Document:

EX-10.2 FORM OF EQUITY PLAN NONQUALIFIED STOCK AGR

Exhibit 10.2

FORM OF PREMIER EXHIBITIONS, INC.

2009 EQUITY INCENTIVE PLAN

NONQUALIFIED STOCK OPTION AGREEMENT

Notice of Stock Option Grant

     Premier Exhibitions, Inc., a Florida corporation (the “Company”), grants to the Participant
named below, in accordance with the terms of the Premier Exhibitions, Inc. 2009 Equity Incentive
Plan (the “Plan”) and this Nonqualified Stock Option Agreement (the “Agreement”), an option (the
“Option”) to purchase the number of Shares at the exercise price per share (“Exercise Price”) as
follows:

	 	 	 
	Name of Participant:

	 	                    
	 
	 	 
	Number of Shares:

	 	                    
	 
	 	 
	Exercise Price:

	 	$[___] per share
	 
	 	 
	Date of Grant:

	 	                    
	 
	 	 
	Vesting Dates:

	 	                    

Terms of Agreement

     1. Grant of Option. Subject to and upon the terms, conditions and restrictions set forth in
this Agreement and in the Plan, the Company hereby grants to the Participant as of the Date of
Grant the Option to purchase the number of Shares at the Exercise Price as set forth above. This
Option is intended to be a nonqualified stock option and shall not be treated as an “incentive
stock option” within the meaning of that term under Section 422 of the Code.

     2. Vesting of Option.

          (a) Unless and until terminated as hereinafter provided, the Option shall vest and become
exercisable if the Participant shall have remained in the continuous employ of the Company or a
Subsidiary through the vesting dates set forth below with respect to the portion of Shares set
forth next to such date:

	 	 	 
	Vesting Date
	 	Portion of Shares Vested

and Exercisable
	 

	 	 

	 
	 	 
	 

	 	 

	 
	 	 
	 

	 	 

	 
	 	 
	 

	 	 

 

 

          (b) Notwithstanding the provisions of Section 2(a), the Option will become immediately
exercisable in full if, prior to the date the Stock Option becomes fully vested and exercisable
pursuant to Section 2(a), and while the Participant is in the employ of the Company and its
Subsidiaries, the Participant dies or becomes permanently disabled (defined by reference to the
Company’s long-term disability plan covering the Participant).

          (c) For purposes of this Agreement, the continuous employment of the Participant with the
Company and its Subsidiaries shall not be deemed to have been interrupted, and the Participant
shall not be deemed to have ceased to be an employee of the Company and its Subsidiaries, by reason
of the transfer of his employment among the Company and its Subsidiaries or a leave of absence or
layoff approved by the Committee.

     3. Forfeiture of Option. To the extent that the Option has not yet vested pursuant to Section
2 above, it shall be forfeited automatically without further action or notice if the Participant
ceases to be employed by the Company and its Subsidiaries prior to the Vesting Date other than as
provided in Section 2(b).

     4. Exercise of Option.

          (a) To the extent that the Option becomes vested and exercisable in accordance with this
Agreement, it may be exercised in whole or in part from time to time by written notice to the
Company or its designee stating the number of Shares for which the Option is being exercised (which
number must be a whole number), the intended manner of payment, and such other provisions as may be
required by the Company or its designee. The Option may be exercised, during the lifetime of the
Participant, only by the Participant, or in the event of his legal incapacity, by his guardian or
legal representative acting on behalf of the Participant in a fiduciary capacity under state law
and court supervision. If the Participant dies before the expiration of the Option, all or part of
this Option may be exercised (prior to expiration) by the personal representative of the
Participant or by any person who has acquired this Option directly from the Participant by will,
bequest or inheritance, but only to the extent that the Option was vested and exercisable upon the
Participant’s death.

          (b) The Exercise Price is payable (i) in cash or by certified or cashier’s check or other cash
equivalent acceptable to the Company payable to the order of the Company, (ii) by surrender of
Shares (including by attestation) owned by the Participant having an aggregate Fair Market Value at
the time of exercise equal to the total Exercise Price, (iii) a cashless broker-assisted exercise
that complies with all Applicable Laws, or (iv) by a combination of the foregoing methods.

     5. Term of Option. The Option will terminate on the earliest of the following dates:

          (a) One year after the Participant ceases to be an employee of the Company or any Subsidiary
as a result of his death or permanent disability (defined by reference to the Company’s long-term
disability plan covering the Participant);

          (b) Ninety days after the Participant ceases to be an employee of the Company or any
Subsidiary for any reason other than as described in Section 5(a); or

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          (c) The tenth anniversary of the Date of Grant.

          Notwithstanding the foregoing provisions of this Section 5, the period during which the Option
can be exercised after a termination of employment subject to Sections 5(a) or (b) above will
automatically be extended if, on the scheduled expiration date of such Option as set forth above,
the Participant cannot exercise the Option because such an exercise would violate an applicable
Federal, state, local, or foreign law; provided, however, that such period shall not extend beyond
the earlier of (i) thirty days after the exercise of the Option first would no longer violate an
applicable Federal, state, local, and foreign law, or (ii) the tenth anniversary of the Date of
Grant.

     6. Delivery of Shares. Subject to the terms and conditions of this Agreement, Shares shall be
issuable to the Participant as soon as administratively practicable following the date the
Participant (a) exercises the Option in accordance with Section 4 hereof, (b) makes full payment to
the Company or its designee of the Exercise Price and (c) makes arrangements satisfactory to the
Company (or any Subsidiary, if applicable) for the payment of any required withholding taxes
related to the exercise of the Option. The Participant shall not possess any incidents of
ownership (including, without limitation, dividend and voting rights) in the Shares until such
Shares have been issued to the Participant in accordance with this Section 6.

     7. Transferability. The Option may not be sold, exchanged, assigned, transferred, pledged,
encumbered or otherwise disposed of by the Participant; provided , however , that the
Participant’s rights with respect to such Option may be transferred by will or pursuant to the laws
of descent and distribution. Any purported transfer or encumbrance in violation of the provisions
of this Section 7 shall be void, and the other party to any such purported transaction shall not
obtain any rights to or interest in such Option.

     8. Change in Control. The Option shall be subject to the provisions of Section 19 of the Plan
in the event of a Change in Control.

     9. No Employment Contract. Nothing contained in this Agreement shall confer upon the
Participant any right with respect to continuance of employment by the Company and its
Subsidiaries, nor limit or affect in any manner the right of the Company and its Subsidiaries to
terminate the employment or adjust the compensation of the Participant.

     10. Taxes and Withholding. The Participant is responsible for payment of any federal, state,
local or other taxes which must be withheld upon the exercise of the Option, and the Participant
must promptly pay to the Company (or a Subsidiary, if applicable) any such taxes. The Company and
its Subsidiaries are authorized to deduct from any payment owed to the Participant any taxes
required to be withheld with respect to the exercise of the Option, including social security and
Medicare (FICA) taxes and federal, state, local or other income tax with respect to income arising
from the exercise of the Option. The Company shall have the right to require the payment of any
such taxes before issuing any Shares pursuant to an exercise of the Option. In lieu of all or any
part of a cash payment, the Participant may elect, in accordance with
procedures established by the Company, to have the Company withhold a portion of the Shares
that otherwise would be issued to the Participant upon exercise of the Option having a Fair Market
Value equal to the minimum amount required to be withheld. Any fractional Share

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amount due
relating to such tax withholding will be rounded up to the nearest whole Share and the additional
amount will be added to the Participant’s federal withholding.

     11. Compliance with Law. The Company shall make reasonable efforts to comply with all
applicable federal and state securities laws and listing requirements of the NASDAQ Global Market
or any other national securities exchange, as applicable, with respect to the Option;
provided , however , notwithstanding any other provision of this Agreement, the
Company will not be obligated to issue any Shares pursuant to this Agreement if the issuance
thereof would result in a violation of any such law or listing requirement.

     12. Adjustments. The Exercise Price and the number and kind of shares of stock covered by
this Agreement shall be subject to adjustment as provided in Section 15 of the Plan.

     13. Amendments. Subject to the terms of the Plan, the Committee may modify this Agreement
upon written notice to the Participant. Any amendment to the Plan shall be deemed to be an
amendment to this Agreement to the extent that the amendment is applicable hereto. Notwithstanding
the foregoing, no amendment of the Plan or this Agreement shall adversely affect the rights of the
Participant under this Agreement without the Participant’s consent unless otherwise provided in the
Plan.

     14. Severability. In the event that one or more of the provisions of this Agreement shall be
invalidated for any reason by a court of competent jurisdiction, any provision so invalidated shall
be deemed to be separable from the other provisions hereof, and the remaining provisions hereof
shall continue to be valid and fully enforceable.

     15. Relation to Plan. The Option granted under this Agreement and all the terms and
conditions hereof are subject to the terms and conditions of the Plan. This Agreement and the Plan
contain the entire agreement and understanding of the parties with respect to the subject matter
contained in this Agreement, and supersede all prior written or oral communications,
representations and negotiations in respect thereto. In the event of any inconsistency between the
provisions of this Agreement and the Plan, the Plan shall govern. Capitalized terms used herein
without definition shall have the meanings assigned to them in the Plan. The Committee acting
pursuant to the Plan, as constituted from time to time, shall, except as expressly provided
otherwise herein or in the Plan, have the right to determine any questions which arise in
connection with the grant or exercise of the Option. All determinations and decisions made by the
Committee pursuant to the provisions of the Plan shall be final, conclusive and binding on all
persons.

     16. Successors and Assigns. Without limiting Section 7 hereof, the provisions of this
Agreement shall inure to the benefit of, and be binding upon, the successors, administrators,
heirs, legal representatives and assigns of the Participant, and the successors and assigns of the
Company.

     17. Governing Law. The interpretation, performance, and enforcement of this Agreement shall
be governed by the laws of the State of Georgia, without giving effect to the principles of
conflict of laws thereof.

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     18. Relation to Other Benefits. Any economic or other benefit to the Participant under this
Agreement or the Plan shall not be taken into account in determining any benefits to which the
Participant may be entitled under any profit-sharing, retirement or other benefit or compensation
plan maintained by the Company or a Subsidiary and shall not affect the amount of any life
insurance coverage available to any beneficiary under any life insurance plan covering employees of
the Company or a Subsidiary.

     19. Use of Participant’s Information. Information about the Participant and the Participant’s
participation in the Plan may be collected, recorded and held, used and disclosed for any purpose
related to the administration of the Plan. The Participant understands that such processing of
this information may need to be carried out by the Company and its Subsidiaries and by third party
administrators whether such persons are located within the Participant’s country or elsewhere,
including the United States of America. The Participant consents to the processing of information
relating to the Participant and the Participant’s participation in the Plan in any one or more of
the ways referred to above.

     20. Electronic Delivery. The Participant hereby consents and agrees to electronic delivery of
any documents that the Company may elect to deliver (including, but not limited to, prospectuses,
prospectus supplements, grant or award notifications and agreements, account statements, annual and
quarterly reports, and all other forms of communications) in connection with this and any other
award made or offered under the Plan. The Participant understands that, unless earlier revoked by
the Participant by giving written notice to the Secretary of the Company, this consent shall be
effective for the duration of the Agreement. The Participant also understands that he or she shall
have the right at any time to request that the Company deliver written copies of any and all
materials referred to above at no charge. The Participant hereby consents to any and all procedures
the Company has established or may establish for an electronic signature system for delivery and
acceptance of any such documents that the Company may elect to deliver, and agrees that his or her
electronic signature is the same as, and shall have the same force and effect as, his or her manual
signature. The Participant consents and agrees that any such procedures and delivery may be
effected by a third party engaged by the Company to provide administrative services related to the
Plan.

(Signatures are on the following page)

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     IN WITNESS WHEREOF, the Company has caused this Agreement to be executed on its behalf by its
duly authorized officer and the Participant has also executed this Agreement, as of the Date of
Grant.

	 	 	 	 	 
	 	PREMIER EXHIBITIONS, INC.

 	 
	 	By:  	 	 
	 	Name:  	 	 
	 	Title:  	 	 
	 

     The undersigned hereby acknowledges receipt of a copy of the Plan Summary and Prospectus, and
the Company’s most recent Annual Report and Proxy Statement (the “Prospectus Information”). The
Participant represents that he or she is familiar with the terms and provisions of the Prospectus
Information and hereby accepts the Option on the terms and conditions set forth herein and in the
Plan.

	 	 	 	 	 
	 

	 	 
	 

	 	Participant
	 
	 	 	 	 
	 
	 	Date:EX-10.3 2009 EQUITY INCENTIVE PLAN RES. SHARES

Exhibit 10.3

FORM OF PREMIER EXHIBITIONS, INC.

2009 EQUITY INCENTIVE PLAN

RESTRICTED SHARES AGREEMENT

Summary of Restricted Share Grant

     Premier Exhibitions, Inc., a Florida corporation (the “Company”), grants to the Participant
named below, in accordance with the terms of the Premier Exhibitions, Inc. 2009 Equity Incentive
Plan (the “Plan”) and this Restricted Shares Agreement (the “Agreement”), the following number of
Restricted Shares, on the Date of Grant set forth below:

	 	 	 
	Name of Participant:

	 	 

	 
	 	 
	Number of Restricted Shares:

	 	 

	 
	 	 
	Date of Grant:

	 	 

	 
	 	 
	Vesting Dates:

	 	 

Terms of Agreement

     1. Grant of Restricted Shares. Subject to and upon the terms, conditions, and restrictions set
forth in this Agreement and in the Plan, the Company hereby grants to the Participant as of the
Date of Grant, the total number of restricted Shares (the “Restricted Shares”) set forth above.
The Restricted Shares shall be fully paid and nonassessable.

     2. Vesting of Restricted Shares.

          (a) The Restricted Shares shall vest if the Participant shall have remained in the continuous
employ of the Company or a Subsidiary through the vesting dates set forth below with respect to the
portion of Restricted Shares set forth next to such date:

	 	 	 
	Vesting Date	 	Portion of Shares Vested
	 
	 	 
	 

	 	 

	 
	 	 
	 

	 	 

	 
	 	 
	 

	 	 

          (b) Notwithstanding the provisions of Section 2(a), the Restricted Shares covered by this
Agreement that have not yet vested under Section 2(a) shall immediately vest if, prior to the
applicable vesting date the Participant’s employment with the Company and its Subsidiaries
terminates by reason of death or permanent disability (defined by reference to the Company’s
long-term disability plan covering the Participant).

 

 

         (c) For purposes of this Agreement, the continuous employment of the Participant with the
Company and its Subsidiaries shall not be deemed to have been interrupted, and the Participant
shall not be deemed to have ceased to be an employee of the Company and its Subsidiaries, by reason
of the transfer of his employment among the Company and its Subsidiaries or a leave of absence
approved by the Committee.

     3. Forfeiture of Shares. The Restricted Shares that have not yet vested pursuant to Section 2
(and any rights associated therewith, including without limitation any dividends for which the
record date occurs on or after the date of forfeiture) shall be forfeited automatically without
further action or notice if the Participant ceases to be employed by the Company and its
Subsidiaries other than as provided in Section 2(b). In the event of a forfeiture of the
Restricted Shares, the stock book entry account representing the Restricted Shares covered by this
Agreement shall be cancelled.

     4. Transferability. The Restricted Shares may not be sold, exchanged, assigned, transferred,
pledged, encumbered or otherwise disposed of by the Participant, except to the Company, by will or
the laws of descent and distribution, or as may otherwise be permitted by the Plan, until the
Restricted Shares have vested as provided in Section 2. Any purported transfer or encumbrance in
violation of the provisions of this Section 4 shall be void, and the other party to any such
purported transaction shall not obtain any rights to or interest in such Restricted Shares. Any
permitted transferee (other than the Company) shall remain subject to all the terms and conditions
applicable to the Restricted Shares prior to such transfer.

     5. Change in Control. The Restricted Shares shall be subject to the provisions of Section 19
of the Plan in the event of a Change in Control.

     6. Dividend, Voting and Other Rights. Except as otherwise provided herein, from and after the
Date of Grant, the Participant shall have all of the rights of a shareholder with respect to the
Restricted Shares, including the right to vote the Restricted Shares and receive any cash dividends
that may be paid thereon (which such cash dividends shall be paid to the Participant at the same
time they are paid to the holders of Shares of the Company); provided, however,
that any additional Shares of the Company or other securities that the Participant may become
entitled to receive pursuant to a stock dividend, stock split, combination of shares,
recapitalization, merger, consolidation, separation or reorganization or any other change in the
capital structure of the Company shall be considered Restricted Shares and shall be subject to the
same restrictions as the Restricted Shares covered by this Agreement.

     7. Custody of Restricted Shares; Stock Power. Until the Restricted Shares have vested as
provided in Section 2, the Restricted Shares shall be issued in book-entry only form and shall not
be represented by a certificate. The restrictions set forth in this Agreement shall be reflected
on the stock transfer records maintained by or on behalf of the Company. The Participant agrees
that, in order to ensure compliance with the restrictions imposed on the Restricted Shares under
this Agreement, the Company may issue appropriate “stop transfer” instructions to its transfer
agent, if any. By execution of this Agreement and effective until the Restricted Shares have
become vested as provided in Section 2, the Participant hereby

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irrevocably constitutes and appoints each of the Chief Executive Officer and the Chief
Financial Officer of the Company as attorney-in-fact to transfer the Restricted Shares on the stock
transfer records of the Company with full power of substitution. The Participant agrees to take
any and all other actions (including without limitation executing, delivering, performing and
filing such other agreements, instruments and documents) as the Company may deem necessary or
appropriate to carry out and give effect to the provisions of this Agreement.

     8. No Employment Contract. Nothing contained in this Agreement shall confer upon the
Participant any right with respect to continuance of employment by the Company and its
Subsidiaries, nor limit or affect in any manner the right of the Company and its Subsidiaries to
terminate the employment or adjust the compensation of the Participant.

     9. Relation to Other Benefits. Any economic or other benefit to the Participant under this
Agreement or the Plan shall not be taken into account in determining any benefits to which the
Participant may be entitled under any profit-sharing, retirement or other benefit or compensation
plan maintained by the Company or its Subsidiaries and shall not affect the amount of any life
insurance coverage available to any beneficiary under any life insurance plan covering employees of
the Company or its Subsidiaries.

     10. Taxes and Withholding.

          (a) The Participant shall irrevocably elect on a form provided by the Company, and no later
than a date specified by the Company, to satisfy the minimum amount required to be withheld for
federal, state, local, foreign or other taxes attributable to the vesting of the Restricted Shares
by either (i) surrendering to the Company a number of the Restricted Shares that becomes vested
hereunder with a value equal to the minimum required withholding (based on the Fair Market Value of
the Shares on the date of surrender); provided that to prevent the issuance of fractional shares
and the under-withholding of taxes, the Participant agrees that the number of Restricted Shares
surrendered shall be rounded up to the next whole number of shares, or (ii) tendering a cash
payment to the Company at such time and in such amount as may be necessary to discharge the
obligations of the Company (or any of its Subsidiaries) for the payment thereof. If the
Participant does not elect a withholding method as provided herein (or the election does not comply
with the terms and conditions established by the Company), then the required withholding obligation
shall be satisfied by the Company or Subsidiary (as applicable) using the method described in
Section 10(a)(i).

          (b) If the Company or any Subsidiary is required to withhold any federal, state, local,
foreign or other taxes in connection with any cash dividends paid with respect to the Restricted
Shares, then the Company or Subsidiary (as applicable) shall have the right in its sole discretion
to either (i) withhold or cause to be withheld the required taxes from the payment of the cash
dividend, (ii) require the Participant to tender a cash payment to the Company at such time and in
such amount as may be necessary to discharge the obligations of the Company (or any of its
Subsidiaries) for the payment of the required tax withholding, or (iii) deduct the required tax
withholding from any amount of salary, bonus, incentive compensation or other amounts otherwise
payable in cash to the Participant (other than deferred compensation subject to Section 409A of the
Code).

-3-

 

          (c) If the Company or any Subsidiary is required to withhold any federal, state, local,
foreign or other taxes in connection with the Participant making an election under Section 83(b) of
the Code with respect to the Restricted Shares, then the Company or Subsidiary (as applicable)
shall have the right in its sole discretion to either (i) require the Participant to tender a cash
payment to the Company at such time and in such amount as may be necessary to discharge the
obligations of the Company (or any of its Subsidiaries) for the payment of the required tax
withholding, or (ii) deduct the required tax withholding from any amount of salary, bonus,
incentive compensation or other amounts otherwise payable in cash to the Participant (other than
deferred compensation subject to Section 409A of the Code). The Participant hereby agrees to
promptly submit a copy of any election made by the Participant pursuant to Section 83(b) of the
Code to the following address: Premier Exhibitions, Inc., 3340 Peachtree Road, N.E., Suite 2250,
Atlanta, Georgia 30326, Attention: Corporate Secretary.

     11. Compliance with Law. The Company shall make reasonable efforts to comply with all
applicable federal and state securities laws and listing requirements of the NASDAQ Global Market
or any other national securities exchange, as applicable, with respect to the Restricted Shares;
provided, however, notwithstanding any other provision of this Agreement, the
Restricted Shares shall not be delivered or become vested if the delivery or vesting thereof would
result in a violation of any such law or listing requirement.

     12. Amendments. Subject to the terms of the Plan, the Committee may modify this Agreement
upon written notice to the Participant. Any amendment to the Plan shall be deemed to be an
amendment to this Agreement to the extent that the amendment is applicable hereto. Notwithstanding
the foregoing, no amendment of the Plan or this Agreement shall adversely affect the rights of the
Participant under this Agreement without the Participant’s consent unless otherwise provided in the
Plan.

     13. Severability. In the event that one or more of the provisions of this Agreement shall be
invalidated for any reason by a court of competent jurisdiction, any provision so invalidated shall
be deemed to be separable from the other provisions hereof, and the remaining provisions hereof
shall continue to be valid and fully enforceable.

     14. Relation to Plan. This Agreement is subject to the terms and conditions of the Plan.
This Agreement and the Plan contain the entire agreement and understanding of the parties with
respect to the subject matter contained in this Agreement, and supersede all prior written or oral
communications, representations and negotiations in respect thereto. In the event of any
inconsistency between the provisions of this Agreement and the Plan, the Plan shall govern.
Capitalized terms used herein without definition shall have the meanings assigned to them in the
Plan. The Committee, acting pursuant to the Plan, shall, except as expressly provided otherwise
herein, have the right to determine any questions which arise in connection with the grant of the
Restricted Shares. All determinations and decisions made by the Committee pursuant to the
provisions of the Plan shall be final, conclusive and binding on all persons.

     15. Successors and Assigns. Without limiting Section 4, the provisions of this Agreement
shall inure to the benefit of, and be binding upon, the successors, administrators, heirs, legal
representatives and assigns of the Participant, and the successors and assigns of the Company.

-4-

 

     16. Governing Law. The interpretation, performance, and enforcement of this Agreement shall
be governed by the laws of the State of ___, without giving effect to the principles of
conflict of laws thereof.

     17. Use of Participant’s Information. Information about the Participant and the Participant’s
participation in the Plan may be collected, recorded and held, used and disclosed for any purpose
related to the administration of the Plan. The Participant understands that such processing of
this information may need to be carried out by the Company and its Subsidiaries and by third party
administrators whether such persons are located within the Participant’s country or elsewhere,
including the United States of America. The Participant consents to the processing of information
relating to the Participant and the Participant’s participation in the Plan in any one or more of
the ways referred to above.

     18. Electronic Delivery. The Participant hereby consents and agrees to electronic delivery of
any documents that the Company may elect to deliver (including, but not limited to, prospectuses,
prospectus supplements, grant or award notifications and agreements, account statements, annual and
quarterly reports, and all other forms of communications) in connection with this and any other
award made or offered under the Plan. The Participant understands that, unless earlier revoked by
the Participant by giving written notice to the Secretary of the Company, this consent shall be
effective for the duration of the Agreement. The Participant also understands that he or she shall
have the right at any time to request that the Company deliver written copies of any and all
materials referred to above at no charge. The Participant hereby consents to any and all procedures
the Company has established or may establish for an electronic signature system for delivery and
acceptance of any such documents that the Company may elect to deliver, and agrees that his or her
electronic signature is the same as, and shall have the same force and effect as, his or her manual
signature. The Participant consents and agrees that any such procedures and delivery may be
effected by a third party engaged by the Company to provide administrative services related to the
Plan.

(Signatures are on the following page)

-5-

 

     IN WITNESS WHEREOF, the Company has caused this Agreement to be executed on its behalf by its
duly authorized officer and the Participant has also executed this Agreement, as of the Date of
Grant.

	 	 	 
	 
	PREMIER EXHIBITIONS, INC.
	 
	 	 
	 
	By:	 

	 
	Name:	 
	 
	Title:	 

     The undersigned hereby acknowledges receipt of a copy of the Plan Summary and Prospectus, and
the Company’s most recent Annual Report and Proxy Statement (the “Prospectus Information”). The
Participant represents that he or she is familiar with the terms and provisions of the Prospectus
Information and hereby accepts the Restricted Shares on the terms and conditions set forth herein
and in the Plan.

	 	 	 
	 
	 	 
	 
	Participant
	 
	 	 
	 
	Date:

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