Document:

EX-10.1

 Exhibit 10.1 

Director Compensation Policy 
 This policy
is only intended to cover compensation for Directors of NxStage Medical, Inc. (the “Corporation”) who are not employees of the Corporation or have not been employees of the Corporation within the preceding 12 months (“Non-Employee
Directors”). Directors who are not Non-Employee Directors shall not receive compensation from the Corporation for their services as Directors. All Directors shall receive reimbursement for reasonable travel expenses incurred to attend Board and
committee meetings. 
 Non-Employee Directors shall receive a $40,000 annual retainer, to be paid quarterly, in four equal installments, in advance.
Non-Employee Directors will also be entitled to receive the following additional annual retainers, provided that committee chairs will only receive the retainers for service as committee chairs and will not also receive the retainers payable to
members serving on those committees: 
  

																									
	 	 	Committee Chair	 	 	Committee Member	 
	 Board
Chair
	 	Audit	 	 	Compensation	 	 	Nominating
and Corporate
Governance	 	 	Audit	 	 	Compensation	 	 	Nominating
and Corporate
Governance	 
	$35,000	 	$	20,000	  	 	$	10,000	  	 	$	7,000	  	 	$	10,000	  	 	$	5,000	  	 	$	5,000	  

 To the extent that the Board creates ad-hoc committees in addition to the standing committees identified above, directors will
also be entitled to receive $500 per each meeting of those committees. 
 Each Non-Employee Director shall also receive on the date of each annual meeting
of the Corporation’s stockholders at which such Non-Employee Director is elected, an annual award of options to purchase shares of the Corporation’s Common Stock with a grant date fair value of $126,000. Each such option shall be granted
under, and be subject to, the Corporation’s 2014 Omnibus Incentive Plan or any successor plan (the “Plan”) and shall (i) be fully vested, (ii) have an exercise price equal to the closing sale price (for the primary trading
session) of the Common Stock on the Nasdaq Stock Market or the national securities exchange on which the Common Stock is then traded on the date of grant (and if the Common Stock is not then traded on a national securities exchange, the fair market
value of the Common Stock on such date as determined by the Board), (iii) expire on the earlier to occur of ten years after the date of grant or three months following a Non-Employee Director’s cessation of service on the Board,
notwithstanding the foregoing, if a Non-Employee Director has served on the Board for three (3) full years, then the option shall expire ten years after the date of grant even if such Director subsequently leaves the Board, and
(iv) contain such other terms and conditions as the Board shall determine. 
 For each Non-Employee Director initially elected at any time other than
at an annual meeting of the Corporation’s stockholders, such Non-Employee Director shall receive on the date of his or her election to the Board, an annual award of options to purchase shares of the Corporation’s Common Stock, on the same
terms as set forth above, with a grant date fair value of $126,000 pro-rated for the period between the date he or she is first elected to the Board and the following May 31st. 

 Such share amounts shall be automatically adjusted in the event of any stock split, reverse stock split, stock
dividend, recapitalization, combination of shares, reclassification of shares, spin-off or other similar change in capitalization or event affecting the Corporation’s Common Stock, or any distribution to holders of Common Stock other than an
ordinary cash dividend. 
 Each Non-Employee Director shall have the option to elect to receive shares of the Corporation’s Common Stock in lieu of the
cash compensation to be paid hereunder (an “Equity Election”). Non-Employee Directors desiring to make an Equity Election must do so in writing on the date of the annual meeting of the Corporation’s stockholders at which such
Non-Employee Director is elected. The Equity Election will apply to all cash compensation to be paid after the date of the election and will remain in effect until the date of the next annual meeting of stockholders. Equity Elections may not be
revoked. Non-Employee Directors who make an Equity Election shall receive quarterly grants of Common Stock, on the last business day of any calendar quarter hereunder (a “Quarterly Grant Date”), in an amount equal to the quotient of the
total cash consideration such Non-Employee Director is due during that quarter (quarterly retainers plus any ad-hoc meeting fees) divided by the closing price of the Corporation’s Common Stock on the Quarterly Grant Date on the Nasdaq Stock
Market or the national securities exchange on which the Common Stock is then traded (and if the Common Stock is not then traded on a national securities exchange, the fair market value of the Common Stock on such date as determined by the Board).
Shares shall be granted under, and be subject to, the Plan.Exhibit 4.1

 

FULLY PAID AND
NON-ASSESSABLE SHARES OF THE COMMON STOCK OF Benchmark
Electronics, Inc. transferable on the books of the Corporation by the holder
hereof in person or by duly authorized attorney upon surrender of this
certificate properly endorsed. This Certificate is not valid unless
countersigned by the Transfer Agent and registered by the Registrar. In Witness
Whereof, the Corporation has caused the facsimile signatures of its duly
authorized officers and the facsimile seal of the Corporation to be
affixed to this certificate. 

 

THE COMPANY WILL FURNISH
WITHOUT CHARGE TO EACH SHAREHOLDER WHO SO REQUESTS, A SUMMARY OF THE 

 

POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE,
PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OF THE
COMPANY AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH PREFERENCES
AND RIGHTS, AND THE VARIATIONS IN RIGHTS, PREFERENCES AND LIMITATIONS
DETERMINED FOR EACH SERIES, WHICH ARE FIXED BY THE ARTICLES OF INCORPORATION OF
THE COMPANY, AS AMENDED, AND THE RESOLUTIONS OF THE BOARD OF DIRECTORS OF THE
COMPANY, AND THE AUTHORITY OF THE BOARD OF DIRECTORS TO DETERMINE VARIATIONS
FOR FUTURE SERIES. SUCH REQUEST MAY BE MADE TO THE OFFICE OF THE SECRETARY OF
THE COMPANY OR TO THE TRANSFER AGENT. THE BOARD OF DIRECTORS MAY REQUIRE THE
OWNER OF A LOST OR DESTROYED STOCK CERTIFICATE, OR HIS LEGAL REPRESENTATIVES,
TO GIVE THE COMPANY A BOND TO INDEMNIFY IT AND ITS TRANSFER AGENTS AND
REGISTRARS AGAINST ANY CLAIM THAT MAY BE MADE AGAINST THEM ON ACCOUNT OF THE
ALLEGED LOSS OR DESTRUCTION OF ANY SUCH CERTIFICATE.Exhibit 10.1

 

INDEMNITY AGREEMENT

This Indemnity Agreement (this “Agreement”)
is made effective as of this ____ day of _______, 201_ by and between Benchmark
Electronics, Inc., a Texas corporation (the “Corporation”), and             (the
“Indemnitee”). 

1.             Introduction.  The
Indemnitee is a director and/or an officer of the Corporation.  The parties
desire that the Corporation provide indemnification (including advancement of
expenses) to the Indemnitee to the full extent permitted by Texas law, as the
same currently exists and may be expanded from time to time.  Based on such
premise, and for certain good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the parties hereby covenant and
agree as follows.

2.             Service.  The
Indemnitee will continue to serve the Corporation, either at will or under
separate contract (if such exists), as a director and/or an officer of the
Corporation for so long as the Indemnitee is duly elected and qualified to
serve in such position(s) in accordance with the provisions of the
Corporation’s Bylaws, as the same may be amended hereafter, or until the
Indemnitee’s earlier death, resignation or removal.

 

3.             Indemnification. 
The Corporation shall indemnify the Indemnitee if the Indemnitee was, is or is
threatened to be made a named defendant or respondent in a proceeding because
the Indemnitee is or was a director or an officer of the Corporation or is or
was serving at the request of the Corporation, while a director or an officer
of the Corporation, as a director, officer, partner, venturer, proprietor,
trustee, employee, agent or similar functionary of another foreign or domestic
corporation, partnership, joint venture, sole proprietorship, trust, employee
benefit plan or other enterprise, only if it is determined in accordance with Section
8 that the Indemnitee:

(a)           conducted himself or herself in good faith;

(b)           reasonably believed: (1) in
the case of conduct in his or her official capacity as a director or an officer
of the Corporation, that his or her conduct was in the Corporation’s best
interests; and (2) in all other cases, that his or her conduct was at least not
opposed to the Corporation’s best interests; and

(c)           in the case of any criminal
proceeding, had no reasonable cause to believe his or her conduct was unlawful.

The termination of a proceeding by judgment, order,
settlement or conviction, or on a plea of nolo contendere or its equivalent
shall not, of itself, be determinative that the Indemnitee did not meet the
requirements set forth in this Section 3. 

4.             Limitation on
Indemnification.  Except to the extent permitted by Section 5, the
Indemnitee shall not be indemnified under Section 3 in respect of a
proceeding;

(a)           in which the Indemnitee is
found liable on the basis that he or she improperly received a personal
benefit, whether or not the benefit resulted from an action taken in the
Indemnitee’s official capacity; or

(b)           in which the person is
found liable to the Corporation.

For the purposes hereof, the Indemnitee shall be deemed
to have been found liable in respect of any claim, issue or matter only after
the Indemnitee shall have been so adjudged by a court of competent jurisdiction
after exhaustion of all appeals therefrom.

5.             Extent of
Indemnification.  Except as provided in Section 7, if the Indemnitee
is entitled to indemnification under Section 3, the Corporation shall
indemnify the Indemnitee against judgments, penalties (including excise and
similar taxes), fines, settlements and reasonable expenses (including court
costs and attorneys’ fees) actually incurred by the Indemnitee in connection
with the proceeding; however, if the Indemnitee is found liable on the basis
that he or she improperly received a personal benefit or is found liable to the
Corporation as contemplated in Section 4, the indemnification (a) shall
be limited to the reasonable expenses actually incurred by the Indemnitee in
connection with the proceeding, and (b) shall not be made in respect of any
proceeding in which the Indemnitee shall have been found liable for willful or
intentional misconduct in the performance of his or her duty to the
Corporation, breach of his or her duty of loyalty to the Corporation, or an act
or omission not committed in good faith that constitutes a breach of a duty
owed to the Corporation.  The reasonableness of the Indemnitee’s expenses
contemplated in this Section 5 shall be determined in the same manner
that the determination of indemnification is made under Section 8. 

 

 

6.             Notification. 
Promptly after receipt by the Indemnitee of notice of the commencement of any
proceeding, the Indemnitee shall, if a claim in respect thereof is to be made
by the Indemnitee against the Corporation under this Agreement, notify the
Corporation of the commencement thereof; provided, however, that
an omission by the Indemnitee to notify the Corporation of the commencement of
a proceeding will not relieve the Corporation from any liability that it may
have to the Indemnitee otherwise than under this Agreement, including, without
limitation, its liability under the Corporation’s Articles of Incorporation,
certificate of formation or Bylaws.

7.             Defense of Proceeding. 
The Indemnitee shall be entitled to select his or her own counsel subject to
the reasonable consent of the Corporation and such counsel shall be paid
directly by the Corporation.  With respect to any such proceeding:

(a)           The Corporation shall be
entitled to participate therein at its own expense.

(b)           Except as otherwise
provided below, to the extent that it may wish, the Corporation jointly with
any other indemnifying party shall be entitled to assume the defense thereof,
with counsel reasonably satisfactory to the Indemnitee.  After notice from the
Corporation to the Indemnitee of its election so to assume the defense thereof,
the Corporation will not be liable to the Indemnitee under this Agreement for
any legal or other expenses subsequently incurred by the Indemnitee in
connection with the defense thereof other than reasonable costs of
investigation and all other costs for which the Corporation is liable
hereunder.  The Indemnitee shall have the right to employ its own counsel in
such proceeding, but the fees and expenses of such counsel incurred after
notice from the Corporation of its assumption of the defense thereof shall be
at the expense of the Indemnitee unless (1) the employment of counsel by
the Indemnitee has been authorized by the Corporation, (2) the Indemnitee
shall have reasonably concluded, based on the advice of counsel, that there may
be a conflict of interest between the Corporation and the Indemnitee in the
conduct of the defense of such action, or (3) the Corporation shall not in
fact have employed counsel to assume the defense of such action within a
reasonable time, in each of which cases the fees and expenses of counsel shall
be at the expense of the Corporation.  The Corporation shall not be entitled to
assume the defense of any proceeding as to which the Indemnitee, based on the
advice of counsel, shall have made the conclusion provided for in
(2) above.

(c)           The Corporation shall not
be liable to indemnify the Indemnitee under this Agreement for any amounts paid
in settlement of any proceeding effected without its written consent.  The
Corporation shall not settle any action or claim in any manner that would
impose any expense, penalty or limitation on the Indemnitee without the
Indemnitee’s written consent.  Neither the Corporation nor the Indemnitee shall
unreasonably withhold their consent to any proposed settlement.

8.             Determination
of Indemnification. 

(a)           A determination of whether
the Indemnitee is entitled to indemnification under Section 3 shall be
made:

(1)           by the Board of Directors
of the Corporation by a majority vote of a quorum consisting of directors who
at the time of the vote are not named defendants or respondents in the
proceeding;

(2)           if such a quorum cannot be
obtained, by a majority vote of a committee of the Board of Directors,
designated to act in the matter by a majority vote of all directors, consisting
solely of two or more directors who at the time of the vote are not named
defendants or respondents in the proceeding;

(3)           by special legal counsel
selected by the Board of Directors or a committee thereof by vote as set forth
in Subparagraph (1) or (2) of this Paragraph (a), or, if such a quorum cannot
be obtained and such a committee cannot be established, by a majority vote of
all directors; or

(4)           by the shareholders in a
vote that excludes the shares held by directors who are named defendants or
respondents in the proceeding.

(b)           The directors, special
legal counsel or shareholders, as the case may be, shall make the determination
of indemnification under Paragraph (a) of this Section 8 in accordance
with the following procedures:

(1)           The Indemnitee may submit
to the Board of Directors a sworn Request for Indemnification, substantially in
the form of Exhibit A, in which the Indemnitee requests indemnification
from the Corporation pursuant to this Agreement and states that he or she has
met the standard of conduct required for indemnification under Section 3. 

(2)           The Indemnitee’s submission
of a Request for Indemnification to the Board of Directors shall create a
rebuttable presumption that the Indemnitee has met the requirements set forth
in Section 3 and, therefore, is entitled to indemnification thereunder. 
The directors, special legal counsel or shareholders, as the case may be, shall
determine, within 30 days 

 

after submission of the
Request for Indemnification, specifically that the Indemnitee is so entitled
unless they or it possess clear and convincing evidence to rebut the foregoing
presumption, which evidence shall be disclosed to the Indemnitee with
particularity.

9.             Mandatory
Indemnification for Reasonable Expenses Upon Successful Defense.  Except as
provided in Section 7, the Corporation shall indemnify the Indemnitee
against reasonable expenses incurred by him or her in connection with a
proceeding in which he or she is a named defendant or respondent because he or
she is or was a director or an officer of the Corporation or is or was serving
at the request of the Corporation, while a director or an officer of the
Corporation, as a director, officer, partner, venturer, proprietor, trustee,
employee, agent or similar functionary of another foreign or domestic
corporation, partnership, joint venture, sole proprietorship, trust, employee
benefit plan or other enterprise, if he or she has been wholly successful, on
the merits or otherwise, in the defense of the proceeding.  The reasonableness
of the Indemnitee’s expenses contemplated in this Section 9 shall be
determined in any manner set forth in Section 8. 

10.          Advancement of Reasonable
Expenses.  Except as provided in Section 7, the Corporation shall
pay or reimburse the reasonable expenses (including attorneys’ fees) incurred
by the Indemnitee in a proceeding, in advance of the final disposition of the
proceeding, and without the determination of indemnification specified in Section
8 or the determination as to the reasonableness of such expenses
contemplated in Sections 5 and 9, within 14 days after the
Corporation receives a sworn Statement of Undertaking, substantially in the
form of Exhibit B, from the Indemnitee.  In the Statement of
Undertaking, (a) the Indemnitee shall state that he or she believes in good
faith that he or she has met the standard of conduct necessary for
indemnification under Section 3; and (b) the Indemnitee, or any other
person on behalf of the Indemnitee, shall undertake to repay the amount paid or
reimbursed by the Corporation if it is ultimately determined that (1) the
Indemnitee has not met that standard, or (2) indemnification of the Indemnitee
against expenses incurred by him or her in connection with that proceeding is
prohibited by Section 5. 

11.          Insurance.  During the
period in which the Indemnitee serves as a director or an officer of the
Corporation and thereafter so long as the Indemnitee shall be subject to any
possible proceeding, whether civil, criminal or investigative, by reason of the
fact that the Indemnitee was serving in such capacity at the request of the
Corporation, the Corporation shall maintain in full force and effect Directors’
and Officers’ liability insurance in reasonable amounts from established and
reputable insurers; provided, however, that the Corporation shall
be under no obligation to maintain such insurance if the Corporation makes a
good faith determination that such insurance is not reasonably available or
that the premium costs are disproportionate to the amount of coverage
provided.  

12.          Participation in Other
Proceedings.  Notwithstanding any other provision of this Agreement, the
Corporation shall pay or reimburse the expenses incurred by the Indemnitee in
connection with this appearance as a witness or other participation in a
proceeding at a time when he or she is not a named defendant or respondent in
the proceeding.

13.          Merger, Consolidation or
Change of Control.  If the Corporation is a constituent corporation in a
merger or consolidation, whether the Corporation is the resulting or surviving
corporation or is absorbed as a result thereof, or if there is a change of
control of the Corporation, the Indemnitee shall stand in the same position
under this Agreement with respect to the resulting, surviving or changed
corporation as the Indemnitee would have with respect to the Corporation if its
separate existence had continued or if there had been no change of control of the
Corporation.

14.          Voluntary Dissolution or
Bankruptcy.  If the Corporation voluntarily decides to dissolve or to file
a petition for relief under the applicable bankruptcy, moratorium or similar
laws, then not later than 10 days before such dissolution becomes effective or
such filing is made, the Corporation shall deposit cash in trust for the sole
and exclusive benefit of the Indemnitee in an amount equal to all amounts
previously authorized to be paid or reimbursed to the Indemnitee under this
Agreement but which have not yet been paid or reimbursed.  Any amount so placed
in trust shall be used, to the extent necessary, to discharge the Corporation’s
obligations to the Indemnitee hereunder, whereupon any remaining amount shall
be returned to the Corporation.  The provisions of this Section 14 shall
not apply to the dissolution of the Corporation in connection with a
transaction as to which Section 13 applies.

15.          Change in Texas Law.       
This Agreement is intended to provide indemnity to the Indemnitee to the full
extent allowed under Texas law.  Accordingly, to the extent permitted by law,
if Texas law permits greater indemnity than the indemnity set forth herein, or
if any amendment is made to Texas law expanding the permissible indemnity, the
indemnity rights and obligations of the parties set forth in this Agreement
shall automatically be expanded to the extent necessary to provide indemnity to
the Indemnitee the full extent allowed under Texas law.

16.          Certain Definitions. 
For the purposes of this Agreement, the following terms shall have the
indicated meanings:

(a)           “Proceeding” shall
mean any threatened, pending or completed action, suit or proceeding (whether
civil, criminal, administrative, arbitrative or investigative), any appeal in
such an action, suit or proceeding, or any inquiry or investigation that could
lead to such an action, suit or proceeding.

 

(b)           “Other
enterprise” shall include, among others, civic, non-profit or charitable
organizations, whether or not incorporated.

(c)           “Change of control”
shall mean any change in the ownership of a majority of the outstanding shares
of the Corporation entitled to vote on the election of directors or in the
composition of a majority of the members of the board of Directors of the
Corporation.

17.          Miscellaneous. 

(a)           Not
Exclusive Right.  The indemnification (including advancement of expenses)
provided for by this Agreement shall not be deemed exclusive of any other
rights to which the Indemnitee may be entitled under any statute, bylaw,
agreement, insurance policy, vote of shareholders or directors or otherwise.

(b)           Continuing Right. 
The Indemnitee’s right to indemnification (including advancement of expenses)
under this Agreement shall continue after the Indemnitee has ceased to be a
director or officer of the Corporation and shall inure to the benefit of the
heirs, executors, administrators and legal representatives of the Indemnitee.

(c)           Attorneys’ Fees.  If
a claim is made under this Agreement and is not paid in full by the Corporation
within 90 days after a written claim has been received by the Corporation, the
Indemnitee may institute an action, suit or proceeding to enforce his or her
rights under, or to recover damages for the Corporation’s breach of, this
Agreement. If the Indemnitee prevails in such action, suit or proceeding in
whole or in part, he or she shall be entitled to recover from the Corporation
all court costs and attorneys’ fees and expenses that he or she incurred in
connection therewith.

(d)           Modification and
Severability.  If a court of competent jurisdiction declares that any
provision of this Agreement is illegal, invalid or unenforceable, then such
provision shall be modified automatically to the extent necessary to make such
provision fully enforceable.  If such court does not modify any such provision
as contemplated herein, but instead declares it to be wholly illegal, invalid
or unenforceable, then such provision shall be severed from this Agreement, and
such declaration shall not affect the legality, validity and enforceability of
the other provisions of this Agreement to which such declaration does not
relate.  In such event, this Agreement shall be construed as if it did not
contain the particular provision held to be illegal, invalid or unenforceable,
the rights and obligations of the parties hereto shall be construed and
enforced accordingly, and this Agreement otherwise shall remain in full force
and effect.

(e)           Governing Law.  This
Agreement shall be governed by, construed under, and enforced in accordance
with the laws of the State of Texas, without regard to its conflict-of-laws
rules.

(f)            Entire and Only
Agreement.  This Agreement constitutes the entire and only understanding
and agreement between the parties hereto with respect to the subject matter
hereof and supersedes all prior negotiations, understandings and agreements
among other parties relating to the same subject matter.

(g)           Amendments.  Except
as provided in Section 15, no alterations, modifications, amendments or
changes in this Agreement shall be effective or binding upon any party hereto
unless the same shall be in writing and executed by all of the parties hereto.

(h)           Multiple Counterparts.  This
Agreement may be executed by the parties hereto in multiple counterparts, each
of which shall be deemed to be an original for all purposes, and all of which
together shall constitute one and the same instrument.

 

This Agreement has been executed by the
parties hereto on the dates set forth beside their respective signatures below
and shall be effective as of the date set forth above.

 

	
   

  	
  Benchmark Electronics, Inc.

  
	
   

  	
   

  
	
   

  	
  By: ________________________________

  
	
   

  	
  Name: ________________

  
	
   

  	
  Title: _________________

  
	
   

  	
   

  
	
   

  	
  ________________________________

  
	
   

  	
  Name: _________________

  

 

EXHIBIT
A

REQUEST FOR INDEMNIFICATION

STATE OF                                                                             §

COUNTY OF                                                                         §

I,                                                                                             ,
after first being duly sworn, hereby state as follows:

1.             This Request for
Indemnification is submitted to the Board of Directors of Benchmark
Electronics, Inc., a Texas corporation (the “Corporation”), pursuant to
the Indemnity Agreement dated                                    , 20__
(the “Agreement”), between the Corporation and me.

2.             I am requesting
indemnification from the Corporation pursuant to the Indemnification Agreement
in connection with the following proceeding:

3.             With respect to my conduct that is at issue in the
proceeding, I :

(a)           conducted myself in good faith;

(b)           reasonably believed: (1) in
the case of conduct in my official capacity as a director or officer of the
Corporation, that my conduct was in the Corporation’s best interests; and (2)
in all other cases, that my conduct was at least not opposed to the
Corporation’s best interests; and

(c)           in the case of any criminal
proceeding, had no reasonable cause to believe my conduct was unlawful.

Accordingly,
I have met the standard of conduct required for indemnification under Section
3 of the Agreement.

 

I have executed
this Request for Indemnification on                                                                  . 

	
   

  	
  Signature:
  ________________________

  
	
   

  	
   

  
	
   

  	
  Name: ___________________________

  

 

Subscribed and sworn to before me on                                                                                           . 

	
   

  	
   

  
	
   

  	
  Notary Public in and for the

  
	
   

  	
  State of __________________________

  
	
   

  	
  County of ________________________

  
	
   

  	
   

  
	
   

  	
  My Commission Expires ____________

  
	
   

  	
  Name: ___________________________

  

 

EXHIBIT
B

STATEMENT OF UNDERTAKING

STATE OF                                                                             §

COUNTY OF                                                                         §

I,                                                                                             ,
after first being duly sworn, hereby state as follows:

1.             This Statement of
Undertaking is submitted to the Board of Directors of Benchmark Electronics,
Inc., a Texas corporation (the “Corporation”), pursuant to the Indemnity
Agreement dated                                    , _____ (the “Agreement”),
between the Corporation and me.

2.             I am requesting from the
Corporation pursuant to the Indemnification Agreement the advancement of
expenses that I have incurred in connection with the following proceeding:

3.             I believe in good faith that
I have met the standard of conduct necessary for indemnification under Section
3 of the Agreement.

4.             I undertake to repay the
amount paid or reimbursed by the Corporation if it is ultimately determined
that (a) I have not met the standard of conduct necessary for indemnification
under Section 3 of the Agreement, or (b) indemnification of me against
expenses that I have incurred in connection with the proceeding is prohibited
by Section 5 of the Agreement.

 

I have executed
this Statement of Undertaking on                                                                      . 

	
   

  	
  Signature:
  ________________________

  
	
   

  	
   

  
	
   

  	
  Name: ___________________________

  

 

Subscribed and sworn to before me on                                                                                           . 

	
   

  	
   

  
	
   

  	
  Notary Public in and for the

  
	
   

  	
  State of __________________________

  
	
   

  	
  County of ________________________

  
	
   

  	
   

  
	
   

  	
  My Commission Expires ____________

  
	
   

  	
  Name: ___________________________

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