Document:

Form of Change in Control and Severance Agreement

			
	 

	  	 Exhibit 10.17
  

	  	 [DATE]
  
 [NAME]
 [ADDRESS]
  

Re:     Change in Control and Severance Agreement

 
 Dear [NAME]:

 
 OncoMed Pharmaceuticals, Inc. (the “Company”)
considers it essential to the best interests of its stockholders to foster the continuous employment of the Company’s key management personnel. In this regard, the Compensation Committee of the Company’s Board of Directors recognizes that
the possibility of an involuntary termination of employment as well as a change in control of the Company may exist and the uncertainty and questions that such concerns may raise among management could result in the departure or distraction of
management personnel to the detriment of the Company and its stockholders.
  
 In order to induce you to remain in its employ, the Company hereby agrees that after this letter agreement (this “Agreement”) has been fully executed, you shall be entitled to receive the
benefits set forth in this Agreement in the event of a change in control of the Company or a termination of your employment with the Company under the circumstances described below.

 

1.        Definitions. For purposes of the Agreement, the following terms shall have
their respective meanings set forth below:
  

 (a)        “Cause” shall mean any of the following: (i) your
intentional unauthorized use or disclosure of the Company’s confidential information or trade secrets, which use or disclosure causes material harm to the Company, (ii) your material breach of any agreement between you and the Company,
(iii) your material failure to comply with the Company’s written policies or rules, (iv) your conviction of, or plea of “guilty” or “no contest” to, a felony under the laws of the United States or any state
thereof, or (v) your gross negligence or willful misconduct in the performance of duties to the Company that is not cured within thirty (30) days after you are provided with written notice thereof.

 

 (b)        “Change in Control” shall mean any of the following types of
transactions: (i) the direct or indirect sale or exchange in a single or series of related transactions by the stockholders of the Company of more than fifty percent (50%) of the voting stock of the

	  	  
 800 Chesapeake
Drive    Redwood City, CA 94063    Phone: 650-995-8200    Fax: 650-298-8600    www.oncomed.com

	  	

 Company; (ii) a merger or consolidation in which the Company is a party; or (iii) the sale,
exchange, or transfer of all or substantially all of the assets of the Company (each, a “Transaction”), wherein the stockholders of the Company immediately before the Transaction do not retain immediately after the Transaction, in
substantially the same proportions as their ownership of shares of the Company’s voting stock immediately before the Transaction, direct or indirect beneficial ownership of more than fifty percent (50%) of the total combined voting power
of the outstanding voting securities of the Company or the successor entity, or, in the case of a Transaction described in (iii), the corporation or other entity to which the assets of the Company were transferred, as the case may be. 

Notwithstanding the foregoing, a transaction shall not constitute a Change in Control if: (i) its sole purpose is to change the state of the
Company’s incorporation; (ii) its sole purpose is to create a holding company that will be owned in substantially the same proportions by the persons who held the Company’s securities immediately before such transaction; (iii) it
constitutes the Company’s initial public offering of its securities; or (iv) it is a transaction effected primarily for the purpose of financing the Company with cash (as determined by the Board in its discretion). 

 (c) “Code” shall mean the Internal Revenue Code of 1986, as amended. 

 (d) “Covered Termination” shall mean either (i) an involuntary termination of your employment by the Company
other than for Cause, or (ii) your voluntary termination of employment with the Company for Good Reason, provided that the termination constitutes a Separation from Service. 

 (e) “Good Reason” shall mean your resignation due to any of the following events which occurs without your
written consent, provided that the requirements regarding advance notice and an opportunity to cure set forth below are satisfied: (i) a material diminution of your title, authority, responsibilities, duties, base pay or bonus, (ii) a
material change in the geographic location at which you must perform services for the Company of at least 35 miles, (iii) a material reduction in the right to participate in the benefit programs in which you were previously participating,
(iv) a material breach by the Company of an employment agreement between you and the Company or (v) a failure of the Company to have a successor assume its obligations under an employment agreement between you and the Company (each of (i),
(ii), (iii), (iv) and (v) a “Good Reason Condition”). In order for you to resign for Good Reason, you must provide written notice to the Company of the existence of the Good Reason Condition within 90 days of the initial
existence of such Good Reason Condition. Upon receipt of such notice of the Good Reason Condition, the Company will be provided with a period of 30 days during which it may remedy the Good Reason Condition and not be required to provide for the
payments and benefits described herein as a result of such proposed resignation due to the Good Reason Condition specified in the notice. If the Good Reason Condition is not remedied within the period specified in the preceding sentence, you may
resign based on the Good Reason Condition specified in the notice of termination effective no later than 180 days following the initial existence of such Good Reason Condition. 

  (f)        “Separation from
Service” shall mean your termination of employment or service which constitutes a “separation from service” within the meaning of Treasury Regulation Section 1.409A-1(h). 

2.        Acceleration of Vesting Upon a Change in Control. In the event of a Change in
Control which occurs prior to your termination of employment with the Company, you shall become vested (immediately prior to the Change in Control) with respect to twenty-five percent (25%) of the unvested portion of any options to purchase the
Company’s common stock that you then hold and/or the immediate lapsing of restrictions with respect to twenty-five percent (25%) of the any Company restricted stock or other equity-based awards that you then hold. Such options, restricted
stock and other equity-based awards shall then continue to vest, up to 100%, in accordance with the vesting schedule applicable to such award prior to the Change in Control without regard to the acceleration provided by the preceding sentence.

 3.        Termination Prior to a Change in Control or More than 12 Months
Following a Change in Control. If there is a Covered Termination which occurs prior to a Change in Control or more than twelve (12) months following a Change in Control, and you execute and do not revoke a Release as described in
Section 5 below, then you shall be entitled to severance payments of six (6) months of your then-current annual base salary (commencing as of the termination date), which payments shall be paid in accordance with the Company’s normal
payroll procedures, except that any payments that would otherwise have been made before the first normal payroll payment date falling on or after the date on which the Release becomes irrevocable (the “First Payment Date”) shall be
made on the First Payment Date. 
 4.        Termination Within 12 Months After a
Change in Control. If there is a Covered Termination which occurs within twelve (12) months after a Change in Control, and you execute and do not revoke a Release as described in Section 5 below, then the Company shall provide you with
the following benefits: 
 (a)        severance payments of twelve (12) months of
your then-current annual base salary (commencing as of the termination date), which payments shall be paid in accordance with the Company’s normal payroll procedures, except that any payments that would otherwise have been made before the First
Payment Date shall be made on the First Payment Date; 
 (b)        an amount equal to
your target annual bonus for the fiscal year during which the Covered Termination occurs, prorated to reflect your actual period of service completed during the fiscal year through the date of termination, with such bonus determined based on deemed
achievement of all of the performance objectives for such fiscal year (subject to Section 6, the severance benefits contemplated by this Section 4(b) shall be paid in cash in a lump sum as soon as practicable following the First Payment
Date); 
 (c)        immediate vesting of all of the unvested shares subject to your
outstanding options to purchase the Company’s common stock and the immediate lapsing of any vesting restrictions on any Company restricted stock or other equity-based awards that you hold as of the

 
date of such Covered Termination (the acceleration of vesting of stock options and restricted stock described in this section shall be effective as of the date of the Covered Termination); and
the Company shall pay the group health, dental and vision plan continuation coverage premiums for you and, if applicable, your covered dependents under the Consolidated Omnibus Budget Reconciliation Act of 1985, as amended, for twelve
(12) months from the date of your Covered Termination, or if earlier, until the date upon which you commence employment with another employer and become eligible for coverage under such other employer’s plan. 

5.        Release. As a condition to your receipt of any benefits described in
Section 3 or Section 4, you will be required to execute a release of all claims arising out of your employment with the Company or the termination thereof, in a form reasonably acceptable to the Company (the “Release”)
within fifty (50) days following your termination date and not revoke such Release within any period permitted under applicable law. Such Release shall specifically relate to all of your rights and claims in existence at the time of such
execution but shall exclude any continuing obligations the Company may have to you following the date of termination under this Agreement or any other agreement providing for obligations to survive your termination of employment. 

6.        Section 409A. Notwithstanding any provision to the contrary in this
Agreement, if you are deemed at the time of your Separation from Service to be a “specified employee” for purposes of Section 409A(a)(2)(B)(i) of the Code, to the extent delayed commencement of any portion of the benefits to which you
are entitled under this Agreement is required in order to avoid a prohibited distribution under Section 409A(a)(2)(B)(i) of the Code, such portion of your benefits shall not be provided to you prior to the earlier of (a) the expiration of
the six-month period measured from the date of your Separation from Service or (b) the date of your death. Upon the expiration of the applicable Code Section 409A(a)(2)(B)(i) period, all payments deferred pursuant to this Section 6
shall be paid in a lump sum to you, and any remaining payments due under the Agreement shall be paid as otherwise provided herein. For purposes of Section 409A of the Code (including, without limitation, for purposes of Treasury Regulation
Section 1.409A-2(b)(2)(iii)), your right to receive the installment payments payable pursuant to Section 3 or Section 4 (the “Installment Payments”) shall be treated as a right to receive a series of separate payments
and, accordingly, each Installment Payment shall at all times be considered a separate and distinct payment. 

7.        Withholding. Any amounts payable pursuant to this Agreement shall be subject to
any federal, state, local, or other income or employment taxes that the Company is required to withhold pursuant to any law or government regulation or ruling. 
 8.        Binding Agreement. 

(a)        The Company shall require any successor (whether direct or indirect, by
purchase, merger, consolidation or otherwise) to all or substantially all of the business and/or assets of the Company to expressly assume and agree to perform this Agreement in the same manner and to the same extent that the Company would be
required to perform it if no such succession had taken place. Unless expressly provided otherwise, “Company” as used herein 

 
shall mean the Company as defined in this Agreement and any successor to its business and/or assets. 
 (b)        This Agreement shall inure to the benefit of and be enforceable by you and your personal or legal representatives, executors, administrators, successors,
heirs, distributees, devisees and legatees. If you should die while any amount would still be payable to you hereunder had you continued to live, all such amounts, unless otherwise provided herein, shall be paid in accordance with the terms of this
Agreement to your devisee, legatee or other designee or, if there is no such designee, to your estate. 

9.        Entire Agreement. This Agreement sets forth the entire agreement of the parties
hereto in respect of the subject matter contained herein and supersedes all prior agreements, arrangements and understandings of the parties hereto with respect to the subject matter contained herein, including, without limitation, any prior change
in control agreements. 
 10.        At-Will Employment. Nothing contained in
this Agreement shall (a) confer upon you any right to continue in the employ of the Company, (b) constitute any contract or agreement of employment, or (c) interfere in any way with the at-will nature of your employment with the
Company. 
 11.        Miscellaneous. No provision of this Agreement may be
modified, waived or discharged unless such waiver, modification or discharge is agreed to in writing and signed by you and such officer as may be specifically designated by the Board. No waiver by either party hereto at any time of any breach by the
other party hereto of or compliance with, any condition or provision of this Agreement to be performed by such other party shall be deemed a waiver of similar or dissimilar provisions or conditions at the same or at any prior or subsequent time. The
validity, interpretation, construction and performance of this Agreement shall be governed by the laws of the State of California without regard to its conflicts of law principles. The section headings contained in this Agreement are for convenience
only, and shall not affect the interpretation of this Agreement. This Agreement may be executed in several counterparts, each of which shall be deemed to be an original but all of which together shall constitute one and the same instrument. The
invalidity or unenforceability of any provision of this Agreement shall not affect the validity or enforceability of any other provision of this Agreement, which shall remain in full force and effect. 

(Signature Page Follows) 

 If this letter sets forth our agreement on the subject matter hereof, kindly sign and return
to the Company the enclosed copy of this letter, which shall then constitute our agreement on this subject. 
  

			
	Sincerely,
	
	ONCOMED PHARMACEUTICALS, INC.
		
	  
 BY:
	 	 

 Agreed and Accepted, this              day of
                                , 20    . 

 

	
	
	  
	[OFFICER]

 ONCOMED PHARMACEUTICALS, INC. 

SUMMARY OF MATERIAL TERMS OF 
 VESTING AND SEVERANCE BENEFITS 
 (Adopted July 30, 2009)

  

							
	  	  	CEO	  	Other Executives1	  	Rank and File
	 Standard Vesting of Stock
Awards
	  	 5 year vesting (Initial grants
– 20% after one year and monthly over the subsequent 4 years; Subsequent grants – monthly over 5 years)
  

	 Change in Control –
Single trigger: occurrence of a Change in Control
	  	25% of accelerated vesting	  	25% of accelerated vesting	  	None
	 Change in Control –
Double trigger: termination without cause or resignation for “good reason”2 following a Change in Control
	  	100% of stock award vests	  	100% of stock award vests	  	25% of stock award vests
	 Severance –
Salary/Bonus
	  	Following a termination without cause (regardless of
whether it is in connection with a Change in Control), 12 months of salary and prorated target bonus. Also 12 months of salary and prorated target bonus upon resignation for “good
reason” following a Change in Control	  	12 months of salary and
prorate of
bonus
if terminated without
cause or resign for “good
reason” in connection with a
Change in Control.  

Salary adjusted to 6 months
if termination without cause
or resign for “good reason”.

 
	  	1 week of salary for each
year of service to Oncomed
(not to exceed 3 months of
salary per
person) following
a termination without cause
or resignation for “good
reason” following a Change
in Control.
	 Benefits
Continuation
	  	12 months upon termination without cause or resignation for “good reason” following a Change in
Control	  	12 months upon termination
without cause or resignation
for “good reason”
following
a Change in Control	  	None, except for Chartier, who
gets 12 months upon 
termination 
without cause or resignation for
“good reason” following a
Change in Control  

  
  

1        Other Executives shall mean all Vice Presidents and other officers who
are senior to Vice Presidents. 
 2        A resignation for “good reason” generally means an
employee’s voluntary termination of employment within a short period following adverse action by the Company. Typically this would include (i) a material reduction in title, authority, responsibilities, duties, base pay or bonus,
(ii) a relocation of the employee’s workplace of more than a specified distance (e.g. 35 or 50 miles) from the prior workplace, (iii) a material reduction in the right to participate in benefit programs in which the employee was
previously participating, (iv) a material breach of an employment agreement by the Company or (v) a failure of the Company to have a successor assume its obligations under an employment agreement.Form of Non-Qualified Stock Option Grant Agreement

 Exhibit 10.7 
 Carroll Bancorp, Inc. 2011 Stock Option Plan 
 Stock Option Grant
Agreement 
 This Stock Option Grant Agreement (the “Agreement”) is entered into on [INSERT DATE], by and between
Carroll Bancorp, Inc., a Maryland corporation (the “Corporation”), and [INSERT OPTIONEE NAME] (the “Optionee”), effective as of [INSERT GRANT DATE] (the “Grant Date”). 

In consideration of the premises, mutual covenants and agreements herein, the Corporation and the Optionee agree as follows: 

1. Grant of Options. The Corporation hereby grants to the Optionee, pursuant to the Carroll Bancorp, Inc. 2011 Stock Option
Plan (the “Plan”), a stock option to purchase from the Corporation, at a price of $[INSERT PRICE] per share (the “Exercise Price”), up to [INSERT GRANT AMOUNT] shares of Common Stock of the Corporation, $0.01 par value, subject
to the provisions of this Agreement and the Plan (the “Options”). The Options shall expire at 5:00 p.m. Eastern Time on the last business day preceding the tenth anniversary of the Grant Date (the “Expiration Date”), unless fully
exercised or terminated earlier. 
 2. Terminology. Unless stated otherwise in this Agreement, capitalized terms in
this Agreement shall have the meaning set forth in the Plan. 
 3. Exercise of Options. 

(a) Vesting. Subject to the terms of the Plan with respect to vesting, the Options granted shall vest in whole or in part, in
accordance with the schedule attached hereto as Exhibit A, provided that the Optionee is in the continuous employ of, or in a service relationship with, the Corporation from the date the option is granted through the applicable date upon
which such Options become vested. The extent to which the Options are vested as of a particular vesting date shall be rounded down to the nearest whole share. However, vesting is rounded up to the nearest whole share on the last vesting date.

 (b) Right to Exercise. The Optionee shall have the right to exercise the Options from and after the date upon which
they vest and on or before the Expiration Date or earlier termination of the Options. To the extent not exercised, the number of shares as to which the Options are exercisable shall accumulate and remain exercisable, in whole or in part, at any time
after becoming exercisable, but not later than the Expiration Date or other termination of the Options. In the event of the Optionee’s termination of employment, the exercisability is governed by Section 4. 

(c) Exercise Procedure. Subject to the conditions set forth in this Agreement, the Options shall be exercised (to the extent
then exercisable) by delivery of written notice of exercise on any business day to the Secretary of the Corporation in such form as the Committee may require from time to time. Such notice shall specify the

 
number of shares in respect to which the Options are being exercised and shall be accompanied by full payment of the Exercise Price for such shares in accordance with Section 3(e) of this
Agreement. The exercise shall be effective upon receipt by the Secretary of the Corporation of such written notice accompanied by the required payment. The Options may be exercised only in multiples of whole shares and may not be exercised at any
one time as to fewer than one hundred shares (or such lesser number of shares as to which the Options are then exercisable). No fractional shares shall be issued pursuant to the Options. 

(d) Effect. The exercise, in whole or in part, of the Options shall cause a reduction in the number of shares of Common
Stock subject to the remaining Options equal to the number of shares of Common Stock with respect to which the Options are exercised. 
 (e) Method of Payment. Payment of the Exercise Price shall be by any of the following, or a combination thereof: 
 (i) by delivery of cash, certified or cashier’s check, or money order or other cash equivalent acceptable to Committee in its sole discretion; or 

(ii) by a broker-assisted cashless exercise in accordance with Regulation T of the Board of Governors of the Federal Reserve
System and the following provisions. Subject to such limitations as the Committee may determine, at any time during which the Common Stock is publicly traded on a national securities exchange, the Exercise Price shall be deemed to be paid, in whole
or in part, if the Optionee delivers a properly executed exercise notice, together with irrevocable instructions: (i) to a brokerage firm approved by the Corporation to deliver promptly to the Corporation the aggregate amount of sale or loan
proceeds to pay the Exercise Price and any withholding tax obligations that may arise in connection with the exercise; and (ii) to the Corporation to deliver the certificates for such purchased shares directly to such brokerage firm; or

 (iii) as determined by the Committee or the Board in its discretion at the time of exercise, by delivering shares of Common
Stock (including shares acquired pursuant to the previous exercise of an option granted under the Plan) equal in fair market value to the purchase price of the shares to be acquired pursuant to the Option(s), by withholding some of the shares of
Common Stock which are being purchased upon exercise of an Option. The shares of Common Stock delivered to pay the purchase price must have either been (x) purchased in open market transactions or (y) issued by the Corporation pursuant to
a plan thereof more than six months prior to the exercise date of the Option. 
 (f) Issuance of Shares Upon
Exercise. Upon due exercise of the Options, in whole or in part, in accordance with the terms of this Agreement, the Corporation shall issue to the Optionee, the brokerage firm specified in the Optionee’s delivery instructions pursuant to a
broker-assisted cashless exercise, or such other person exercising the Options, as the case may be, the number of shares of Common Stock so paid for, in the form of fully paid and non-assessable stock and shall deliver certificates therefore or
issue such shares in certificateless form as soon as practicable thereafter. 

  
 2 

 (g) Restrictions on Exercise and Upon Shares Issued upon Exercise.
Notwithstanding any other provision of the Agreement, the Options may not be exercised at any time that the Corporation does not have in effect a registration statement under the Securities Act of 1933, as amended, relating to the offer of Common
Stock to the Optionee under the Plan, unless the Corporation agrees to permit such exercise. Upon the issuance of any shares of Common Stock pursuant to the exercise of the Options, the Optionee will, upon the request of the Corporation, agree in
writing that the Optionee is acquiring such shares for investment only and not with a view to resale, and that the Optionee will not sell, pledge or otherwise dispose of such shares so issued unless: (i) the Corporation is furnished with an
opinion of counsel to the effect that registration of such shares pursuant to the Securities Act of 1933, as amended, is not required by that Act or by the rules and regulations thereunder; (ii) the staff of the Securities and Exchange
Commission has issued a “no-action” letter with respect to such disposition; or (iii) such registration or notification as is, in the opinion of counsel for the Corporation, required for the lawful disposition of such shares has been
filed by the Corporation and has become effective; provided, however, that the Corporation is not obligated hereby to file any such registration or notification. The Corporation may place a legend embodying such restrictions on the certificates
evidencing such shares. 
 4. Termination of Employment or Service. 

(a) Exercise Period Following Cessation of Employment or Other Service Relationship, In General. If the Optionee ceases to be
employed by, or in a service relationship with, the Bank for any reason other than death, Disability, Retirement, discharge for misconduct or cause or in connection with a Change in Control, (i) the unvested Options shall terminate immediately
upon such cessation, and (ii) any vested Options shall remain exercisable during the six-month period following such cessation, but in no event after ten years from the date it was granted. Unless sooner terminated, any unexercised vested
Options shall terminate upon the expiration of such six-month period. 
 (b) Death of Optionee. The Options shall become
vested and exercisable in full on the date the Optionee’s employment or service as a Non-Employee Director or Advisory Director terminates because of Optionee’s death. If the Optionee dies while in the employ or service of the Corporation
or a Subsidiary Company or terminates employment or service with the Corporation or a Subsidiary Company as a result of Disability or Retirement and dies without having fully exercised his/her Options, the executors, administrators, legatees or
distributees of his/her estate shall have the right, during the one-year period following the Optionee’s death, to exercise such Options, but in no event after the Expiration Date. 

(c) Disability of Optionee; Retirement. The Options shall become vested and exercisable in full on the date the Optionee
terminates his/her employment with the Corporation or a Subsidiary Company or service as a Non-Employee Director (including for purposes hereof service as an Advisory Director) because of his/her Disability (provided, however, no such accelerated
vesting shall occur if a Recipient remains employed by or continues to serve as a Director (including for purposes hereof service as an Advisory Director) of at least one member of the Employer Group). 

  
 3 

 If the Optionee is an Employee and terminates his/her employment with the Corporation or a
Subsidiary Company as a result of Disability or Retirement without having fully exercised the Options, the Optionee shall have the right, during the three- year period following such termination due to Disability or Retirement, to exercise the
Options. If the Optionee is a Non-Employee Director and terminates his/her service as a director (including service as an Advisory Director) with the Corporation or a Subsidiary Company as a result of Disability or Retirement without having fully
exercised the Options, the Optionee shall have the right, during the three-year period following such termination due to Disability or Retirement, to exercise the Options. In no event, however, shall any Options be exercisable beyond ten years from
the date it was granted. 
 (d) Misconduct; Removal for Cause. Notwithstanding anything to the contrary in this
Agreement: (i) if the Optionee is an Employee and is discharged for cause as set forth in Section 4.03 of the Plan, any Options not vested on the date of discharge shall terminate as of the date of discharge unless otherwise determined by
the Committee; and (ii) if the Optionee is a Non-Employee Director and is removed for cause as set forth in Section 4.03 of the Plan, any unexercised Options shall terminate as of the effective date of such removal. 

(e) Change in Control. The Options shall become vested and exercisable in full as of the effective date of a Change in Control.
If the Optionee terminates his/her employment or service with the Corporation or a Subsidiary Company following a Change in Control of the Corporation without having fully exercised the Options the Optionee shall have the right to exercise the
Options during the remainder of the original ten-year term of the Option from the date of grant. 
 5. Adjustments and
Business Combinations. 
 (a) General. The number of shares to which the Options relate shall be
proportionately adjusted for any increase or decrease in the total number of outstanding shares of Common Stock issued subsequent to the effective date of the Plan resulting from a split, subdivision or consolidation of shares or any other capital
adjustment, the payment of a stock dividend, or other increase or decrease in such shares effected without receipt or payment of consideration by the Corporation. 
 (b) Adjustment for Mergers and Other Corporate Transactions. If, upon a merger, consolidation, reorganization, liquidation, recapitalization or the like of the Corporation, the shares of the
Corporation’s Common Stock shall be exchanged for other securities of the Corporation or of another corporation, each Option shall be converted, subject to the conditions stated herein and in the Plan, into the right to purchase or acquire such
number of shares of Common Stock or amount of other securities of the Corporation or such other corporation as were exchangeable for the number of shares of Common Stock of the Corporation which Optionee would have been entitled to purchase or
acquire except for such action, and appropriate adjustments shall be made to the per 

  
 4 

 
share exercise price of outstanding Options, provided that in each case the number of shares or other securities subject to the substituted or assumed stock option and the exercise price
thereof shall be determined in a manner that satisfies the requirements of Treasury Regulation §1.424-1 and the regulations issued under Section 409A of the Code so that the substituted or assumed option is not deemed to be a modification
of the outstanding Options. Notwithstanding any provision to the contrary herein, the term of any Option granted hereunder and the property which Optionee shall receive upon the exercise or termination thereof shall be subject to and be governed by
the provisions regarding the treatment of any such Options set forth in a definitive agreement with respect to any of the aforementioned transactions entered into by the Corporation to the extent any such Option remains outstanding and unexercised
upon consummation of the transactions contemplated by such definitive agreement. 
 (d) Binding Nature of
Adjustments. Adjustments under this Section 5 will be made by the Committee, whose determination as to what adjustments, if any, will be made and the extent thereof will be final, binding and conclusive. No fractional shares will be issued
pursuant to the Options on account of any such adjustments. 
 6. Non-Guarantee of Employment. Nothing in the Plan
or in this Agreement shall confer on an individual any legal or equitable right against the Corporation or the Committee, except as expressly provided in the Plan or this Agreement. Nothing in the Plan or in this Agreement shall: (a) constitute
an inducement, consideration, or a contract for employment or service between an individual and the Corporation or the Bank; (b) confer any right on an individual to continue in the service of the Corporation or the Bank; or (c) interfere
in any way with the right of the Corporation or the Bank to terminate such service at any time with or without cause or notice, or to increase or decrease compensation for such service. 

7. No Rights as Stockholder. The Optionee shall not have any of the rights of a stockholder with respect to the shares of
Common Stock that may be issued upon the exercise of the Options (including, without limitation, any rights to receive dividends or noncash distributions with respect to such shares) until such shares of Common Stock have been issued to him or her
upon the due exercise of the Options. No adjustment shall be made for dividends or distributions or other rights for which the record date is prior to the date such certificate or certificates are issued. 

8. Nonqualified Nature of the Options. The Options are not intended to qualify as incentive stock options within the
meaning of Code section 422, and this Agreement shall be so construed. Optionee acknowledges that, upon exercise of the Options, Optionee will recognize taxable income in an amount equal to the excess of the then Fair Market Value of the shares
received upon exercise of the Options over the Exercise Price and must comply with the provisions of Section 9 of this Agreement with respect to any tax withholding obligations that arise as a result of such exercise. Optionee further
acknowledges that if it is determined that the Exercise Price is less than the fair market value of a share of Common Stock on the date the Options are granted, the Optionee may be required to recognize taxable income under Section 409A of the
Code prior to the exercise of the options. Optionee should consult his or her own tax advisor concerning the tax consequences of the grant of the Options. 

  
 5 

 9. Withholding of Taxes. 

(a) In General. At the time the Options are exercised in whole or in part, or at any time thereafter as requested by the
Corporation, the Optionee hereby authorizes withholding from payroll or any other payment of any kind due the Optionee and otherwise agrees to make adequate provision for foreign, federal, state and local taxes required by law to be withheld, if
any, which arise in connection with the Options (including, without limitation, upon a disqualifying disposition with the meaning of Code section 421(b)). The Corporation may require the Optionee to make a cash payment to cover any withholding tax
obligation as a condition of exercise of the Options. If the Optionee does not make such payment when requested, the Corporation may refuse to issue any stock certificate under the Plan until arrangements satisfactory to the Administrator for such
payment have been made. 
 (b) Means of Payment. The Committee may, in its sole discretion, permit the Optionee to
satisfy, in whole or in part, any withholding tax obligation which may arise in connection with the Options by any of the following means or by a combination of such means: (i) tendering a cash payment; (ii) authorizing the Corporation to
deduct any such tax obligations from any payment of any kind otherwise due to the Optionee; (iii) authorizing the Corporation to withhold shares of Common Stock otherwise issuable to the Optionee pursuant to the exercise of the Options; or
(iv) delivering to the Corporation unencumbered shares of Common Stock already owned by the Optionee. 
 10. Regulatory
Compliance; Forfeiture. Subject to the terms of the Plan, the grant of Options made hereby are subject to applicable rules, policies and regulations promulgated by regulatory bodies (“Regulators”) with jurisdiction over the Corporation
and its Subsidiary Companies. In accordance with such policies and regulations, the Options granted hereby may be required by Regulators to be exercised or forfeited in the event the Corporation or its Subsidiary Companies, including the Bank, does
not maintain certain capital levels or as otherwise ordered or directed by the Regulators. 
 11. The Corporation’s
Rights. The existence of the Options shall not affect in any way the right or power of the Corporation or its stockholders to make or authorize any or all adjustments, recapitalizations, reorganizations or other changes in the Corporation’s
capital structure or its business, or any merger or consolidation of the Corporation, or any issue of bonds, debentures, preferred or other stocks with preference ahead of or convertible into, or otherwise affecting the Common Stock or the rights
thereof, or the dissolution or liquidation of the Corporation, or any sale or transfer of all or any part of the Corporation’s assets or business, or any other corporate act or proceeding, whether of a similar character or otherwise.

 12. Optionee. Whenever the word “Optionee” is used in any provision of this Agreement under
circumstances where the provision should logically be construed, as determined by the Committee, to apply to the estate, personal representative or beneficiary to whom the Options may be transferred by will, by the laws of descent and distribution,
or pursuant to a transfer under Section 8.05 of the Plan as set forth in Section 13 hereof , the word “Optionee” shall be deemed to include such person. 

  
 6 

 13. Transferability of Options. The Options are not transferable other than by
will or the laws of descent and distribution. During the lifetime of the Optionee, the Options may be exercised only by the Optionee, by such permitted transferees or, during the period the Optionee is under a legal disability, by the
Optionee’s guardian or legal representative. Notwithstanding the foregoing, however, the Optionee may transfer the Options to his/her immediate family or to a duly established trust for the benefit of one or more of these individuals in
accordance with Section 8.05 of the Plan. Options so transferred may thereafter be transferred only to the Optionee or to an individual or trust to whom the Optionee could have initially transferred the Option pursuant to Section 8.05 of
the Plan; Options which are so transferred shall be exercisable by the transferee according to the same terms and conditions as applied to the Optionee. Except as provided above, the Options may not be assigned, transferred, pledged, hypothecated or
disposed of in any way (whether by operation of law or otherwise) and shall not be subject to execution, attachment or similar process. 
 14. Notices. All notices and other communications made or given pursuant to this Agreement shall be in writing and shall be sufficiently made or given if hand delivered or mailed by certified
mail, addressed to the Optionee at the address contained in the records of the Corporation, or addressed to                     , care of the
Corporation for the attention of its Secretary at its principal office or, if the receiving party consents in advance, transmitted and received via telecopy or via such other electronic transmission mechanism as may be available to the parties.

 15. Entire Agreement. This Agreement and the Plan contain the entire agreement between the parties with respect
to the Options granted hereunder. Any oral or written agreements, representations, warranties, written inducements, or other communications made prior to the execution of this Agreement with respect to the Options granted hereunder shall be void and
ineffective for all purposes. 
 16. Amendment. This Agreement may not be modified, except as provided in the Plan
or in a written document signed by each of the parties hereto. 
 17. Conformity with Plan. This Agreement is
intended to conform in all respects with, and is subject to all applicable provisions of, the Plan, which is incorporated herein by reference. Inconsistencies between this Agreement and the Plan shall be resolved in accordance with the terms of the
Plan. In the event of any ambiguity in this Agreement or any matters as to which this Agreement is silent, the Plan shall govern. A copy of the Plan is available upon request to the Administrator. 

18. Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Maryland,
other than the conflict of laws principles thereof. 
 19. Headings. The headings in this Agreement are for
reference purposes only and shall not affect the meaning or interpretation of this Agreement. 
 [SIGNATURES
APPEAR ON THE FOLLOWING PAGE.] 

  
 7 

 IN WITNESS WHEREOF, the Corporation has caused this Agreement to be executed by its duly
authorized officer as of the date first above written. 
  

					
		 	Carroll Bancorp, Inc.
			
		 	By:	 	  

					
		 	Print Name:	 	  

					
		 	Title:	 	  

 The undersigned hereby acknowledges that he/she has carefully read this Agreement and the Plan and agrees to be bound by
all of the provisions set forth in such documents. 
  

					
		 	OPTIONEE:
		
	DATE:                     	 	  

		 	Print Name:	 	  

  
 8 

 EXERCISE FORM 
 Carroll Bancorp, Inc. 
 1321 Liberty Road 
 Sykesville, MD 21784 
 Gentlemen: 

I hereby exercise, to the extent indicated below, the Options granted to me on
                    , by Carroll Bancorp, Inc. (the “Company”), subject to all the terms and provisions thereof and of the Carroll Bancorp,
Inc. 2011 Stock Option Plan (the “Plan”), and notify you of my desire to purchase          incentive shares and          non-qualified shares of Common Stock
of the Corporation at a price of $             per share pursuant to the exercise of said Options. 
  

			
	Payment Amount: $                     	  	
		
	Date:                     	  	  

		  	Optionee Signature
		
		  	Received by Carroll Bancorp, Inc. on
		
		  	  

			
	 Broker Information:

	  
 Firm
Name

	  
 Contact Person

 

	  
 Broker Address

 

	  
 City, State, Zip Code

 
  
	 	  
 Phone Number

 
  

	  

	  
 Broker Account Number

 

	  
 Electronic Transfer Number:

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00204-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00204-of-00352.parquet"}]]