issued pursuant to Section 6.6 of the Long-Term
Incentive Plan and are subject to the terms of the Long-Term Incentive Plan. A copy of the Long-Term Incentive Plan has been given to the Participant, and additional copies of the Long-Term Incentive Plan are available upon request during normal
business hours at the principal executive offices of the Company. To the extent that any provision of this Award violates or is inconsistent with an express provision of the Long-Term Incentive Plan, the Long-Term Incentive Plan provision shall
govern and any inconsistent provision in this Award shall be of no force or effect. 
 24. Language. If the
Participant has received this Award Agreement or any other document related to the Long-Term Incentive Plan translated into a language other than English and if the meaning of the translated version is different than the English version, the English
version will control. 
  

 - 7 - 

 25. Governing Law. The Restricted Stock Unit grant and the provisions of this
Award Agreement are governed by, and subject to, the laws of the State of Delaware in the United States of America, without regard to the conflict of laws provisions, as provided in the Long Term Incentive Plan. 

For purposes of litigating any dispute that arises under this Award or this Award Agreement, the parties hereby submit to and consent to
the jurisdiction of the State of Delaware, and agree that such litigation shall be conducted in the courts of New Castle County in the State of Delaware, or the federal courts of the United States of America for the District of Delaware, where this
grant is made and/or to be performed, and no other courts. 
 26. Appendix A. Notwithstanding any provision in
this agreement to the contrary, the Award of Restricted Stock Units shall be subject to any special terms and conditions for Participant’s country set forth in Appendix A. Moreover, if Participant relocates to one of the countries included in
Appendix A, the special terms and conditions for such country will apply to Participant, to the extent the Company determines in its sole discretion that the application of such terms and conditions is necessary or advisable in order to comply with
local law or facilitate the administration of the Long-Term Incentive Plan. Appendix A constitutes part of this Award Agreement. 

27. Imposition of Other Requirements. The Company reserves the right to impose other requirements on Participant’s
participation in the Long-Term Incentive Plan, on the Restricted Stock Units and on any shares of Common Stock acquired under the Long-Term Incentive Plan, to the extent the Company determines in its sole discretion that it is necessary or advisable
(including, but not limited to, in order to comply with local law or facilitate the administration of the Long-Term Incentive Plan), and to require Participant to sign any additional agreements or undertakings that may be necessary to accomplish the
foregoing. 
 * * * 
  

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 APPENDIX A 
  

 APPENDIX A 

TO TERMS AND CONDITIONS OF RESTRICTED STOCK UNITS 

SPECIAL PROVISIONS FOR PARTICIPANTS OUTSIDE THE UNITED STATES 

This Appendix A, which is part of the Award Agreement, includes additional terms and conditions that govern the award of Restricted Stock
Units granted to Participant if he or she resides in one of the countries listed below. This Appendix A is part of the Award Agreement. Unless otherwise provided below, capitalized terms used but not defined herein shall have the same meanings
assigned to them in the Long-Term Incentive Plan, the Award Agreement and the Notice of Grant. 
 This Appendix A also includes
information regarding exchange controls and certain other tax or legal issues of which the Participant should be aware with respect to his or her participation in the Long-Term Incentive Plan. The information is based on the securities, exchange
control and other laws in effect in the respective countries as of April 2009. Such laws are often complex and change frequently. As a result, the Company strongly recommends that the Participant not rely on the information in this Appendix A as the
only source of information relating to the consequences of his or her participation in the Long-Term Incentive Plan because the information may be out of date at the time that the Restricted Stock Units vest or the Participant sells shares of Common
Stock acquired pursuant to vesting of the Restricted Stock Units. 
 In addition, the information contained herein is general in
nature and may not apply to the Participant’s particular situation, and the Company is not in a position to assure the Participant of a particular result. Accordingly, the Participant is advised to seek appropriate professional advice as to how
the relevant laws in his or her country may apply to his or her situation. 
 Finally, if the Participant is a citizen or
resident of a country other than the one in which he or she is currently residing, the information contained herein may not be applicable to him or her. 

Australia 
 Restricted Stock Units
Payable Only in Shares of Common Stock 
 Restricted Stock Units granted to Participants in Australia shall be paid in shares
of Common Stock only. In no event shall any of such Restricted Stock Units be paid in cash, notwithstanding any discretion contained in the Long-Term Incentive Plan, or any provision in the Award Agreement to the contrary. 

Securities Law Notification 

If Participant acquires shares of Common Stock under the Plan and subsequently offers the shares of Common Stock for sale to a person or
entity resident in Australia, the offer may be subject to disclosure requirements under Australian law. The Participant should obtain legal advice regarding any applicable disclosure obligations prior to making any such offer. 

Canada 
 Restricted Stock Units
Payable Only in Shares of Common Stock 
 Restricted Stock Units granted to Participants in Canada shall be paid in shares of
Common Stock only. In no event shall any of such Restricted Stock Units be paid in cash, notwithstanding any discretion contained in the Long-Term Incentive Plan, or any provision in the Award Agreement to the contrary. 

 APPENDIX A 
  

 Termination of Employment 

The following section replaces Section 3 the Award Agreement: 

In the event that the Participant ceases to be actively employed by the Company, the Employer or any of Subsidiary of the Company (whether
or not in breach of local labor laws) before a Vesting Date for any reason other than death, any then unvested Restricted Stock Units shall be forfeited effective as of the date that is the earlier of: (1) the date the Participant receives
notice of termination of employment from the Company or the Employer, or (2) the date the Participant is no longer actively employed by the Company or the Employer regardless of any notice period or period of pay in lieu of such
notice required under local law (including, but not limited to, statutory law, regulatory law and/or common law). The Committee shall have the exclusive discretion to determine when the Participant is no longer actively employed for purposes of the
Award of Restricted Stock Units. 
 China 

Sale Restrictions 
 The
following section supplements Section 11 of the Award Agreement: 
 Due to legal restrictions in China, the Company reserves
the right to require the Participant to sell all of the shares of Common Stock issued to him or her upon issuance or upon the Participant’s termination of employment with the Company or its Subsidiary. The Company may also direct that the
proceeds of the sale of the shares be directed to the special exchange control account established by the Company to comply with local laws. 

Exchange Control Information for Participants who are Residents of the People’s Republic of China 

The Participants understands and agrees that, due to exchange control laws in China, the Participant must immediately repatriate the
proceeds from the sale of shares of Common Stock to China. The Participant further understands that such repatriation of the proceeds may need to be effected through a special exchange control account established by the Employer, the Company or any
of its Subsidiaries in China and the Participant hereby consents and agrees that any cash proceeds may be transferred to such special account prior to being delivered to the Participant’s personal account. The Participant further agrees to
comply with any other requirements that may be imposed by the Company in the future to facilitate compliance with exchange control requirements in China. 

France 
 Language Consent

 By accepting the Restricted Stock Units, the Participant confirms having read and understood the Long-Term Incentive Plan
and this Award Agreement, including all terms and conditions included therein, which were provided in the English language. The Participant accepts the terms of those documents accordingly. 

En acceptant les Restricted Stock Units, le Participant confirme avoir lu et compris le Plan et le Contrat y relatifs, incluant tous
leurs termes et conditions, qui ont été transmis en langue anglaise. Le Participant accepte les dispositions de ces documents en connaissance de cause. 
  

 - 2 - 

 APPENDIX A 
  

 Exchange Control Notification 

The value of any cash or securities imported to France without the use of a financial institution must be reported to the customs and
excise authorities when the value of such cash or securities exceeds a certain amount (€7,600 for 2009 for transfers outside the European Union). 

Germany 
 Exchange Control
Notification 
 Cross-border payments in excess of €12,500 must be reported monthly to the German Federal Bank. If the
Participant uses a German bank to effect a cross-border transfers in excess of €12,500 in connection with the purchase or sale of securities, the bank will make the report, in which case, the Participant will not have to report the transaction.
In addition, the Participant must report any receivables or payables or debts in foreign currency exceeding an amount of €5,000,000 on a monthly basis. 

Hong Kong 
 Restricted Stock Units
Payable Only in Shares of Common Stock 
 Restricted Stock Units awarded to Participants in Hong Kong shall be paid in shares
of Common Stock only. In no event shall any of such Restricted Stock Units be paid in cash, notwithstanding any discretion contained in the Long-Term Incentive Plan, or any provision in the Award Agreement to the contrary. 

Securities Law Notice 

The Award of Restricted Stock Units and the shares of Common Stock to be issued pursuant to vesting of Restricted Stock Units is not a
public offer of securities and is available only for employees of the Company or any of its Subsidiaries participating in the Long-Term Incentive Plan. 

The Notice of Grant, the Award Agreement, this Appendix A, the Long-Term Incentive Plan and any other Restricted Stock Unit grant
materials have not been reviewed by any regulatory authority in Hong Kong. The Participant is cautioned to review the documents related to the Restricted Stock Units carefully as it may not include the same information as an offer made by a Hong
Kong issuer. If the Participant is in any doubt about the contents of the Notice of Grant, the Award Agreement, this Appendix A, the Long-Term Incentive Plan and any other Restricted Stock Unit grant materials, the Participant should obtain
independent legal advice. 
 Sale of Shares of Common Stock 

In the event that shares of Common Stock are issued at vesting of the Restricted Stock Units within six (6) months of the date of
grant, the Participant agrees that he or she will not dispose of the shares of Common Stock prior to the six (6) month anniversary of the date of grant. 

Nature of Scheme 
 The
Company specifically intends that the Long-Term Incentive Plan will not be an occupational retirement scheme for purposes of the Occupational Retirement Schemes Ordinance (“ORSO”). Notwithstanding the foregoing, if the Long-Term Incentive
Plan is deemed to constitute an occupational retirement scheme for the purposes of ORSO, the Participant’s Award of the Restricted Stock Units shall be void. 

 

 - 3 - 

 APPENDIX A 
  

 Italy 

Exchange Controls 

Participant must report on their annual tax return the transfer of shares of Common Stock exceeding €10,000 to Italy, any foreign
investment held abroad at the end of the calendar year in excess of €10,000 (including shares of Common Stock), and the amount of the transfers to and from abroad which have had an impact during the calendar year on foreign investments outside
of Italy. 
 Plan Document Acknowledgement 

By accepting the award of Restricted Stock Units, the Participant acknowledges that he or she has received a copy of the Long-Term
Incentive Plan, has review the Long-Term Incentive Plan and the Award Agreement in their entirety and fully understands and accepts all provisions of the Long-Term Incentive Plan and the Award Agreement. 

The Participant further acknowledges that he or she has read and specifically and expressly approves the following clauses in the Award
Agreement: Paragraph 6: Tax Withholding Obligations; Paragraph 7: Nature of Grant; Paragraph 10: Assignability; Paragraph 14: Notices and Electronic Delivery; Paragraph 25: Governing Law; and the Data Privacy Consent below. 

Data Privacy Notice and Consent 

Notwithstanding Paragraph 9 or any other provision of the Award Agreement, Participant agrees that the following shall apply with
regard to data privacy in Italy: 
 Participant hereby explicitly and unambiguously consents to the collection,
use, processing and transfer, in electronic or other form, of personal data as described in this section of Appendix A by and among, as applicable, the Employer and the Company and any of its Subsidiaries for the exclusive purpose of
implementing, administering and managing Participant’s participation in the Long-Term Incentive Plan. 

Participant understands that the Employer, the Company and any of its Subsidiaries and affiliates may hold certain personal
information about Participant, including, Participant’s name, home address and telephone number, date of birth, social insurance number or other identification number, salary, nationality, job title, any shares of stock or directorships held in
the Company, details of the award of Restricted Stock Units or any other entitlement to shares of Common Stock awarded, canceled, exercised, vested, unvested or outstanding in Participant’s favor, for the exclusive purpose of managing and
administering the Long-Term Incentive Plan (“Data”). 
 Participant also understands that providing the
Company with Participant’s Data is necessary for the performance of the Long-Term Incentive Plan and that Participant’s denial to provide such Data would make it impossible for the Company to perform its contractual obligations and may
affect Participant’s ability to participate in the Long-Term Incentive Plan. The Controller of personal data processing is Fossil, Inc., with registered offices at 2280 N. Greenville Ave., Richardson, Texas 75082, United States of America, and,
pursuant to Legislative Decree no. 196/2003, its representative in Italy is Fossil Italia, S.r.L with registered offices at Via Vecchia Ferriera, 41-36100 Vicenza, Italia. Participant understands that Participant’s Data will not be publicized,
but it may be transferred to Citi 
  

 - 4 - 

 APPENDIX A 
  

 
Smith Barney or other third parties, banks, other financial institutions or brokers involved in the management and administration of the Long-Term Incentive Plan. Participant further understands
that the Company and/or its Subsidiaries and affiliates will transfer Data amongst themselves as necessary for the purpose of implementation, administration and management of Participant’s participation in the Long-Term Incentive Plan, and that
the Company and/or its Subsidiaries and affiliates may each further transfer Data to third parties assisting the Company in the implementation, administration and management of the Long-Term Incentive Plan, including any requisite transfer to Citi
Smith Barney or another third party with whom Participant may elect to deposit any shares of Common Stock acquired under the Long-Term Incentive Plan. Such Participants may receive, possess, use, retain and transfer the Data in electronic or other
form, for the purposes of implementing, administering and managing Participant’s participation in the Long-Term Incentive Plan. Participant understands that these Participants may be located in the European Economic Area, or elsewhere, such as
the United States or Asia. Should the Company exercise its discretion in suspending all necessary legal obligations connected with the management and administration of the Long-Term Incentive Plan, it will delete Participant’s Data as soon as
it has accomplished all the necessary legal obligations connected with the management and administration of the Long-Term Incentive Plan. 

Participant understands that Data processing related to the purposes specified above shall take place under automated or
non-automated conditions, anonymously when possible, that comply with the purposes for which Data are collected and with confidentiality and security provisions as set forth by applicable laws and regulations, with specific reference to Legislative
Decree no. 196/2003. 
 The processing activity, including communication, the transfer of Participant’s Data
abroad, including outside of the European Union, as herein specified and pursuant to applicable laws and regulations, does not require Participant’s consent thereto as the processing is necessary to performance of contractual obligations
related to implementation, administration and management of the Long-Term Incentive Plan. Participant understands that, pursuant to Section 7 of the Legislative Decree no. 196/2003, Participant has the right to, including but not limited to,
access, delete, update, ask for rectification of Participant’s Data and estop, for legitimate reason, the Data processing. Furthermore, Participant is aware that Participant’s Data will not be used for direct marketing purposes. In
addition, the Data provided can be reviewed and questions or complaints can be addressed by contacting Participant’s local human resources department. 

Japan 
 No special
provisions. 
 Mexico 
 Labor
Law Acknowledgement and Policy Statement 
 By participating in the Long-Term Incentive Plan, Participant
acknowledges that the Company, with registered offices at 2280 N. Greenville Ave., Richardson, Texas 75082, United States of America, is solely responsible for the administration of the Long-Term Incentive Plan. The Participant further acknowledges
that his or her participation in the Long-Term Incentive Plan, the grant of the Restricted Stock Unit and any acquisition of shares of Common Stock under the Long-Term Incentive Plan do not constitute an employment relationship between Participant
and the Company because Participant is participating in the Long-Term Incentive Plan on a wholly commercial basis and his or her sole employer is Servicios Fossil Mexico, S.A. de C.V. (“Fossil Mexico”), located at Calle IV #1214,
3rd Piso, Col. San Jéronimo, Monterrey, Nuevo
Léon, Mexico 64640. Based on the foregoing, Participant expressly acknowledges that the Long-Term Incentive Plan and the benefits that he or she may derive from 

 

 - 5 - 

 APPENDIX A 
  

 
participation in the Long-Term Incentive Plan do not establish any rights between Participant and his or her employer, Fossil Mexico, and do not form part of the employment conditions and/or
benefits provided by Fossil Mexico, and any modification of the Long-Term Incentive Plan or its termination shall not constitute a change or impairment of the terms and conditions of Participant’s employment. 

Participant further understands that his or her participation in the Long-Term Incentive Plan is the result of a unilateral and
discretionary decision of the Company; therefore, the Company reserves the absolute right to amend and/or discontinue Participant’s participation in the Long-Term Incentive Plan at any time, without any liability to Participant. 

Finally, Participant hereby declares that he or she does not reserve to himself or herself any action or right to bring any claim against
the Company for any compensation or damages regarding any provision of the Long-Term Incentive Plan or the benefits derived under the Long-Term Incentive Plan, and that he or she therefore grants a full and broad release to the Company, its
Subsidiaries, branches, representation offices, shareholders, officers, agents or legal representatives, with respect to any claim that may arise. 

Spanish Translation 

Reconocimiento de la Ley Laboral y Declaración de la Política 

Por medio de la participación en el Plan, el Participante con domicilio social registrado localizado en 2280 N.
Greenville Ave., Richardson, Texas 75082, en los Estados Unidos de América, es el único responsable de la administración del Plan de Incentivos a Largo Plazo. Además, el Participante acepta que su participación en
el Plan de Incentivos a Largo Plazo, la concesión la Restricted Stock Unit y cualquier adquisición de acciones en el marco del Plan de Incentivos a Largo Plazo no constituyen una relación laboral entre el Participante y la
Compañía porque el Participante está participando en el Plan de Incentivos a Largo Plazo en su totalidad sobre una base comercial y su único empleador es Servicios Fossil Mexico, S.A. de C.V. (“Fossil Mexico”),
ubicado en Calle IV #1214, 3rd Piso, Col. San
Jerónimo, Monterrey, Nuevo León, México 64640. Derivado de lo anterior, el Participante reconoce expresamente que el Plan de Incentivos a Largo Plazo y los beneficios que pudieran derivar a su favor de la participación en
el Plan de Incentivos a Largo Plazo no establece ningún derecho entre el Participante y su Empleador, Fossil Mexico y que no forman parte de las condiciones de empleo ni / o prestaciones previstas por Fossil Mexico y cualquier
modificación del Plan de Incentivos a Largo Plazo o la terminación del mismo no constituirá un cambio o deterioro de los términos y condiciones de empleo del Participante. 

Además, el Participante comprende que su participación en el Plan de Incentivos a Largo Plazo es el resultado de una
decisión discrecional y unilateral de la Compañía, por lo que dicha Compañía se reserva el derecho absoluto a modificar y / o discontinuar la participación del Participante en el Plan de Incentivos a Largo
Plazo en cualquier momento, sin responsabilidad alguna para con el Participante. 
 Finalmente, el Participante manifiesta que
no se reserva ninguna acción o derecho que origine una demanda en contra de la Compañía, por cualquier compensación o daños y perjuicios en relación con cualquier disposición del Plan de Incentivos a
Largo Plazo o de los beneficios derivados del mismo, y en consecuencia el Participante exime amplia y completamente de toda responsabilidad a la Compañía, sus Subsidiarias, sucursales, oficinas de representación, accionistas,
administradores, agentes o representantes legales, con respecto a cualquier demanda que pudiera surgir. 
  

 - 6 - 

 APPENDIX A 
  

 Netherlands 

Notification For Dutch Participants 

The Participant has been granted Restricted Stock Units under the Long-Term Incentive Plan, pursuant to which the Participant may acquire
shares of the Company’s shares of Common Stock. Participants that are residents of the Netherlands should be aware of the Dutch insider trading rules, which may impact the sale of shares of Common Stock issued upon vesting of the Restricted
Stock Units. In particular, the Participant may be prohibited from effecting certain Share transactions if he or she has insider information regarding the Company. 

Below is a discussion of the applicable restrictions. The Participant is advised to read the discussion carefully to determine whether
the insider rules could apply to him or her. If it is uncertain whether the insider rules apply, we recommend that the Participant consults with his or her legal advisor. Please note that the Company cannot be held liable if a Participant violates
the Dutch insider rules. The Participant is responsible for ensuring his or her compliance with these rules. 
 By entering
into the Award Agreement and participating in the Long-Term Incentive Plan, the Participant acknowledges having read and understood the Notification below and acknowledges that it is his or her responsibility to comply with the Dutch insider trading
rules, as discussed herein. 
 Prohibition Against Insider Trading 

Dutch securities laws prohibit insider trading. Under Article 46 of the Act on the Supervision of the Securities Trade 1995, anyone who
has “inside information” related to the Company is prohibited from effectuating a transaction in securities in or from the Netherlands. “Inside information” is knowledge of a detail concerning the issuer to which the securities
relate that is not public and which, if published, would reasonably be expected to affect the stock price, regardless of the development of the price. The insider could be any employee of the Company or its Dutch Subsidiary who has inside
information as described above. 
 Given the broad scope of the definition of inside information, certain employees of the
Company working at its Dutch Subsidiary may have inside information and thus, would be prohibited from effectuating a transaction in securities in the Netherlands at a time when he or she had such inside information. 

Exchange Controls 
 The
Dutch Central Bank may require that certain reporting requirements be complied with in connection with payments received from abroad. The Participant should check with his or her financial institution before transferring funds to the Netherlands
from the sale of the shares of Common Stock or dividends. 
 Singapore 

Securities Law Notification 

The grant of the award of Restricted Stock Units under the Long-Term Incentive Plan is being made on a private basis and is, therefore,
exempt from registration in Singapore. Shares of Common Stock are traded on a U.S. exchange and Participants are not able to resell shares on a Singapore exchange. 

 

 - 7 - 

 APPENDIX A 
  

 Director Notification 

If the Participant is a director, associate director or shadow director of a Singapore Subsidiary of the Company, the Participant is
subject to certain notification requirements under the Singapore Companies Act. Among these requirements is an obligation to notify the Singapore Subsidiary in writing when the Participant receives an interest (e.g., Restricted Stock Units,
shares of Common Stock) in the Company or any related companies. Please contact the Company to obtain a copy of the notification form. In addition, the Participant must notify the Singapore Subsidiary when the Participant sells shares of Common
Stock of the Company or any related company (including when the Participant sells shares of Common Stock acquired pursuant to this award). These notifications must be made within two days of acquiring or disposing of any interest in the Company or
any related company. In addition, a notification must be made of the Participant’s interests in the Company or any related company within two days of becoming a director. 

Spain 
 Labor Law Acknowledgement 

 This paragraph supplements Paragraph 7 of the Award Agreement. 

In accepting the Restricted Stock Unit award, the Participant acknowledges that he or she consents to participation in the Long-Term
Incentive Plan and has received a copy of the Long-Term Incentive Plan and the Award Agreement. 
 The Participant understands
that the Company has unilaterally, gratuitously and discretionally decided to grant Restricted Stock Units under the Long-Term Incentive Plan to individuals who may be employees of the Company or its Subsidiaries throughout the world. The decision
is a limited decision that is entered into upon the express assumption and condition that the grant will not bind the Company or any of its Subsidiaries. Consequently, the Participant understands that the Restricted Stock Units are granted on the
assumption and condition that the Restricted Stock Units or the shares of Common Stock acquired pursuant to the award shall not become a part of any employment contract (either with the Company or any of its Subsidiaries) and shall not be considered
a mandatory benefit, salary for any purposes (including severance compensation) or any other right whatsoever. In addition, the Participant understands that this award would not be made to the Participant but for the assumptions and conditions
referred to above; thus, the Participant acknowledges and freely accepts that should any or all of the assumptions be mistaken or should any of the conditions not be met for any reason, then any grant of Restricted Stock Units shall be null and
void. 
 Exchange Control Requirements 

To participate in the Long-Term Incentive Plan, the Participant must comply with exchange control regulations in Spain. When Participant
sells the shares of Common Stock received upon the vesting of the Restricted Stock Units or receives dividends on such shares and transfers the cash proceeds from these transactions into Spain, the Participant must inform the financial institution
receiving the payment of the basis upon which such payment is made. The Participant will need to provide the institution with the following information: (i) the Participant’s name, address, and fiscal identification number; (ii) the
name and corporate domicile of the Company (i.e., Richardson, Texas, USA); (iii) the amount of the payment; (iv) the currency used; (v) the country of origin; (vi) the reasons for the payment; and (vii) further
information that may be required. 
  

 - 8 - 

 APPENDIX A 
  

 If the Participant wishes to import the ownership title of shares of Common Stock
obtained under the Long-Term Incentive Plan into Spain, the Participant must declare the importation of such securities to the Direction General de Political Commercial e Inversions Exteriors (i.e., the Bureau for Commercial Policy and Foreign
Investments, which is a department of the Ministry of Economy). 
 Securities Law Notice 

The grant of Restricted Stock Units and the shares of Common Stock issued pursuant to the award are considered a private placement outside
of the scope of Spanish laws on public offerings and issuances. 
 Sweden 

No special provisions. 

Switzerland 
 Securities Law
Notification 
 The Restricted Stock Unit grant is considered a private offering in Switzerland and is, therefore, not
subject to registration in Switzerland. 
 United Kingdom 

Tax Withholding Obligations 

The following supplements Section 6 of the Award Agreement: 

If payment or withholding of the Tax-Related Items is not made within 90 days of the event giving rise to the Tax-Related Items (the
“Due Date”) or such other period specified in Section 222(1)(c) of the U.K. Income Tax (Earnings and Pensions) Act 2003, the amount of any uncollected Tax-Related Items shall constitute a loan owed by Participant to the Employer,
effective as of the Due Date. Participant agrees that the loan will bear interest at the then current official rate of HM Revenue and Customs (“HMRC”), it will be immediately due and repayable, and the Company or the Employer may recover
it at any time thereafter by any of the means referred to in Section 6 of the Award Agreement. Notwithstanding the foregoing, if Participant is a director or executive officer of the Company (within the meaning of Section 13(k) of the U.S.
Securities and Exchange Act of 1934, as amended), he or she shall not be eligible for a loan from the Company to cover the Tax-Related Items. In the event that Participant is a director or executive officer and Tax-Related Items are not collected
from or paid by him or her by the Due Date, the amount of any uncollected Tax-Related Items will constitute a benefit to Participant on which additional income tax and national insurance contributions (“NICs”) will be payable. Participant
will be responsible for reporting any income tax and NICs due on this additional benefit directly to HMRC under the self-assessment regime. Participant agrees that the Company and/or the Employer may collect any income tax and NICs due on this
additional benefit from Participant by any of the means set forth in Section 6 of the Award Agreement. 
 ***** 

 

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