Document:

EX-10.1

AMENDED AND RESTATED

TRINITY INDUSTRIES, INC.

2004 STOCK OPTION AND INCENTIVE PLAN

1. Purpose of Plan.  The Amended and Restated Trinity Industries, Inc. 2004 Stock Option and
Incentive Plan is intended to enable the Company to remain competitive and innovative in its
ability to attract, motivate, reward and retain a strong management team of superior capability and
to encourage a proprietary interest in the Company by persons who occupy key positions in the
Company or its Affiliates or who provide key consulting services to the Company or its Affiliates
by enabling the Company to make awards that recognize the creation of value for the stockholders of
the Company and promote the Company’s growth and success. In furtherance of that purpose, eligible
persons may receive stock options, stock appreciation rights, restricted stock, restricted stock
units, performance awards, dividend equivalent rights, and other awards, or any combination
thereof.

2. Definitions.  Unless the context otherwise requires, the following terms when used herein
shall have the meanings set forth below:

“Affiliate” — Any corporation, partnership or other entity in which the Company, directly or
indirectly, owns greater than a fifty percent (50%) interest.

“Award” — A Stock Option, Stock Appreciation Right, Restricted Stock, Restricted Stock Unit,
Performance Award, Dividend Equivalent Right or Other Award under this Plan.

“Board” — The Board of Directors of the Company, as the same may be constituted from time to
time.

“Code” — The Internal Revenue Code of 1986, as amended from time to time.

“Committee” — The Committee appointed or designated by the Board to administer the Plan in
accordance with Section 3 hereof.

“Company” — Trinity Industries, Inc., a Delaware corporation, and its successors and
assigns.

“Consultant” means any person performing advisory or consulting services for the Company or
an Affiliate, with or without compensation, to whom the Company chooses to grant an Award in
accordance with the Plan, provided that bona fide services must be rendered by such person and
such services shall not be rendered in connection with the offer or sale of securities in a
capital raising transaction.

“Disability” — Qualification for long-term disability benefits under the Company’s or
Affiliate’s (as applicable) disability plan or insurance policy; or, if no such plan or policy is
then in existence or if the person is not eligible to participate in such plan or policy,
permanent and total inability to engage in any substantial gainful activity by reason of any
medically determinable physical or mental impairment.

“Dividend Equivalent Right” — The right of the holder thereof to receive credits based on
the cash dividends that would have been paid on the Shares specified in the Award if the Shares
were held by the eligible employee to whom the Award is made.

“Effective Date” — The effective date of the Plan as set forth in Section 23.

“Exchange Act” — The Securities Exchange Act of 1934, as amended from time to time.

“Executive Officer” — An officer subject to Section 16 of the Exchange Act or a “covered
employee” as defined in Section 162(m)(3) of the Code.

“Fair Market Value” — Unless otherwise determined by the Committee in good faith, the
closing sales price per share of Shares on the consolidated transaction reporting system for the
New York Stock Exchange on the date of determination or, if no sale is made on such date, on the
last sale date immediately preceding the date of determination.

“Incentive Stock Option” — A stock option meeting the requirements of Section 422 of the
Code or any successor provision.

“Non-qualified Stock Option” — A stock option other than an Incentive Stock Option.

“Stock Option” or “Option” — An Incentive Stock Option or a Non-qualified Stock Option
awarded under this Plan.

“Optionee” — A person who has been granted a Stock Option under this Plan and who has
executed a written stock option agreement with the Company.

“Original Effective Date” — May 10, 2004.

“Other Awards” — An Award issued pursuant to Section 14 hereof.

“Plan” — The Amended and Restated Trinity Industries, Inc. 2004 Stock Option and
Incentive Plan set forth herein.

“Performance Award” — An Award hereunder of cash, Shares, units or rights based upon,
payable in, or otherwise related to, Shares pursuant to Section 13 hereof.

“Restricted Stock” — Shares awarded or sold to eligible persons pursuant to Section 11
hereof.

“Restricted Stock Units” — Units awarded to eligible persons pursuant to Section 12 hereof,
which are convertible into Shares at such time as such units are no longer subject to
restrictions as established by the Committee.

“Retirement” — Termination of employment that qualifies for the immediate payment of
retirement benefits pursuant to the terms of any defined benefit retirement plan maintained by
the Company or any of its Affiliates in which such person participates, or if there is no such
defined benefit retirement plan, termination at or after age 65, or other permitted early
retirement after age 60 as determined by the Committee.

“Share” — A share of the Company’s common stock, par value $1.00 per share, and any share or
            shares of capital stock or other securities of the Company hereafter issued or issuable upon, in
respect of or in substitution or exchange for each such share.

“Stock Appreciation Right” — The right to receive an amount in cash or Shares equal to the
excess of the Fair Market Value of a Share on the date of exercise over the Fair Market Value of
a Share on the date of the grant (or other value specified in the agreement granting the Stock
Appreciation Right).

3. Administration of the Plan.  Except as otherwise provided herein, the Plan shall be
administered by the Human Resources Committee of the Board of Directors, as such Committee is from
time to time constituted. The composition and governance of the Human Resources Committee shall be
governed by the charter of such Committee as adopted by the Board of Directors. The foregoing
notwithstanding, no action of the Committee shall be void or deemed to be without authority solely
because a member failed to meet a qualification requirement set forth in the Charter or this
Section 3. The Human Resources Committee may delegate its duties and powers, to the fullest extent
permitted by law, in whole or in part to (i) any subcommittee thereof consisting solely of at least
two “non-employee directors” within the meaning of Rule 16b-3 of the General Rules and Regulations
of the Exchange Act who are also “outside directors,” as defined under Section 162(m) of the Code,
or (ii) to one or more officers of the Company as provided for below in this Section 3. All
references in the Plan to the “Committee” shall mean the Board, the Human Resources Committee, or
any subcommittee, individual or individuals to which or whom it delegates duties and powers
pursuant to the immediately preceding sentence. Subject to the provisions of the Plan and
directions from the Board, the Committee is authorized to:

(a) determine the persons to whom Awards are to be granted;

(b) determine the type of Award to be granted, the number of Shares to be covered by the
Award, the pricing of the Award, the time or times when the Award shall be granted and may be
exercised, any restrictions on the exercise of the Award, and any restrictions on Shares
acquired pursuant to the exercise of an Award;

(c) conclusively interpret the Plan provisions;

(d) prescribe, amend and rescind rules and regulations relating to the Plan or make
individual decisions as questions arise, or both;

(e) rely upon employees of the Company for such clerical and record-keeping duties as may be
necessary in connection with the administration of the Plan; and

(f) specify the time or times at which Shares or cash will be delivered in connection with
Awards, including any terms mandating or permitting elective deferrals of settlement of Awards
(which may include deferral of delivery of Shares upon exercise of Options); and

(g) make all other determinations and take all other actions necessary or advisable for the
administration of the Plan.

All questions of interpretation and application of the Plan or pertaining to any question of
fact or Award granted hereunder shall be decided by the Committee, whose decision shall be final,
conclusive and binding upon the Company and each other affected party.

As mentioned above, the Committee may, in its discretion and by a resolution adopted by the
Committee, authorize one or more officers of the Company (an “Authorized Officer”) to do one or
both of the following: (i) designate officers and employees of the Company, or any Affiliate, to be
recipients of Awards to be granted under the Plan and (ii) determine the number of Shares or other
rights that will be subject to the Awards granted to such officers and employees; provided,
however, that the resolution of the Committee granting such authority shall (x) specify the total
number of Shares or other rights that may be made subject to such Awards, (y) not authorize the
Authorized Officer to designate himself or any Executive Officer as a recipient of any such Award,
and (z) otherwise be limited to the extent necessary to comply with Section 157(c) of the Delaware
General Corporation Law, other applicable provisions of Delaware law, and requirements of
Section 303A.05 of the Listed Company Manual of the New York Stock Exchange, and further provided
that any decision concerning the granting of Awards intended to qualify as “performance-based
compensation” under Section 162(m) of the Code shall be made exclusively by members of the
Committee who are at that time “outside directors” as defined under Section 162(m) of the Code.  

4. Share Authorization

(a) Subject to adjustment as provided in Section 20 herein, the maximum number of Shares
available for issuance to Participants under the Plan (the “Share Authorization “) shall be:

(1) 6,000,000 Shares (which includes the 3,750,000 Shares authorized under the original
Trinity Industries, Inc. 2004 Stock Option and Incentive Plan and 2,250,000 additional Shares
authorized pursuant to this Plan); plus

(2) any Shares subject to outstanding awards as of the Original Effective Date under the
prior plans that on or after the Original Effective Date cease for any reason to be subject to
such awards (other than by reason of exercise or settlement of the awards to the extent they are
exercised for or settled in vested and nonforfeitable Shares).

(b) Notwithstanding the above, in order to comply with the requirements of Section 422 of the
Code and the regulations thereunder, the maximum number of Shares available for issuance pursuant
to Incentive Stock Options, Non-qualified Stock Options, and other Awards shall be: (i) 6,000,000
Shares that may be issued pursuant to Awards in the form of Incentive Stock Options; (ii) 6,000,000
Shares that may be issued pursuant to Awards in the form of Non-qualified Stock Options; and
(iii) 6,000,000 Shares that may be issued pursuant to Awards in forms other than Incentive Stock
Options and Non-Qualified Stock Options.

(c) Shares covered by an Award shall only be counted as used to the extent they are actually
issued and delivered to a participant. Accordingly, if any Award lapses, expires, terminates, or is
cancelled prior to the issuance of Shares thereunder, no reduction in the Shares available under
the Plan will have been made. If Shares are issued under the Plan and thereafter are reacquired by
the Company, the reacquired Shares shall again be available for issuance under the Plan. Any Shares
(i) tendered by a participant (either by actual delivery or by attestation) or retained by the
Company as full or partial payment to the Company for the purchase price of an Award or to satisfy
tax withholding obligations, or (ii) covered by an Award that is settled in cash shall be available
for Awards under the Plan. Notwithstanding the foregoing provisions of this Section 4(c), only
Shares not issued due to an Award lapse, expiration, termination, cancellation or settlement in
cash, Shares reacquired on account of the forfeiture of such Shares pursuant to the terms of the
Plan or the Award, and Shares surrendered in full or partial payment to the Company for the
purchase price of an Award may be available again for issuance pursuant to Awards in the form of
Incentive Stock Options. All Shares issued under the Plan may be either authorized and unissued
Shares or issued Shares reacquired by the Company.

(d) The maximum aggregate number of Shares that may be granted pursuant to any Option, Stock
Appreciation Right or performance-based Award (or any combination of the foregoing) in any one
calendar year to any one Executive Officer shall be 300,000 (the “Annual Performance Stock Award
Limit”).

5. Eligibility.  Eligibility for participation in the Plan shall be confined to a limited
number of persons (i) who are employed by the Company or one or more of its Affiliates, and who are
directors or officers of the Company or one or more of its Affiliates, or who are in managerial or
other key positions in the Company or one or more of its Affiliates, or (ii) who are Consultants
who provide key consulting services to the Company or its Affiliates. In making any determination
as to persons to whom Awards shall be granted, the type of Award; and/or the number of Shares to be
covered by the Award, the Committee shall consider the position and responsibilities of the person,
his or her importance to the Company and its Affiliates, the duties of such person, his or her
past, present and potential contributions to the growth and success of the Company and its
Affiliates, and such other factors as the Committee shall deem relevant in connection with
accomplishing the purpose of the Plan. Non-employee directors are eligible to receive Awards
pursuant to Section 17.

6. Grant of Stock Options.  The Committee may grant Stock Options to any eligible person. Each
person so selected shall be offered an Option to purchase the number of Shares determined by the
Committee. The Committee shall specify whether such Option is an Incentive Stock Option or
Non-qualified Stock Option. Each such person so selected shall have a reasonable period of time
within which to accept or reject the offered option. Failure to accept within the period so fixed
by the Committee may be treated as a rejection. Each person who accepts an Option shall enter into
a written agreement with the Company, in such form as the Committee may prescribe, setting forth
the terms and conditions of the Option, consistent with the provisions of this Plan. The Optionee
and the Company shall enter into separate option agreements for Incentive Stock Options and
Non-qualified Stock Options. At any time and from time to time, the Optionee and the Company may
agree to modify an option agreement in order that an Incentive Stock Option may be converted to a
Non-qualified Stock Option. The Committee may not reprice underwater Stock Options by canceling and
regranting Stock Options or by lowering the exercise price except for adjustments pursuant to
Section 20 hereof.

The Committee may require that an Optionee meet certain conditions before the Option or a
portion thereto may be exercised, as, for example, that the Optionee remain in the employ of the
Company or one of its Affiliates for a stated period or periods of time before the Option, or
stated portions thereof, may be exercised.

The exercise price of the Shares covered by each Stock Option shall be determined by the
Committee; provided, however, that the exercise price shall not be less than one hundred percent
(100%) of the Fair Market Value of Shares on the date of the grant.

The term of a Stock Option shall be for such period of months or years from the date of its
grant as may be determined by the Committee; provided, however, that no Stock Option shall be
exercisable later than ten (10) years from the date of its grant.

Each Stock Option granted hereunder may only be exercised to the extent that the Optionee is
vested in such option. Each Stock Option shall vest separately in accordance with the vesting
schedule determined by the Committee, in its sole discretion, which will be incorporated in the
stock option agreement. The vesting schedule will be accelerated if, in the sole discretion of the
Committee, the Committee determines that acceleration of the vesting schedule would be desirable
for the Company. Unless otherwise determined by the Committee and provided in the option agreement
evidencing the grant of the Award, if an Optionee ceases to be an officer, director, or employee of
the Company or any Affiliate by reason of Death, Disability, or Retirement, the Optionee or the
personal representatives, heirs, legatees, or distributees of the Optionee, as appropriate, shall
become fully vested in each Stock Option granted to the Optionee and shall have the immediate right
to exercise any such option to the extent not previously exercised, subject to the other terms and
conditions of the Plan.

Regardless of the terms of any Award Agreement, the Committee, at any time when the Company is
subject to fair value accounting for equity-based compensation granted to its employees and/or
directors, shall have the right to substitute Stock Appreciation Rights for outstanding Options
granted to any Participant, provided the substituted Stock Appreciation Rights call for settlement
by the issuance of Shares, and the terms and conditions of the substituted Stock Appreciation
Rights are equivalent to the terms and conditions of the Options being replaced, as determined by
the Committee

7. Limitations on Grant of Incentive Stock Options.

(a) Incentive Stock Options shall not be granted to a non-employee director or more than
10 years after the Effective Date of this Plan, and the aggregate Fair Market Value (determined as
of the date of grant) of the Shares with respect to which any Incentive Stock Option is exercisable
for the first time by an Optionee during any calendar year under the Plan and all such plans of the
Company (as defined in Section 424 of the Code) shall not exceed $100,000. If any Option intended
to be an Incentive Stock Option fails to qualify due to this limitation or otherwise, it shall be
deemed a Non-qualified Stock Option and remain outstanding in accordance with its terms.

(b) Notwithstanding anything herein to the contrary, in no event shall any employee owning
more than ten percent (10%) of the total combined voting power of the Company or any Affiliate
corporation be granted an Incentive Stock Option hereunder unless (i) the option exercise price
shall be at least one hundred ten percent (110%) of the Fair Market Value of the Shares at the time
that the option is granted and (ii) the term of the option shall not exceed five (5) years.

8. Non-transferability of Stock Options.  A Stock Option shall not be transferable otherwise
than by will or the laws of descent and distribution, and a Stock Option may be exercised, during
the lifetime of the Optionee, only by the Optionee; provided, however, the Board or Committee may
permit further transferability of a Non-qualified Stock Option on a general or a specific basis,
and may impose conditions and limitations on any permitted transferability, and provided further,
unless otherwise provided in the stock option agreement, a Non-qualified Stock Option may be
transferred to: one or more members of the immediate family (being the spouse (or former spouse),
children or grandchildren) of the Optionee; a trust for the benefit of one or more members of the
immediate family of the Optionee (a “family trust”); a partnership, the sole partners of which are
the Optionee, members of the immediate family of the Optionee, and one or more family trusts; or a
foundation in which the Optionee controls the management of the assets. Upon any transfer, a Stock
Option will remain subject to all the provisions of this Plan and the option agreement, including
the provisions regarding termination of rights with respect to the Stock Option upon termination of
the Optionee’s employment, and the transferee shall have all of the rights of and be subject to all
of the obligations and limitations applicable to the Optionee with respect to the Stock Option,
except that the transferee may further transfer the Stock Option only to a person or entity that
the Optionee is permitted to transfer the Stock Option. Any attempted assignment, transfer, pledge,
hypothecation, or other disposition of a Stock Option contrary to the provisions hereof, or the
levy of any execution, attachment, or similar process upon a Stock Option shall be null and void
and without effect.

9. Exercise of Stock Options.

(a) Stock options may be exercised as to Shares only in minimum quantities and at intervals of
time specified in the written option agreement between the Company and the Optionee. Each exercise
of a Stock Option, or any part thereof, shall be evidenced by a notice in writing to the Company.
The purchase price of the Shares as to which an option shall be exercised shall be paid in full at
the time of exercise, and, at the Committee’s discretion and in accordance with procedures
established by the Committee from time to time, may be paid to the Company in one or more of the
following ways:

(i) in cash (including check, bank draft, or money order); or

(ii) by the delivery of Shares (including Restricted Stock when authorized by the Committee)
already owned by the Optionee, or directing the Company (when authorized by the Committee) to
withhold Shares otherwise issuable upon exercise, having a Fair Market Value equal to the
aggregate exercise price; provided that no delivery or withholding of Shares will be permitted
under this provision if it would result in the Company recognizing additional accounting expense
after the grant of the Option or upon its exercise;

(iii) by a combination of cash and Shares; or

(iv) by providing with the notice of exercise an order to a designated broker to sell part
or all of the Shares and to deliver sufficient proceeds to the Company, in cash or by check
payable to the Company, to pay the full purchase price of the Shares and all applicable
withholding taxes.

(b) An Optionee shall not have any of the rights of a stockholder of the Company with respect
to the Shares covered by a Stock Option except to the extent that one or more certificates of such
Shares shall have been delivered to the Optionee, or the Optionee has been determined to be a
stockholder of record by the Company’s Transfer Agent, upon due exercise of the option.

10. Stock Appreciation Rights.  The Committee may grant Stock Appreciation Rights to any
eligible person, either as a separate Award or in connection with a Stock Option. Stock
Appreciation Rights shall be subject to such terms and conditions as the Committee shall impose.
The grant of the Stock Appreciation Right may provide that the holder may be paid for the value of
the Stock Appreciation Right either in cash or in Shares, or a combination thereof. In the event of
the exercise of a Stock Appreciation Right payable in Shares, the holder of the Stock Appreciation
Right shall receive that number of whole Shares of stock of the Company having an aggregate Fair
Market Value on the date of exercise equal to the value obtained by multiplying (i) the difference
between the Fair Market Value of a Share on the date of exercise over the Fair Market Value on the
date of the grant (or other value specified in the agreement granting the Stock Appreciation
Right), by (ii) the number of Shares as to which the Stock Appreciation Right is exercised, with a
cash settlement to be made for any fractional Share. If a Stock Appreciation Right is granted in
tandem with a Stock Option, there shall be surrendered and canceled from the option at the time of
exercise of the Stock Appreciation Right, in lieu of exercise under the option, that number of
Shares as shall equal the number of shares as to which the Stock Appreciation Right shall have been
exercised. However, notwithstanding the foregoing, the Committee, in its sole discretion, may place
a ceiling on the amount payable upon exercise of a Stock Appreciation Right, but any such
limitation shall be specified at the time that the Stock Appreciation Right is granted. The
exercise price of any Stock Appreciation Right shall in no event be less than the Fair Market Value
of the Shares at the time of the grant.

The term of a Stock Appreciation Right shall be for such period of months or years from the
date of its grant as may be determined by the Committee; provided, however, that no Stock
Appreciation Right shall be exercisable later than ten (10) years from the date of its grant.

11. Restricted Stock.

(a) Restricted Stock may be awarded or sold to any eligible person, for no cash consideration,
for such minimum consideration as may be required by applicable law, or for such other
consideration as may be specified by the grant. The terms and conditions of Restricted Stock shall
be specified by the grant. The Committee, in its sole discretion, shall determine what rights, if
any, the person to whom an Award of Restricted Stock is made shall have in the Restricted Stock
during the restriction period and the restrictions applicable to the particular Award, including
whether the holder of the Restricted Stock shall have the right to vote the Shares and receive all
dividends and other distributions applicable to the Shares (including through reinvestment in
additional Restricted Stock). Each Award of Restricted Stock may have different restrictions and
conditions. Subject to the minimum vesting requirements of Section 22, the Committee shall
determine when the restrictions shall lapse or expire and the conditions, if any, under which the
Restricted Stock will be forfeited or sold back to the Company; and the Committee, in its
discretion, may prospectively change the restriction period and the restrictions applicable to any
particular Award of Restricted Stock. Restricted stock may not be disposed of by the recipient
until the restrictions specified in the Award expire.

(b) Any Restricted Stock issued hereunder may be evidenced in such manner as the Committee, in
its sole discretion, shall deem appropriate, including, without limitation, book-entry registration
or issuance of a stock certificate or certificates. In the event any stock certificate is issued in
respect of Shares of Restricted Stock awarded hereunder, such certificate shall bear an appropriate
legend with respect of the restrictions applicable to such Award. The Company may retain, at its
option, the physical custody of the Restricted Stock during the restriction period or require that
the Restricted Stock be placed in an escrow or trust, along with a stock power endorsed in blank,
until all restrictions are removed or expire.

12. Restricted Stock Units.  Restricted Stock Units may be awarded or sold to any eligible
person under such terms and conditions as shall be established by the Committee. Restricted Stock
Units shall be subject to such restrictions as the Committee determines, including, without
limitation, (a) a prohibition against sale, assignment, transfer, pledge, hypothecation or other
encumbrance for a specified period; or (b) a requirement that the holder forfeit (or in the case of
units sold to the eligible person resell to the Company at cost) such units in the event of
termination of employment during the period of restriction, subject to the minimum vesting
requirements of Section 22.

13. Performance Awards.

(a) The Committee may grant Performance Awards to any person. The terms and conditions of
Performance Awards shall be specified at the time of the grant and, subject to Section 22, may
include provisions establishing the performance period, the performance criteria to be achieved
during a performance period, and the maximum or minimum settlement values. Each Performance Award
shall have its own terms and conditions. If the Committee determines, in its sole discretion, that
the established performance measures or objectives are no longer suitable because of a change in
the Company’s business, operations, corporate structure, or for other reasons that the Committee
deemed satisfactory, the Committee may modify the performance measures or objectives and/or the
performance period, provided that no modifications may be made relating to a Performance Award
intended to qualify as “performance-based compensation” under Code Section 162(m) if and to the
extent that the modification would disqualify such Performance Award, and, with respect to such
qualifying Performance Awards, the Committee may not increase the number of Shares or cash that may
be earned by any Executive Officer upon satisfaction of any performance criteria established
pursuant to this Section 13 or performance goal as provided for in Section 16 hereof.

(b) Performance Awards may be denominated in Shares or cash or valued by reference to the Fair
Market Value of a Share or according to any formula or method deemed appropriate by the Committee,
in its sole discretion, subject to the achievement of performance goals as provided for in
Section 16 hereof or other specific financial, production, sales or cost performance objectives
that the Committee believes to be relevant to the Company’s business and/or remaining in the employ
of the Company for a specified period of time. Performance Awards may be paid in cash, Shares, or
other consideration, or any combination thereof. If payable in Shares, the consideration for the
issuance of the Shares may be the achievement of the performance objective established at the time
of the grant of the Performance Award. Performance Awards may be payable in a single payment or in
installments and may be payable at a specified date or dates or upon attaining the performance
objective. The extent to which any applicable performance objective has been achieved shall be
conclusively determined by the Committee.

14. Other Awards.  The Committee may grant to any eligible person other forms of Awards
payable in cash or based upon, payable in, or otherwise related to, in whole or in part, Shares if
the Committee determines that such other form of Award is consistent with the purpose and
restrictions of this Plan. The terms and conditions of such other form of Award shall be specified
by the grant, subject to Section 22. Such Other Awards may be granted for no cash consideration,
(as, for example, bonus Shares), for such minimum consideration as may be required by applicable
law, or for such other consideration as may be specified by the grant (as for example, Shares
granted in lieu of other rights to compensation, mandatorily or at the election of the
participant).

15. Dividend Equivalent Rights.

(a) The Committee may grant a Dividend Equivalent Right to any eligible employee, either as a
component of another Award or as a separate Award; provided, however, that no Dividend Equivalent
Rights may be granted with respect to any Options or Stock Appreciation Rights. The terms and
conditions of the Dividend Equivalent Right shall be specified by the grant. Dividend equivalents
credited to the holder of a Dividend Equivalent Right may be paid currently or may be deemed to be
reinvested in additional Shares (which may thereafter accrue additional dividend equivalents). Any
such reinvestment shall be at the Fair Market Value at the time thereof. Dividend Equivalent Rights
may be settled in cash or Shares, or a combination thereof, in a single payment or in installments.
A Dividend Equivalent Right granted as a component of another Award may provide that such Dividend
Equivalent Right shall be settled upon exercise, settlement, or payment of, or lapse of
restrictions on, such other Award, and that such Dividend Equivalent Right granted as a component
of another Award may also contain terms and conditions different from such other Award.

(b) Any Award under this Plan that is settled in whole or in part in cash on a deferred basis
may provide for interest equivalents to be credited with respect to such cash payment. Interest
equivalents may be compounded and shall be paid upon such terms and conditions as may be specified
by the grant.

16. Performance Goals.

(a) Awards of Restricted Stock, Restricted Stock Units, Performance Awards (whether relating
to cash or Shares) and Other Awards (whether relating to cash or Shares) under the Plan may be made
subject to the attainment of performance goals within the meaning of Section 162(m) of the Code
relating to one or more of the following business criteria: cash flow; cost; ratio of debt to debt
plus equity; profit before tax; economic profit; earnings before interest and taxes; earnings
before interest, taxes, depreciation and amortization; earnings per share; operating earnings;
economic value added; ratio of operating earnings to capital spending; free cash flow; net profit;
net sales; sales growth; price of the Company’s common stock; return on net assets, equity or
stockholders’ equity; market share; or total return to stockholders (“Performance Criteria”). Any
Performance Criteria may be used to measure the performance of the Company as a whole or any
business unit of the Company and may be measured in absolute terms, relative to a peer group or
index, relative to past performance, or as otherwise determined by the Committee. Any Performance
Criteria may include or exclude (i) extraordinary, unusual and/or non-recurring items of gain or
loss, (ii) gains or losses on the disposition of a business, (iii) changes in tax or accounting
regulations or laws, or (iv) the effect of a merger or acquisition, as identified in the Company’s
quarterly and annual earnings releases. In all other respects, Performance Criteria shall be
calculated in accordance with the Company’s financial statements, under generally accepted
accounting principles, or under a methodology established by the Committee within 90 days after the
beginning of the performance period relating to the Award (but not after more than 25% of the
performance period has elapsed) which is consistently applied and identified in the audited
financial statements, including footnotes, or the Management Discussion and Analysis section of the
Company’s annual report. However, the Committee may not in any event increase the amount of
compensation payable to an individual upon the attainment of a performance goal.

(b) For any Performance Awards or Other Awards that are denominated in cash, such that the
Annual Performance Stock Award Limit in Section 4(e) is not an effective limitation for purposes of
Treasury Regulation 1.162-27(e), the maximum amount payable to any Executive Officer with respect
to all performance periods beginning in a fiscal year of the Company shall not exceed $2,000,000.

17. Non-Employee Directors.  Non-employee directors may only be granted awards under this Plan
in accordance with this Section 17. The Board or the Committee will grant all Awards to
non-employee directors. Subject to the limit set forth in Section 4(a) on the number of Shares that
may be issued in the aggregate under the Plan, the maximum number of shares that may be issued to
non-employee directors shall be 450,000 Shares, and no non-employee director may receive Awards
subject to more than 20,000 Shares in any calendar year. Awards made pursuant to this Section 17
shall be with terms and conditions otherwise consistent with the provisions of this Plan.

18. Change in Control.  Except as otherwise provided in this Section 18, or as otherwise
determined by the Committee at the time of grant of an Award and provided for in the agreement
evidencing the grant of the Award, upon a Change in Control, all outstanding Stock Options and
Stock Appreciation Rights shall become vested and exercisable; all restrictions on Restricted Stock
and Restricted Stock Units shall lapse; all Performance Goals shall be deemed achieved at target
levels and all other terms and conditions met; all Restricted Stock Units and Performance Awards
(whether relating to cash or Shares) shall be paid out as promptly as practicable; and all Other
Awards (whether relating to cash or Shares) shall be delivered or paid. The Committee may also
provide for the cash settlement of Options and Stock Appreciation Rights.

(a) A “Change in Control” shall be deemed to have occurred if the event set forth in any one
of the following paragraphs shall have occurred:

(i) any Person is or becomes the Beneficial Owner, directly or indirectly, of securities of
the Company (not including in the securities beneficially owned by such Person any securities
acquired directly from the Company or its Affiliates) representing 30% or more of the combined
voting power of the Company’s then outstanding securities, excluding any Person who becomes such
a Beneficial Owner in connection with a transaction described in clause (A) of paragraph (iii)
below; or

(ii) the following individuals cease for any reason to constitute a majority of the number
of directors then serving: individuals who, on the Effective Date of this Plan, constitute the
Board and any new director (other than a director whose initial assumption of office is in
connection with an actual or threatened election contest, including but not limited to a consent
solicitation, relating to the election of directors of the Company) whose appointment or election
by the Board or nomination for election by the Company’s stockholders was approved or recommended
by a vote of at least two-thirds (2/3) of the directors then still in office who either were
directors on the Effective Date of this Plan or whose appointment, election or nomination for
election was previously so approved or recommended; or

(iii) there is consummated a merger or consolidation of the Company or any direct or
indirect subsidiary of the Company with any other corporation, other than (A) a merger or
consolidation which would result in the voting securities of the Company outstanding immediately
prior to such merger or consolidation continuing to represent (either by remaining outstanding or
by being converted into voting securities of the surviving entity or any parent thereof) at least
60% of the combined voting power of the securities of the Company or such surviving entity or any
parent thereof outstanding immediately after such merger or consolidation or (B) a merger or
consolidation effected to implement a recapitalization of the Company (or similar transaction) in
which no Person is or becomes the Beneficial Owner, directly or indirectly, of securities of the
Company (not including in the securities Beneficially Owned by such Person any securities
acquired directly from the Company or its Affiliates other than in connection with the
acquisition by the Company or its Affiliates of a business) representing 30% or more of the
combined voting power of the Company’s then outstanding securities; or

(iv) the stockholders of the Company approve a plan of complete liquidation or dissolution
of the Company or there is consummated an agreement for the sale or disposition by the Company of
all or substantially all of the Company’s assets, other than a sale or disposition by the Company
of all or substantially all of the Company’s assets to an entity, at least 60% of the combined
voting power of the voting securities of which are owned by stockholders of the Company in
substantially the same proportions as their ownership of the Company immediately prior to such
sale.

For purposes hereof:

“Affiliate” shall have the meaning set forth in Rule 12b-2 promulgated under Section 12 of
the Exchange Act.

“Beneficial Owner” shall have the meaning set forth in Rule 13d-3 under the Exchange Act.

“Exchange Act” shall mean the Securities Exchange Act of 1934, as amended from time to time.

“Person” shall have the meaning given in Section 3(a)(9) of the Exchange Act, as modified
and used in Sections 13(d) and 14(d) thereof, except that such term shall not include (1) the
Company or any of its subsidiaries, (2) a trustee or other fiduciary holding securities under an
employee benefit plan of the Company or any of its Affiliates, (3) an underwriter temporarily
holding securities pursuant to an offering of such securities or (4) a corporation owned,
directly or indirectly, by the stockholders of the Company in substantially the same proportions
as their ownership of stock of the Company.

(b) Notwithstanding any provision of this Plan, in the event of a Change in Control in
connection with which the holders of Shares receive shares of common stock that are registered
under Section 12 of the Exchange Act, there shall be substituted for each Share available under
this Plan, whether or not then subject to an outstanding option, the number and class of shares
into which each outstanding Share shall be converted pursuant to such Change in Control, and all
outstanding options, other than options to which this Section 18 does not apply as provided in the
first paragraph of this Section, shall immediately be exercisable in full . In the event of any
such substitution, the purchase price per share of each option shall be appropriately adjusted by
the Committee, such adjustments to be made without an increase in the aggregate purchase price.

(c) Notwithstanding any provision of this Plan, in the event of a Change in Control in
connection with which the holders of Shares receive consideration other than shares of common stock
that are registered under Section 12 of the Exchange Act, each outstanding option shall be
surrendered to the Company by the holder thereof, and each such option shall immediately be
canceled by the Company, and the holder shall receive, within ten (10) days of the occurrence of
such Change in Control, a cash payment from the Company in an amount equal to the number of Shares
then subject to such option, multiplied by the excess, if any, of (i) the greater of (A) the
highest per share price offered to stockholders of the Company in any transaction whereby the
Change in Control takes place or (B) the Fair Market Value of a Share on the date of occurrence of
the Change in Control over (ii) the purchase price per Share subject to the option. The Company
may, but is not required to, cooperate with any person who is subject to Section 16 of the Exchange
Act to assure that any cash payment in accordance with the foregoing to such person is made in
compliance with Section 16 of the Exchange Act and the rules and regulations thereunder.

19. Compliance with Securities and Other Laws.  In no event shall the Company be required to
sell or issue Shares under any Award if the sale or issuance thereof would constitute a violation
of applicable federal or state securities law or regulation or a violation of any other law or
regulation of any governmental authority or any national securities exchange. As a condition to any
sale or issuance of Shares, the Company may place legends on Shares, issue stop transfer orders,
and require such agreements or undertakings as the Company may deem necessary or advisable to
assure compliance with any such law or regulation, including, if the Company or its counsel deems
it appropriate, representations from the person to whom an Award is granted that he or she is
acquiring the Shares solely for investment and not with a view to distribution and that no
distribution of the Shares will be made unless registered pursuant to applicable federal and state
securities laws, or in the opinion of counsel of the Company, such registration is unnecessary.

20. Adjustments Upon Changes in Capitalization.  In the event of any corporate event or
transaction (including, but not limited to, a change in the shares of the Company or the
capitalization of the Company) such as a merger, consolidation, reorganization, recapitalization,
separation, stock dividend, stock split, reverse stock split, split up, spin-off, or other
distribution of stock or property of the Company, combination of Shares, exchange of Shares,
dividend in kind, or other like change in capital structure or distribution (other than normal cash
dividends) to stockholders of the Company, or any similar corporate event or transaction affects
the fair value of an Award, the Committee, in its sole discretion, shall adjust any or all of the
following so that the fair value of the Award immediately after the transaction or event is equal
to the fair value of the Award immediately prior to the transaction or event, the number and kind
of Shares that may be issued under the Plan or under particular forms of Awards, the number and
kind of Shares subject to outstanding Awards, the option price or grant price applicable to
outstanding Awards, the Annual Performance Stock Award Limit, limits on non-employee director
Awards under Section 17, and other value determinations applicable to outstanding Awards.

The Committee, in its sole discretion, may also make appropriate adjustments in the terms of
any Awards under the Plan to reflect or related to such changes or distributions and to modify any
other terms of outstanding Awards, including modifications of performance goals and changes in the
length of Performance Periods. The determination of the Committee as to the foregoing adjustments,
if any, shall be conclusive and binding on Participants under the Plan.

Subject to the provisions of Section 21, without affecting the number of Shares reserved or
available hereunder, the Committee may authorize the issuance or assumption of benefits under this
Plan in connection with any merger, consolidation, acquisition of property or stock, or
reorganization upon such terms and conditions as it may deem appropriate, subject to compliance
with the Incentive Stock Option rules under Section 422 of the Code, where applicable.

21. Exchange or Cancellation of Incentives Where Company Does Not Survive.  In the event of
any merger, consolidation or share exchange pursuant to which the Company is not the surviving or
resulting corporation, there shall be substituted for each Share subject to the unexercised
portions of outstanding Stock Options or Stock Appreciation Rights, that number of shares of each
class of stock or other securities or that amount of cash, property, or assets of the surviving,
resulting or consolidated company which were distributed or distributable to the stockholders of
the Company in respect to each Share held by them, such outstanding Stock Options or Stock
Appreciation Rights to be thereafter exercisable for such stock, securities, cash, or property in
accordance with their terms.

Notwithstanding the foregoing, however, all Stock Options or Stock Appreciation Rights may be
canceled by the Company, in its sole discretion, as of the effective date of any such
reorganization, merger, consolidation, or share exchange, or of any proposed sale of all or
substantially all of the assets of the Company, or of any dissolution or liquidation of the
Company, by either:

(a) giving notice to each holder thereof or his personal representative of its intention to
cancel such Stock Options or Stock Appreciation Rights and permitting the purchase during the
thirty (30) day period next preceding such effective date of any or all of the Shares subject to
such outstanding Stock Options or Stock Appreciation Rights, including, in the Committee’s
discretion, some or all of the Shares as to which such Stock Options or Stock Appreciation Rights
would not otherwise be vested and exercisable; or

(b) paying the holder thereof an amount equal to a reasonable estimate of the difference
between the net amount per share payable in such transaction or as a result of such transaction,
and the exercise price per Share of such Stock Option (hereinafter the “Spread”), multiplied by
the number of Shares subject to the Stock Option. In estimating the Spread, appropriate
adjustments to give effect to the existence of the Stock Options shall be made, such as deeming
the Stock Options to have been exercised, with the Company receiving the exercise price payable
thereunder, and treating the Shares receivable upon exercise of the Options as being outstanding
in determining the net amount per Share. In cases where the proposed transaction consists of the
acquisition of assets of the Company, the net amount per Share shall be calculated on the basis
of the net amount receivable with respect to Shares upon a distribution and liquidation by the
Company after giving effect to expenses and charges, including but not limited to taxes, payable
by the Company before such liquidation could be completed.

(c) An Award that by its terms would be fully vested or exercisable upon such a
reorganization, merger, consolidation, share exchange, proposed sale of all or substantially all
of the assets of the Company or dissolution or liquidation of the Company will be considered
vested or exercisable for purposes of Section 21(a) hereof.

22. Limitation on Vesting of Certain Awards.

(a) Awards of Restricted Stock, Restricted Stock Units, Performance Awards payable in Shares,
or Other Awards in the form of Shares, if granted to persons who do not pay cash consideration or
elect to forgo a right to cash consideration substantially equal in value to the Shares subject to
such Award (at grant or any other time prior to settlement), such Awards will be subject to the
minimum vesting provisions set forth in this Section 22(a), except as provided in Section 22(b).
Such Awards, if their grant or vesting is subject to performance conditions, shall have a minimum
vesting period of no less than one year, and such Awards, if neither their grant or vesting is
subject to performance conditions, shall have a minimum vesting period of no less than three years;
provided however, that such Awards may vest on an accelerated basis in the event of a participant’s
death, Disability, or Retirement, or in the event of a Change in Control. For purposes of this
Section 22(a), (i) a performance period that precedes the grant of the Award will be treated as
part of the vesting period if the participant has been notified promptly after the commencement of
the performance period that he or she has the opportunity to earn the Award based on performance
and continued service, and (ii) vesting over a one-year period or three-year period will include
periodic vesting over such period if the rate of such vesting is proportional (or less rapid)
throughout such period.

(b) The provisions of Section 22(a) notwithstanding, up to twelve percent (12%) of the Shares
authorized under the Plan may be granted as Awards of the type referred to in Section 22(a) without
meeting the minimum vesting requirements set out in Section 22(a).

23. Effective Date.  The Plan shall be effective as of the date of its approval by the holders
of a majority of the Shares of the Company represented and voting at the next Annual Meeting of
Stockholders (“Effective Date”).

24. Amendment of the Plan.  All provisions of the Plan (including without limitation, any
Award made under the Plan) may at any time or from time to time be modified or amended by the
Board; provided, however, (a) no amendment for which stockholder approval is required either (i) by
any securities exchange or inter-dealer quotation system on which the Common Stock is listed or
traded or (ii) in order for the Plan and Awards granted under the Plan to continue to comply with
Sections 162(m), 421, and 422 of the Code, including any successors to such Sections, or other
applicable law, shall be effective without stockholder approval; (b) no Award at any time
outstanding under the Plan may be modified, impaired, or canceled adversely to the holder of the
Award without the consent of such holder; and (c) no increase in the number of Shares subject to
Awards to non-employee directors pursuant to Section 17 may be made without stockholder approval.

25. Termination of Plan.  The Board may terminate the Plan at any time. However, termination
of the Plan shall not affect any Award previously granted hereunder and the rights of the holder of
the Award shall remain in effect until the Award has been exercised in its entirety or has expired
or otherwise has been terminated. Any Award granted pursuant to this Plan must be granted by May 3,
2020. 

26. No Employment Rights.  Nothing in the Plan or in any Award shall confer upon any recipient
of an Award any right to remain in the employ of the Company or one of its Affiliates, and nothing
herein shall be construed in any manner to interfere in any way with the right of the Company or
its Affiliates to terminate such recipient’s employment or directorship at any time.

27. Tax Withholding and 83(b) Election.

(a) The amount, as determined by the Committee, of the minimum required statutory federal,
state, or local tax required to be withheld by the Company attributable to amounts payable or
Shares deliverable under the Plan shall be satisfied, at the election of the recipient of the
Award, but subject to the consent of the Committee, either (i) by payment by the recipient to the
Company of the amount of such withholding obligation in cash (the “Cash Method”); (ii) in the case
of Awards payable in cash, through retention by the Company of cash equal to the amount of such
withholding obligation; or (iii) in the case of Awards deliverable in Shares, through the retention
by the Company of a number of Shares having a Fair Market Value equal to the amount of such
withholding obligation (the “Share Retention Method”). The cash payment or the amount equal to the
Fair Market Value of the Shares so withheld, as the case may be, shall be remitted by the Company
to the appropriate taxing authorities. The Committee shall determine the time and manner in which
the recipient may elect to satisfy a withholding obligation by either the Cash Method or the Share
Retention Method. Notwithstanding anything else in the Plan or Award to the contrary, any recipient
of an Award under the Plan who is subject to Section 16 of the Securities Exchange Act of 1934
shall satisfy such withholding obligation under this Section 27 by the Share Retention Method, and
neither the Company nor the Committee shall have any discretion to permit the satisfaction of such
withholding obligation by any other means.

(b) Unless otherwise expressly provided in the Award, if a holder is granted an Award subject
to a “substantial risk of forfeiture” as defined in Section 83 of the Code and related regulations,
then such holder may elect under Section 83(b) of the Code to include in his gross income, for his
taxable year in which the Award is granted to such holder, the excess of the Fair Market Value
(determined without regard to any restriction other than one which by its terms will never lapse),
of such Award at the date of grant, over the amount (if anything) paid for such Award. If the
holder makes the Section 83(b) election described above, the holder shall (i) make such election in
a manner that is satisfactory to the Committee, (ii) provide the Committee with a copy of such
election, (iii) agree to promptly notify the Company if any Internal Revenue Service or state tax
agent, on audit or otherwise, questions the validity or correctness of such election or of the
amount of income reportable on account of such election, and (iv) agree to pay to the Company the
minimum required statutory federal, state, or local tax required to be withheld by the Company.

28. Indemnification.  Each person who is or shall have been a member of the Board, or a
Committee appointed by the Board, or an officer of the Company to whom authority was delegated in
accordance with the Plan shall be indemnified and held harmless by the Company against and from any
loss, cost, liability, or expense that may be imposed upon or reasonably incurred by him or her in
connection with or resulting from any claim, action, suit, or proceeding to which he or she may be
a party or in which he or she may be involved by reason of any action taken or failure to act under
the Plan and against and from any and all amounts paid by him or her in settlement thereof, with
the Company’s approval, or paid by him or her in satisfaction of any judgement in any such action,
suit, or proceeding against him or her, provided he or she shall give the Company an opportunity,
at its own expense, to handle and defend the same before he or she undertakes to handle and defend
it on his or her own behalf, unless such loss, cost, liability, or expense is a result of his or
her own willful misconduct or except as expressly provided by statute.

The foregoing right of indemnification shall not be exclusive of any other rights of
indemnification to which such persons may be entitled under the Company’s Certificate of
Incorporation or Bylaws, as a matter of law, or otherwise, or any power that the Company may have
to indemnify them or hold them harmless.EX-10.1

FIRST AMENDMENT TO PURCHASE AND SALE AGREEMENT

THIS FIRST AMENDMENT TO PURCHASE AND SALE AGREEMENT (this “Amendment”) is executed by HRMED,
LLC, a Colorado limited liability company (“Seller”), and G&E HC REIT II HIGHLANDS RANCH MEDICAL
PAVILION, LLC, a Delaware limited liability company (“Buyer”), and shall be effective as of the
date that it is signed by both parties (the “Effective Date”).

RECITALS

WHEREAS, Seller is the owner of certain real property known as the Highlands Ranch Medical
Pavilion located in the City of Highlands Ranch, County of Douglas, State of Colorado (the
“Property”);

WHEREAS, pursuant to that certain Purchase and Sale Agreement dated January 26, 2010 (the
“Agreement”), Seller agreed to sell, and Buyer agreed to purchase the Property upon and subject to
the terms and conditions of the Agreement;

WHEREAS, Seller and Buyer desire to modify the Agreement as set forth in this Amendment; and

WHEREAS, all capitalized terms not otherwise defined herein shall have the means attributed to
them in the Agreement.

AGREEMENT

NOW, THEREFORE, in consideration of the terms and conditions contained herein, Buyer and
Seller agree as follows:

1. Closing Date. Notwithstanding anything to the contrary in the Agreement, the
parties hereby acknowledge and agree that they are diligently pursuing Friday, April 30, 2010 as
the Closing Date; provided, however, the Closing Date shall be and the Closing shall occur no later
than Monday, May 3, 2010.

2. Seller Guarantor Representation and Indemnity. As of the Effective Date, William
Scott Reichenberg and Neil Littmann (collectively, the “Seller Guarantors”) hereby represent to
Buyer and its successors and assigns, that there are no defaults by the Seller Guarantors under the
Indemnity and Guaranty Agreement and the Hazardous Substances Indemnity Agreement, each dated
effective October 18, 2002, executed by the Seller Guarantors in favor of Column Financial, Inc.,
which representation shall be deemed reaffirmed at Closing and to be accurate as of the Closing
Date. The Seller Guarantors, on a joint and several basis, hereby agree to indemnify, defend and
hold Buyer, Grubb & Ellis Healthcare REIT, Inc., a Maryland corporation, and their officers,
directors, partners, members, agents, employees, affiliates, attorneys, heirs, successors and
assigns (each a “Buyer Indemnified Party” and collectively, “Buyer’s Indemnified Parties”) harmless
from and against any and all liabilities, liens, claims, damages, costs, expenses, suits or
judgments paid or incurred by any of Buyer’s Indemnified Parties and all expenses related thereto,
including, without limitation, court costs and reasonable attorneys’ fees arising out of or in any
way connected or related to any liability of Buyer Indemnified Parties arising because of a breach
by the Seller Guarantors of the representation contained in this Paragraph 2. The foregoing
indemnity shall survive the Closing only until December 31, 2010. The Seller Guarantors execute
this Amendment below for the sole purpose of evidencing their consent to and their agreement to be
bound by this Paragraph 2.

3. Seller Indemnity. Seller hereby agrees to indemnify, defend and hold the Buyer’s
Indemnified Parties harmless from and against any and all liabilities, liens, claims, damages,
costs, expenses, suits or judgments paid or incurred by any of Buyer’s Indemnified Parties and all
expenses related thereto, including, without limitation, court costs and reasonable attorneys’ fees
arising out of or in any way connected or related to any liability of the Buyer’s Indemnified
Parties arising because of a breach by Seller of the representation contained in Section 2.12(i) of
the Agreement. The foregoing indemnity shall survive the Closing only until December 31, 2010.

4. Entire Agreement. The Agreement, as modified by this Amendment, constitutes the
entire agreement between the parties hereto with respect to the transactions contemplated therein.
Except as modified by this Amendment, the Agreement remains unchanged and unmodified and in full
force and effect, and the parties hereto hereby ratify and affirm the same.

5. Counterparts. This Amendment may be executed in any number of counterparts and it
shall be sufficient that the signature of each party appear on one or more such counterparts. All
counterparts shall collectively constitute a single agreement. Signatures to this Amendment
transmitted by facsimile or electronic mail shall be treated as originals in all respects.

[SIGNATURE PAGE FOLLOWS]

1

IN WITNESS WHEREOF, the parties have executed this Amendment as of the date of the signatures
as stated below.

SELLER:

	 	 	HRMED, LLC,

a Colorado limited liability company

By: /s/ Neil A. Littmann

Neil A. Littmann, Manager

Date: April 28, 2010

SELLER GUARANTORS:

By: /s/ Neil A. Littmann

Neil A. Littmann

Date: April 28, 2010

By: /s/ William Scott Reichenberg

William Scott Reichenberg

Date: April 28, 2010

BUYER:

	 	 	G&E HC REIT II Highlands Ranch Medical Pavilion, LLC,

	 	 	a            Delaware limited liability company

By: /s/ Andrea R. Biller

Andrea R. Biller

Title: Authorized Signatory

Date: April 28, 2010

2

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