Document:

Exhibit 10.2

Exhibit 10.2

HEALTHSPRING, INC.

NON-QUALIFIED STOCK OPTION AGREEMENT

THIS NON-QUALIFIED STOCK OPTION AGREEMENT (this “Agreement”) is made and entered into as of
this  _____ 
day of                     , 20_____ 
(the “Grant Date”), by and between HealthSpring, Inc., a
Delaware corporation (together with its Subsidiaries and Affiliates, the “Company”), and
                     (the “Optionee”). Capitalized terms not otherwise defined herein shall have the
meaning ascribed to such terms in the HealthSpring, Inc. Amended and Restated 2006 Equity Incentive
Plan (the “Plan”).

WHEREAS, the Company has adopted the Plan, which permits the issuance of stock options for the
purchase of shares of the common stock, par value $0.01 per share, of the Company (the “Shares”);
and

WHEREAS, the Company desires to afford the Optionee an opportunity to purchase Shares as
hereinafter provided in accordance with the provisions of the Plan.

NOW, THEREFORE, in consideration of the mutual covenants hereinafter set forth and for other
good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties hereto, intending to be legally bound hereby, agree as follows:

Grant of Option.

The Company grants as of the date of this Agreement the right and option (the “Option”) to
purchase                      Shares, in whole or in part (the “Option Stock”), at an exercise price of
                                         and No/100 Dollars ($                    ) per Share, on the terms and conditions
set forth in this Agreement and subject to all provisions of the Plan. The Optionee, holder or
beneficiary of the Option shall not have any of the rights of a stockholder with respect to the
Option Stock until such person has become a holder of such Shares by the due exercise of the Option
and payment of the Option Payment (as defined in Section 3 below) in accordance with this
Agreement.

The Option shall be a non-qualified stock option. In order to provide the Company with the
opportunity to claim the benefit of any income tax deduction which may be available to it upon the
exercise of the Option, and in order to comply with all applicable federal or state tax laws or
regulations, the Company may take such action as it deems appropriate to ensure that, if necessary,
all applicable federal, state or other taxes are withheld or collected from the Optionee.

Exercise of Option.

(a) Except as otherwise provided herein, this Option shall become vested and exercisable (i)
with respect to fifty percent (50%) of the Option granted herein on the second anniversary of the
Grant Date, and (ii) with respect to an additional twenty-five percent (25%) of the Option Stock
granted herein on each of the third and fourth anniversaries of the Grant Date if and only if the
Optionee shall have been continuously employed by the Company from the date of this Agreement
through and including such dates. Notwithstanding the above, each outstanding unvested Option shall
vest and become exercisable in full in the event of the
Optionee’s death, Disability or Retirement, provided the Optionee has remained continuously
employed by the Company from the date of this Agreement to such event. If the Optionee’s
termination meets the requirements of an Early Retirement (as defined below), this Option shall
vest as though the Optionee had undergone a Retirement. “Early Retirement” means
retirement with the express consent of the Committee at or before the time of such retirement, from
active employment with the Company prior to age sixty-five (65).

 

 

 

(b) Notwithstanding the foregoing, upon the termination of the Optionee’s employment within
one year following a Change in Control, if the Optionee’s employment with the Company (or its
successor) is terminated by (A) the Optionee for Good Reason, or (B) the Company for any reason
other than for Cause, each outstanding unvested Option shall vest and become exercisable in full;
provided that in the event this Award is not assumed by the Acquiror under the terms set forth in
Section 13(a) of the Plan, this Option shall become fully vested and exercisable (to the
extent not previously terminated) with respect to 100% of the Option Stock.

Manner of Exercise. The Option may be exercised in whole or in part at any time
within the period permitted hereunder for the exercise of the Option, with respect to whole Shares
only, by serving written notice of intent to exercise the Option delivered to the Company at its
principal office (or to the Company’s designated agent), stating the number of Shares to be
purchased, the person or persons in whose name the Shares are to be registered and each such
person’s address and social security number. Such notice shall not be effective unless accompanied
by payment in full of the Option Price for the number of Shares with respect to which the Option is
then being exercised (the “Option Payment”) and, except as otherwise provided herein, cash
equal to the required withholding taxes as set forth by Internal Revenue Service and applicable
state tax guidelines for the employer’s minimum statutory withholding. The Option Payment shall be
made in cash or cash equivalents or in whole Shares previously acquired by the Optionee and valued
at the Shares’ Fair Market Value on the date of exercise (or next succeeding trading date if the
date of exercise is not a trading date), or by a combination of such cash (or cash equivalents) and
Shares. Subject to applicable securities laws, the Optionee may also exercise the Option (a) by
delivering a notice of exercise of the Option and by simultaneously selling the Shares of Option
Stock thereby acquired pursuant to a brokerage or similar agreement approved in advance by proper
officers of the Company, using the proceeds of such sale as payment of the Option Payment, together
with any applicable withholding taxes, or (b) by directing the Company to withhold that number of
whole Shares otherwise deliverable to the Optionee pursuant to the Option having an aggregate Fair
Market Value at the time of exercise equal to the Option Payment. Unless otherwise provided by the
Committee at any time, to satisfy any applicable withholding taxes, in lieu of cash the Optionee
may direct the Company to withhold that number of whole Shares otherwise deliverable to the
Optionee pursuant to the Option.

Termination of Option. The Option will expire ten (10) years from the date of grant
of the Option (the “Term”) with respect to any then unexercised portion thereof, unless terminated
earlier as set forth below:

Termination by Death. If the Optionee’s employment by the Company terminates by
reason of death, or if the Optionee dies within three (3) months after termination of such
employment for any reason other than Cause, this Option may thereafter be exercised, to the extent
the Option was exercisable at the time of such termination (after giving effect to any acceleration
of vesting provided for in Section 2 above), by the legal representative of the estate
or by the legatee of the Optionee under the will of the Optionee, for a period of one (1) year
from the date of death or until the expiration of the Term of the Option, whichever period is the
shorter.

 

 

 

Termination by Reason of Disability. If the Optionee’s employment by the Company
terminates by reason of Disability, this Option may thereafter be exercised, to the extent the
Option was exercisable at the time of such termination (after giving effect to any acceleration of
vesting provided for in Section 2 above), by the Optionee or personal representative or
guardian of the Optionee, as applicable, for a period of three (3) years from the date of such
termination of employment or until the expiration of the Term of the Option, whichever period is
the shorter.

Termination by Retirement or Early Retirement. If the Optionee’s employment by the
Company terminates by reason of Retirement or Early Retirement, this Option may thereafter be
exercised by the Optionee, to the extent the Option was exercisable at the time of such termination
(after giving effect to any acceleration of vesting provided for in Section 2 above), for a
period of three (3) years from the date of such termination of employment or until the expiration
of the Term of the Option, whichever period is the shorter.

Termination for Cause. If the Optionee’s employment by the Company is terminated for
Cause, this Option shall terminate immediately and become void and of no effect.

Other Termination. If the Optionee’s employment by the Company terminates for any
reason other than for Cause, death, Disability, Retirement or Early Retirement, this Option may be
exercised, to the extent the Option was exercisable at the time of such termination (after giving
effect to any acceleration of vesting provided for in Section 2 above), by the Optionee for
a period of three (3) months from the date of such termination of employment or the expiration of
the Term of the Option, whichever period is the shorter.

No Right to Continued Employment. The grant of the Option shall not be construed as
giving the Optionee the right to be retained in the employ of the Company, and the Company may at
any time dismiss the Optionee from employment, free from any liability or any claim under the Plan.

Adjustment to Option Stock. The Committee may make equitable and appropriate
adjustments in the terms and conditions of, and the criteria included in, this Option in
recognition of unusual or nonrecurring events (and shall make the adjustments for the events
described in Section 4.2 of the Plan) affecting the Company or the financial statements of
the Company or of changes in applicable laws, regulations, or accounting principles in accordance
with the Plan, whenever the Committee determines that such event(s) affect the Shares. Any such
adjustments shall be effected in a manner that precludes the material enlargement of rights and
benefits under this Award.

Amendments to Option. Subject to the restrictions contained in the Plan, the
Committee may waive any conditions or rights under, amend any terms of, or alter, suspend,
discontinue, cancel or terminate, the Option, prospectively or retroactively; provided that any
such waiver, amendment, alteration, suspension, discontinuance, cancellation or termination that
would materially and adversely affect the rights of the Optionee or any holder or beneficiary of
the Option shall not to that extent be effective without the consent of the Optionee, holder or
beneficiary affected.

 

 

 

Limited Transferability. During the Optionee’s lifetime, this Option can be exercised
only by the Optionee. This Option may not be assigned, alienated, pledged, attached, sold or
otherwise transferred or encumbered by the Optionee other than by will or the laws of descent and
distribution. Any attempt to otherwise transfer this Option shall be void. No transfer of this
Option by the Optionee by will or by laws of descent and distribution shall be effective to bind
the Company unless the Company shall have been furnished with written notice thereof and an
authenticated copy of the will and/or such other evidence as the Committee may deem necessary or
appropriate to establish the validity of the transfer.

Reservation of Shares. At all times during the term of this Option, the Company shall
use its best efforts to reserve and keep available such number of Shares as shall be sufficient to
satisfy the requirements of this Agreement.

Plan Governs. The Optionee hereby acknowledges receipt of a copy of (or electronic
link to) the Plan and agrees to be bound by all the terms and provisions thereof. The terms of
this Agreement are governed by the terms of the Plan, and in the case of any inconsistency between
the terms of this Agreement and the terms of the Plan, the terms of the Plan shall govern.

Severability. If any provision of this Agreement is, or becomes, or is deemed to be
invalid, illegal, or unenforceable in any jurisdiction or as to any Person or the Award, or would
disqualify the Plan or Award under any laws deemed applicable by the Committee, such provision
shall be construed or deemed amended to conform to the applicable laws, or if it cannot be
construed or deemed amended without, in the determination of the Committee, materially altering the
intent of the Plan or the Award, such provision shall be stricken as to such jurisdiction, Person
or Award, and the remainder of the Plan and Award shall remain in full force and effect.

Notices. All notices required to be given under this Award shall be deemed to be
received if delivered or mailed as provided for herein to the parties at the following addresses,
or to such other address as either party may provide in writing from time to time.

	 	 	 	 	 
	 

	 	To the Company:
	 	HealthSpring, Inc.
	 

	 	 	 	9009 Carothers Parkway
	 

	 	 	 	Suite 501
	 

	 	 	 	Franklin, Tennessee 37067
	 

	 	 	 	Attn: Corporate Secretary
	 
	 	 	 	 
	 

	 	To the Optionee:
	 	The address then maintained with respect to the Optionee in the
Company’s records.

Governing Law. The validity, construction and effect of this Agreement shall be
determined in accordance with the laws of the State of Delaware without giving effect to conflicts
of laws principles.

Resolution of Disputes. Any dispute or disagreement which may arise under, or as a
result of, or in any way related to, the interpretation, construction or application of this
Agreement shall be determined by the Committee. Any determination made hereunder shall be final,
binding and conclusive on the Optionee and the Company for all purposes.

 

 

 

1. Successors in Interest. This Agreement shall inure to the benefit of and be
binding upon any successor to the Company. This Agreement shall inure to the benefit of the
Optionee’s legal representative and assignees. All obligations imposed upon the Optionee and all
rights granted to the Company under this Agreement shall be binding upon the Optionee’s heirs,
executors, administrators, successors and assignees.

IN WITNESS WHEREOF, the parties have caused this Non-Qualified Stock Option Agreement to be
duly executed effective as of the day and year first above written.

	 	 	 	 	 	 	 
	 	 	HEALTHSPRING, INC.	 	 
	 
	 	 	 	 	 	 
	 

	 	By:	 	 	 	 
	 

	 	 	 	 

	 	 
	 
	 	 	 	 	 	 
	 	 	OPTIONEE:	 	 
	 
	 	 	 	 	 	 
	 	 	 	 	 
	 	 	SignatureExhibit 10.3

Exhibit 10.3

HEALTHSPRING, INC.

RESTRICTED SHARE AWARD AGREEMENT

(Officers and Employees)

THIS RESTRICTED SHARE AWARD AGREEMENT (this “Agreement”) is made and entered into as of the

 _____ 
day of_____, 20_____ 
(the “Grant Date”), between HealthSpring, Inc., a Delaware corporation
(together with its Subsidiaries, the “Company”), and                     , (the “Grantee”). Capitalized
terms not otherwise defined herein shall have the meaning ascribed to such terms in the
HealthSpring, Inc. Amended and Restated 2006 Equity Incentive Plan (the “Plan”).

WHEREAS, the Company has adopted the Plan, which permits the issuance of restricted shares of
the Company’s common stock, par value $0.01 per share (the “Common Stock”); and

WHEREAS, pursuant to the Plan, the Committee responsible for administering the Plan has
granted an award of restricted shares to the Grantee as provided herein.

NOW, THEREFORE, in consideration of the mutual covenants hereinafter set forth and for other
good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the
parties hereto, intending to be legally bound hereby, agree as follows:

1. Grant of Restricted Shares.

(a) The Company hereby grants to the Grantee an award (the “Award”) of                      shares
of Common Stock of the Company (the “Shares” or the “Restricted Shares”) on the terms and
conditions set forth in this Agreement and as otherwise provided in the Plan.

(b) The Grantee’s rights with respect to the Award shall remain forfeitable at all times prior
to the dates on which the restrictions shall lapse in accordance with Sections 2 and
3 hereof.

2. Terms and Rights as a Stockholder.

(a) Except as provided herein and subject to such other exceptions as may be determined by the
Committee in its discretion, the “Restricted Period” shall expire (i) with respect to fifty-percent
(50%) of the Restricted Shares granted herein on the second anniversary of the Grant Date, and (ii)
with respect to an additional twenty-five percent (25%) of the Restricted Shares granted herein on
each of the third and fourth anniversaries of the Grant Date.

(b) The Grantee shall have all rights of a stockholder with respect to the Restricted Shares,
including the right to receive dividends and the right to vote such Shares, subject to the
following restrictions:

(i) the Grantee shall not be entitled to the removal of the restricted legends or restricted
account notices or to delivery of the stock certificate (if any) for any Shares
until the expiration of the Restricted Period as to such Shares and the fulfillment of any
other restrictive conditions set forth herein;

 

 

 

(ii) none of the Restricted Shares may be sold, assigned, transferred, pledged, hypothecated
or otherwise encumbered or disposed of during the Restricted Period as to such Shares and until the
fulfillment of any other restrictive conditions set forth herein; and

(iii) except as otherwise determined by the Committee at or after the grant of the Award
hereunder, any Restricted Shares as to which the applicable “Restricted Period” has not expired (or
other restrictive conditions have not been met) shall be forfeited, and all rights of the Grantee
to such Shares shall terminate, without further obligation on the part of the Company, unless the
Grantee remains in the continuous employment (or other service-providing capacity) of the Company
for the entire Restricted Period applicable to such Shares.

(c) Notwithstanding the foregoing, the Restricted Period shall automatically terminate as to
all Restricted Shares awarded hereunder (as to which such Restricted Period has not previously
terminated) in the following circumstances:

(i) upon the termination of the Grantee’s employment from the Company which results from the
Grantee’s death or Disability;

(ii) upon the termination of the Grantee’s employment within one year following a Change in
Control, if the Grantee’s employment with the Company (or its successor) is terminated by (A) the
Grantee for Good Reason, or (B) the Company for any reason other than for Cause; provided that in
the event this Award is not assumed by the Acquiror under the terms set forth in Section
13(a) of the Plan, the Restricted Period shall automatically terminate as to all Restricted
Shares awarded hereunder (to the extent not previously terminated or forfeited).

Any Shares, any other securities of the Company and any other property (except for cash dividends)
distributed with respect to the Restricted Shares shall be subject to the same restrictions, terms
and conditions as such Restricted Shares.

3. Termination of Restrictions. Following the termination of the Restricted Period,
and provided that all other restrictive conditions set forth herein have been met, all restrictions
set forth in this Agreement or in the Plan relating to such portion or all, as applicable, of the
Restricted Shares shall lapse as to such portion or all, as applicable, of the Restricted Shares,
and a stock certificate for the appropriate number of Shares, free of the restrictions and
restrictive stock legend, shall, upon request, be delivered to the Grantee or Grantee’s beneficiary
or estate, as the case may be, pursuant to the terms of this Agreement (or, in the case of
book-entry Shares, such restrictions and restricted stock legend shall be removed from the
confirmation and account statements delivered to the Grantee in book-entry form).

 

2

 

4. Delivery of Shares.

(a) As of the date hereof, certificates representing the Restricted Shares may be registered
in the name of the Grantee and held by the Company or transferred to a custodian
appointed by the Company for the account of the Grantee subject to the terms and conditions of
the Plan and shall remain in the custody of the Company or such custodian until their delivery to
the Grantee or Grantee’s beneficiary or estate as set forth in Sections 4(b) and
(c) hereof or their forfeiture or reversion to the Company as set forth in Section
2(b) hereof. The Committee may, in its discretion, provide that the Grantee’s ownership of
Restricted Shares prior to the lapse of any transfer restrictions or any other applicable
restrictions shall, in lieu of such certificates, be evidenced by a “book entry” (i.e. a
computerized or manual entry) in the records of the Company or its designated agent in accordance
with and subject to the applicable provisions of the Plan.

(b) If certificates shall have been issued as permitted in Section 4(a) above,
certificates representing Restricted Shares in respect of which the Restricted Period has lapsed
pursuant to this Agreement shall be delivered to the Grantee upon request following the date on
which the restrictions on such Restricted Shares lapse.

(c) If certificates shall have been issued as permitted in Section 4(a) above,
certificates representing Restricted Shares in respect of which the Restricted Period lapsed upon
the Grantee’s death shall be delivered to the executors or administrators of the Grantee’s estate
as soon as practicable following the receipt of proof of the Grantee’s death satisfactory to the
Company.

(d) Any certificate representing Restricted Shares shall bear (and confirmation and account
statements sent to the Grantee with respect to book-entry Shares may bear) a legend in
substantially the following form or substance:

THE SHARES OF STOCK REPRESENTED BY THIS CERTIFICATE MAY NOT BE SOLD, TRANSFERRED,
PLEDGED OR OTHERWISE DISPOSED OF WITHOUT REGISTRATION UNDER THE SECURITIES ACT OF
1933 AND UNDER APPLICABLE BLUE SKY LAW OR UNLESS SUCH SALE, TRANSFER, PLEDGE OR
OTHER DISPOSITION IS EXEMPT FROM REGISTRATION THEREUNDER.

THIS CERTIFICATE AND THE SHARES OF STOCK REPRESENTED HEREBY ARE SUBJECT TO THE TERMS
AND CONDITIONS (INCLUDING FORFEITURE AND RESTRICTIONS AGAINST TRANSFER) CONTAINED IN
THE HEALTHSPRING, INC. AMENDED AND RESTATED 2006 EQUITY INCENTIVE PLAN (THE “PLAN”)
AND THE RESTRICTED SHARE AWARD AGREEMENT (THE “AGREEMENT”) BETWEEN THE OWNER OF THE
RESTRICTED SHARES REPRESENTED HEREBY AND HEALTHSPRING, INC. (THE “COMPANY”). THE
RELEASE OF SUCH SHARES FROM SUCH TERMS AND CONDITIONS SHALL BE MADE ONLY IN
ACCORDANCE WITH THE PROVISIONS OF THE PLAN AND THE AGREEMENT AND ALL OTHER
APPLICABLE POLICIES AND PROCEDURES OF THE COMPANY, COPIES OF WHICH ARE ON FILE AT
THE COMPANY.

 

3

 

5. Effect of Lapse of Restrictions. To the extent that the Restricted Period
applicable to any Restricted Shares shall have lapsed, the Grantee may receive, hold, sell or
otherwise dispose of such Shares free and clear of the restrictions imposed under the Plan and this
Agreement upon compliance with applicable legal requirements.

6. No Right to Continued Employment. This Agreement shall not be construed as giving
the Grantee the right to be retained in the employ of the Company, and subject to any other written
contractual arrangement between the Company and the Grantee, the Company may at any time dismiss
the Grantee from employment, free from any liability or any claim under the Plan.

7. Adjustments. The Committee may make equitable and proportionate adjustments in the
terms and conditions of, and the criteria included in, this Award in recognition of unusual or
nonrecurring events (and shall make adjustments for the events described in Section 4.2 of
the Plan) affecting the Company or the financial statements of the Company or of changes in
applicable laws, regulations, or accounting principles in accordance with the Plan whenever the
Committee determines that such events affect the Shares. Any such adjustments shall be effected in
a manner that precludes the material enlargement of rights and benefits under this Award.

8. Amendment to Award. Subject to the restrictions contained in the Plan, the
Committee may waive any conditions or rights under, amend any terms of, or alter, suspend,
discontinue, cancel or terminate the Award, prospectively or retroactively; provided that any such
waiver, amendment, alteration, suspension, discontinuance, cancellation or termination that would
materially and adversely affect the rights of the Grantee or any holder or beneficiary of the Award
shall not to that extent be effective without the consent of the Grantee, holder or beneficiary
affected.

9. Withholding of Taxes. If the Grantee makes an election under Section 83(b) of the
Code with respect to the Award, the Award made pursuant to this Agreement shall be conditioned upon
the prompt payment to the Company of any applicable withholding obligations or withholding taxes by
the Grantee (“Withholding Taxes”). Failure by the Grantee to pay such Withholding Taxes will
render this Agreement and the Award granted hereunder null and void ab initio and the Restricted
Shares granted hereunder will be immediately cancelled. If the Grantee does not make an election
under Section 83(b) of the Code with respect to the Award, upon the lapse of the Restricted Period
with respect to any portion of Restricted Shares (or property distributed with respect thereto),
the Company may satisfy the required Withholding Taxes as set forth by Internal Revenue Service
guidelines for the employer’s minimum statutory withholding with respect to the Grantee and issue
vested shares to the Grantee without restriction. The Company may satisfy the required Withholding
Taxes by withholding from the Shares included in the Award that number of whole shares necessary to
satisfy such taxes as of the date the restrictions lapse with respect to such Shares based on the
Fair Market Value of the Shares, or by requiring the Grantee to remit to the Company the proper
Withholding Taxes in cash.

 

4

 

10. Plan Governs. The Grantee hereby acknowledges receipt of a copy of (or electronic
link to) the Plan and agrees to be bound by all the terms and provisions thereof. The terms of
this Agreement are governed by the terms of the Plan, and in the case of any inconsistency between
the terms of this Agreement and the terms of the Plan, the terms of the Plan shall govern.

11. Severability. If any provision of this Agreement is, or becomes, or is deemed to
be invalid, illegal, or unenforceable in any jurisdiction or as to any Person or the Award, or
would disqualify the Plan or Award under any laws deemed applicable by the Committee, such
provision shall be construed or deemed amended to conform to the applicable laws, or if it cannot
be construed or deemed amended without, in the determination of the Committee, materially altering
the intent of the Plan or the Award, such provision shall be stricken as to such jurisdiction,
Person or Award, and the remainder of the Plan and Award shall remain in full force and effect.

12. Notices. All notices required to be given under this Award shall be deemed to be
received if delivered or mailed as provided for herein, to the parties at the following addresses,
or to such other address as either party may provide in writing from time to time.

	 	 	 	 	 
	 

	 	To the Company:
	 	HealthSpring, Inc.
	 

	 	 	 	9009 Carothers Parkway
	 

	 	 	 	Suite 501
	 

	 	 	 	Franklin, Tennessee 37067
	 

	 	 	 	Attn: Corporate Secretary
	 
	 	 	 	 
	 

	 	To the Grantee:
	 	The address then maintained with respect to the Grantee in the
Company’s records.

13. Governing Law. The validity, construction and effect of this Agreement shall be
determined in accordance with the laws of the State of Delaware without giving effect to conflicts
of laws principles.

14. Successors in Interest. This Agreement shall inure to the benefit of and be
binding upon any successor to the Company. This Agreement shall inure to the benefit of the
Grantee’s legal representatives. All obligations imposed upon the Grantee and all rights granted
to the Company under this Agreement shall be binding upon the Grantee’s heirs, executors,
administrators and successors.

15. Resolution of Disputes. Any dispute or disagreement which may arise under, or as
a result of, or in any way related to, the interpretation, construction or application of this
Agreement shall be determined by the Committee. Any determination made hereunder shall be final,
binding and conclusive on the Grantee and the Company for all purposes.

(remainder of page left blank intentionally)

 

5

 

IN WITNESS WHEREOF, the parties have caused this Restricted Share Award Agreement to be duly
executed effective as of the day and year first above written.

	 	 	 	 	 	 	 
	 	 	HEALTHSPRING, INC.	 	 
	 
	 	 	 	 	 	 
	 

	 	By:	 	 	 	 
	 

	 	 	 	 

	 	 
	 
	 	 	 	 	 	 
	 	 	GRANTEE:	 	 
	 
	 	 	 	 	 	 
	 	 	 	 	 

 

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