Document:

Second Amendment to the KCHS Holdings, Inc. 2006 Equity Incentive Plan

 Exhibit 10.11 
 SECOND AMENDMENT 
 TO THE 
 KCHS HOLDINGS, INC. 2006 EQUITY INCENTIVE PLAN 
 THIS SECOND
AMENDMENT (“Amendment”) is made as of this 27th day of June, 2007, to the KCHS Holdings, Inc. 2006 Equity Incentive Plan (the
“Plan”). 
 RECITALS 
 WHEREAS, Section 12 of the Plan provides that the Board of Directors of KCHS Holdings, Inc. (the “Company”) in its sole discretion may amend the Plan or any portion of the Plan at any time and in such respects as it
shall deem advisable; provided, however, that, to the extent required by applicable law, regulation or stock exchange rule, stockholder approval shall be required for any amendment to the Plan; and 
 WHEREAS, the Board of Directors of the Company (the “Board”) desires to amend the Plan in order to increase the authorized number of shares available
for issuance under the Plan; and 
 WHEREAS, in accordance with the federal income tax rules governing incentive stock options, stockholders of the Company
are required to approve a Plan amendment that increases the maximum aggregate number of shares to be issued under the Plan; and 
 WHEREAS, the Board has
determined that it is within its authority under the Plan to amend the Plan as set forth herein, that such amendment is desired and appropriate at this time and that the effectiveness of such amendment shall be subject to stockholder approval; and

 WHEREAS, the undersigned has been authorized by the Board to execute this Amendment on the Board’s behalf. 
 AMENDMENT 
 NOW, THEREFORE, the Plan is hereby amended as
follows: 
  

	1.	Section 4.1 is hereby deleted and replaced in its entirety with the following: 

 Subject to adjustment from time to time as provided in Section 11.1, a maximum of 10,000,000 shares of Common Stock shall be available for issuance under the Plan. Shares of Common Stock issued under the Plan
shall be drawn from authorized and unissued shares of Common Stock or shares of Common Stock now held or subsequently acquired by the Company as treasury shares. 
  

	2.	Any inconsistent provisions of the Plan shall be read consistent with this Amendment. 

  

	3.	Except as amended above, each and every other provision of the Plan, as effective immediately prior to this Amendment, shall remain in full force and effect without change or
modification. 

  

	4.	The Effective Date of this Amendment shall be June 27, 2007. 

 IN WITNESS WHEREOF, the undersigned, being authorized by the Board to execute this Amendment in evidence
of the adoption of this Amendment by the Board, has executed this Amendment as of the date first written above. 
  

			
	KCHS HOLDINGS, INC.
		
	By:	 	/s/ Robert Cucuel
		 	Robert Cucuel
		 	Chief Executive Officer and President

  

 2Form of Stock Award Agreement

 Exhibit 10.12 
 KCHS HOLDINGS, INC. 
 [Date] 
 [Name] 
 [Address] 
  

	 	Re:	Grant of Non-Qualified Stock Options 

 Dear [Name]: 
 KCHS Holdings, Inc. (the “Company”), is pleased to advise you that you have been granted a non-qualified option (an
“Option”) to purchase up to              shares of Common Stock under the Company’s 2006 Equity Incentive Plan, as amended (the “Plan”) (a copy
of which is enclosed) as provided below. Capitalized terms used and not defined herein have the respective meanings given such terms in the Plan. 
 Option Terms. 
 1. Grant. In connection with your service as an employee of the Company, you are hereby granted an
Option to purchase up to             shares of the Company’s Common Stock (the “Option Shares”), at a price of
$        per Share, subject to adjustment pursuant to paragraph 9 below (the “Exercise Price”), payable upon exercise as set forth in paragraph 2 below. Your Option will expire at the
close of business on the tenth anniversary of the date hereof (the “Expiration Date”), subject to earlier expiration in connection with the termination of your service as an employee as provided below. 
 2. Exercisability/Vesting. 
 (a) Vesting. Your Option will be exercisable only to the extent it has vested. Your Option will be vested with respect to 25% of your Option Shares as of each anniversary of the date hereof, in each case if and
only if you have been continuously serving as an employee of the Company or its subsidiaries through each such dates. 
 (b)
Acceleration of Vesting. In the event of a Company Transaction, your Option will automatically become 100% vested. In connection with any Company Transaction, the Company may provide, on not less than 20 days’ notice to you, that any
portion of your Option which has not been exercised prior to or in connection with the Company Transaction will be forfeited. In lieu of requiring such exercise, the Company may provide for the cancellation of your Option in exchange for a payment
equal to the excess (if any) of the consideration per share of the Option Shares receivable in connection with such Company Transaction over the Exercise Price. 
  

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 (c) Conditions on Exercise. As a condition to the exercise of your Option, you
agree to be bound by the Stockholders Agreement dated as of the date hereof (the “Stockholders Agreement”) among the Company and the various members signatory thereto, with the Option Shares constituting “Management
Shares” as defined in the Stockholders Agreement. 
 3. Termination of Option; Repurchase. In no event shall any part of your
Option be exercisable after the Expiration Date set forth in paragraph 1. If your employment with the Company or its subsidiaries terminates for any reason whatsoever, that portion of your Option that is not vested and exercisable on the date of
termination of your employment shall expire and be forfeited, and the portion of your Option that is vested and exercisable on the date of such termination shall expire, to the extent not theretofore exercised, 180 days following such date of
termination or, in the case of termination due to your death or disability, one year following such date of termination; provided, that if on the date of your employment terminates the Fair Market Value (as defined in the Plan) of the Option Shares
is less than the Exercise Price, your Option, whether or not vested, shall automatically terminate. EACH OF THE STOCKHOLDERS AGREEMENT AND YOUR EMPLOYMENT AGREEMENT (IF APPLICABLE) PROVIDES THE COMPANY WITH CERTAIN REPURCHASE RIGHTS WHICH SURVIVE
THE TERMINATION OF YOUR EMPLOYMENT WITH THE COMPANY. 
 4. Procedure for Exercise. You may exercise all or any portion of your
Option to the extent permitted hereby, at any time and from time to time by delivering written notice to the Company (to the attention of the Company’s Secretary) accompanied by payment in full of an amount equal to the product of (i) the
Exercise Price multiplied by (ii) the number of Option Shares to be acquired. Payment may be made, in whole or in part, at your option through a cashless exercise effectuated through surrender of Option Shares having a Fair Market Value equal
to the Exercise Price, with any difference being retained by you. The Company may delay effectiveness of any exercise of your Option for such period of time as may be necessary to comply with any legal or contractual provisions to which it may be
subject relating to the issuance of its securities. As a condition to any exercise of your Option, you will permit the Company to deliver to you all financial and other information regarding the Company necessary to enable you to make an informed
investment decision, and you will make all customary investment representations which the Company requires. 
 5. Securities Law
Restrictions. You represent that when you exercise your Option you will be purchasing the Option Shares covered thereby for your own account and not on behalf of others. Except in accordance with the Stockholders Agreement, you may not sell,
transfer or dispose of any Option Shares issued pursuant to your Option (except pursuant to an effective registration statement under the Securities Act of 1933 or Section 6) without first delivering to the Company an opinion of counsel
reasonably acceptable in form and substance to the Company that registration under the Securities Act or any applicable state securities laws is not required in connection with such transfer if required by the Company. You further understand that
the certificates for any Option Shares you purchase will bear such legends as the Company deems necessary or desirable in connection with the Securities Act or other rules, regulations or laws, including as set forth in the Stockholders Agreement to
the extent Section 3 thereof is in effect. 
  

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 6. Option Not Transferable. Your Option is personal to you and is not transferable by you other
than by will or the laws of descent and distribution. During your lifetime, only you (or your guardian or legal representative) may exercise your Option. In the event of your death, your Option may be exercised only by the executor or administrator
of your estate or the person or persons to whom your rights under the Option shall pass by will or the laws of intestate succession. You may during your lifetime transfer the economic benefits of this Option to one or more members of your immediate
family. 
 7. Conformity with Plan. Your Option is intended to conform in all respects with, and is subject to all applicable
provisions of, the Plan, which is incorporated herein by reference. Inconsistencies between this Agreement and the Plan shall be resolved in accordance with the terms of the Plan. By executing and returning the enclosed copy of this Agreement, you
acknowledge your receipt of this Agreement and the Plan and agree to be bound by all of the terms of this Agreement and the Plan. 
 8.
Withholding of Taxes. The Company may, if necessary or desirable, withhold from any amounts due and payable by the Company to you (or secure payment from you in lieu of withholding) the amount of any withholding or other tax due from the
Company with respect to the issuance or exercise of your Option, and the Company may defer such issuance or exercise unless indemnified by you to its satisfaction against the payment of any such amount. 
 9. Adjustments. In the event of a reorganization, recapitalization, unit dividend or unit split, or combination or other change in the Option
Shares, the Company shall, in order to prevent the dilution or enlargement of rights under your Option, make such adjustments in the number and type of units authorized by the Plan, the number and type of shares covered by your Option and the
Exercise Price specified herein as may be determined to be appropriate and equitable. The Company shall provide you written notice of any adjustments to the number of Option Shares, which calculation shall be binding upon you absent manifest error.

 •   •   •   •   • 
  

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 Please execute the extra copy of this Agreement in the space below and return it to the Company at its
executive offices to confirm your understanding and acceptance of the agreements contained in this Agreement. 
  

			
	Very truly yours,
	
	KCHS HOLDINGS, INC.
		
	By:	 	 
		 	Name:
		 	Title:

  

					
	 Enclosures:
	  	1.	  	Extra copy of this Agreement
		  	2.	  	Copy of Stockholders Agreement
		  	3.	  	Copy of the Plan

 The undersigned hereby acknowledges that she has read this Agreement and the Plan and hereby
agrees to be bound by all provisions set forth herein and therein. 
  

							
	Dated as of                     	 		 	OPTIONEE
			
		 		 	 
		 		 	[Name]

  

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