Document:

Exhibit 4.1

 Exhibit 4.1 
  
 

 
  
 COMMON STOCK

 COMMON STOCK 
 CS0763 
 INCORPORATED UNDER THE LAWS OF THE STATE OF DELAWARE 
 SEE REVERSE FOR CERTAIN DEFINITIONS 
 CUSIP 45031T 87 2 
 This certifies that is the owner of 
 FULLY PAID AND NON-ASSESSABLE SHARES OF THE COMMON STOCK, PAR VALUE OF $.01 PER SHARE, OF 
 ITC^DeltaCom.Inc. 
 (hereinafter, the “Corporation”) transferable on the books of the Corporation by the holder hereof in person or by duly authorized attorney upon surrender of this certificate properly endorsed. 
 This certificate and the shares represented hereby are issued and shall be held subject to all of the provisions of the Certificate of
Incorporation and Bylaws of the Corporation and all amendments thereto, copies of which are on file with the Transfer Agent, to all of which the holder of this certificate by acceptance hereof assents. 
 WITNESS the facsimile seal of the Corporation and the facsimile signatures of the duly authorized officers of the Corporation. 

Dated: 
 SECRETARY 
 SEAL DELAWARE 
 1997, 
 SENIOR VICE PRESIDENT 

 

 
  
 ITC^DeltaCom, Inc.

 THE CORPORATION IS AUTHORIZED TO ISSUE MORE THAN ONE CLASS OR SERIES OF CAPITAL STOCK. THE CORPORATION SHALL FURNISH TO ANY
HOLDER UPON REQUEST AND WITHOUT CHARGE THE POWERS, DESIGNATIONS, PREFERENCES AND RELATIVE, PARTICIPATING, OPTIONAL OR OTHER SPECIAL RIGHTS OF EACH CLASS OF STOCK OR SERIES THEREOF AND THE QUALIFICATIONS, LIMITATIONS OR RESTRICTIONS OF SUCH
PREFERENCES AND/OR RIGHTS OF EACH CLASS OR SERIES AUTHORIZED TO BE ISSUED BY THE CORPORATION SO FAR AS THEY HAVE BEEN FIXED AND DETERMINED AND OF THE AUTHORITY OF THE BOARD OF DIRECTORS TO FIX AND DETERMINE THE DESIGNATIONS, VOTING RIGHTS,
PREFERENCES, LIMITATIONS AND SPECIAL RIGHTS OF THE CLASSES AND SERIES OF SECURITIES OF THE CORPORATION. 
 The following
abbreviations, when used in the inscription on the face of this certificate, shall be construed as though they were written out in full according to applicable laws or regulations: 
 TEN COM — as tenants in common UNIF GIFT MIN ACT — Custodian 
 TEN ENT — as tenants by the entireties (Cust) (Minor) 
 JT TEN — as joint tenants with under Uniform Gifts to Minors 
 right of
survivorship and Act 
 not as tenants in common (State) 
 Additional abbreviations may also be used though not in the above list 
 FOR VALUE RECEIVED hereby sells, assigns and transfers unto 
 PLEASE INSERT SOCIAL SECURITY OR OTHER IDENTIFYING NUMBER OF ASSIGNEE 
 (PLEASE PRINT OR TYPEWRITE NAME AND ADDRESS INCLUDING ZIP CODE OF ASSIGNEE) 
 PLEASE PRINT OR TYPEWRITE NAME
AND ADDRESS. INCLUDING ZIP CODE. Of ASSIGNEE 
 Shares 
 of the capital stock represented by this Certificate, and does hereby irrevocably constitute and appoint 
 Attorney 
 to
transfer the said stock on the books of the Corporation with full power of substitution in the premises. 
 Dated 

X X 
 NOTICE: THE SIGNATURE(S) TO THIS ASSIGNMENT MUST CORRESPOND WITH THE NAME(S) AS WRITTEN UPON THE FACE OF THE CERTIFICATE IN EVERY PARTICULAR, WITHOUT ALTERATION OR ENLARGEMENT OR ANY CHANGE WHATEVER. 
 SIGNATURE(S) GUARANTEED: 
 By 
 THE SIGNATURE(S) MUST BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS. STOCKBROKERS, SAVINGS
AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED SIGNATURE GUARANTEE MEDALLION PROGRAM!, PURSUANT TO S.E.C. RULE 17Ad-15.Exhibit 10.13.5

 Exhibit 10.13.5 
 ITC^DELTACOM, INC. 
 AMENDED AND RESTATED STOCK INCENTIVE PLAN 
 STOCK UNIT AGREEMENT 
 ITC^DeltaCom,
Inc., a Delaware corporation (the “Company”), hereby grants stock units relating to shares of its common stock, $.01 par value (the “Stock”), to the individual named below as the Holder, subject to the vesting conditions set
forth in the attachment. Additional terms and conditions of the grant are set forth in this cover sheet, in the attachment and in the ITC^DeltaCom, Inc. Amended and Restated Stock Incentive Plan (the “Plan”). 
 Grant Date:                         ,
20     
 Name of Holder:
                                        
                             
 Holder’s Social Security Number:
            -            -            

 Number of Stock Units Covered by Grant:
                         
 By signing this cover sheet, you agree to all of the terms and conditions described in this Agreement and in the Plan, a copy of which is available for your review upon request to Human Resources. You
acknowledge that you have carefully reviewed the Plan and agree that the Plan will control in the event any provision of this Agreement should appear to be inconsistent with the terms of the Plan. 
  

					
	Holder:	 	  

		 	(Signature)
		
	Company:	 	  

		 	(Signature)
			
		 	Title:	 	  

 Attachment 
 This is not a stock certificate or a negotiable instrument. 

 ITC^DELTACOM, INC. 
 AMENDED AND RESTATED STOCK INCENTIVE PLAN 
 STOCK UNIT AGREEMENT 
  

			
	Stock Unit Transferability	  	 This grant is an award of stock units in the number of units set forth on the cover sheet, subject to the vesting conditions described below (the
“Stock Units”). Except as provided in the next paragraph with regard to your vested Stock Units, your Stock Units may not be transferred, assigned, pledged or hypothecated, whether by operation of law or otherwise, nor may the Stock Units
be made subject to execution, attachment or similar process.
  
 You may transfer your
vested Stock Units, to the extent permitted by the Company’s compensation committee and under such terms and conditions as may be imposed by the compensation committee, to:
  
 •        any
Immediate Family Member;
  
 •        any trust in which Immediate Family Members have more than 50% of the beneficial interest;
  
 •        any foundation in which Immediate Family Members (or you) control the
management of the assets; or
  
 •        any other entity in which Immediate Family Members (or you) own more than 50% of the voting interests.
  
 There may be no consideration for any such transfer of vested Stock Units and no subsequent transfers of transferred vested Stock Units or transfers of an interest in a
trust, foundation or other entity to which the vested Stock Units been transferred, except those transfers effectuated in accordance with the foregoing requirements or by will or the laws of descent and distribution.

		
	Definitions	  	 Capitalized terms not defined in this Agreement are defined in the Plan, and have the meaning set forth in the Plan. The following additional
terms have the meanings provided below:
  
 “Service” means service by you as an
employee, officer, director or consultant to the Company or an Affiliate. A change in your position or duties will not result in interrupted

  

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		  	 or terminated Service so long as you continue to be an employee, officer, director or consultant of the Company or an Affiliate.
  
 “Cause” means, as determined by the Board and unless otherwise provided in an applicable
employment agreement between you and the Company or an Affiliate, (i) your gross negligence or willful misconduct in connection with the performance of your duties, (ii) your conviction of a criminal offense (other than minor traffic offenses) or
(iii) your material breach of any term of any employment, consulting or other services, confidentiality, intellectual property or non-competition agreement between you and the Company or an Affiliate.

		
	Vesting	  	                      of the total
number of Stock Units under this Stock Unit grant will become vested on the              anniversary of the Grant Date, provided you then continue in Service. The remaining
                     of the total number of Stock Units under this Stock Unit grant will become vested on the
             anniversary of the Grant Date, provided you then continue in Service. One hundred percent (100%) of the total number of Stock Units under this Stock Unit grant will
become vested upon your termination of Service due to your death or Disability.
  
 The
resulting aggregate number of vested Stock Units will be rounded down to the nearest whole number of Stock Units. You may not vest in more than the number of Stock Units covered by this grant.
  
 Except as may be provided in an applicable employment agreement between you and the Company or an
Affiliate, no additional Stock Units will vest after your Service has terminated for any reason.

		
	Delivery of Stock Pursuant to Vested Units	  	A certificate for all of the shares of Stock represented by the vested Stock Units (which shares of Stock will be rounded down to the nearest number of whole shares) will be delivered to you
on the third anniversary of the Grant Date; provided, that, if the third anniversary of the Grant Date occurs during a period in which you are (i) subject to a lock-up agreement restricting your ability to sell Stock in the open market or (ii) are
restricted from selling Stock in the open market because a trading window is not available, delivery of such vested shares will be delayed until the date immediately following the expiration of the lock-up agreement or the

  

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		  	 opening of a trading window, but in no event beyond the end of the year in which the third anniversary of the Grant Date occurs.
  
 In the event that your Service terminates for any reason other than for Cause prior to the third
anniversary of the Grant Date, shares of Stock corresponding to the vested portion of your Stock Units will be delivered to you immediately following your termination of Service, provided however, that if (A) on the date of termination of your
Service, any of the Company’s stock is publicly traded on an established securities market or otherwise (within the meaning of Section 409A(a)(2)(B)(i) of the Code) and (B) you are determined to be a “specified employee” within
the meaning of Section 409A(a)(2)(B) of the Code, delivery of the Shares will be made on the earliest of (1) the date which is six (6) months and one (1) day after your termination date, (2) the date of your death or (3) such other date as will
cause such payment not to be subject to the interest and additional tax provisions of Section 409A of the Code.

		
	Forfeiture of Unvested Units	  	In the event that your Service terminates for any reason other than because of your death or Disability, unless otherwise provided in an applicable employment agreement between you and the
Company or an Affiliate, you will forfeit all of the Stock Units that have not yet vested.
		
	Termination for Cause	  	If your Service is terminated for Cause, you will forfeit all Stock Units, whether or not vested. In addition, if your Service is terminated for Cause you will be required to forfeit to the
Company an amount equal to the aggregate gain that you recognized pursuant to the vesting or exercise of Incentive Awards during the twelve (12) month period preceding your termination of Service (the “Look-back Period”). For this purpose
the aggregate gain recognized by you is equal to the sum of: (i) the aggregate spread value of all Options exercised by you (including Options exercised by a Family member or Family Trust) during the Look-back Period, where the spread value is the
difference between the fair market value of the Stock on the date of the Option exercise and the Option exercise price; (ii) the aggregate value of all shares of Restricted Stock owned by you that vested during the Look-back Period, less the
purchase price, if any, for the Restricted Stock; and (iii) the aggregate value of all shares of Stock delivered to you pursuant to Restricted Units during the Look-back Period. Any amount required to be paid by you to the Company pursuant to this
paragraph

  

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	 	  	will be reduced by any amount repaid by you to the Company pursuant to Section 304 of
the Sarbanes-Oxley Act of 2002.
		
	Withholding Taxes	  	You agree, as a condition of this grant, that you will make acceptable arrangements to pay any withholding or other taxes that may be due as a result of vesting in Stock Units or your
acquisition of Stock under this grant. In the event that the Company determines that any federal, state, local or foreign tax or withholding payment is required relating to this grant, the Company will have the right to: (i) require that you arrange
such payments to the Company; (ii) withhold such amounts from other payments due to you from the Company or any Affiliate; or (iii) cause an immediate forfeiture of shares of Stock subject to the Restricted Units granted pursuant to this Agreement
in an amount equal to the withholding or other taxes due.
		
	Retention Rights	  	This Agreement does not give you the right to be retained by the Company (or any Affiliates) in any capacity. The Company (and any Affiliate) reserve the right to terminate your Service at
any time and for any reason.
		
	Shareholder Rights	  	You do not have any of the rights of a shareholder with respect to the Stock Units unless and until the Stock relating to the Stock Units has been delivered to you. You will, however, be
entitled to receive, upon the Company’s payment of a cash dividend on outstanding Stock, a cash payment for each Stock Unit that you hold as of the record date for such dividend equal to the per-share dividend paid on the
Stock.
		
	Adjustments	  	 In the event of a stock split, a stock dividend or a similar change in the Company stock, the number of Stock Units covered by this grant will be
adjusted (and rounded down to the nearest whole number) in accordance with the terms of the Plan.
  
 In the event of a Corporate Transaction, if the Company or its Successor agrees in writing in connection with the Corporate Transaction to assume the Stock Units covered by this Grant or to substitute new stock units
covering the capital stock of a Successor for the Stock Units covered by this grant with appropriate equitable adjustments in the number of shares, the Stock Units covered by this grant will continue on such adjusted basis and the vesting of the
Stock Units covered by this grant will not be accelerated. If the

  

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	 	  	Stock Units covered by this grant are not assumed or substituted for in connection with the
Corporate Transaction in accordance with the preceding sentence, the Stock Units covered
by
this grant will be deemed to be fully vested immediately prior to the consummation of
the Corporate Transaction and the holder of the Stock Units covered by this grant will be
delivered a certificate for the shares of Stock subject to this
grant (excluding any shares that
have previously been delivered to the holder) immediately prior to the consummation of the
Corporate Transaction.
		
	Applicable Law	  	This Agreement will be interpreted and enforced under the laws of the State of Delaware, other than any conflicts or choice of law rule or principle that might otherwise refer construction or
interpretation of this Agreement to the substantive law of another jurisdiction.
		
	Consent to Electronic Delivery	  	The Company may choose to deliver certain statutory materials relating to the Plan in electronic form. By accepting this grant you agree that the Company may deliver the Plan prospectus and
the Company’s annual report to you in an electronic format. If at any time you would prefer to receive paper copies of these documents, as you are entitled to receive, the Company would be pleased to provide copies. Please contact the Human
Resources Department to request paper copies of these documents.
		
	The Plan	  	The text of the Plan is incorporated in this Agreement by reference. This Agreement and the Plan constitute the entire understanding between you and the Company regarding this grant of Stock
Units. Any prior agreements, commitments or negotiations concerning this grant are superseded.

 By signing the cover sheet of this Agreement, you agree to all of the terms and conditions
described above and in the Plan. 
  

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