Document:

EX-10.1

EXHIBIT 10.1

AMENDMENT

TO THE

AMERIGROUP CORPORATION SEVERANCE PLAN

WHEREAS, AMERIGROUP Corporation, a Delaware corporation (the “Company”), maintains the
AMERIGROUP Corporation Severance Plan (as amended, the “Plan”) for the benefit of its employees and
the employees of its participating subsidiaries;

WHEREAS, the Company is authorized, pursuant to Article IV of the Plan, to amend the Plan; and

WHEREAS, it is deemed desirable to amend the Plan to reflect COBRA premium subsidy provisions
of recent federal legislation.

NOW, THEREFORE, the Plan is hereby amended as follows, effective as of May 1, 2009:

1. Plan subsection 3.02(c) is amended to read as follows:

(c) COBRA.

(i) Subject to Plan subsection 3.02(c)(ii) below, a Participant who properly elects
continuation coverage under the Consolidated Omnibus Budget Reconciliation Act of 1985, as
amended, (“COBRA”) shall be entitled to a partial subsidy equal to the subsidy provided to
active Employees under the Company’s group health plan for the number of weeks used in
Exhibit I to calculate his or her severance pay benefit (the ”severance benefit period”) or
for the period he or she elects COBRA coverage, whichever is less. The COBRA subsidy is the
same subsidy the Company provides directly to the group health plan vendor on behalf of an
active Employee.

(ii) This Plan subsection 3.02(c)(ii) shall apply to any Participant whose Separation
Date is on or after May 1, 2009 and on or before December 31, 2009 (or such later date as
may be provided for by amendment of Section 3001(a)(3)(A) of the American Recovery and
Reinvestment Act of 2009, P.L. 111-5 (“ARRA”)).

(A) The Company subsidy otherwise provided by Plan subsection 3.02(c)(i) above shall
not be payable for any such Participant. It is intended that, if and so long as any such
Participant (x) is an assistance eligible individual within the meaning of Section
3001(a)(3) of ARRA (an “AEI”), (y) is not ineligible for premium assistance due to the
limitations of Section 3001(a)(2)(A)(i) of ARRA and (z) has not elected to waive the right
to premium assistance as provided in Section 3001(b)(3) of ARRA, the Participant shall have
the benefit of premium assistance to the extent provided for by Section 3001(a)(1) of ARRA.

(B) To the extent authorized by the Administrator in accordance with the following
provisions, a Participant who properly elects continuation coverage under COBRA (“COBRA
continuation coverage”) and who is not entitled to premium assistance under ARRA may be
entitled to an additional severance pay benefit (“COBRA severance benefit”). A
Participant’s entitlement to such COBRA severance benefit shall be subject to the
Administrator’s determining that as of the date of determination, the Participant is not an
AEI, or that the Participant, and the Participant’s spouse and dependents who have elected
COBRA continuation coverage, if any, are AEI’s who are not entitled to premium assistance
under Section 3001(a)(1) of ARRA due to the limitations of Section 3001(a)(2)(A)(i) of ARRA,
or who have made a permanent election to waive the right to premium assistance pursuant to
Section 3001(b)(3) of ARRA. Any such COBRA severance benefit shall be an amount equal to
the product of a dollar amount that is determined by the Administrator based on the
Participant’s type and level of COBRA continuation coverage, times the number of weeks in
the severance benefit period. Any such COBRA severance benefit shall be paid in a single
sum (less all applicable federal, state and local income or employment taxes), shall be
subject to such terms and conditions as the Administrator determines, and shall be paid
within thirty (30) days after the later of the expiration of the Participant’s sixty (60)
day COBRA continuation coverage election period, or the receipt by the COBRA vendor of the
first COBRA premium payment. After payment of a COBRA severance benefit to a Participant,
if the Administrator determines that the Participant or a spouse or dependent of the
Participant is an AEI who is entitled to premium assistance pursuant to Section 3001(a)(1)
of ARRA with respect to health, dental or vision benefits of the Company at any time during
the period that begins on the Participant’s Separation Date and extends for a number of
weeks equal to the severance benefit period, the Company shall be entitled to recover, and
upon notice from the Company, the Participant shall immediately repay to the Company, the
COBRA severance benefit previously paid to the Participant (including all taxes that were
withheld). In connection with the Administrator’s determinations under this
subsection 3.02(c)(ii)(B) and as a condition to any Participant’s receiving a COBRA
severance benefit, the Administrator may require a Participant to provide information and
representations relating to the Participant’s eligibility for premium assistance under ARRA.

2. In all other respects, the Plan, as effective as of July 30, 2008, is ratified and
affirmed.

IN WITNESS WHEREOF, the Company has caused this amendment to be executed this 1st day of May,
2009.

AMERIGROUP CORPORATION

By:

Stanley F. Baldwin, Executive Vice President,

Secretary and General CounselEX-10.2

EXHIBIT 10.2

AMERIGROUP CORPORATION

2009 EQUITY INCENTIVE PLAN

INCENTIVE STOCK OPTION AGREEMENT

This Incentive Stock Option Agreement (the “Option Agreement”) is made and entered into as of
     , 200       (the “Date of Grant”), by and between AMERIGROUP Corporation, a Delaware
corporation (the “Company”), and        (the “Optionee”). Capitalized terms not defined
herein shall have the meaning ascribed to them in the Company’s 2009 Equity Incentive Plan (the
“Plan”).

1. Number of Shares. The Company hereby grants to Optionee an option (this “Option”)
to purchase        Shares (the “Option Shares”) at an Exercise Price per Share of $     ,
subject to all of the terms and conditions of this Option Agreement and the Plan. The Option is
intended to be treated as an Incentive Stock Option.

2. Option Term. The term of the Option (the “Option Term”) shall commence on the Date
of Grant set forth above and, unless the Option is previously terminated pursuant to Section 5
below, shall terminate on the [ ] anniversary thereof (the “Expiration Date”). As of the
Expiration Date, all rights of Optionee hereunder shall terminate.

3. Conditions of Exercise.

(a) Subject to Section 5 below, the Option shall become vested on the Date of Grant as to
     percent (     %) of the Option Shares, as to an additional        percent (     %) of the
Option Shares on       , 20       and as to an additional        percent (     %) of the Option Shares
quarterly thereafter, such that the Option shall become fully (100%) vested on       , 20      .

[OR]

(a) Subject to Section 5 below, the Option shall become vested as to        of the
Option Shares on the first anniversary of the Date of Grant, and as to an additional        of
the Option Shares quarterly thereafter, such that the Option shall become fully (100%) vested on
     .

(b) Prior to the Expiration Date, this Option may, subject to Section 5 below, be exercised in
whole or in part at any time, but only as to Option Shares that have vested. Without limiting
Section 5, if Optionee’s employment or service with the Company and all Subsidiaries and Affiliates
terminates, then from and after such Termination Date (as defined in Section 5 below), this Option
may be exercised only with respect to Option Shares that have vested as of the Termination Date and
only as expressly permitted pursuant to Section 5.

(c) This Option may not be exercised for a fraction of a share.

4. Method of Exercise of Option.

(a) The Option may be exercised by delivering to the Company an executed stock option exercise
agreement in the form attached hereto as Exhibit A, or in such other form as may be
approved by the Administrator from time to time (the “Exercise Agreement”), which shall set forth,
inter alia, (i) Optionee’s election to exercise the Option and (ii) the number of
vested Option Shares being purchased, and payment in full of the aggregate Exercise Price of such
Option Shares. If someone other than Optionee exercises the Option, then such person must submit
documentation reasonably acceptable to the Company verifying that such person has the legal right
to exercise the Option.

(b) The Option may not be exercised unless such exercise is in compliance with all applicable
federal and state securities law, as they are in effect on the date of exercise.

(c) Payment of the aggregate Exercise Price for Option Shares being purchased and any
applicable withholding taxes may be made (i) in cash or by check, (ii) to the extent permitted by
applicable law, by means of a cashless exercise procedure through a broker acceptable to the
Administrator, (iii) through delivery of unrestricted Shares already owned by Optionee for more
than six months on the date of surrender, to the extent the shares have an aggregate Fair Market
Value on the date of surrender equal to the aggregate Exercise Price of the Shares as to which such
Option shall be exercised, or (iv) through tendering an exercise notice in a form and manner
acceptable to the Administrator, in which case the Optionee will receive a number of Shares with a
Fair Market Value equal to the excess of the Fair Market Value of the Shares underlying the Option
on the date of exercise over the aggregate Exercise Price.

5. Effect of Termination of Employment, Change in Control and Disabling Conduct.

(a) Termination of Employment Generally.

(i) Upon the termination of Optionee’s employment with the Company and all Subsidiaries and
Affiliates, the Option shall immediately terminate as to any Option Shares that have not previously
vested as of the date of such termination (the “Termination Date”).

(ii) Any portion of the Option that has vested as of the Termination Date shall be exercisable
in whole or in part for a period of 90 days following the Termination Date (the “Post-Termination
Exercise Period”) unless Optionee has been terminated for Cause or engaged in Disabling Conduct
(defined below); provided, in no event may the Option be exercised after the Expiration
Date.

(iii) In the event of termination by reason of Optionee’s death or Disability, the
Post-Termination Exercise Period shall extend until the date that is twelve months from the
Termination Date; provided, in no event may the Option be exercised after the Expiration
Date.

(iv) Upon the expiration of the Post-Termination Exercise Period, any unexercised portion of
the Option shall terminate in full (whether or not then exercisable).

(b) Termination for Cause; Disabling Conduct.

(i) The Option shall terminate in full (whether or not then exercisable) immediately upon the
termination of Optionee’s employment with the Company or any Subsidiary or Affiliate for Cause.

(ii) The Option also shall terminate in full (whether or not then exercisable) immediately if
Optionee engages in Disabling Conduct.

[AT THE DISCRETION OF THE ADMINISTRATOR, EITHER]

(c) Change in Control. For purposes of Section 5(a) above, any portion of the Option
that has not previously vested shall be deemed fully vested if Optionee’s employment or service
with the Company or any Subsidiary or Affiliate is terminated by the Company or any Subsidiary or
Affiliate or any successor entity for any reason (other than for Cause or as a result of Disabling
Conduct) within two years following a Change in Control or if Optionee terminates employment or
service with the Company or any Subsidiary or Affiliate within two years following the Change in
Control and after there is a material adverse change in the nature or status of Optionee’s duties
or responsibilities from those in effect immediately prior to the Change in Control.

[OR]

(c) Change in Control. Any portion of the Option that has not previously vested shall
become fully vested upon a Change in Control.

(d) Definition of Disabling Conduct. As used herein, “Disabling Conduct” shall mean
conduct involving a breach of the covenants made in Section 6 below.

6. Covenant Not to Compete.

(a) In consideration for the grant of the Option, and as a material condition to the grant,
Optionee hereby expressly agrees as follows:

(i) Optionee will act in the best interests of the Company and its Subsidiaries and Affiliates
(each, an “AMERIGROUP Company” and collectively, the “AMERIGROUP Companies”) throughout the period
of Optionee’s employment with any of the AMERIGROUP Companies; and

(ii) at all times while employed by any AMERIGROUP Company and at all times during the Covered
Post-Employment Period (defined below), Optionee will not (A) compete with any AMERIGROUP Company
by serving a Competitor (defined below) in any managerial capacity, or in any capacity that
influences business strategy, with respect to a Covered Product or Service (defined below) that the
Competitor is offering in a Covered Area (defined below) or developing to offer in a Covered Area,
or (B) solicit for employment, interfere with the employment relationship of or endeavor to entice
away any employee of any AMERIGROUP Company; provided, however, that in the event
the Company terminates the Optionee’s employment without Cause [or as described in Section 5(c), or
the Optionee voluntarily terminates his or her employment under the circumstances described in
Section 5(c)] [NOTE: BRACKETED LANGUAGE TO BE USED IF LONG FORM SECTION 5(C) IS USED], the
non-competition covenants in Section 6(a)(ii)(A) shall terminate and be of no further force or
effect beginning at the close of business on the Optionee’s last day of employment with the
applicable AMERIGROUP Company; and

(iii) at all times while employed by any AMERIGROUP Company and at all times thereafter, the
Optionee will maintain in strict confidence, and will not reveal to any person or entity (except as
may be required in the ordinary course of performing the Optionee’s duties as an employee of the
AMERIGROUP Company), any Confidential Information.

(b) As used herein,

(i) The “Covered Post-Employment Period” means the twelve (12) month period beginning on the
first day on which Optionee is no longer employed by any AMERIGROUP Company as a result of
Optionee’s resignation or termination for Cause and ending on the first anniversary of such date.

(ii) “Competitor” means any entity or person that provides or is planning to provide a Covered
Product or Service in competition with a Covered Product or Service that an AMERIGROUP Company is
actively developing, marketing, providing or selling.

(iii) “Confidential Information” means an AMERIGROUP Company’s proprietary and/or non-public
information concerning its business and affairs, including, without limitation, trade secrets,
strategies, business plans, marketing and advertising plans, member and provider information,
employee and personnel information, contracts, training manuals, financial projections, budgets and
non-public financial data (including, without limitation, statements with premium revenue and/or
provider compensation terms, reports of actuaries, medical loss reports, balance sheets and income
statements).

(iv) A “Covered Product or Service” shall mean a managed health care product or service (A)
offered or provided to any beneficiary of and/or participant in any Medicare, Medicare-related,
Medicaid, Medicaid-related, or SSI program, any government-funded children’s health insurance
program or any federal and/or state sponsored health care program that is substantially similar to
any of such programs, (B) offered or provided to any beneficiary of and/or participant in any
government-funded or government sponsored health care program that directly competes or will
directly compete with any managed health care product or service offered or being developed to be
offered by any AMERIGROUP Company or (C) that directly competes or will directly compete with any
commercial managed health care product or service offered or being developed to be offered by any
AMERIGROUP Company.

(v) The “Covered Area” shall consist of each city, county and other similar governmental
territory in which an AMERIGROUP Company provides or has made material efforts to develop and
provide a Covered Product or Service to its members, if in the course of Optionee’s employment with
an AMERIGROUP Company he or she (A) has provided services to an AMERIGROUP Company with respect to
the Covered Products or Services in such city, county or governmental territory, or (B) reviewed or
discussed Confidential Information of an AMERIGROUP Company with respect to the Covered Product or
Service in such city, county or governmental territory.

(c) Optionee agrees that any breach by Optionee of the covenants made in Section 6(a) above
may cause irreparable damage to one or more of the AMERIGROUP Companies and that in the event of
such breach each AMERIGROUP Company shall have, in addition to any and all remedies of law, the
right to an injunction, specific performance or other equitable relief to prevent the violation of
Optionee’s obligations hereunder. Optionee agrees that any such AMERIGROUP Company may seek and
obtain injunctive relief without posting an injunction bond. Optionee hereby acknowledges and
agrees that Optionee will have access to confidential and proprietary information and trade secrets
concerning the AMERIGROUP Companies during Optionee’s employment and that the covenants in Section
6(a) are reasonable in scope and necessary to protect the legitimate business interests of the
AMERIGROUP Companies. Optionee hereby further expressly acknowledges and agrees that each
AMERIGROUP Company is an express third party beneficiary of the terms of this Agreement. (For the
avoidance of doubt, Optionee acknowledges and agrees that the experience and/or knowledge that
Optionee acquires in the course of his or her employment with an AMERIGROUP Company may relate not
only to the Covered Products and Services of the AMERIGROUP Company with which he or she is
employed, but also those of other AMERIGROUP Companies.)

7. Adjustments. In the event of any Change in Capitalization, the Administrator shall
take such actions pursuant to Section 5 of the Plan (including the provisions thereof relating to
the cancellation of Awards in exchange for a payment in cash or other property) as it deems
appropriate.

8. Certain Changes. In the event of a Change in Control, or an Optionee’s Disability,
retirement or death, the Administrator may accelerate the date on which the Option becomes
exercisable, or otherwise adjust any of the terms of the Option; provided that no action
under this Section 8 shall adversely affect Optionee’s rights hereunder or cause the Option to be
treated as other than an Incentive Stock Option without the consent of Optionee.

9. Nontransferability of Option. Except under the laws of descent and distribution,
Optionee shall not be permitted to sell, transfer, pledge or assign the Option or this Option
Agreement, and the Option shall be exercisable, during Optionee’s lifetime, only by Optionee.
Without limiting the generality of the foregoing, except as otherwise provided herein, the Option
may not be assigned, transferred, pledged or hypothecated in any way, shall not be assignable by
operation of law, and shall not be subject to execution, attachment or similar process. Any
attempted assignment, transfer, pledge, hypothecation or other disposition of the Option contrary
to the provisions hereof, and the levy of any execution, attachment or similar process upon the
Option shall be null and void and without effect.

10. Notices. All notices and other communications under this Agreement shall be in
writing and shall be given by facsimile or first class mail, certified or registered with return
receipt requested, and shall be deemed to have been duly given three days after mailing or 24 hours
after transmission by facsimile to the respective parties at the address set forth under such
party’s signature page hereto.

11. Tax Consequences. The tax laws and regulations applicable to the exercise of the
Option and the disposition of the Option Shares are complex and subject to change. Optionee should
consult a tax adviser before exercising the Option or disposing of the Shares.

12. Securities Laws Requirements. The Option shall not be exercisable to any extent,
and the Company shall not be obligated to transfer any Option Shares to Optionee upon exercise of
such Option, if such exercise, in the opinion of counsel for the Company, would violate the
Securities Act of 1933 (the “Securities Act”) or any other Federal or state statutes having similar
requirements as may be in effect at that time.

13. No Obligation to Register Option Shares. The Company shall be under no obligation
to register the Option Shares pursuant to the Securities Act or any other Federal or state
securities laws.

14. Investment Representation. Optionee hereby represents and warrants to the Company
that Optionee, by reason of Optionee’s business or financial experience (or the business or
financial experience of Optionee’s professional advisors who are unaffiliated with and who are not
compensated by the Company or any affiliate or selling agent of the Company, directly or
indirectly), has the capacity to protect Optionee’s own interests in connection with the
transactions contemplated under this Option Agreement.

15. Protections Against Violations of Agreement. No purported sale, assignment,
mortgage, hypothecation, transfer, pledge, encumbrance, gift, transfer in trust (voting or other)
or other disposition of, or creation of a security interest in or lien on, any of the Option Shares
by any holder thereof in violation of the provisions of this Agreement or the Certificate of
Incorporation or the Bylaws of the Company, will be valid, and the Company will not transfer any of
said Option Shares on its books nor will any of said Option Shares be entitled to vote, nor will
any dividends be paid thereon, unless and until there has been full compliance with said provisions
to the satisfaction of the Company. The foregoing restrictions are in addition to and not in lieu
of any other remedies, legal or equitable, available to enforce said provisions.

16. Failure to Enforce Not a Waiver. The failure of the Company to enforce at any
time any provision of this Option Agreement shall in no way be construed to be a waiver of such
provision or of any other provision hereof.

17. Clawback. If (x) the Optionee breaches the terms of Section 6 or (y) the Company
has been required to prepare an accounting restatement due to material noncompliance, as a result
of fraud or misconduct, with any financial reporting requirement under the securities laws, and the
Administrator has determined in its sole discretion that the Optionee had knowledge of or should
have known of the material noncompliance or the circumstances that gave rise to such noncompliance
and failed to take reasonable steps to bring it to the attention of appropriate individuals within
the Company or personally and knowingly engaged in practices which materially contributed to the
circumstances that enabled a material noncompliance to occur, the Company may demand repayment of
any amounts realized by Optionee under this Option (determined before the application of any
taxes). The Optionee shall be required to provide repayment within ten (10) days following such
demand.

18. Governing Law. With the exception of Section 6 above, this Option Agreement shall
be governed by and construed according to the laws of the State of Delaware without regard to its
principles of conflict of laws. The provisions of Section 6 above shall be governed by and
construed according to the laws of the Commonwealth of Virginia without regard to its principles of
conflict of laws.

19. Incorporation of Plan. The Plan is hereby incorporated by reference and made a
part hereof, and the Option and this Option Agreement shall be subject to all terms and conditions
of the Plan.

20. Amendments; Construction. The Administrator may amend the terms of this Option
Agreement prospectively or retroactively at any time, but no such amendment shall impair the rights
of Optionee hereunder (or cause the Option to be treated as other than an Incentive Stock Option)
without his or her consent. To the extent the terms of Section 6 conflict with any prior agreement
between the parties related to such subject matter, the terms of Section 6 shall supersede such
conflicting terms and control. Headings to Sections of this Option Agreement are intended for
convenience of reference only, are not part of this Option Agreement and shall have no affect on
the interpretation hereof.

21. Rights as a Stockholder. Neither Optionee nor any of Optionee’s successors in
interest shall have any rights as a stockholder of the Company with respect to any shares of Common
Stock subject to the Option until the date of issuance of a stock certificate for such shares of
Common Stock.

22. Agreement Not a Contract for Services. Neither the Plan, the granting of the
Option, this Option Agreement nor any other action taken pursuant to the Plan shall constitute or
be evidence of any agreement or understanding, express or implied, that Optionee has a right to
continue to provide services as an officer, director, employee, consultant or advisor of the
Company or any Subsidiary or Affiliate for any period of time or at any specific rate of
compensation.

23. Authority of the Administrator. The Administrator shall have full authority to
interpret and construe the terms of the Plan and this Option Agreement. The determination of the
Administrator as to any such matter of interpretation or construction shall be final, binding and
conclusive.

24. Certain Tax Matters. If Optionee fails to comply with the requirements of section
422(a) of the Code (as from time to time redesignated or amended), subsection (a)(1) of which
currently requires that any Option Shares not be disposed of within two (2) years of the date of
grant and one (1) year from the date on which such shares are acquired, Optionee understands that
the tax treatment otherwise applicable to the Option shall not be available. Optionee agrees to
notify the Company in writing immediately after Optionee makes a disqualifying disposition (within
the meaning of sections 421 and 422 of the Code) of any Option Shares. The Company’s obligations
under this Option Agreement shall be subject to all applicable tax and other withholding
requirements, and the Company shall, to the extent permitted by law, have the right to deduct any
withholding amounts from any payment or transfer of any kind otherwise due to Optionee. The
Company may, in its discretion, require that Optionee pay to the Company at or after (as determined
by the Administrator) the time of exercise of any portion of the Option any such additional amount
as the Company deems necessary to satisfy its liability to withhold federal, state or local income
tax or any other taxes incurred by reason of the exercise or the transfer of Option Shares.

25. Survival of Terms. This Option Agreement shall apply to and bind Optionee and the
Company and their respective permitted assignees and transferees, heirs, legatees, executors,
administrators and legal successors. The terms of Section 6 shall expressly survive the
termination of the Option and this Agreement.

26. Acceptance. Optionee hereby acknowledges receipt of a copy of the Plan and this
Option Agreement. Optionee has read and understand the terms and provisions thereof, and accepts
the Option subject to all the terms and conditions of the Plan and this Agreement.

27. Severability. Should any provision of this Option Agreement be held by a court of
competent jurisdiction to be unenforceable, or enforceable only if modified, such holding shall not
affect the validity of the remainder of this Option Agreement, the balance of which shall continue
to be binding upon the parties hereto with any such modification (if any) to become a part hereof
and treated as though contained in this original Option Agreement. Moreover, if one or more of the
provisions contained in this Option Agreement shall for any reason be held to be excessively broad
as to scope, activity, subject or otherwise so as to be unenforceable, in lieu of severing such
unenforceable provision, such provision or provisions shall be construed by the appropriate
judicial body by limiting or reducing it or them, so as to be enforceable to the maximum extent
compatible with the applicable law as it shall then appear, and such determination by such judicial
body shall not affect the enforceability of such provisions or provision in any other jurisdiction.

[SIGNATURE PAGE FOLLOWS]

1

IN WITNESS WHEREOF, the parties hereto have executed and delivered this Option Agreement on
the day and year first above written.

AMERIGROUP CORPORATION

By:

Stanley F. Baldwin

Executive Vice President, General Counsel

and Secretary

Address: AMERIGROUP Corporation

4425 Corporation Lane

Virginia Beach, VA 23462

Facsimile: (757) 557-6743

Attn: Stanley F. Baldwin

OPTIONEE:

      

Address:

Social Security Number:

EXHIBIT A

AMERIGROUP CORPORATION

2009 EQUITY INCENTIVE PLAN

STOCK OPTION AGREEMENT

NOTICE OF EXERCISE

______________, ____

AMERIGROUP Corporation

[Address]

Attn:

On       , I was granted an option (an “Option”) by AMERIGROUP Corporation (the “Company”)
under the Company’s 2009 Equity Incentive Plan (the “Plan”) and a stock option agreement, between
me and the Company (the “Agreement”). This letter is to notify you that I wish to purchase Option
Shares under the Agreement as set forth below.

Exercise of Option

1. I wish to purchase        Option Shares at the current exercise price of $    per share for
a total cost of $     .

2. I am paying for these Option Shares as follows:

	 	 	 	       By authorizing the Company to withhold from the
number of Option Shares I would otherwise receive that number of whole
Shares having a Fair Market Value equal to the aggregate Exercise
Price, with any fractional share amounts to be settled by cash and/or a
certified or cashier’s check.

	 	 	 	       By enclosing cash and/or a certified or
cashier’s check payable to the Company in the amount of $     .

	 	 	 	       By means of a cashless exercise procedure
through the following broker:       .

	 	 	 	       By delivery of unrestricted shares of Company
stock already owned by me for more than six months on the date of
surrender, and which have an aggregate fair market value on the date of
surrender equal to the aggregate exercise price of the Option Shares as
to which the Option is being exercised, with any fractional share
amounts to be settled by cash and/or a certified or cashier’s check

3. I am paying the local, state and federal withholding taxes and/or all other taxes that the
Company has advised me are due as follows:

	 	 	 	       By enclosing cash and/or a certified or
cashier’s check payable to the Company in the amount of $     .

	 	 	 	       By authorizing the Company to withhold from the
number of Option Shares I would otherwise receive that number of whole
Shares having a fair market value equal to the minimum tax withholding
due, with any fractional share amounts to be settled by cash and/or a
certified or cashier’s check.

	 	 	 	       By delivery of unrestricted shares of Company
stock already owned by me for more than six months on the date of
surrender, and which have an aggregate fair market value on the date of
surrender equal to the minimum tax withholding due, with any fractional
share amounts to be settled by cash and/or a certified or cashier’s
check.

4. In exercising my Option I hereby warrant and represent to the Company that I have not
engaged in Disabling Conduct and acknowledge that the Company has no obligation to issue a
certificate evidencing any Option Shares purchasable by me until the purchase price of such Option
Shares is fully paid as set forth in the Option Agreement.

Very truly yours,

Optionee

Name and Address (please print)

	 	 	 
	Telephone Number

	 	(   )
	
 
	 	 
	Social Security Number

	 	

	
 
	 	 

2

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