Document:

Exhibit 10.17

 

FORM OF

AMENDMENT TO RESTRICTED
STOCK

AND CASH INCENTIVE AGREEMENT

 

THIS AMENDMENT TO
RESTRICTED STOCK AND CASH INCENTIVE AGREEMENT (the “Amendment”) is made on this 1st day of December, 2015 ("Effective
Date") between Symmetry Surgical Inc., a Delaware corporation (the “Company”), and _______________ (“Grantee”).

 

WHEREAS, the Company
and Grantee entered into that certain Restricted Stock and Cash Incentive Agreement dated on or about January 2, 2015, as modified
October 22, 2015 (collectively the “Agreement”) under which the Grantee received certain opportunities pursuant to
the Company’s 2014 Equity Incentive Plan (the “Plan”); and

 

WHEREAS, the Parties
desire to modify the terms of the awards thereunder to replace any cash award opportunities with an equal value of Restricted Shares
as valued on the date of grant;

 

NOW, THEREFORE, for
good and valuable consideration, the sufficiency and receipt of which is hereby acknowledged by the parties, the parties agree
as follows:

 

1)                 
Definitions. All capitalized terms used herein and not otherwise defined herein shall have the meanings assigned
to them in the Plan, and if not defined in the Plan then they shall have the meanings assigned to them in the Agreement.

 

2)                  Amended
Section 2. Section is deleted in its entirety and replaced with the following: “Subject to performance,
vesting, transferability and other restrictions and limitations contained herein and in the Plan, the Company hereby grants
Grantee the aggregate number of Restricted Shares set forth in the column on the right in the chart in Section 3.a and the
opportunity to earn $0 in Cash Awards.”

 

3)                 
Amended Section 3.a. The chart in Section 3.a. is hereby deleted in its entirety and replaced with the following
chart:

 

 

	Criteria:	Portion of Restricted Shares Earned
	REVENUE:                                        
    EBITDA:	 
	REVENUE:                                        
    EBITDA:	 
	REVENUE:                                        
    EBITDA:	 

 

IN WITNESS WHEREOF,
the undersigned have executed this Agreement as of the date first set forth above.

  

	 	SYMMETRY SURGICAL, INC.
	 	 
	 	By:	 	 
	 	
         

         

	ACKNOWLEDGED AND AGREED:	 
	 	 
	 	 
	Grantee’s SignatureExhibit 10.1

 

 

NEITHER
THIS NOTE NOR THE SECURITIES ISSUABLE UPON CONVERSION HEREOF HAVE
BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”). THIS
NOTE AND THE SECURITIES ISSUABLE UPON CONVERSION HEREOF HAVE BEEN ACQUIRED FOR INVESTMENT ONLY AND MAY NOT BE SOLD, TRANSFERRED
OR ASSIGNED IN THE ABSENCE OF REGISTRATION OF THE RESALE THEREOF UNDER THE SECURITIES ACT OR AN OPINION OF COUNSEL REASONABLY
SATISFACTORY IN FORM, SCOPE AND SUBSTANCE TO THE COMPANY THAT SUCH REGISTRATION IS NOT REQUIRED.  

 

AMENDED
AND RESTATED PROMISSORY NOTE  

	Principal Amount: up to $900,000	 	Dated December 1, 2015
	 	 	New York, New York

 

DT
Asia Investments Limited, a company incorporated in the British Virgin Islands (the “Maker”), promises
to pay to the order of DeTiger Holdings Limited or its registered assigns or successors in interest (the
“Payee”), or order, the principal sum of up to Nine Hundred Thousand Dollars ($900,000) (the “Principal
Amount”) in lawful money of the United States of America, on the terms and conditions described below.  This
promissory note (the “Note”) amends and restates that certain Promissory Note, dated September 13, 2015 (the
“Original Note”). All payments on this Note shall be made by check or wire transfer of immediately available
funds or as otherwise determined by the Maker to such account as the Payee may from time to time designate by written notice in
accordance with the provisions of this Note.

1.Principal.
Subject always to Section 7A, the principal balance of this Note shall be payable on the earlier of: (i) April 6, 2016; or
(ii) the date on which Maker consummates its initial business combination (the “Business Combination”) (as
described in the prospectus contained in Maker’s registration statement on Form S-1 filed with the Securities and Exchange
Commission in connection with Maker’s initial public offering (the “IPO”)). The principal balance may
be prepaid at any time.

 

2.Interest.
No interest shall accrue on the unpaid principal balance of this Note.

 

3.
Drawdown Requests. The principal of this Note may be drawn down from time to time prior to the earlier of: (i) April 6, 2016;
or (ii) the date on which Maker consummates its Business Combination, upon written request from Maker to Payee (each, a “Drawdown
Request”). The Parties agree that the issuance of this Note and assumption of an initial principal balance of Five Hundred
Thousand Dollars ($500,000), constitutes full repayment of the Original Note, which had an unpaid principal balance of Five Hundred
Thousand Dollars ($500,000), as of the date of this Note. Each subsequent Drawdown Request must state the amount to be drawn down,
and must not be an amount less than One Thousand Dollars ($1,000) unless agreed upon by Maker and Payee. Payee shall fund each
Drawdown Request no later than five (5) business days after receipt of a Drawdown Request; provided, however, that the maximum
amount of drawdowns collectively under this Note is Nine Hundred Thousand Dollars ($900,000). Once an amount is drawn down under
this Note, it shall not be available for future Drawdown Requests even if prepaid. No fees, payments or other amounts shall be
due to Payee in connection with, or as a result of, any Drawdown Request by Maker. Notwithstanding the foregoing, all payments
shall be applied first to payment in full of any costs incurred in the collection of any sum due under this Note, including (without
limitation) reasonable attorneys’ fees, and then to the reduction of the unpaid principal balance of this Note.

 

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4.Application
of Payments. All payments shall be applied first to payment in full of any costs incurred in the collection of any sum due
under this Note, including (without limitation) reasonable attorney’s fees, then to the payment in full of any late charges
and finally to the reduction of the unpaid principal balance of this Note.

 

5.Optional
Conversion.

(a)Upon
consummation of the Business Combination and at the Payee’s option, at any time prior to payment in full of the principal
balance of this Note, the Payee may elect to convert up to Five Hundred Thousand Dollars ($500,000) (the “Convertible
Principal”) of the Note into that number of units (the “Units”) equal to: (i) the portion of the
principal amount of the Note being converted pursuant to this Section 5, divided by (ii) $10.00, rounded up to the nearest whole
number. Each Unit shall have the same terms and conditions as the private units issued simultaneously with the Maker’s IPO.

 

(b)Upon
any complete or partial conversion of the Convertible Principal of this Note: (i) such principal amount shall be so converted
and such converted portion of this Note shall become fully paid and satisfied, (ii) the Payee shall surrender and deliver this
Note, duly endorsed, to Maker or such other address which Maker shall designate against delivery of the Units, (iii) Maker shall
promptly deliver a new duly executed Note to the Payee in the principal amount that remains outstanding, if any, after any such
conversion and (iv) in exchange for all or any portion of the surrendered Note described in Section 5(a), Maker shall deliver
to Payee the Units, which shall bear such legends as are required, in the opinion of counsel to Maker or by any other agreement
between Maker and the Payee and applicable state and federal securities laws.

 

(c)The
Maker shall pay any and all issue and other taxes that may be payable with respect to any issue or delivery of the Units upon
conversion of this Note pursuant hereto; provided, however, that the Payee shall pay any transfer taxes resulting from any transfer
requested by the Payee in connection with any such conversion.

 

6.Events
of Default. The following shall constitute an event of default (“Event of Default”):

 

(a)Failure
to Make Required Payments. Failure by Maker to pay the obligations due pursuant to this Note within five (5) business days
of the date specified above.

 

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(b)Voluntary
Bankruptcy, Etc. The commencement by Maker of a voluntary case under any applicable bankruptcy, insolvency, reorganization,
rehabilitation or other similar law, or the consent by it to the appointment of or taking possession by a receiver, liquidator,
assignee, trustee, custodian, sequestrator (or other similar official) of Maker or for any substantial part of its property, or
the making by it of any assignment for the benefit of creditors, or the failure of Maker generally to pay its debts as such debts
become due, or the taking of corporate action by Maker in furtherance of any of the foregoing.

 

(c)Involuntary
Bankruptcy, Etc. The entry of a decree or order for relief by a court having jurisdiction in the premises in respect of Maker
in an involuntary case under any applicable bankruptcy, insolvency or other similar law, or appointing a receiver, liquidator,
assignee, custodian, trustee, sequestrator (or similar official) of Maker or for any substantial part of its property, or ordering
the winding-up or liquidation of its affairs, and the continuance of any such decree or order unstayed and in effect for a period
of 60 consecutive days.

 

7.Remedies.
Subject always to Section 7A:

 

(a)Upon
the occurrence of an Event of Default specified in Section 6(a) hereof, Payee may, by written notice to Maker, declare this Note
to be due immediately and payable, whereupon the unpaid principal amount of this Note, and all other amounts payable thereunder,
shall become immediately due and payable without presentment, demand, protest or other notice of any kind, all of which are hereby
expressly waived, anything contained herein or in the documents evidencing the same to the contrary notwithstanding.

 

(b)Upon
the occurrence of an Event of Default specified in Sections 6(b) and 6(c), the unpaid principal balance of this Note, and all
other sums payable with regard to this Note, shall automatically and immediately become due and payable, in all cases without
any action on the part of Payee.

 

7A.Limited
Recourse. Notwithstanding any other term or provision of this Note (but without prejudice to Section 13), in the event that
the unpaid principal balance of this Note or any other sum payable hereunder becomes due from Maker prior to the consummation
of a Business Combination (including as a consequence of any Event of Default under Section 6), the obligation to pay such amount
shall be limited to the extent of the assets of the Maker remaining or which would remain following the payment of all other liabilities
of the Maker, whether actual, prospective or contingent, existing at the time such amount becomes due, and the Payee (and its
registered assigns or successors in interest) shall have no other recourse or claim against the Maker or any of its assets for
any amount in excess of the amount of such remaining assets and the obligation of the Maker to pay any part of the unpaid principal
balance or other any other sum which would remain unpaid as a result of this Section 7A shall be deemed extinguished.

 

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8.Waivers.
Maker waives presentment for payment, demand, notice of dishonor, protest, and notice of protest with regard to the Note,
all errors, defects and imperfections in any proceedings instituted by Payee under the terms of this Note, and all benefits that
might accrue to Maker by virtue of any present or future laws exempting any property, real or personal, or any part of the proceeds
arising from any sale of any such property, from attachment, levy or sale under execution, or providing for any stay of execution,
exemption from civil process, or extension of time for payment; and Maker agrees that any real estate that may be levied upon
pursuant to a judgment obtained by virtue hereof, on any writ of execution issued hereon, may be sold upon any such writ in whole
or in part in any order desired by Payee.

 

9.Unconditional
Liability. Maker hereby waives all notices in connection with the delivery, acceptance, performance, default, or enforcement
of the payment of this Note, and agrees that its liability shall be unconditional, without regard to the liability of any other
party, and shall not be affected in any manner by any indulgence, extension of time, renewal, waiver or modification granted or
consented to by Payee, and consents to any and all extensions of time, renewals, waivers, or modifications that may be granted
by Payee with respect to the payment or other provisions of this Note, and agrees that additional makers, endorsers, guarantors,
or sureties may become parties hereto without notice to Maker or affecting Maker’s liability hereunder.

 

10.Notices.
All notices, statements or other documents which are required or contemplated by this Agreement shall be: (i) in writing and
delivered personally or sent by first class registered or certified mail, overnight courier service or facsimile or electronic
transmission to the address designated in writing, (ii) by facsimile to the number most recently provided to such party or such
other address or fax number as may be designated in writing by such party and (iii) by electronic mail, to the electronic mail
address most recently provided to such party or such other electronic mail address as may be designated in writing by such party.
Any notice or other communication so transmitted shall be deemed to have been given on the day of delivery, if delivered personally,
on the business day following receipt of written confirmation, if sent by facsimile or electronic transmission, one (1) business
day after delivery to an overnight courier service or five (5) days after mailing if sent by mail.

 

11.
Construction. THIS NOTE SHALL BE CONSTRUED AND ENFORCED IN ACCORDANCE WITH THE LAWS OF THE BRITISH VIRGIN ISLANDS, WITHOUT
REGARD TO CONFLICT OF LAW PROVISIONS THEREOF.

 

12.
Severability. Any provision contained in this Note which is prohibited or unenforceable in any jurisdiction shall,
as to such jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining
provisions hereof, and any such prohibition or unenforceability in any jurisdiction shall not invalidate or render unenforceable
such provision in any other jurisdiction.

 

13.Trust
Waiver. Notwithstanding anything herein to the contrary, the Payee hereby waives any and all right, title, interest or claim
of any kind (“Claim”) in or to any distribution of or from the trust account (“Trust Account”)
established by Maker in which the proceeds of the IPO and the proceeds of the sale of the units issued in the private placement
that occurred prior to the IPO, as described in greater detail in the registration statement and prospectus filed in connection
with the IPO, were deposited, and hereby agrees not to seek recourse, reimbursement, payment or satisfaction for any Claim against
the Trust Account for any reason whatsoever.

 

14.
Amendment; Waiver. Any amendment hereto or waiver of any provision hereof may be made with, and only with, the written
consent of the Maker and the Payee. 

 

15.
Assignment. This Note may be assigned by the Payee.

 

 

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IN
WITNESS WHEREOF, Maker, intending to be legally bound hereby, has caused this Note to be duly executed and delivered as a deed
on the day and year first above written.

 

	 	Executed
as a deed by
	 	DT
ASIA INVESTMENTS LIMITED
	 	 
	 	Acting
by:	/s/ Stephen N. Cannon
	 	 	Name:
Stephen N. Cannon
Title: Director and Chief Executive Officer

 

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