Document:

RESTRICTED
STOCK AWARD AGREEMENT

 

MOTUS
GI HOLDINGS, INC.

 

This
Restricted Stock Award Agreement (the “Agreement”), dated as of the “Award Date” set forth in the
attached Exhibit A (the “Award Date”), is entered into between Motus GI Holdings, Inc., a Delaware corporation
(the “Company”), and the individual named in Exhibit A hereto (the “Awardee”).

 

WHEREAS,
the Company desires to provide the Awardee an incentive to participate in the success and growth of the Company through the opportunity
to earn a proprietary interest in the Company; and

 

WHEREAS,
to give effect to the foregoing intention, the Company desires to grant the Awardee a Restricted Stock Award, pursuant to the
Motus GI Holdings, Inc. 2016 Equity Incentive Plan (the “Plan”);

 

NOW,
THEREFORE, in consideration of the mutual covenants hereinafter set forth and for good and valuable consideration, the parties
hereto agree as follows:

 

1.
Award. The Company hereby awards the Awardee a Restricted Stock Award for the number of restricted shares of Common Stock
(each a “Restricted Share” and collectively the “Restricted Shares”) set forth in Exhibit
A hereto, subject to the terms and conditions set forth herein and the provisions of the Plan, the terms of which are incorporated
herein by reference. Capitalized terms used but not otherwise defined in this Agreement shall have the meanings as set forth in
the Plan.

 

2.
Restrictions on Sale or Other Transfer. Each Restricted Share awarded to the Awardee pursuant to this Agreement shall be
subject to acquisition by the Company and may not be sold, transferred, assigned or pledged or otherwise be the subject of any
disposition during the “Restriction Period” as defined below. Each Restricted Share shall be held physically or in
book entry form with the Company’s transfer agent until the restrictions set forth above with respect to such Restricted
Share lapse in accordance with the provisions of Section 3 or until such Restricted Share is forfeited pursuant to Section 3.
Restricted Shares shall be delivered to the Awardee only when and to the extent that the restrictions set forth in Section 3 with
respect to such Restricted Shares lapse.

 

3.
Restriction Period. The Restricted Shares shall become vested, and the restrictions applicable to the Restricted Shares
shall lapse (such period, the “Restriction Period”) as set forth in Exhibit A. Subject to the terms
of this Agreement, the Awardee shall forfeit the Restricted Shares to the extent that the Awardee does not satisfy the applicable
vesting requirements set forth in Exhibit A.

 

4.
Rights as Shareholder. Except with respect to the restrictions set forth in Section 2 above, upon the issuance to the Awardee
of Restricted Shares hereunder, the Awardee shall have all the rights of a shareholder of Common Stock with respect to such Restricted
Shares, including the right to vote the shares and receive all dividends and other distributions paid or made with respect thereto;
provided, however, that such dividends and other distributions shall be retained by the Company for the Awardee’s account
and for delivery to the Awardee, together with the Restricted Shares as and when said restrictions and conditions shall have been
satisfied, expired or lapsed.

 

    	 	 	 

    	 

    

 

5.
Forfeiture. Except to the extent otherwise provided in Section 3, upon termination of the Awardee’s Continuous Service
with the Company and its Subsidiaries, any Restricted Shares as to which the Restriction Period has not then lapsed shall (together
with any dividends or distributions paid or declared thereon) be forfeited by Awardee and such Restricted Shares (together with
any dividends or distributions paid or declared thereon) shall thereupon be transferred to the Company at no cost to the Company.

 

6.
Government Regulations. Notwithstanding anything contained herein to the contrary, the Company’s obligation hereunder
to issue or deliver shares of Common Stock shall be subject to the terms of the Plan, all applicable laws, rules and regulations
and to such approvals by any governmental agencies or national securities exchanges as may be required.

 

7.
Investment Purpose. The Awardee represents and warrants that unless the Restricted Shares are registered under the Securities
Act of 1933, as amended (the “Securities Act”), any and all shares of Common Stock acquired by the Awardee
under this Agreement will be acquired for investment for the Awardee’s own account and not with a view to, for resale in
connection with, or with an intent of participating directly or indirectly in, any distribution of such shares of Common Stock
within the meaning of the Securities Act. The Awardee agrees not to sell, transfer or otherwise dispose of such shares unless
they are either (1) registered under the Securties Act and all applicable state securities laws, or (2) exempt from such registration
in the opinion of Company counsel.

 

8.
Securities Law Restrictions. Regardless of whether the offering and sale of shares of Restricted Shares pursuant to this
Agreement and the Plan have been registered under the Securities Act, or have been registered or qualified under the securities
laws of any state, the Company at its discretion may impose restrictions upon the sale, pledge or other transfer of such shares
of Common Stock (including the placement of appropriate legends on stock certificates or the imposition of stop-transfer instructions)
if, in the judgment of the Company, such restrictions are necessary in order to achieve compliance with the Securities Act or
the securities laws of any state or any other law.

 

9.
Lock-Up Agreement. The Awardee hereby agrees that in the event that the Restriction Period lapses with respect to any of
the Restricted Shares at a time during which any directors or officers of the Company have agreed with one or more underwriters
not to sell securities of the Company, then Awardee shall enter into an agreement, in form and substance satisfactory to the Company,
pursuant to which the Awardee shall agree to restrictions on transferability of such Restricted Shares, and any Restricted Shares
for which the Restriction Period may lapse during such time, comparable to the restrictions agreed upon by such directors or officers
of the Company.

 

    	 	-2-	 

    	 

    

 

10.
Withholding Taxes. The Company shall have the right to require the Awardee to remit to the Company, or to withhold from
amounts payable to the Awardee, as compensation or otherwise, the minimum statutory amount required to satisfy all federal,
state and local income tax withholding requirements and the Awardee’s share of applicable employment withholding taxes (including,
without limitation, any such income or employment taxes resulting from (i) the expiration of restrictions set forth hereunder
that are applicable to any Restricted Shares or (ii) an election made by the Awardee under Section 83(b) of the Internal Revenue
Code of 1986, as amended, (the “Code”)).

 

11.
Awardee Representations. The Awardee has reviewed with the Awardee’s own tax advisors the federal, state, local and
foreign tax consequences of the transactions contemplated by this Agreement. The Awardee is relying solely on such advisors, and
not on any statements or representations of the Company or any of its agents, if any, made to the Awardee. The Awardee understands
that the Awardee (and not the Company) shall be responsible for the Awardee’s own liability arising as a result of the transactions
contemplated by this Agreement.

 

12.
Section 83(b) Election. The Awardee hereby acknowledges that the Awardee has been informed that, with respect to the Restricted
Shares, the Awardee may file an election with the Internal Revenue Service, within 30 days of the execution of this Agreement,
electing pursuant to Section 83(b) of the Code to be taxed currently on any difference between the purchase price of the Restricted
Shares and their fair market value on the date of purchase. Absent such an election, taxable income will be measured and recognized
by the Awardee at the time or times at which the forfeiture restrictions on the Restricted Shares lapse. The Awardee is strongly
encouraged to seek the advice of his or her own tax consultant in connection with the issuance of the Restricted Shares and the
advisability of filing of the election under Section 83(b) of the Code. THE AWARDEE ACKNOWLEDGES THAT IT IS NOT THE COMPANY’S
RESPONSIBILTY, BUT RATHER IS THE AWARDEE’S SOLE RESPONSIBILITY, TO FILE THE ELECTION UNDER SECTION 83(b) TIMELY. If
the Awardee files an election under Section 83(b) of the Code, the Awardee shall promptly furnish the Company with a copy of the
election. A form of election under Section 83(b) of the Code is attached hereto as Exhibit B for reference.

 

13.
No Guarantee of Continued Service. The Awardee acknowledges and agrees that (i) nothing in this Agreement or the Plan confers
on the Awardee any right to continue in an employment, service or consulting relationship with the Company, nor shall it affect
in any way the Awardee’s right or the Company’s right to terminate the Awardee’s employment, service, or consulting
relationship at any time, with or without cause, subject to any employment or service agreement that may have been entered into
by the Commpany and the Awardee; and (ii) the Company would not have granted this Award to the Awardee but for these acknowledgements
and agreements.

 

    	 	-3-	 

    	 

    

 

14.
Notices. Notices or communications to be made hereunder shall be in writing and shall be delivered in person, by registered
mail, by confirmed facsimile or by a reputable overnight courier service to the Company at its principal office or to the Awardee
at his or her address contained in the records of the Company. Alternatively, notices and other communications may be provided
in the form and manner of such electronic means as the Company may permit.

 

15.
Entire Agreement; Governing Law. The Plan is incorporated herein by reference. The Plan and this Award Agreement constitute
the entire agreement of the parties with respect to the subject matter hereof and supersede in their entirety all prior undertakings
and agreements of the Company and the Awardee with respect to the subject matter hereof, and may not be modified adversely to
the Awardee’s interest except by means of a writing signed by the Company and the Awardee. In the event of any conflict
between this Agreement and the Plan, the Plan shall be controlling. This Agreement shall be construed under the laws of the State
of Delaware, without regard to conflict of laws principles.

 

16.
Opportunity for Review. Awardee and the Company agree that this Award is granted under and governed by the terms and conditions
of the Plan and this Award Agreement. The Awardee has reviewed the Plan and this Award Agreement in their entirety, has had an
opportunity to obtain the advice of counsel prior to accepting this Award Agreement and fully understands all provisions of the
Plan and this Award Agreement. The Awardee hereby agrees to accept as binding, conclusive and final all decisions or interpretations
of the Committee upon any questions relating to the Plan and this Award Agreement. The Awardee further agrees to notify the Company
upon any change in Awardee’s residence address.

 

17.
Binding Effect. This Agreement shall be binding upon and inure to the benefit of the Company and the Awardee and their
respective permitted successors, assigns, heirs, beneficiaries and representatives.

 

18.
Section 409A Compliance. To the extent that this Agreement and the award of Restricted Shares hereunder are or become subject
to the provisions of Section 409A of the Code, the Company and the Awardee agree that this Agreement may be amended or modified
by the Company, in its sole discretion and without the Awardee’s consent, as appropriate to maintain compliance with the
provisions of Section 409A of the Code.

 

19.
Recoupment. In the event the Company restates its financial statements due to material noncompliance with any financial
reporting requirements under applicable securities laws, any shares transferred pursuant to this Agreement for or in respect of
the year that is restated, or the prior three years, may be recovered to the extent the number of shares transferred exceed the
number that would have been transferred based on the restatement. In addition and without limitation of the foregoing, any amounts
paid hereunder shall be subject to recoupment in accordance with The Dodd–Frank Wall Street Reform and Consumer Protection
Act and any implementing regulations thereunder, any clawback policy adopted by the Company or as is otherwise required by applicable
law or stock exchange listing conditions.

 

[Signature
Page Follows]

 

    	 	-4-	 

    	 

    

 

IN
WITNESS WHEREOF, the parties hereto have executed this Agreement as of the date set forth in Exhibit A.

 

	 	MOTUS
    GI HOLDINGS, INC.
	 		
	 	By:	                                          
	 	Name:	
	 	Title:	
	 		 
	 	AWARDEE
	 		
	 	                                          
	 	Name:	

 

    	 	-5-	 

    	 

    

 

EXHIBIT
A

 

MOTUS
GI HOLDINGS, INC.

 

RESTRICTED
STOCK AWARD AGREEMENT

 

(a).
Awardee’s Name:______________________________________________________

 

(b).
Award Date:________________________

 

(c).
Number of Restricted Shares Granted:_________________________

 

(d).
Restriction Period:

 

_______
(Initials)

Awardee

 

_______
(Initials)

Company
Signatory

 

    	 	-6-	 

    	 

    

 

EXHIBIT
B

 

ELECTION
UNDER SECTION 83(b)

OF
THE INTERNAL REVENUE CODE OF 1986

 

The
undersigned taxpayer hereby makes an election pursuant to Section 83(b) of the Internal Revenue Code of 1986, as amended, and
the Treasury Regulations thereunder (the “Regulations”), and in connection with this election supplies the following
information:

 

1.
The name, address and taxpayer identification number of the undersigned are:

 

[Name]

[Address]

Social
Security Number: ___-__-____

 

2.
The election is being made with respect to [________] shares of [common stock] (the “Stock”) of Motus GI Holdings,
Inc., a Delaware corporation (the “Company”).

 

3.
The date on which the Stock was transferred to the undersigned was [_______________]. The taxable year for which this election
is being made is calendar year [____].

 

4.
The property is subject to the following restrictions:

 

The
above-mentioned shares may not be transferred and are subject to forfeiture under the terms of an agreement between the taxpayer
and the Company. These restrictions lapse upon the satisfaction of certain conditions contained in such agreement.

 

Disposition
of the Stock also may be subject to restrictions imposed under applicable federal and state securities laws.

 

5.
The fair market value of the Stock at the time of transfer (determined without regard to any lapse restriction, as defined in
§1.83-3(i) of the Regulations) was $[___________].

 

6.
[The undersigned did not pay any amount for the Stock. Therefore, $[______] (the full fair market value of the Stock stated above)
is includible in the undersigned’s gross income as compensation for services.]

 

7.
A copy of this election has been furnished to the Company [and to the transferee of the Stock, if different from the taxpayer]
as required by §1.83-2(d) of the Regulations.

 

	Dated:
    ________________	
	 	[taxpayer
    signature]

 

    	 	-7-	 

    	 

    

 

INSTRUCTIONS
FOR FILING SECTION 83(B) ELECTION

 

Attached
is a form of election under section 83(b) of the Internal Revenue Code. If you wish to make such an election, you should complete,
sign and date the election and then proceed as follows:

 

1.
Execute three counterparts of your completed election (plus one extra counterpart for each person other than you, if any who receives
property that is the subject of your election), retaining at least one photocopy for your records.

 

2.
Send one counterpart to the Internal Revenue Service Center with which you will file your Federal income tax return for the current
via certified mail, return receipt requested. THE ELECTION SHOULD BE SENT IMMEDIATELY, AS YOU ONLY HAVE 30 DAYS FROM THE ISSUANCE/PURCHASE/GRANT
DATE WITHIN WHICH TO MAKE THE ELECTION – NO WAIVERS, LATE FILINGS OR EXTENSIONS ARE PERMITTED.

 

3.
Deliver one counterpart of the completed election to the Company for its files.

 

4.
If anyone other than you (e.g., one of your family members) will receive property that is the subject of your election, deliver
one counterpart of the completed election to each such person.

 

    	 	-8-STOCK
OPTION AGREEMENT

 

TO
ISRAELI EMPLOYEES AND DIRECTORS

 

UNDER
THE MOTUS GI HOLDINGS, INC. 2016 EQUITY INCENTIVE PLAN

 

WHEREAS,
the Optionee identified on Exhibit A hereto (the “Optionee”) was granted an option (the “Prior
Plan Option”) under the Motus G.I. Medical Technologies Ltd. Employee Share Option Plan (the “Prior Plan”)
to purchase up to the number of ordinary shares of stock of Motus GI Medical Technologies Ltd. (“Motus Ltd”)
set forth on Exhibit A at the exercise price set forth on Exhibit A; and

 

WHEREAS,
in connection with certain transactions between Motus Ltd and Motus GI Holdings, Inc., a Delaware corporation (the “Company”),
such Prior Plan Option has been assumed by, and will continue in effect under, the Motus GI Holdings, Inc. 2016 Equity Incentive
Plan and the Motus GI Holdings, Inc. 2016 Israeli Sub-Plan (together, the “2016 Plan”) as an option to purchase
the Company’s common stock, par value $.0001 per share (the “Common Stock”), subject to the “post-exchange”
changes set forth in Exhibit A and the terms of this Stock Option Agreement (the “Option Agreement”);

 

NOW,
THEREFORE, in consideration of the mutual covenants hereinafter set forth and for good and valuable consideration, the parties
hereto agree as follows:

 

1. Option
Assumption. The Prior Plan Option is hereby assumed by, and will continue in effect under, the 2016 Plan in accordance
with the terms of this Option Agreement. As so assumed, the Prior Plan Option is referred to herein as the
“Option”. The Option shall provide the Optionee with the opportunity to purchase up to the number of
“post-exchange” shares of Common Stock (the “Shares”) set forth in Exhibit A at the
“post-exchange” exercise price per Share (the “Exercise Price”) set forth in Exhibit A,
and on the vesting schedule set forth in Exhibit A, subject to the terms and conditions set forth herein and the
provisions of the 2016 Plan and the trust agreement by and between the Trustee and the Company, as may be amended from time
to time by the Company and the Trustee at their sole discretion (the “Trust Agreement”), the terms of
which are incorporated herein by reference. An executed copy of the Trust Agreement has been provided to Optionee or made
available for his or her review. This Option Agreement supersedes and replaces the agreement under which the Prior Plan
Option was granted. Capitalized terms used but not otherwise defined in this Option Agreement shall have the meanings as set
forth in the 2016 Plan.

 

The
Option will be issued to the Trustee. The Trustee will hold in trust for the benefit of the Optionee, the Option and any Shares
to be issued upon exercise of the Option, and all other securities received following any exercise or realization of rights, including
bonus shares, until the later to occur of: (i) the lapse of the minimum Lockup Period as required under Section 102, or (ii) the
full payment of all requisite taxes by the Optionee, as determined by the Company and the Trustee, in their sole discretion.

 

    	 	 	 

    	 

    

 

2. Exercise
Period Following Termination of Continuous Service.[1] This Option shall terminate and be canceled to the
extent not exercised within ninety (90) days after the Optionee’s Continuous Service terminates, except that if such
termination is due to the death or Disability of the Optionee, this Option shall terminate and be canceled twelve (12) months
from the date of termination of Continuous Service. Notwithstanding the foregoing, in the event that the Optionee’s
Continuous Service is terminated for Cause, then the Option shall immediately terminate on the date of such termination of
Continuous Service and shall not be exercisable for any period following such date. In no event, however, shall this Option
be exercised later than the Expiration Date set forth in Exhibit A and in no event shall this Option be exercised for
more Shares than the Shares which otherwise have become exercisable as of the date of termination.

 

3. Method
of Exercise.[2] This Option is exercisable by delivery to both the Company and the Trustee of an exercise
notice (the “Exercise Notice”) in a form satisfactory to the Committee and the Trustee or by such other
form or means as the Committee and the Trustee may permit or require. Any Exercise Notice shall state or provide the number
of Shares with respect to which the Option is being exercised (the “Exercised Shares”), and include such
other representations and agreements as may be required by the Company pursuant to the provisions of the 2016 Plan. The
Exercise Notice shall be accompanied by payment of the aggregate Exercise Price for the Exercised Shares in (i) cash; (ii)
check; or (iii) such other manner as is acceptable to the Committee, provided that such form of consideration is permitted by
the 2016 Plan and by applicable law. The Company and the Trustee shall not release to Optionee any (i) Option, (ii) Shares
issues upon the exercise of the Option or (iii) other securities received from such Option or Shares, prior to full payment
of the Exercise Price and all the tax liabilities in a method determined by the Company and the Trustee, at their sole
discretion. Notwithstanding the foregoing, no Exercised Shares shall be issued unless such exercise and issuance complies
with the requirements of applicable law, including, without limitation, the Ordinance.

 

[NTD:
If applicable - Notwithstanding the foregoing, in lieu of payment of the Exercise Price as set forth above, the Optionee may elect
to convert the Option into such number of Shares calculated pursuant to the following formula:

 

X
= Y (A-B)

A

 

Where:

X
= the number of Shares to be issued to the Optionee;

Y
= the number of Shares in respect of which the net exercise election is being made;

 

A
= the Fair Market Value of one Share; and

B
= the Exercise Price of one Share.

It
is hereby clarified that unless the Optionee expressly elects to exercise the Option on a net exercise basis, then the exercise
of the Option shall be for cash.]

 

 

1
Subject to conformity with original terms of option.

2
Subject to conformity with original terms of option.

 

    	 	 	 

    	 

    

 

4. Taxes.
By executing this Option Agreement, Optionee acknowledges and agrees that Optionee is solely responsible for the
satisfaction of any applicable taxes that may be imposed on Optionee that arise as a result of the grant, vesting or exercise
of the Option, and that neither the Company nor the Committee, an Affiliate or the Trustee shall have any obligation
whatsoever to pay such taxes (including interest or penalty thereon). Without derogating from the above, the Company does not
represent or warrant that the Option (or the purchase or sale of Shares issued upon exercise of the Option) will be subject
to a particular tax treatment. The Optionee acknowledges that he or she has reviewed the tax treatment of the Option
(including the purchase or sale of Shares issued upon exercise of the Option) with his or her own tax advisors and is relying
solely on those advisors in that regard. The Optionee shall indemnify the Company, an Affiliate and/or the Trustee, as
applicable, and hold them harmless against and from any and all liabilities for any such taxes, including without limitation,
liabilities relating to the necessity to withhold or to have withheld any such taxes from any payment made by the
Optionee.

 

The
Company, an Affiliate and/or the Trustee, as applicable, shall be entitled to withhold taxes as required under applicable law,
rules and regulations. The Company and/or its Affiliate and/or the Trustee, as the case may be, shall not be required to release
any Option and/or Shares until all required tax payments have been fully made to the full satisfaction of the Company, an Affiliate
and/or the Trustee, as applicable.

 

5. Non-Transferability
of Option. This Option may not be transferred in any manner otherwise than by will or by the laws of descent or
distribution and may be exercised during the lifetime of the Optionee only by the Optionee. The terms of the 2016 Plan and
this Option Agreement shall be binding upon the executors, administrators, heirs, successors and assigns of the
Optionee.

 

6. Securities
Matters. All Shares and Exercised Shares shall be subject to the restrictions on sale, encumbrance and other disposition
provided by law, including, without limitation, the requirements of Section 102. The Company at its discretion may impose
restrictions upon the sale, pledge or other transfer of such Shares (including the placement of appropriate legends on stock
certificates or the imposition of stop-transfer instructions) if, in the judgment of the Company, such restrictions are
necessary in order to achieve compliance with the Securities Act or the securities laws of any state or any other
law.

 

7. Investment
Purpose. The Optionee represents and warrants that unless the Shares are registered under the Securities Act, any and
all Shares acquired by the Optionee under this Option Agreement will be acquired for investment for the Optionee’s own
account and not with a view to, for resale in connection with, or with an intent of participating directly or indirectly in,
any distribution of such Shares within the meaning of the Securities Act. The Optionee agrees not to sell, transfer or
otherwise dispose of such Shares unless they are either (1) registered under the Securties Act and all applicable state
securities laws, or (2) exempt from such registration in the opinion of Company counsel

 

    	 	 	 

    	 

    

 

8. Lock-Up
Agreement. The Optionee hereby agrees that in the event that the Optionee exercises this Option during a period in which
any directors or officers of the Company have agreed with one or more underwriters not to sell securities of the Company,
then, as a condition to such exercise, the Optionee shall enter into an agreement, in form and substance satisfactory to the
Company, pursuant to which the Optionee shall agree to restrictions on transferability of the Shares comparable to the
restrictions agreed upon by such directors or officers of the Company.

 

9. Other
Plans. No amounts of income received by the Optionee pursuant to this Option Agreement shall be considered compensation
for purposes of any pension or retirement plan, insurance plan or any other employee benefit plan of the Company or its
subsidiaries, unless otherwise expressly provided in such plan.

 

10. No
Guarantee of Continued Service. The Optionee acknowledges and agrees that the right to exercise the Option pursuant to
the exercise schedule hereof is earned only through Continuous Service and such other requirements, if any, as are set forth
in Exhibit A (and not through the act of being hired, being granted an option or purchasing shares hereunder). The
Optionee further acknowledges and agrees that (i) this Option Agreement, the transactions contemplated hereunder and the
exercise schedule set forth herein do not constitute an express or implied promise of continued employment or service for the
exercise period or for any other period, and shall not interfere with the Optionee’s right or the right of the Company
or its Subsidiaries to terminate the employment or service relationship at any time, with or without cause, subject to the
terms of any written employment agreement that the Optionee may have entered into with the Company or any of its
Subsidiaries; and (ii) the Company would not have granted this Option to the Optionee but for these acknowledgements and
agreements.

 

11. Entire
Agreement; Governing Law. The 2016 Plan is incorporated herein by reference. The 2016 Plan and this Option Agreement
constitute the entire agreement of the parties with respect to the subject matter hereof and supersede in their entirety all
prior undertakings and agreements of the Company and the Optionee with respect to the subject matter hereof, and may not be
modified adversely to the Optionee’s interest except by means of a writing signed by the Company and the Optionee. In
the event of any conflict between this Option Agreement and the 2016 Plan, the 2016 Plan shall be controlling except as
otherwise specifically provided in the 2016 Plan. This Option Agreement shall be construed under the laws of the State of
Israel, without regard to conflict of laws principles. The competent courts in Tel-Aviv shall have sole jurisdiction in any
matters pertaining to this Option Agreement.

 

    	 	 	 

    	 

    

 

12. Opportunity
for Review. Optionee and the Company agree that this Option is granted under and governed by the terms and conditions of
the 2016 Plan and this Option Agreement. The Optionee has reviewed the 2016 Plan and this Option Agreement in their entirety,
has had an opportunity to obtain the advice of counsel prior to executing this Option Agreement and fully understands all
provisions of the 2016 Plan and this Option Agreement. The Optionee hereby agrees to accept as binding, conclusive and final
all decisions or interpretations of the Committee upon any questions relating to the 2016 Plan and this Option Agreement. The
Optionee further agrees to notify the Company upon any change his or her residence address.

 

The
Optionee and the Company further agree that the Option is granted under and governed by Section 102 and the Trust Agreement. Furthermore,
the Optionee agrees that the Option and any underlying Shares will be issued to or controlled by the Trustee for the Optionee’s
benefit, pursuant to the terms of the Ordinance, including any regulations, rules, orders and procedures promulgated thereunder
and the Trust Agreement. Optionee confirms that he or she is familiar with the terms and provisions of Section 102 and the Trust
Agreement and agrees that during the Lockup Period in accordance with Section 102, he or she will not require the Trustee to release
the Option or Shares to him or her, or to sell the Option or Shares to a third party, unless permitted to do so by applicable
law and he or she bears the full implications of such request.

 

[Signature
Page Follows]

 

    	 	 	 

    	 

    

 

IN
WITNESS WHEREOF, the parties hereto have executed this Option Agreement as of the date set forth in Exhibit A.

 

	 	MOTUS
    GI HOLDINGS, INC.
	 	 	 
	 	By:	                                          
	 	Name:	 
	 	Title:	 
	 	 	 
	 	OPTIONEE
	 	 	 
	 	                                          
	 	Name:	                                              

 

    	 	 	 

    	 

    

 

EXHIBIT
A

 

STOCK
OPTION AGREEMENT

 

MOTUS
GI HOLDINGS, INC.

 

Optionee’s
Name: _____________________

 

Date
of Grant of Prior Plan Option: _____________________

 

Designation:

[  ]
102 Capital Gain Option; or

[  ]
102 Ordinary Income Option.

 

	Pre-Exchange	Post-Exchange
	Number
        of Ordinary

Shares of Motus Ltd

subject to Prior Plan

Option

         
	Exercise
        Price per

Ordinary Share of

Motus Ltd subject to

Prior Plan Option

         
	Number
        of Shares

of Common Stock

subject to Option

         
	Exercise
        Price per

Share of Common

Stock subject to

Option

         

	 

                                                                              
	 	 	  $

 

Expiration
Date: ____________________

 

Vesting
Schedule:[3]

 

_______
(Initials)

Optionee

 

_______
(Initials)

Company
Signatory

 

 

 

[3]
To the extent that vesting is based on service, add that vesting service will be measured from the date of grant of the
Prior Plan Option.

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