Document:

EX-10.1

 Exhibit 10.1 

NUTRISYSTEM, INC. 

AMENDED AND RESTATED NUTRISYSTEM, INC. 

2008 LONG-TERM INCENTIVE PLAN 

2015 PERFORMANCE-BASED RESTRICTED STOCK UNIT GRANT AGREEMENT 

(Name) 
 This 2015
PERFORMANCE-BASED RESTRICTED STOCK UNIT GRANT AGREEMENT (the “Agreement”), effective as of [            ] [    ], 2015 (the “Date of
Grant”), is delivered by NutriSystem, Inc. (the “Company”) to [            ] (the “Grantee”). 

RECITALS 
 A. The Amended
and Restated NutriSystem, Inc. 2008 Long-Term Incentive Plan, as may be amended from time to time (the “Plan”) permits the Grant of performance-based restricted stock units. 

B. The Compensation Committee of the Board of Directors of the Company has determined that the Grantee is eligible to participate in the Plan
and has approved this Grant under the Plan. 
 C. Except as otherwise defined in this Agreement, capitalized terms used herein shall have
the meanings set forth in the Plan. 
 NOW, THEREFORE, the parties to this Agreement, intending to be legally bound hereby, agree as
follows: 
 1. Grant of Performance-Based Restricted Stock Units. Subject to the terms and conditions set forth in this Agreement and the Plan, the
Company hereby grants to the Grantee [            ] performance-based restricted stock units (the “Performance Units”). The Performance Units will become vested and
distributable if and only to the extent that the performance goals and other conditions set forth in this Agreement are met. Each Performance Unit shall be a phantom right and shall be equivalent to one share of Company Stock on the applicable
distribution date, as described in Paragraph 3 below. The number of Performance Units set forth above is equal to the number of Performance Units that will vest upon achievement of the target level of performance and completion of the
requisite period of service (the “Target Award”). 

 2. Vesting. 

(a) If the Grantee remains in continuous service with the Employer through December 31, 2017 (the “Service
Date”), the Performance Units shall vest to the extent determined and certified by the Committee based on the attached Exhibit A. Any Performance Units that do not vest due to failure to fully satisfy the applicable
performance goal(s) shall be forfeited as of December 31, 2016 and the Grantee shall not have any further rights with respect to those Performance Units. 

(b) If the Grantee’s service with the Employer ceases prior to the Service Date due to the Grantee’s death or
“total disability” (as defined below), the Grantee shall become vested in a pro-rata portion of the Performance Units. The pro-rata portion shall be determined by multiplying (i) the Target Award (if such cessation occurs on or prior
to December 31, 2016) or the number of Performance Units that would otherwise have vested under Paragraph 2(a) above, but for the cessation of the Grantee’s service (if such cessation occurs after December 31, 2016 but
prior to the Service Date), by (ii) a fraction, (A) the numerator of which is the number of days of continuous service performed by the Grantee for the Employer during the period beginning January 1, 2015 and ending on the Service
Date (the “Service Period”), and (B) the denominator of which is 1095. Any Performance Units that do not vest in connection with such death or total disability shall be forfeited as of the date the Grantee’s service
ceases and the Grantee shall not have any further rights with respect to those Performance Units. 
 (c) If the
Grantee’s service with the Employer ceases prior to the Service Date due to (i) a termination by the Employer without “cause” (as defined below) or (ii) a resignation by the Grantee with “good reason”
(as defined below), then the Grantee shall become vested in a number of Performance Units determined by multiplying (A) the number of Performance Units that would otherwise have vested under Paragraph 2(a) above (but
for the cessation of the Grantee’s service), by (B) a fraction, (1) the numerator of which is the number of days of continuous service performed by the Grantee for the Employer during the Service Period, and (2) the denominator
of which is 1095, subject to the Grantee’s execution and delivery of a general release of claims against the Company and its affiliates in a form prescribed by the Company and subject further to that release becoming irrevocable within 45 days
following the Grantee’s cessation of service. Any Performance Units that cannot vest because of the pro-ration described above or due to a failure to satisfy the release condition described above will be forfeited as of the date the
Grantee’s service ceases and the Grantee shall not have any further rights with respect to those Performance Units. Any Performance Units that do not vest because of the failure to fully satisfy the applicable performance goal(s) shall be
forfeited as of December 31, 2016 and the Grantee shall not have any further rights with respect to those Performance Units. 

(d) If the Grantee’s service with the Employer ceases prior to the Service Date due to a resignation by the Grantee without
“good reason” (other than a resignation by the Grantee in  

  
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anticipation of a termination for cause), then the Grantee shall become vested in a number of Performance Units determined by multiplying (A) the number of Performance Units that would
otherwise have vested under Paragraph 2(a) above (but for the cessation of the Grantee’s service), by (B) a fraction, (1) the numerator of which is the number of full (but not partial) calendar years of continuous
service performed by the Grantee for the Employer during the Service Period, and (2) the denominator of which is three, subject to the Grantee’s execution and delivery of a general release of claims against the Company and its affiliates
in a form prescribed by the Company and subject further to that release becoming irrevocable within 45 days following the Grantee’s cessation of service. Any Performance Units that cannot vest because of the pro-ration described above or due to
a failure to satisfy the release condition described above will be forfeited as of the date the Grantee’s service ceases and the Grantee shall not have any further rights with respect to those Performance Units. Any Performance Units that do
not vest because of the failure to fully satisfy the applicable performance goal(s) shall be forfeited as of December 31, 2016 and the Grantee shall not have any further rights with respect to those Performance Units. 

(e) Notwithstanding any other provision of this Agreement, if prior to the payment date described below in Paragraph
3 the Grantee’s employment or service with the Employer ceases due to a termination by the Employer for cause (or due to a resignation by the Grantee in anticipation of a termination for cause), all of the Performance Units shall be
immediately forfeited and the Grantee shall not have any further rights with respect to this Grant. 
 (f) For purposes of
this Agreement: 
 (i) “cause” will have the meaning defined in any employment agreement, offer
letter or similar agreement between the Employer and the Grantee or, in the absence of such an agreement: (A) the Grantee’s conviction of a felony, or (B) a determination of the Committee that the Grantee has: (1) committed an
act of fraud, embezzlement or theft, (2) caused intentional damage to the property of the Employer, (3) materially breached any agreement with the Employer, any duty owed to the Company or its stockholders or any published policy of the
Employer, which breach (if curable) is not cured within 30 days after receiving written notice from the Employer identifying the breach, or (4) engaged in gross misconduct or gross negligence in the course of employment or service. 

(ii) “good reason” will have the meaning defined in any employment agreement, offer letter or similar
agreement between the Employer and the Grantee or, in the absence of such an agreement: (A) a material diminution of the Grantee’s title, authority or duties, (B) a material reduction in the Grantee’s base salary, or (C) a
relocation by more than 50 miles of the Grantee’s principal worksite; provided that, any such event will constitute “good reason” only if the Grantee notifies the Employer in 

  
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writing of such event within 90 days following the initial occurrence thereof, the Employer fails to cure such event within 30 days after receipt from the Grantee of that written notice, and the
Grantee resigns his or her employment within 30 days following the expiration of that cure period. 
 (iii) “total
disability” means a condition entitling the Grantee to benefits under any long-term disability plan or policy maintained or funded by the Employer. 

3. Time and Form of Payment with Respect to Performance Units. The Grantee shall receive a distribution with respect to vested Performance Units within
two and one-half months following: (a) the Service Date, for Performance Units vesting pursuant to Paragraphs 2(a), 2(c) or 2(d), or (b) the date of cessation of the Grantee’s service, for Performance Units vesting
pursuant to Paragraph 2(b), subject to any delay required pursuant to Paragraph 17. The Performance Units will be distributed in shares of Company Stock, with each vested Performance Unit representing the right to receive
one share of Company Stock (equitably adjusted by the Committee in accordance with Section 5(d) of the Plan or any successor provision). 
 4.
Dividend Equivalents. At the same time that the Performance Units are converted to shares of Company Stock and distributed to the Grantee as set forth in Paragraph 3 above, the Company shall pay to the Grantee a lump sum cash
payment equal to the sum of the dividends that would have been payable between the Date of Grant and the date of such distribution with respect to a number of shares of Company Stock equal to the number of shares then distributable (equitably
adjusted by the Committee to take into account any stock splits, reverse splits, mergers, recapitalizations or similar events occurring during such period). If or to the extent the Performance Units are forfeited, dividend equivalent payments will
not be made under this Paragraph. 
 5. Change of Control. In the event of a Change of Control prior to settlement of this Grant, the Committee may
in its discretion: (a) shorten the Service Period, the Performance Period (as hereinafter defined on the attached Exhibit A) or both; (b) accelerate settlement of this Grant, to the extent consistent with Treas. Reg.
§1.409A-3(j)(4)(ix) or any successor provision; and/or (c) take such other actions as it deems appropriate with respect to this Grant, provided that such other actions do not cause this Grant to be subject to tax under Section 409A of
the Code. 
 6. Acknowledgment by Grantee. By accepting this Grant, the Grantee acknowledges that with respect to any right to distribution and
payment pursuant to this Grant, the Grantee is and shall be an unsecured general creditor of the Company without any preference as against other unsecured general creditors of the Company, and the Grantee hereby covenants for him or herself, and
anyone at any time claiming through or under the Grantee, not to claim any such preference, and hereby disclaims and waives any such preference which may at any time be at issue, to the fullest extent permitted by applicable law. The Grantee also
hereby agrees to be 

  
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bound by the terms and conditions of the Plan and this Agreement. The Grantee further agrees to be bound by the determinations and decisions of the Committee with respect to this Grant and the
Plan and the Grantee’s rights to benefits under this Grant and the Plan, and agrees that all such determinations and decisions of the Committee shall be binding on the Grantee, his or her beneficiaries and any other person having or claiming an
interest under this Grant and the Plan on behalf of the Grantee. 
 7. Restrictions on Issuance or Transfer of Shares of Company Stock. 

(a) The obligation of the Company to deliver shares of Company Stock hereunder shall be subject to the condition that if at any time the
Committee shall determine in its discretion that the listing, registration or qualification of the shares of Company Stock upon any securities exchange or under any state or federal law, or the consent or approval of any governmental regulatory body
is necessary or desirable as a condition of, or in connection with, the issuance of shares of Company Stock, the shares of Company Stock may not be issued in whole or in part unless such listing, registration, qualification, consent or approval
shall have been effected or obtained free of any conditions not acceptable to the Committee. The issuance of shares of Company Stock and the payment of cash to the Grantee pursuant to this Grant, if any, are subject to any applicable taxes and other
laws or regulations of the United States and of any state having jurisdiction thereof. 
 (b) The Grantee hereby (i) agrees to be bound
by the Company’s policies (including, but not limited to, the Company’s Insider Trading Policy, Clawback Policy, Anti-Hedging Policy and Stock Ownership Guidelines) as in effect from time to time, and (ii) understands that there may
be certain times during the year that the Grantee will be prohibited from selling, transferring, donating, assigning, mortgaging, hypothecating or otherwise encumbering the Company’s securities. 

8. Grant Subject to Plan Provisions. This Grant is made pursuant to the Plan, the terms of which are incorporated herein by reference, and in all
respects shall be interpreted in accordance with the Plan. In the event of any contradiction, distinction or difference between this Grant and the terms of the Plan, the terms of the Plan will control. This Grant is subject to the interpretations,
regulations and determinations concerning the Plan established from time to time by the Committee in accordance with the provisions of the Plan, including, but not limited to, provisions pertaining to (a) rights and obligations with respect to
withholding taxes, (b) the registration, qualification or listing of the shares of Company Stock, (c) changes in capitalization of the Company, and (d) other requirements of applicable law. The Committee shall have the authority to
interpret and construe this Agreement pursuant to the terms of the Plan, its decisions shall be conclusive as to any questions arising hereunder and the Grantee’s acceptance of this Grant is the Grantee’s agreement to be bound by the
interpretations and decisions of the Committee with respect to this Agreement and the Plan. 

  
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 9. No Rights as Stockholder. The Grantee shall not have any rights as a stockholder of the Company,
including the right to any cash dividends (except as provided in Paragraph 4 hereof) or the right to vote, with respect to any Performance Units. 

10. No Rights to Continued Employment or Service. This Grant shall not confer upon the Grantee any right to be retained in the employment or service of
the Employer and shall not interfere in any way with the right of the Employer to terminate the Grantee’s employment or service at any time. Except to the extent expressly set forth in any employment agreement, offer letter or similar agreement
between the Employer and the Grantee, the right of the Employer to terminate at will the Grantee’s employment or service at any time for any reason is specifically reserved. 

11. Confidential Information, Non-Competition and Non-Solicitation. The Grantee reaffirms and acknowledges his or her obligations under the
Nondisclosure and Noncompete Agreement for Management Employees or similar agreement between the Employer and the Grantee. 
 12. Assignment and
Transfers. No Performance Units or dividend equivalents awarded to the Grantee under this Agreement may be transferred, assigned, pledged, or encumbered by the Grantee and the Performance Units and dividend equivalents shall be distributed
during the lifetime of the Grantee only for the benefit of the Grantee. Any attempt to transfer, assign, pledge, or encumber the Performance Units or dividend equivalents under this Grant by the Grantee shall be null, void and without effect. The
rights and protections of the Company hereunder shall extend to any successors or assigns of the Company. This Grant may be assigned by the Company without the Grantee’s consent. 

13. Withholding. The Grantee shall be required to pay to the Employer, or make other arrangements satisfactory to the Employer to provide for the
payment of, any federal, state, local or other taxes that the Employer is required to withhold with respect to the grant, vesting and distribution of the Performance Units and dividend equivalents. Subject to Committee approval, the Grantee may
elect to satisfy any tax withholding obligation of the Employer with respect to the distribution of shares of Company Stock under this Grant by having shares of Company Stock withheld up to an amount that does not exceed the minimum applicable
withholding tax rate for federal (including FICA), state, local and other tax liabilities. Notwithstanding anything to the contrary herein or the Plan, until the Grantee has satisfied the Employer’s withholding obligation with respect to this
Grant, the Grantee shall not have any rights to sell or transfer any shares of Company Stock that have been distributed to the Grantee pursuant to Paragraph 3 above. 

14. Effect on Other Benefits. The value of this Grant and the shares of Company Stock and dividend equivalents potentially distributable hereunder
shall not be considered eligible earnings for purposes of any other plan maintained by the Company or the Employer, and such value shall not be considered part of the Grantee’s compensation for purposes of determining or calculating other
benefits that are based on compensation, such as life insurance. 

  
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 15. Applicable Law. The validity, construction, interpretation and effect of this Grant shall be governed
by and construed in accordance with the laws of the State of Delaware, without giving effect to the conflicts of laws provisions thereof. 
 16.
Notice. Notices permitted or required under this Agreement shall be in writing and shall be deemed to have been duly given when delivered by hand or overnight courier addressed, in the case of the Company, c/o its General Counsel at its
principal executive office and, in the case of the Grantee, to his or her most recent address set forth in the personnel records of the Company. 
 17.
Section 409A. The amounts payable under this Agreement are intended to be compliant with the requirements of Section 409A of the Code and this Agreement should be interpreted accordingly. If required to avoid the imposition of tax
under Section 409A of the Code, any distribution under Paragraph 3(b) in connection with the Grantee’s “total disability” will be delayed until the date that is six months and one day following the Grantee’s
separation from service (or, if earlier, the Grantee’s death). 
 18. Entire Agreement. This Agreement, together with the Plan, represents the
entire agreement between the parties hereto relating to the subject matter hereof, and merges and supersedes all prior and contemporaneous discussions, agreements and understandings of every nature relating to the subject matter hereof. 

19. Amendment. This Agreement cannot be changed, modified, extended or terminated except upon written amendment executed by the parties hereto. Any
such written amendment must be approved by the Committee or its delegate to be effective against the Company. 
 20. Consent to Electronic Delivery.
The Grantee hereby authorizes the Company to deliver electronically any prospectuses or other documentation related to this Grant, the Plan and any other compensation or benefit plan or arrangement in effect from time to time (including, without
limitation, reports, proxy statements or other documents that are required to be delivered to participants in such plans or arrangements pursuant to federal or state laws, rules or regulations). For this purpose, electronic delivery will include,
without limitation, delivery by means of e-mail or e-mail notification that such documentation is available on the Company’s intranet site. Upon written request, the Company will provide to the Grantee a paper copy of any document also
delivered to the Grantee electronically. The authorization described in this Paragraph may be revoked by the Grantee at any time by written notice to the Company. 

[Remainder of page intentionally left blank; signature page follows] 

  
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 IN WITNESS WHEREOF, the Company has caused its duly authorized officer to execute this Agreement,
and the Grantee has placed his or her signature hereon, on this [    ] day of [            ], 2015. 

 

									
	Attest:	 		 	NUTRISYSTEM, INC.
					
	By:	 	  
	 		 	By:	 	  

	Name:	 		 		 	Name:	 	
	Title:	 		 		 	Title:	 	

 I hereby accept the Grant of Performance Units described in this Agreement, and I agree to be bound by the terms of the Plan
and this Agreement. I hereby further agree that all of the decisions and determinations of the Committee shall be final and binding. 
  

	
	  

	Grantee: [NAME]

  
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 EXHIBIT A 

PERFORMANCE GOALS 

[GOALS TO BE ESTABLISHED BY COMPENSATION COMMITTEE] 

The performance measure applicable to this Grant is the Company’s cumulative, adjusted earnings per share for the period beginning January 1, 2015
and ending on December 31, 2016 (the “Performance Period”) (“EPS”). For these purposes, EPS will be determined and certified by the Company and will mean the Company’s cumulative earnings per
share, as reported in the Company’s periodic reports filed with the SEC for the applicable period; provided, however, that unless otherwise determined by the Compensation Committee, the EPS achievement will not be negatively impacted for
expenses arising from the following: severance, asset write-downs, the adverse determination or settlement of litigation, acquisitions or divestitures, and the costs relating to any of the foregoing. 

Subject to the foregoing and the other terms of the Agreement, the Performance Units eligible for vesting on the Service Date shall be based on the following
schedule: 
  

					
	 EPS
	  	Percentage of the Target Award	 
	 Less than $[TBD]
	  	 	0	% 
	 $[TBD]
	  	 	50	% 
	 $[TBD]
	  	 	100	% 
	 $[TBD]
	  	 	150	% 
	 $[TBD] or more
	  	 	200	% 

 If EPS is between the inflection points specified above, the percentage of the Target Award eligible for vesting on the
Service Date will be determined by linear interpolation.EX-10.2

 Exhibit 10.2 

NUTRISYSTEM, INC. 

AMENDED AND RESTATED NUTRISYSTEM, INC. 

2008 LONG-TERM INCENTIVE PLAN 

2015 NONQUALIFIED STOCK OPTION GRANT AGREEMENT 

(NAME) 
 This NONQUALIFIED
STOCK OPTION GRANT AGREEMENT (the “Agreement”), dated as of [                    ] (the “Date of
Grant”), is delivered by NutriSystem, Inc. to [            ] (the “Grantee”). 

RECITALS 
 A. The Amended
and Restated NutriSystem, Inc. 2008 Long-Term Incentive Plan, as may be amended from time to time (the “Plan”), permits the Grant of Options to purchase shares of Company Stock in accordance with the terms and conditions of
the Plan. 
 B. The Compensation Committee of the Board of Directors of the Company has approved this Grant under the Plan. 

NOW, THEREFORE, the parties to this Agreement, intending to be legally bound hereby, agree as follows: 

1. Grant of Option. 
 (a)
Subject to the terms and conditions set forth in this Agreement and in the Plan, the Company hereby grants to the Grantee a nonqualified stock option (the “Option”) to purchase
[                ] shares of Company Stock at an exercise price of $[        ] per share of Company Stock. The Option shall
become vested and exercisable according to Paragraph 2 below. 
 (b) Capitalized terms used but not
otherwise defined herein will have the meanings defined in the Plan. 
 2. Exercisability of Option. 

(a) Except as provided below in Paragraphs 2(b) and 2(c), the Option shall become vested and exercisable on the
following dates, if the Grantee continues to be employed by, or provide services to, the Employer from the Date of Grant through the applicable vesting date (each, a “Vesting Date”): 

 

			
	 Vesting Date
	  	Portion of Option Becoming
Exercisable on the Vesting Date
		
	 First Anniversary of Date of Grant
	  	33-1/3%
	 Second Anniversary of Date of Grant
	  	33-1/3%
	 Third Anniversary of Date of Grant
	  	33-1/3%

 The vesting and exercisability of the Option is cumulative, but shall not exceed 100% of the shares of Company
Stock subject to the Option. If the foregoing schedule would produce fractional shares of Company Stock, the number of shares of Company Stock for which the Option becomes vested and exercisable shall be rounded down to the nearest whole share. 

(b) If at any time prior to the date the Option becomes fully vested and exercisable, the Grantee ceases to be employed by, or
provide services to, the Employer on account of (i) the death of the Grantee, (ii) termination by the Employer because the Grantee becomes “totally disabled” (as defined below), (iii) a termination by the Employer without
“cause” (as defined below), or (iv) the resignation by the Grantee with “good reason” (as defined below), the next tranche of the Option that would otherwise have become vested and exercisable under Paragraph
2(a) (but for such cessation of employment or service) will become vested and exercisable as of the date of such cessation of employment or service; provided that, in its discretion, the Company may
condition such accelerated vesting on the execution by the Grantee or the Grantee’s estate (as applicable) of a release of claims in a form prescribed by the Company and on that release becoming irrevocable within 30 days following the
cessation of the Grantee’s employment or service. 
 (c) If a cessation of employment or service described
in Paragraph 2(b) occurs within one (1) year following a Change of Control, then in lieu of accelerating the vesting of only the next tranche of the Option, the Option will become fully vested and exercisable as of the date of
such termination of employment or service (subject to the satisfaction of the release requirements described in Paragraph 2(b)). 

(d) For purposes of this Agreement: 

(i) “cause” will have the meaning defined in any employment agreement, offer letter or similar agreement between the
Employer and the Grantee or, in the absence of such an agreement: (a) the Grantee’s conviction of a felony, or (b) a determination of the Committee that the Grantee has: (1) committed an act of fraud, embezzlement or theft,
(2) caused intentional damage to the property of the Employer, (3) materially breached any agreement with the Employer, any duty owed to the Company or its stockholders or any published policy of the Employer, which breach (if curable) is
not cured within 30 days after receiving written notice from the Employer identifying the breach, or (4) engaged in gross misconduct or gross negligence in the course of employment or service. 

(ii) “good reason” will have the meaning defined in any employment agreement, offer letter or similar agreement
between the Employer and the Grantee or, in the absence of such an agreement: (a) a material diminution of the Grantee’s title, authority or duties, (b) a material reduction in the Grantee’s base salary, or (c) a relocation
by more than 50 miles of the Grantee’s principal worksite; provided that, any such event will constitute “good reason” only if the Grantee notifies the Employer in writing of such event within 90 days following the initial occurrence
thereof, the Employer fails to cure such event within 30 days after receipt from the Grantee of that written notice, and the Grantee resigns his or her employment within 30 days following the expiration of that cure period. 

(iii) “totally disabled” means a condition entitling Grantee to benefits under any long-term disability plan or
policy maintained or funded by the Employer. 

  
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 3. Term of Option. 

(a) The Option shall have a term of seven years from the Date of Grant and shall terminate at the expiration of that period, unless it is
terminated at an earlier date pursuant to the provisions of this Agreement or the Plan. 
 (b) The Option shall also automatically terminate
upon the happening of the first of the following events: 
 (i) The expiration of the
90-day period after the Grantee ceases to be employed by, or provide service to, the Employer, if the termination is for any reason other than death, cause or the Grantee becoming totally disabled. 

(ii) The expiration of the one-year period after the Grantee ceases to be employed by,
or provide service to, the Employer on account of the Grantee becoming totally disabled. 
 (iii) The expiration of the one-year period after the Grantee ceases to be employed by, or provide service to, the Employer, if the Grantee dies while employed by, or providing service to, the Employer or within 90 days after the Grantee
ceases to be so employed or provide such services on account of a termination described in clause (i) above. 
 (iv) The
date on which the Grantee ceases to be employed by, or provide service to, the Employer for “cause.” In addition, notwithstanding the prior provisions of this Paragraph 3, if the Grantee engages in conduct that
constitutes “cause” after the Grantee’s employment or service terminates, the Option shall immediately terminate and the Grantee shall automatically forfeit all shares of Company Stock underlying any exercised portion of the Option
for which the Company has not yet delivered the share certificates, upon refund by the Company of the exercise price paid by the Grantee for such shares. 

Notwithstanding the foregoing, in no event may the Option be exercised after the date that is immediately before the seventh anniversary of the Date of Grant.
Any portion of the Option that is not exercisable at the time the Grantee ceases to be employed by, or provide service to, the Employer (determined after giving effect to Paragraph 2(b) or 2(c), if applicable) shall immediately
terminate. 
 4. Exercise Procedures. 

(a) Subject to the provisions of Paragraphs 2 and 3 above, the Grantee may exercise part or all of the exercisable portion of
the Option by giving the Company written notice of intent to exercise in the manner provided in this Agreement, specifying the number of shares of Company Stock as to which the Option is to be exercised and the method of payment. Payment of the
exercise price and applicable withholding taxes shall be made in accordance with procedures established by the Committee from time to time based on the type of payment being made but, in any event, prior to issuance of the shares of Company Stock.
The Grantee shall pay 

  
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the exercise price and applicable withholding taxes (i) in cash or certified check, (ii) if permitted by the Committee, by delivering shares of Company Stock owned by the Grantee and
having an aggregate Fair Market Value on the date of exercise equal to the exercise price or by attestation (on a form prescribed by the Committee) to ownership of shares of Company Stock having an aggregate Fair Market Value on the date of exercise
equal to the exercise price, (iii) by payment through a broker in accordance with procedures permitted by Regulation T of the Federal Reserve Board, or (iv) by such other method as the Committee may approve to the extent permitted by
applicable law. The Committee may impose from time to time such limitations as it deems appropriate on the use of shares of Company Stock to exercise the Option. 

(b) The obligation of the Company to deliver shares of Company Stock upon exercise of the Option shall be subject to all applicable laws,
rules, and regulations and such approvals by governmental agencies as may be deemed appropriate by the Committee, including such actions as Company counsel shall deem necessary or appropriate to comply with relevant securities laws and regulations.
The Company may require that the Grantee (or other person exercising the Option after the Grantee’s death) represent that the Grantee is purchasing the shares of Company Stock for the Grantee’s own account and not with a view to, or for
sale in connection with, any distribution of the shares of Company Stock, or such other representations as the Committee deems appropriate. 

(c) All obligations of the Company under this Agreement shall be subject to the rights of the Company as set forth in the Plan to withhold
amounts required to be withheld for all applicable taxes. Subject to Committee approval, the Grantee may elect to satisfy any tax withholding obligation of the Employer with respect to the Option by having shares of Company Stock withheld up to an
amount that does not exceed the minimum applicable withholding tax rate for federal (including FICA), state and local tax liabilities. 
 5. Dissolution
or Liquidation; Sale or Merger. In the event of a dissolution, liquidation, sale or merger of the Company or any similar event or transaction, the Committee may adjust, terminate and/or settle the Option to the extent it deems appropriate and
consistent with the Plan’s purposes. 
 6. Restrictions on Exercise. Except as the Committee may otherwise permit pursuant to the Plan, only the
Grantee may exercise the Option during the Grantee’s lifetime and, after the Grantee’s death, the Option shall be exercisable (subject to the limitations specified in the Plan) solely by the person who acquires the right to exercise the
Option by will or by the laws of descent and distribution, to the extent that the Option is exercisable pursuant to this Agreement. 
 7. Grant Subject
to Plan Provisions. This Grant is made pursuant to the Plan, the terms of which are incorporated herein by reference, and in all respects shall be interpreted in accordance with the Plan. The Grant and exercise of the Option are subject to
interpretations, regulations and determinations concerning the Plan established from time to time by the Committee in accordance with the provisions of the Plan, including, but not limited to, provisions pertaining to (a) rights and obligations
with respect to withholding taxes, (b) the registration, qualification or listing of the shares of Company Stock, (c) changes in capitalization of the Company and (d) other requirements of applicable law. The Committee shall have the
authority to interpret and construe the Option pursuant to the terms of the Plan, and its decisions shall be conclusive as to any questions arising hereunder. 

  
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 8. Restrictions on Sale or Transfer of Shares. 

(a) The Grantee will not sell, transfer, pledge, donate, assign, mortgage, hypothecate or otherwise encumber the shares of Company Stock
underlying the Option unless the shares of Company Stock are registered under the 1933 Act, or the Company is given an opinion of counsel reasonably acceptable to the Company that such registration is not required under the 1933 Act. 

(b) In consideration for this Option Grant, the Grantee agrees to be bound by the Employer’s policies as in effect from time to time,
including, but not limited to, the Company’s Insider Trading, Anti-Hedging and Clawback Policies and Stock Ownership Guidelines, and understands that there may be certain times during the year that the Grantee will be prohibited from selling,
transferring, donating, assigning, mortgaging, hypothecating or otherwise encumbering the Company securities. 
 9. No Employment or Other Rights.
The Grant of the Option shall not confer upon the Grantee any right to be retained by or in the employ or service of the Employer and shall not interfere in any way with the right of the Employer to terminate at will the Grantee’s employment or
service at any time. Except to the extent expressly set forth in any employment agreement, offer letter or similar agreement between the Employer and the Grantee, the right of the Employer to terminate at will the Grantee’s employment or
service at any time for any reason is specifically reserved. 
 10. No Stockholder Rights. Neither the Grantee, nor any person entitled to exercise
the Grantee’s rights in the event of the Grantee’s death, shall have any of the rights and privileges of a stockholder with respect to the shares of Company Stock subject to the Option, until such shares are actually issued following
exercise of the Option. 
 11. Confidential Information, Non-Competition and Non-Solicitation. The Grantee affirms his or her obligations under the
Nondisclosure and Noncompete Agreement for Management Employees or similar agreement between the Employer and the Grantee. 
 12. Assignment and
Transfers. Except as the Committee may otherwise permit pursuant to the Plan, the rights and interests of the Grantee under this Agreement may not be sold, assigned, encumbered or otherwise transferred except, in the event of the death of the
Grantee, by will or by the laws of descent and distribution. In the event of any attempt by the Grantee to alienate, assign, pledge, hypothecate, or otherwise dispose of the Option or any right hereunder, except as provided for in this Agreement, or
in the event of the levy or any attachment, execution or similar process upon the rights or interests hereby conferred, the Company may terminate the Option by notice to the Grantee, and the Option and all rights hereunder shall thereupon become
null and void. The rights and protections of the Company hereunder shall extend to any successors or assigns of the Company and to the Company’s parents, subsidiaries, and affiliates. This Agreement may be assigned by the Company without the
Grantee’s consent. 
 13. Effect on Other Benefits. The value of this Option or the shares of Company Stock received upon exercise of the Option
shall not be considered eligible earnings for purposes of any other plans maintained by the Company or the Employer. Neither shall such value be considered part of the Grantee’s compensation for purposes of determining or calculating other
benefits that are based on compensation, such as life insurance. 

  
 -5- 

 14. Applicable Law. The validity, construction, interpretation and effect of this instrument shall be
governed by and construed in accordance with the laws of the State of Delaware, without giving effect to the conflicts of laws provisions thereof. 
 15.
Notice. Notices permitted or required under this Agreement shall be in writing and shall be deemed to have been duly given when delivered by hand or overnight courier addressed, in the case of the Company, c/o its General Counsel at its
principal executive office and, in the case of the Grantee, to his or her most recent address set forth in the personnel records of the Company. 
 16.
Entire Agreement. This Agreement, together with the Plan, represents the entire agreement between the parties hereto relating to the subject matter hereof, and merges and supersedes all prior and contemporaneous discussions, agreements and
understandings of every nature relating to the subject matter hereof. 
 17. Amendment. This Agreement cannot be changed, modified, extended or
terminated except upon written amendment executed by the parties hereto. Any such written amendment must be approved by the Committee to be effective against the Company. 

18. Consent to Electronic Delivery. The Grantee hereby authorizes the Company to deliver electronically any prospectuses or other documentation related
to this Agreement, the Plan and any other compensation or benefit plan or arrangement in effect from time to time (including, without limitation, reports, proxy statements or other documents that are required to be delivered to participants in such
plans or arrangements pursuant to federal or state laws, rules or regulations). For this purpose, electronic delivery will include, without limitation, delivery by means of e-mail or e-mail notification that such documentation is available on the
Company’s intranet site. Upon written request, the Company will provide to the Grantee a paper copy of any document also delivered to the Grantee electronically. The authorization described in this paragraph may be revoked by the Grantee at any
time by written notice to the Company. 
 [Remainder of page intentionally left blank; signature page follows] 

  
 -6- 

 IN WITNESS WHEREOF, the Company has caused its duly authorized officer to execute this Agreement,
and the Grantee has placed his or her signature hereon, on this [    ] day of [            ]. 
  

									
		 		 		 	NUTRISYSTEM, INC.
	Attest:	 		 		 		 	
				
	  
	 		 	By:	 	  

	Name:	 		 		 	Name:	 	
	Title:	 		 		 	Title:	 	

 I hereby accept the Grant of the Option described in this Agreement, and I agree to be bound by the terms of the Plan and this
Agreement. I hereby further agree that all of the decisions and determinations of the Committee shall be final and binding. 
  

	
	  

	Grantee: [NAME]

  
 -7-

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