Document:

Exhibit 10.3

  

VOTING AGREEMENT

 

This Voting Agreement
(this “Agreement”), dated as of July 1, 2020, is entered into by and between Dime Community Bancshares, Inc., a Delaware
corporation, (“DCB”) and the undersigned party (the “Shareholder”).

 

WHEREAS, subject
to the terms and conditions of the Agreement and Plan of Merger (as the same may be amended, supplemented or modified, the (“Merger
Agreement”)), dated as of the date hereof, by and between DCB and Bridge Bancorp, Inc. (“BB”), DCB will be merged
with and into BB, with BB as the surviving corporation (the “Merger”);

 

WHEREAS, as
of the date of this Agreement, the Shareholder owns beneficially or of record, and has the power to vote or direct the voting of,
certain shares of common stock issued by BB, par value $0.01 per share (all such shares, the “Existing Shares”); and

 

WHEREAS, as
a condition and inducement for BB and DCB to enter into the Merger Agreement, DCB requires that the Shareholder, in his or her
capacity as a shareholder, enter into this Agreement, and the Shareholder has agreed to enter into this Agreement.

 

NOW THEREFORE,
in consideration of the foregoing, the mutual covenants and agreements set forth herein, and other good and valuable consideration,
the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows:

 

		1.	Definitions. Capitalized terms not defined in this Agreement have the meaning assigned
to those terms in the Merger Agreement. The following definition also applies to this Agreement:

 

		a.	Beneficial Ownership. For purposes of this Agreement, the terms “beneficial owner”
and “beneficially own” shall have the meaning set forth in Rule 13d-3 promulgated by the Securities and Exchange Commission
(the “SEC”) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”).

 

		2.	Effectiveness; Termination. This Agreement shall be effective upon signing. This
Agreement shall automatically terminate and be null and void and of no effect upon the earliest of (i) the conclusion of the meeting
(whether annual or special and any adjournment or postponement thereof) of the BB shareholders to vote upon the Merger Agreement
or any related matter (the “BB Shareholder Meeting”), (ii) the date of any amendment, waiver or modification of the
Merger Agreement without the Shareholder’s prior written consent that has the effect of (x) changing the amount of the Merger
Consideration, (y) changing the form of the Merger Consideration, in each case, payable pursuant to the Merger Agreement in effect
on the date of this Agreement or (z) otherwise affecting the Shareholder in a materially adverse manner or (iii) if the Merger
Agreement is terminated for any reason in accordance with its terms, as of the date of the termination of the Merger Agreement;
provided that (i) this Section 2 and Sections 8 through 13 hereof shall survive any such termination
and (ii) such termination shall not relieve any party of any liability or damages resulting from any willful or material breach
of any of his or her representations, warranties, covenants or other agreements set forth herein.

 

    	 

     

    

 

		3.	Voting Agreement. From the date hereof until the earlier of (a) the final adjournment
of the BB shareholder meeting to vote upon the Merger Agreement or any related matter (“BB Shareholder Meeting”) or
(b) the termination of this Agreement in accordance with its terms (such period of time, the “Support Period”), the
Shareholder irrevocably and unconditionally hereby agrees, that at the BB Shareholder Meeting (whether annual or special and each
adjourned or postponed meeting), however called, or in connection with any written consent of BB’s shareholders to vote upon
the Merger Agreement, the Shareholder shall (i) appear at the BB Shareholder Meeting or otherwise cause all of his or her Existing
Shares that such Shareholder has the sole power to vote or direct the voting of and all other shares of BB Common Stock or voting
securities of BB over which such Shareholder has acquired beneficial or record ownership after the date hereof and has the sole
power to vote or direct the voting of (including any shares of BB Common Stock acquired by means of purchase, dividend or distribution,
or issued upon the exercise of any stock options to acquire BB Common Stock or the conversion of any convertible securities, or
pursuant to any other equity awards or derivative securities (including any BB Stock Options) or otherwise) (together with the
Existing Shares, the “Shares”), which such Shareholder beneficially owns or controls as of the applicable record
date for the BB Shareholder Meeting, to be counted as present thereat for purposes of calculating a quorum, and (ii) vote
or cause to be voted (including by proxy or written consent, if applicable) all such Shares (A) in favor of the approval of the
Merger Agreement and the approval of the transactions contemplated thereby, including the Merger, (B) in favor of any proposal
to adjourn or postpone the BB Shareholder Meeting to a later date if there are not sufficient votes to approve the Merger Agreement,
(C) against any action or proposal in favor of an Acquisition Proposal, and (D) against any action, proposal, transaction or agreement
that would reasonably be likely to (1) result in a breach of any covenant, representation or warranty or any other obligation or
agreement of BB contained in the Merger Agreement, or of the Shareholder contained in this Agreement, or (2) prevent, impede, interfere
with, delay, postpone, discourage or frustrate the purposes of or adversely affect the consummation of the transactions contemplated
by the Merger Agreement, including the Merger; provided, that in each case, the Merger Agreement shall not have been amended
or modified in any manner without the Shareholder's prior written consent to (x) change the amount of the Merger Consideration
payable pursuant to the Merger Agreement in effect on the date of this Agreement, (y) change the form of the Merger Consideration
payable pursuant to the Merger Agreement in effect on the date of this Agreement or (z) otherwise affect the Shareholder in a materially
adverse manner; provided, further, that the foregoing and the other provisions herein apply solely to the Shareholder in
his or her capacity as a shareholder of BB and the Shareholder makes no agreement or understanding in this Agreement in the Shareholder’s
capacity as a director or officer of BB or any of its subsidiaries (if the Shareholder holds such office), and nothing in this
Agreement: (a) will limit or affect any actions or omissions taken by the Shareholder in the Shareholder’s capacity as such
a director or officer, including in exercising rights under the Merger Agreement, and no such actions or omissions shall be deemed
a breach of this Agreement; or (b) will be construed to prohibit, limit or restrict the Shareholder from exercising the Shareholder’s
fiduciary duties as an officer or director to BB or its shareholders. For the avoidance of doubt, the foregoing commitments apply
to any Shares held by any Affiliate, as such term is defined in the Merger Agreement. The Shareholder covenants and agrees that,
except for this Agreement, such Shareholder (x) has not entered into, and shall not enter into during the Support Period, any voting
agreement or voting trust with respect to the Shares and (y) has not granted, and shall not grant during the Support Period, a
proxy, consent or power of attorney with respect to the Shares except any proxy to carry out the intent of this Agreement and any
proxy granted for ordinary course proposals at an annual meeting. The Shareholder agrees not to enter into any agreement or commitment
with any person the effect of which would be inconsistent with or otherwise violate the provisions and agreements set forth herein.

 

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		4.	Transfer Restrictions. The Shareholder hereby agrees that such Shareholder will not,
during the Support Period, without the prior written consent of DCB, directly or indirectly, offer for sale, sell, transfer, assign,
give, tender in any tender or exchange offer, pledge, encumber, hypothecate or similarly dispose of (by merger, by testamentary
disposition, by operation of law or otherwise), either voluntarily or involuntarily, enter into any swap or other hedging arrangement
that transfers to another, in whole or in part, any of the economic consequences of ownership of, enter into any contract, option
or other arrangement or understanding with respect to the sale, transfer, assignment, pledge, encumbrance, hypothecation or other
disposition of (by merger, by testamentary disposition, by operation of law or otherwise) or otherwise convey or dispose of, any
of the Shares, or any interest therein, including the right to vote any Shares, as applicable (to the extent the Shareholder has
the sole right to dispose of or direct the disposition of such Shares, a “Transfer”); provided, that the Shareholder
may (i) Transfer Shares pursuant to any currently existing pledge agreement or for estate planning or philanthropic purposes so
long as the transferee, prior to the date of Transfer, agrees in a signed writing to be bound by and comply with the provisions
of this Agreement and the Shareholder provides at least two (2) days’ prior written notice to DCB (which shall include the
written consent of the transferee agreeing to be bound by and comply with the provisions of this Agreement), in which case the
Shareholder shall remain jointly and severally liable for any breach of this Agreement by such transferee, (ii) bequeath Shares
by will or operation of law, in which case this Agreement shall bind the transferee, (iii) surrender Shares to BB in connection
with the vesting, settlement or exercise of BB equity awards to satisfy any withholding for the payment of taxes incurred in connection
with such vesting, settlement or exercise, or, in respect of BB equity awards, the exercise price thereon, (iv) Transfer Shares
as is otherwise permitted in writing by DCB in its sole discretion, or (v) Transfer shares to an Affiliate of the Shareholder;
provided, that as a condition to such Transfer such Affiliate shall execute a joinder to this Agreement. Notwithstanding
the foregoing or any other provision of this Agreement, Shareholder shall not be precluded from holding its clients’ shares
in margin accounts at broker-dealers in the ordinary course of business consistent with past practice, and the holding of such
shares in such margin accounts shall not constitute a breach of any provision of this Agreement.

 

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		5.	Representations of the Shareholder. The Shareholder represents and warrants to DCB
as follows: (a) the Shareholder has full legal right, capacity and authority to execute and deliver this Agreement, to perform
the Shareholder’s obligations hereunder and to consummate the transactions contemplated hereby; (b) this Agreement has been
duly and validly executed and delivered by the Shareholder and, assuming the due authorization, execution and delivery of this
Agreement by DCB, constitutes a valid and legally binding agreement of the Shareholder, enforceable against the Shareholder in
accordance with its terms, and no other action is necessary to authorize the execution and delivery of this Agreement by the Shareholder
or the performance of his or her obligations hereunder; (c) the execution and delivery of this Agreement by the Shareholder does
not, and the consummation of the transactions contemplated hereby and the compliance with the provisions hereof will not, conflict
with or violate any law or result in any breach of or violation of, or constitute a default (or an event that with notice or lapse
of time or both would become a default) under, or give to others any rights of termination, amendment, acceleration or cancellation
of, or result in the creation of a lien on any of the Shares pursuant to, any agreement or other instrument or obligation binding
upon the Shareholder or the Shares (including under the certificate of incorporation and bylaws of BB), nor require any authorization,
consent or approval of, or filing with, any Governmental Entity except for, filings with the SEC of such reports under the Exchange
Act as may be required in connection with this Agreement and the transactions contemplated hereby, including, without limitation,
any filing required under Section 13 or Section 16 under the Exchange Act; (d) the Shareholder beneficially owns (as such term
is used in Rule 13d-3 of the Exchange Act) and has the sole power to vote or direct the voting of the Shares, and the number of
such Shares as of the date of this Agreement is identified on the signature page hereto; (e) the Shareholder beneficially owns
the Shares free and clear of any proxy, voting restriction, adverse claim or other lien (other than any restrictions created or
permitted by this Agreement, under applicable federal or state securities laws, under the Shareholder’s organizational documents
or customary liens pursuant to the terms of any custody or similar agreement applicable to Shares held in brokerage accounts);
and (f) the Shareholder has read and is familiar with the terms of the Merger Agreement. Notwithstanding the forgoing, the Shareholder
may be deemed to have beneficial ownership, but not the voting authority, with respect to 599,928 Shares (the “Shared
Voting Shares”), and the Shareholder will use its best efforts to recommend to such parties with voting authority that
it vote such Shared Voting Shares in the same manner as the Shareholder is obligated to vote the other Shares pursuant to this
Agreement. The Shareholder agrees that the Shareholder shall not take any action that would make any representation or warranty
of the Shareholder contained herein untrue or incorrect or have the effect of preventing, impairing, delaying or adversely affecting
the performance by the Shareholder of his or her obligations under this Agreement. The Shareholder agrees, without further consideration,
to execute and deliver such additional documents and to take such further actions as are necessary or reasonably requested by DCB
to confirm and assure the rights and obligations set forth in this Agreement. The Shareholder understands and acknowledges that
DCB is entering into the Merger Agreement in reliance upon the execution and delivery of this Agreement by such Shareholder and
the representations and warranties of such Shareholder contained herein. Such Shareholder understands and acknowledges that the
Merger Agreement governs the terms of the Merger and the other transactions contemplated thereby.

 

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		6.	Publicity. The Shareholder hereby authorizes BB and DCB to publish and disclose in
any announcement or disclosure in connection with the Merger, including in the Merger Registration Statement, the Proxy Statement-Prospectus
or any other filing with any Governmental Entity made in connection with the Merger, the Shareholder’s identity and ownership
of the Shares and the nature of the Shareholder’s obligations under this Agreement. The Shareholder agrees to notify DCB
as promptly as practicable of any inaccuracies or omissions in any information relating to the Shareholder that is so published
or disclosed.

 

		7.	Entire Agreement; Assignment. The recitals are incorporated as a part of this Agreement.
This Agreement and the Merger Agreement constitute the entire agreement among the parties with respect to the subject matter hereof
and supersedes all other prior agreements and understandings, both written and oral, among the parties with respect to the subject
matter hereof, other than, if the Shareholder is a director or officer of BB, with respect to any employment, non-competition,
non-solicit, change of control, severance, or consulting agreement between the Shareholder and either BB or DCB, or its Affiliates.
Nothing in this Agreement, express or implied, is intended to or shall confer upon any person not a party to this Agreement any
right, benefit or remedy of any nature whatsoever under or by reason of this Agreement. This Agreement shall not be assigned by
operation of law or otherwise and shall be binding upon and inure solely to the benefit of each party hereto; provided,
however, that the rights under this Agreement are assignable by DCB to a majority-owned Affiliate or any successor-in-interest
of DCB, but no such assignment shall relieve DCB of its obligations hereunder.

 

		8.	Remedies/Specific Enforcement. Each of the parties hereto agrees that this Agreement
is intended to be legally binding and specifically enforceable pursuant to its terms and that DCB would be irreparably harmed if
any of the provisions of this Agreement are not performed in accordance with its specific terms and that monetary damages would
not provide adequate remedy in such event. Accordingly, in the event of any breach or threatened breach by the Shareholder of any
covenant or obligation contained in this Agreement, in addition to any other remedy to which DCB may be entitled (including monetary
damages), DCB shall be entitled to seek injunctive relief to prevent breaches or threatened breaches of this Agreement and to specifically
enforce the terms and provisions hereof, and the Shareholder hereby waives any defense in any action for specific performance or
an injunction or other equitable relief that a remedy at law would be adequate. The Shareholder further agrees that neither DCB
nor any other person or entity shall be required to obtain, furnish or post any bond or similar instrument in connection with or
as a condition to obtaining any remedy referred to in this paragraph, and the Shareholder irrevocably waives any right he or she
may have to require the obtaining, furnishing or posting of any such bond or similar instrument.

 

		9.	Governing Law. This Agreement is governed by, and shall be interpreted in accordance
with, the laws of the State of New York, without regard to any applicable conflict of law principles.

 

		10.	Notice. All notices and other communications hereunder shall be in writing and shall
be deemed given if delivered personally, electronic mail (with confirmation), mailed by registered or certified mail (return receipt
requested) or delivered by an express courier (with confirmation) if to the Shareholder, to the address or e-mail address, as applicable,
set forth in Schedule A hereto, and if to DCB, in accordance with Section 12.3 of the Merger Agreement.

 

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		11.	Severability. Whenever possible, each provision or portion of any provision of this
Agreement shall be interpreted in such manner as to be effective and valid under applicable law, but if any provision or portion
of any provision of this Agreement is held to be invalid, illegal or unenforceable in any respect under any applicable law or rule
in any jurisdiction, such invalidity, illegality or unenforceability shall not affect any other provision or portion of any provision
in such jurisdiction, and this Agreement shall be reformed, construed and enforced in such jurisdiction such that the invalid,
illegal or unenforceable provision or portion thereof shall be interpreted to be only so broad as is enforceable.

 

		a.	Amendments; Waivers. Any provision of this Agreement may be amended or waived if, and only
if, such amendment or waiver is in writing and signed (a) in the case of an amendment, by DCB and the Shareholder, and (b) in
the case of a waiver, by the party against whom the waiver is to be effective. No failure or delay by any party in exercising any
right, power or privilege hereunder shall operate as a waiver thereof, nor shall any single or partial exercise thereof preclude
any other or further exercise thereof or the exercise of any other right, power or privilege.

 

		12.	Waiver of Jury Trial. EACH PARTY ACKNOWLEDGES AND AGREES THAT ANY CONTROVERSY THAT
MAY ARISE UNDER THIS AGREEMENT IS LIKELY TO INVOLVE COMPLICATED AND DIFFICULT ISSUES, AND THEREFORE EACH SUCH PARTY HEREBY IRREVOCABLY
AND UNCONDITIONALLY WAIVES, TO THE EXTENT PERMITTED BY LAW AT THE TIME OF INSTITUTION OF THE APPLICABLE LITIGATION, ANY RIGHT SUCH
PARTY MAY HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION DIRECTLY OR INDIRECTLY ARISING OUT OF OR RELATING TO THIS AGREEMENT.
EACH PARTY CERTIFIES AND ACKNOWLEDGES THAT: (I) NO REPRESENTATIVE, AGENT OR ATTORNEY OF ANY OTHER PARTY HAS REPRESENTED, EXPRESSLY
OR OTHERWISE, THAT SUCH OTHER PARTY WOULD NOT, IN THE EVENT OF LITIGATION, SEEK TO ENFORCE THE FOREGOING WAIVER; (II) THE PARTY
UNDERSTANDS AND HAS CONSIDERED THE IMPLICATIONS OF THIS WAIVER; (III) THE PARTY MAKES THIS WAIVER VOLUNTARILY; AND (IV) THE PARTY
HAS BEEN INDUCED TO ENTER INTO THIS AGREEMENT BY, AMONG OTHER THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS IN THIS SECTION
13.

 

		13.	Counterparts. The parties may execute this Agreement in one or more counterparts,
including by facsimile or other electronic signature. All the counterparts will be construed together and will constitute one Agreement.

 

[Signature pages follow]

 

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IN WITNESS WHEREOF, the parties hereto
have duly executed and delivered this Agreement as of the date first written above.

 

	DIME COMMUNITY BANCSHARES, INC.	 
	 	 	 
	 	 	 
	By:  	 	 
	 	Kenneth J. Mahon	 
	 	Title: Chief Executive Officer	 

 

 

[Additional Signatures on Next Page]

 

    	 

     

    

  

SHAREHOLDER:  

 

__________________________________

Name

 

__________________________________

Title

 

 

Shares Over Which Shareholder
has Sole Voting Power:

 

 

 

    	 

     

    

 

Schedule A

 

Shareholder Information

 

	Name, Address and E-Mail Address for NoticesEX-10.4(b)

 Exhibit 10.4(b) 

ANNEXON, INC. 
 2011
EQUITY INCENTIVE PLAN 
 STOCK OPTION AGREEMENT 

Unless otherwise defined herein, the terms defined in the 2011 Equity Incentive Plan (the “Plan”) shall have the same defined
meanings in this Stock Option Agreement (the “Option Agreement”). 
  

	I.	 NOTICE OF STOCK OPTION GRANT 

Name: 
 Address:

 The undersigned Participant has been granted an Option to purchase Common Stock of the Company, subject to the terms and conditions
of the Plan and this Option Agreement, as follows: 
  

							
			
	 Date of Grant:
	 	 	  	
			
	 Vesting Commencement Date:
	 	 	  	
			
	 Exercise Price per Share:
	 	$	  	
			
	 Total Number of Shares Granted:
	 	 	  	
			
	 Total Exercise Price:
	 	$	  	
				
	 Type of Option:
	 	  X    	  	Incentive Stock Option	  	
				
		 	 	  	Nonstatutory Stock Option	  	
			
	 Term/Expiration Date:
	 	 	  	

 Vesting Schedule: 

This Option shall be exercisable, in whole or in part, according to the following vesting schedule: 

Twenty-five percent (25%) of the Shares subject to the Option shall vest on the one (1) year anniversary of the Vesting Commencement
Date, and one forty-eighth (1/48th) of the Shares subject to the Option shall vest each month thereafter on the same day of the month as the Vesting Commencement Date (and if there is no
corresponding day, on the last day of the month), subject to Participant continuing to be a Service Provider through each such date. 
  

 Termination Period: 

This Option shall be exercisable for three (3) months after Participant ceases to be a Service Provider, unless such termination is due
to Participant’s death or Disability, in which case this Option shall be exercisable for six (6) months after Participant ceases to be a Service Provider. Notwithstanding the foregoing sentence, in no event may this Option be exercised
after the Term/Expiration Date as provided above and this Option may be subject to earlier termination as provided in Section 13 of the Plan. 
  

	II.	 AGREEMENT 

1.    Grant of Option. The Administrator of the Company hereby grants to the Participant named in the Notice of
Stock Option Grant in Part I of this Agreement (“Participant”), an option (the “Option”) to purchase the number of Shares set forth in the Notice of Stock Option Grant, at the exercise price per Share set forth in the Notice of
Stock Option Grant (the “Exercise Price”), and subject to the terms and conditions of the Plan, which is incorporated herein by reference. Subject to Section 18 of the Plan, in the event of a conflict between the terms and conditions
of the Plan and this Option Agreement, the terms and conditions of the Plan shall prevail. 
 If designated in the Notice of Stock Option
Grant as an Incentive Stock Option (“ISO”), this Option is intended to qualify as an Incentive Stock Option as defined in Section 422 of the Code. Nevertheless, to the extent that it exceeds the $100,000 rule of Code
Section 422(d), this Option shall be treated as a Nonstatutory Stock Option (“NSO”). Further, if for any reason this Option (or portion thereof) shall not qualify as an ISO, then, to the extent of such nonqualification, such
Option (or portion thereof) shall be regarded as a NSO granted under the Plan. In no event shall the Administrator, the Company or any Parent or Subsidiary or any of their respective employees or directors have any liability to Participant (or any
other person) due to the failure of the Option to qualify for any reason as an ISO. 
 2.    Exercise of
Option. 
 (a)    Right to Exercise. This Option shall be exercisable during its term in accordance with the
Vesting Schedule set out in the Notice of Stock Option Grant and with the applicable provisions of the Plan and this Option Agreement. 

(b)    Method of Exercise. This Option shall be exercisable by delivery of an exercise notice in the form attached
as Exhibit A (the “Exercise Notice”) or in a manner and pursuant to such procedures as the Administrator may determine, which shall state the election to exercise the Option, the number of Shares with respect
to which the Option is being exercised (the “Exercised Shares”), and such other representations and agreements as may be required by the Company. The Exercise Notice shall be accompanied by payment of the aggregate Exercise Price as to all
Exercised Shares, together with any applicable tax withholding. This Option shall be deemed to be exercised upon receipt by the Company of such fully executed Exercise Notice accompanied by the aggregate Exercise Price, together with any applicable
tax withholding. 
 No Shares shall be issued pursuant to the exercise of an Option unless such issuance and such exercise comply with
Applicable Laws. Assuming such compliance, for income tax purposes the Shares shall be considered transferred to Participant on the date on which the Option is exercised with respect to such Shares. 

  
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 3.    Participant’s Representations. In the event the Shares
have not been registered under the Securities Act of 1933, as amended (the “Securities Act”), at the time this Option is exercised, Participant shall, if required by the Company, concurrently with the exercise of all or any portion of this
Option, deliver to the Company his or her Investment Representation Statement in the form attached hereto as Exhibit B. 

4.    Lock-Up Period. Participant hereby agrees that Participant shall not
offer, pledge, sell, contract to sell, sell any option or contract to purchase, purchase any option or contract to sell, grant any option, right or warrant to purchase, lend, or otherwise transfer or dispose of, directly or indirectly, any Common
Stock (or other securities) of the Company or enter into any swap, hedging or other arrangement that transfers to another, in whole or in part, any of the economic consequences of ownership of any Common Stock (or other securities) of the Company
held by Participant (other than those included in the registration) for a period specified by the representative of the underwriters of Common Stock (or other securities) of the Company not to exceed one hundred and eighty (180) days following
the effective date of any registration statement of the Company filed under the Securities Act (or such other period as may be requested by the Company or the underwriters to accommodate regulatory restrictions on (i) the publication or other
distribution of research reports and (ii) analyst recommendations and opinions, including, but not limited to, the restrictions contained in NASD Rule 2711(f)(4) or NYSE Rule 472(f)(4), or any successor provisions or amendments
thereto). 
 Participant agrees to execute and deliver such other agreements as may be reasonably requested by the Company or the
underwriter which are consistent with the foregoing or which are necessary to give further effect thereto. In addition, if requested by the Company or the representative of the underwriters of Common Stock (or other securities) of the Company,
Participant shall provide, within ten (10) days of such request, such information as may be required by the Company or such representative in connection with the completion of any public offering of the Company’s securities pursuant to a
registration statement filed under the Securities Act. The obligations described in this Section 4 shall not apply to a registration relating solely to employee benefit plans on Form S-1 or Form S-8 or similar forms that may be promulgated in the future, or a registration relating solely to a Commission Rule 145 transaction on Form S-4 or similar forms that may be
promulgated in the future. The Company may impose stop-transfer instructions with respect to the shares of Common Stock (or other securities) subject to the foregoing restriction until the end of said one hundred and eighty (180) day (or other)
period. Participant agrees that any transferee of the Option or shares acquired pursuant to the Option shall be bound by this Section 4. 

5.    Method of Payment. Payment of the aggregate Exercise Price shall be by any of the following, or a combination
thereof, at the election of the Participant: 
 (a)    cash; 

(b)    check; 

(c)    consideration received by the Company under a formal cashless exercise program adopted by the Company in connection
with the Plan; or 

  
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 (d)    surrender of other Shares which (i) shall be valued at its
Fair Market Value on the date of exercise, and (ii) must be owned free and clear of any liens, claims, encumbrances or security interests, if accepting such Shares, in the sole discretion of the Administrator, shall not result in any adverse
accounting consequences to the Company. 
 6.    Restrictions on Exercise. This Option may not be exercised until
such time as the Plan has been approved by the stockholders of the Company, or if the issuance of such Shares upon such exercise or the method of payment of consideration for such shares would constitute a violation of any Applicable Law. 

7.    Non-Transferability of Option. 

(a)    This Option may not be transferred in any manner otherwise than by will or by the laws of descent or distribution
and may be exercised during the lifetime of Participant only by Participant. The terms of the Plan and this Option Agreement shall be binding upon the executors, administrators, heirs, successors and assigns of Participant. 

(b)    Further, until the Company becomes subject to the reporting requirements of Section 13 or 15(d) of the
Exchange Act, or after the Administrator determines that it is, will, or may no longer be relying upon the exemption from registration of Options under the Exchange Act as set forth in Rule 12h-1(f)
promulgated under the Exchange Act (the “Reliance End Date”), Participant shall not transfer this Option or, prior to exercise, the Shares subject to this Option, in any manner other than (i) to persons who are “family
members” (as defined in Rule 701(c)(3) of the Securities Act) through gifts or domestic relations orders, or (ii) to an executor or guardian of Participant upon the death or disability of Participant. Until the Reliance End Date, the
Options and, prior to exercise, the Shares subject to this Option, may not be pledged, hypothecated or otherwise transferred or disposed of, including by entering into any short position, any “put equivalent position” or any “call
equivalent position” (as defined in Rule 16a-1(h) and Rule 16a-1(b) of the Exchange Act, respectively), other than as permitted in clauses (i) and (ii) of this
paragraph. 
 8.    Term of Option. This Option may be exercised only within the term set out in the Notice of
Stock Option Grant, and may be exercised during such term only in accordance with the Plan and the terms of this Option Agreement. 

9.    Tax Obligations. 

(a)    Tax Withholding. Participant agrees to make appropriate arrangements with the Company (or the Parent or
Subsidiary employing or retaining Participant) for the satisfaction of all Federal, state, local and foreign income and employment tax withholding requirements applicable to the Option exercise. Participant acknowledges and agrees that the Company
may refuse to honor the exercise and refuse to deliver the Shares if such withholding amounts are not delivered at the time of exercise. 

(b)    Notice of Disqualifying Disposition of ISO Shares. If the Option granted to Participant herein is an ISO,
and if Participant sells or otherwise disposes of any of the Shares acquired pursuant to the ISO on or before the later of (i) the date two (2) years after the Date of Grant, or (ii) the date one (1) year after the date of
exercise, Participant shall immediately notify the Company in writing of such disposition. Participant agrees that Participant may be subject to income tax withholding by the Company on the compensation income recognized by Participant. 

  
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 (c)    Code Section 409A. Under Code
Section 409A, an Option that vests after December 31, 2004 (or that vested on or prior to such date but which was materially modified after October 3, 2004) that was granted with a per Share exercise price that is determined by the
Internal Revenue Service (the “IRS”) to be less than the Fair Market Value of a Share on the date of grant (a “discount option”) may be considered “deferred compensation.” An Option that is a “discount option”
may result in (i) income recognition by Participant prior to the exercise of the Option, (ii) an additional twenty percent (20%) federal income tax, and (iii) potential penalty and interest charges. The “discount option” may
also result in additional state income, penalty and interest tax to the Participant. Participant acknowledges that the Company cannot and has not guaranteed that the IRS will agree that the per Share exercise price of this Option equals or exceeds
the Fair Market Value of a Share on the date of grant in a later examination. Participant agrees that if the IRS determines that the Option was granted with a per Share exercise price that was less than the Fair Market Value of a Share on the date
of grant, Participant shall be solely responsible for Participant’s costs related to such a determination. 

10.    Entire Agreement; Governing Law. The Plan is incorporated herein by reference. The Plan and this Option
Agreement constitute the entire agreement of the parties with respect to the subject matter hereof and supersede in their entirety all prior undertakings and agreements of the Company and Participant with respect to the subject matter hereof, and
may not be modified adversely to the Participant’s interest except by means of a writing signed by the Company and Participant. This Option Agreement is governed by the internal substantive laws but not the choice of law rules of California.

 11.    No Guarantee of Continued Service. PARTICIPANT ACKNOWLEDGES AND AGREES THAT THE VESTING OF SHARES
PURSUANT TO THE VESTING SCHEDULE HEREOF IS EARNED ONLY BY CONTINUING AS A SERVICE PROVIDER AT THE WILL OF THE COMPANY (OR THE PARENT OR SUBSIDIARY EMPLOYING OR RETAINING PARTICIPANT) AND NOT THROUGH THE ACT OF BEING HIRED, BEING GRANTED THIS OPTION
OR ACQUIRING SHARES HEREUNDER. PARTICIPANT FURTHER ACKNOWLEDGES AND AGREES THAT THIS AGREEMENT, THE TRANSACTIONS CONTEMPLATED HEREUNDER AND THE VESTING SCHEDULE SET FORTH HEREIN DO NOT CONSTITUTE AN EXPRESS OR IMPLIED PROMISE OF CONTINUED ENGAGEMENT
AS A SERVICE PROVIDER FOR THE VESTING PERIOD, FOR ANY PERIOD, OR AT ALL, AND SHALL NOT INTERFERE IN ANY WAY WITH PARTICIPANT’S RIGHT OR THE RIGHT OF THE COMPANY (OR THE PARENT OR SUBSIDIARY EMPLOYING OR RETAINING PARTICIPANT) TO TERMINATE
PARTICIPANT’S RELATIONSHIP AS A SERVICE PROVIDER AT ANY TIME, WITH OR WITHOUT CAUSE. 

  
 -5- 

 Participant acknowledges receipt of a copy of the Plan and represents that he or she is
familiar with the terms and provisions thereof, and hereby accepts this Option subject to all of the terms and provisions thereof. Participant has reviewed the Plan and this Option in their entirety, has had an opportunity to obtain the advice of
counsel prior to executing this Option and fully understands all provisions of the Option. Participant hereby agrees to accept as binding, conclusive and final all decisions or interpretations of the Administrator upon any questions arising under
the Plan or this Option. Participant further agrees to notify the Company upon any change in the residence address indicated below. 
  

					
	PARTICIPANT	 		 	ANNEXON, INC.
			
	   
	 		 	   

	Signature	 		 	By
			
	   
	 		 	 Douglas Love

	Print Name	 		 	Print Name
			
	   
	 		 	 Chief Executive Officer

	     

    
     
	 		 	Title
	Residence Address	 		 	

  
 -6- 

 EXHIBIT A 

2011 EQUITY INCENTIVE PLAN 

EXERCISE NOTICE 
 Annexon, Inc. 

280 Utah Ave (Suite 110) 
 South San Francisco, CA 94080 

Attention: Chief Financial Officer 

1.    Exercise of Option. Effective as of today, __________________, ____, the undersigned
(“Participant”) hereby elects to exercise Participant’s option (the “Option”) to purchase __________________ shares of the Common Stock (the “Shares”) of Annexon, Inc. (the “Company”) under and
pursuant to the 2011 Equity Incentive Plan (the “Plan”) and the Stock Option Agreement dated ________________, _____ (the “Option Agreement”). 

2.    Delivery of Payment. Participant herewith delivers to the Company the full purchase price of the Shares, as
set forth in the Option Agreement, and any and all withholding taxes due in connection with the exercise of the Option. 

3.    Representations of Participant. Participant acknowledges that Participant has received, read and understood
the Plan and the Option Agreement and agrees to abide by and be bound by their terms and conditions. 
 4.    Rights
as Stockholder. Until the issuance of the Shares (as evidenced by the appropriate entry on the books of the Company or of a duly authorized transfer agent of the Company), no right to vote or receive dividends or any other rights as a
stockholder shall exist with respect to the Common Stock subject to an Award, notwithstanding the exercise of the Option. The Shares shall be issued to Participant as soon as practicable after the Option is exercised in accordance with the Option
Agreement. No adjustment shall be made for a dividend or other right for which the record date is prior to the date of issuance except as provided in Section 13 of the Plan. 

5.    Company’s Right of First Refusal. Before any Shares held by Participant or any transferee
(either being sometimes referred to herein as the “Holder”) may be sold or otherwise transferred (including transfer by gift or operation of law), the Company or its assignee(s) shall have a right of first refusal to purchase the Shares on
the terms and conditions set forth in this Section 5 (the “Right of First Refusal”). 
 (a)    Notice
of Proposed Transfer. The Holder of the Shares shall deliver to the Company a written notice (the “Notice”) stating: (i) the Holder’s bona fide intention to sell or otherwise transfer such Shares; (ii) the name of each
proposed purchaser or other transferee (“Proposed Transferee”); (iii) the number of Shares to be transferred to each Proposed Transferee; and (iv) the bona fide cash price or other consideration for which the Holder proposes to
transfer the Shares (the “Offered Price”), and the Holder shall offer the Shares at the Offered Price to the Company or its assignee(s). 

 (b)    Exercise of Right of First Refusal. At any time within
thirty (30) days after receipt of the Notice, the Company and/or its assignee(s) may, by giving written notice to the Holder, elect to purchase all, but not less than all, of the Shares proposed to be transferred to any one or more of the
Proposed Transferees, at the purchase price determined in accordance with subsection (c) below. 

(c)    Purchase Price. The purchase price (“Purchase Price”) for the Shares purchased by the Company or
its assignee(s) under this Section 5 shall be the Offered Price. If the Offered Price includes consideration other than cash, the cash equivalent value of the non-cash consideration shall be determined by
the Board of Directors of the Company in good faith. 
 (d)    Payment. Payment of the Purchase Price shall be
made, at the option of the Company or its assignee(s), in cash (by check), by cancellation of all or a portion of any outstanding indebtedness of the Holder to the Company (or, in the case of repurchase by an assignee, to the assignee), or by any
combination thereof within thirty (30) days after receipt of the Notice or in the manner and at the times set forth in the Notice. 

(e)    Holder’s Right to Transfer. If all of the Shares proposed in the Notice to be transferred to a given
Proposed Transferee are not purchased by the Company and/or its assignee(s) as provided in this Section 5, then the Holder may sell or otherwise transfer such Shares to that Proposed Transferee at the Offered Price or at a higher price,
provided that such sale or other transfer is consummated within one hundred and twenty (120) days after the date of the Notice, that any such sale or other transfer is effected in accordance with any applicable securities laws and that
the Proposed Transferee agrees in writing that the provisions of this Section 5 shall continue to apply to the Shares in the hands of such Proposed Transferee. If the Shares described in the Notice are not transferred to the Proposed Transferee
within such period, a new Notice shall be given to the Company, and the Company and/or its assignees shall again be offered the Right of First Refusal before any Shares held by the Holder may be sold or otherwise transferred. 

(f)    Exception for Certain Family Transfers. Anything to the contrary contained in this Section 5
notwithstanding, the transfer of any or all of the Shares during the Participant’s lifetime or on the Participant’s death by will or intestacy to the Participant’s immediate family or a trust for the benefit of the Participant’s
immediate family shall be exempt from the provisions of this Section 5. “Immediate Family” as used herein shall mean spouse, lineal descendant or antecedent, father, mother, brother or sister. In such case, the transferee or other
recipient shall receive and hold the Shares so transferred subject to the provisions of this Section 5, and there shall be no further transfer of such Shares except in accordance with the terms of this Section 5. 

(g)    Termination of Right of First Refusal. The Right of First Refusal shall terminate as to any Shares upon the
earlier of (i) the first sale of Common Stock of the Company to the general public, or (ii) a Change in Control in which the successor corporation has equity securities that are publicly traded. 

6.    Tax Consultation. Participant understands that Participant may suffer adverse tax consequences as a result of
Participant’s purchase or disposition of the Shares. Participant represents that Participant has consulted with any tax consultants Participant deems advisable in connection with the purchase or disposition of the Shares and that Participant is
not relying on the Company for any tax advice. 

  
 -2- 

 7.    Restrictive Legends and Stop-Transfer Orders. 

(a)    Legends. Participant understands and agrees that the Company shall cause the legends set forth below or
legends substantially equivalent thereto, to be placed upon any certificate(s) evidencing ownership of the Shares together with any other legends that may be required by the Company or by state or federal securities laws: 

THE SECURITIES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933 (THE “ACT”) AND MAY NOT BE OFFERED, SOLD
OR OTHERWISE TRANSFERRED, PLEDGED OR HYPOTHECATED UNLESS AND UNTIL REGISTERED UNDER THE ACT OR, IN THE OPINION OF COUNSEL SATISFACTORY TO THE ISSUER OF THESE SECURITIES, SUCH OFFER, SALE OR TRANSFER, PLEDGE OR HYPOTHECATION IS IN COMPLIANCE
THEREWITH. 
 THE SHARES REPRESENTED BY THIS CERTIFICATE ARE SUBJECT TO CERTAIN RESTRICTIONS ON TRANSFER AND A RIGHT OF FIRST REFUSAL
HELD BY THE ISSUER OR ITS ASSIGNEE(S) AS SET FORTH IN THE EXERCISE NOTICE BETWEEN THE ISSUER AND THE ORIGINAL HOLDER OF THESE SHARES, A COPY OF WHICH MAY BE OBTAINED AT THE PRINCIPAL OFFICE OF THE ISSUER. SUCH TRANSFER RESTRICTIONS AND RIGHT OF
FIRST REFUSAL ARE BINDING ON TRANSFEREES OF THESE SHARES. 
 THE SHARES REPRESENTED BY THIS CERTIFICATE ARE SUBJECT TO RESTRICTIONS ON
TRANSFER FOR A PERIOD OF TIME FOLLOWING THE EFFECTIVE DATE OF THE UNDERWRITTEN PUBLIC OFFERING OF THE COMPANY’S SECURITIES SET FORTH IN AN AGREEMENT BETWEEN THE ISSUER AND THE ORIGINAL HOLDER OF THESE SHARES AND MAY NOT BE SOLD OR OTHERWISE
DISPOSED OF BY THE HOLDER PRIOR TO THE EXPIRATION OF SUCH PERIOD WITHOUT THE CONSENT OF THE COMPANY OR THE MANAGING UNDERWRITER. 

(b)    Stop-Transfer Notices. Participant agrees that, in order to ensure compliance with the restrictions referred
to herein, the Company may issue appropriate “stop transfer” instructions to its transfer agent, if any, and that, if the Company transfers its own securities, it may make appropriate notations to the same effect in its own records.

 (c)    Refusal to Transfer. The Company shall not be required (i) to transfer on its books any Shares
that have been sold or otherwise transferred in violation of any of the provisions of this Exercise Notice or (ii) to treat as owner of such Shares or to accord the right to vote or pay dividends to any purchaser or other transferee to whom
such Shares shall have been so transferred. 

  
 -3- 

 8.    Successors and Assigns. The Company may assign any of its
rights under this Exercise Notice to single or multiple assignees, and this Exercise Notice shall inure to the benefit of the successors and assigns of the Company. Subject to the restrictions on transfer herein set forth, this Exercise Notice shall
be binding upon Participant and his or her heirs, executors, administrators, successors and assigns. 

9.    Interpretation. Any dispute regarding the interpretation of this Exercise Notice shall be submitted by
Participant or by the Company forthwith to the Administrator, which shall review such dispute at its next regular meeting. The resolution of such a dispute by the Administrator shall be final and binding on all parties. 

10.    Governing Law; Severability. This Exercise Notice is governed by the internal substantive laws, but not the
choice of law rules, of California. In the event that any provision hereof becomes or is declared by a court of competent jurisdiction to be illegal, unenforceable or void, this Exercise Notice shall continue in full force and effect. 

11.    Entire Agreement. The Plan and Option Agreement are incorporated herein by reference. This Exercise Notice,
the Plan, the Option Agreement and the Investment Representation Statement constitute the entire agreement of the parties with respect to the subject matter hereof and supersede in their entirety all prior undertakings and agreements of the Company
and Participant with respect to the subject matter hereof, and may not be modified adversely to the Participant’s interest except by means of a writing signed by the Company and Participant. 

 

					
	Submitted by:	 		 	Accepted by:
			
	PARTICIPANT	 		 	ANNEXON, INC.
			
	   
	 		 	   

	Signature	 		 	By
			
	   
	 		 	   

	Print Name	 		 	Print Name
			
	  
	 		 	   

		 		 	Title
			
	Address:	 		 	Address:
			
	   
	 		 	   

			
	   
	 		 	   

			
	  
	 		 	   

		 		 	Date Received

  
 -4- 

 EXHIBIT B 

INVESTMENT REPRESENTATION STATEMENT 
  

							
	 PARTICIPANT
	  	 	:	 	  	
			
	 COMPANY
	  	 	:	 	  	 ANNEXON, INC.

			
	 SECURITY
	  	 	:	 	  	 COMMON STOCK

			
	 AMOUNT
	  	 	:	 	  	
			
	 DATE
	  	 	:	 	  	

 In connection with the purchase of the above-listed Securities, the undersigned Participant represents to the
Company the following: 
 (a)    Participant is aware of the Company’s business affairs and financial condition and
has acquired sufficient information about the Company to reach an informed and knowledgeable decision to acquire the Securities. Participant is acquiring these Securities for investment for Participant’s own account only and not with a view to,
or for resale in connection with, any “distribution” thereof within the meaning of the Securities Act of 1933, as amended (the “Securities Act”). 

(b)    Participant acknowledges and understands that the Securities constitute “restricted securities” under the
Securities Act and have not been registered under the Securities Act in reliance upon a specific exemption therefrom, which exemption depends upon, among other things, the bona fide nature of Participant’s investment intent as expressed herein.
In this connection, Participant understands that, in the view of the Securities and Exchange Commission, the statutory basis for such exemption may be unavailable if Participant’s representation was predicated solely upon a present intention to
hold these Securities for the minimum capital gains period specified under tax statutes, for a deferred sale, for or until an increase or decrease in the market price of the Securities, or for a period of one (1) year or any other fixed period
in the future. Participant further understands that the Securities must be held indefinitely unless they are subsequently registered under the Securities Act or an exemption from such registration is available. Participant further acknowledges and
understands that the Company is under no obligation to register the Securities. Participant understands that the certificate evidencing the Securities shall be imprinted with any legend required under applicable state securities laws. 

(c)    Participant is familiar with the provisions of Rule 701 and Rule 144, each promulgated under the
Securities Act, which, in substance, permit limited public resale of “restricted securities” acquired, directly or indirectly from the issuer thereof, in a non-public offering subject to the
satisfaction of certain conditions. Rule 701 provides that if the issuer qualifies under Rule 701 at the time of the grant of the Option to Participant, the exercise shall be exempt from registration under the Securities Act. In the event
the Company becomes subject to the reporting requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, ninety (90) days thereafter (or such longer period as any market stand-off
agreement may require) the Securities 

 
exempt under Rule 701 may be resold, subject to the satisfaction of the applicable conditions specified by Rule 144, including in the case of affiliates (1) the availability of
certain public information about the Company, (2) the amount of Securities being sold during any three (3) month period not exceeding specified limitations, (3) the resale being made in an unsolicited “broker’s
transaction”, transactions directly with a “market maker” or “riskless principal transactions” (as those terms are defined under the Securities Exchange Act of 1934) and (4) the timely filing of a Form 144, if
applicable. 
 In the event that the Company does not qualify under Rule 701 at the time of grant of the Option, then the Securities
may be resold in certain limited circumstances subject to the provisions of Rule 144, which may require (i) the availability of current public information about the Company; (ii) the resale to occur more than a specified period after
the purchase and full payment (within the meaning of Rule 144) for the Securities; and (iii) in the case of the sale of Securities by an affiliate, the satisfaction of the conditions set forth in sections (2), (3) and (4) of the
paragraph immediately above. 
 (d)    Participant further understands that in the event all of the applicable
requirements of Rule 701 or 144 are not satisfied, registration under the Securities Act, compliance with Regulation A, or some other registration exemption shall be required; and that, notwithstanding the fact that Rules 144 and 701 are
not exclusive, the Staff of the Securities and Exchange Commission has expressed its opinion that persons proposing to sell private placement securities other than in a registered offering and otherwise than pursuant to Rules 144 or 701 shall
have a substantial burden of proof in establishing that an exemption from registration is available for such offers or sales, and that such persons and their respective brokers who participate in such transactions do so at their own risk.
Participant understands that no assurances can be given that any such other registration exemption shall be available in such event. 
  

	
	PARTICIPANT
	
	   

	Signature
	
	   

	Print Name
	
	   

	Date

  
 -2-

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