Document:

EX-10.4I

 EXHIBIT 10.4I 
 INSTRUCTIONS 
 Restricted Stock Units 

A Long Term Incentive Award 
 (The Agreement begins after this page) 
 You will be deemed to have accepted this
Restricted Stock Unit award and agreed to be bound by the terms and conditions of the Notice of Grant and Signature Page, the Restricted Stock Unit Agreement and the Plan (as defined in such Notice) unless you inform the Company in writing that you
wish to decline the Restricted Stock Unit award. 
 To decline the Restricted Stock Unit Award, please send written notice of your decision to
decline this Restricted Stock Unit award to the Stock Plan Administrator as follows: 
  

	 	•	 	 via e-email 

  

	 	•	 	 XXX 

  

	 	•	 	 via inter-office mail 

  

	 	•	 	 Stock Plan Administrator, Corona, Bldg 4, Finance Dept 

 

	 	•	 	 or via regular mail to 

 Actavis, Inc. 
 Attn: Stock Plan Administrator 

Bldg 4, Finance Department 
 P.O. Box 1900 
 311 Bonnie Circle 

Corona, CA 92878 
 In order to
be effective, your written notice to decline the Restricted Stock Unit Award must be received by the Stock Plan Administrator prior to the date that is [30] days immediately following the Date of Grant set forth on the Notice of Grant
and Signature Page. The company, including its stock plan administration, will not be responsible for any delivery delay of your notice for any reason. 
 If you do not decline this Restricted Stock award within [30] days immediately following the Date of Grant, you will be deemed to have accepted this Restricted Stock Unit award. Should you choose to
decline this grant; the grant will be updated to reflect your decision. 
 Restricted Stock Units 

 ACTAVIS, INC. 
 THE 2001 INCENTIVE AWARD PLAN 
 NOTICE OF GRANT AND SIGNATURE
PAGE 
 Congratulations, you (“Holder”) have been granted an award of restricted stock units (the
“Restricted Stock Units” or “RSUs”). Each Restricted Stock Unit represents the right to receive one share of Common Stock of Actavis, Inc., a Nevada corporation (the “Company”). The Restricted Stock Unit award is
subject to the terms and conditions of the Award Agreement and the Amendment and Restatement of The 2001 Incentive Award Plan of the Company, as amended from time to time (the “Plan”), which are attached hereto as Exhibits 1-A and
1-B, respectively, and of which this Notice of Grant and Signature Page is a part. By accepting (or being deemed to have accepted) the Restricted Stock Unit award (including, in the case of Holders residing outside the United States (“Foreign
Holders”), the Foreign Country Appendix), you represent and warrant to the Company that you have read the Award Agreement (including, in the case of Foreign Holders, the Foreign Country Appendix) and the Plan and agree to be bound by their
terms and conditions. Capitalized terms not otherwise defined in this Notice of Grant and Signature Page shall be as defined in the Plan and the Award Agreement. 
 Subject to the terms and conditions of the Award Agreement (including, in the case of Foreign Holders, the Foreign Country Appendix) and the Plan, the terms and conditions of this Restricted Stock Unit
award are set forth below: 
  

			
	 Holder’s Name:    FIRST_NAME, LAST_NAME
	  	Target Number of RSUs Granted:     TOTAL_SHARES_GRANTED
		
	 Date of Grant:    OPTION_DATE, Month DD, YYYY
	  	

 Award Types: This Restricted Stock Unit award is comprised of the following numbers of the following types
of RSUs, each of which is described below: 
  

			
	 RSU Type
	  	 Target Number of RSUs Granted

	 Time-Vesting RSUs
	  	TOTAL_SHARES_GRANTED
	 One-Year Performance-Vesting RSUs
	  	
	 Three-Year Performance-Vesting RSUs
	  	

 If the target number of RSUs granted to you pursuant to a particular type of award is zero, you have not been granted any
RSUs of such type and the provisions set forth below describing such type of RSUs will not apply to this Restricted Stock Unit award made to you. 
 Time-Vesting RSUs 
 Subject to the terms and restrictions of the
Award Agreement (including, in the case of Foreign Holders, the Foreign Country Appendix) and the Plan, the “Time-Vesting” RSUs shall be eligible to become vested in accordance with the following schedule: 

 

			
	 On This Date
	  	 This Restricted Stock Unit Award Shall be Eligible to Become

Vested with Respect to the Following Number of the Time-Vesting RSUs

	 [DATE]
	  	X%
	 [DATE] 
	  	X%

 One-Year Performance-Vesting RSUs 

Subject to the terms and restrictions of the Award Agreement (including, in the case of Foreign Holders, the Foreign Country Appendix) and
the Plan, the “One-Year Performance-Vesting RSUs shall be eligible to become vested as follows (with linear interpolation between performance levels), except as indicated below with respect to Foreign Holders: 

 

			
	 Upon Achievement
 of
this 20_ Adjusted EBITDA
 ($, millions)
	  	 This Restricted Stock Unit Award Shall be Eligible to Become
Vested with
Respect to the Following Number of the One-Year Performance-Vesting RSUs

	 Below $
	  	X% of Target
	 $
	  	X% of Target
	 $
	  	X% of Target
	 $
	  	X% of Target

 NOTE, any One-Year Performance-Vesting RSUs that do not become vested in accordance with this

 schedule shall be forfeited as of the date it is determined that such RSUs will not become vested.

 For purposes of the One-Year Performance-Vesting RSUs: 

“20     Adjusted EBITDA” means the Company’s Adjusted EBITDA for the year ended
December 31, 20    , as determined by the Board at its first meeting in 20    . 
 “Adjusted EBITDA” means, for any period, for the Company and its Subsidiaries on a consolidated basis, an amount equal to consolidated net income for such period plus, without duplication and
only to the extent such amount represents a charge or expense determined in accordance with GAAP and reflected in the consolidated earnings of the Company and regardless of classification within the Company’s statement of income, the sum of
(i) interest expense, (ii) income tax expense, (iii) depreciation and amortization expense, (iv) losses attributable to non-controlling interest, (v) stock compensation expense, (vi) asset impairment charges or other
charges associated with the revaluation of assets or liabilities, (vii) charges associated with the revaluation of acquisition related contingent liabilities that are based in whole or in part on future estimated cash flows,
(viii) business restructuring charges associated with the Company’s Global Supply Chain and Operational Excellence initiatives or other restructurings of a similar nature, (ix) costs and charges associated with the acquisition of
businesses and assets including, but not limited to, Milestone Payments and integration charges, (x) litigation charges and settlements, (xi) losses and expenses associated with the sale of assets and (xii) other unusual charges or
expenses minus, to the extent included in calculating such consolidated net income, the sum of (1) interest income, (2) gains or income of a nature similar to items (i) through (xii) above. 

In the case of Holders who reside in the United States (“United States Holders”), any shares of Common Stock to be delivered
upon vesting of the One-Year Performance-Vesting RSUs shall be restricted shares of Common Stock that will be eligible to become vested in accordance with the following schedule, subject to the terms and conditions of the Award Agreement and the
Plan. 
  

			
	 On Each of These Dates
	  	 The Restricted Stock Award Shall be Eligible to Become Vested
with Respect to
the Following Percentage of the Shares Subject to the Restricted Stock Award

		  	
		  	

  
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 In the case of Foreign Holders, any Restricted Stock Units that vest pursuant to the
performance schedule above will remain outstanding and subject to a time-based vesting schedule eligible to become vested in accordance with the time based schedule directly above, subject to the terms and conditions of the Award Agreement and the
Plan 
 Three-Year Performance-Vesting RSUs 
 Subject to the terms and restrictions of the Award Agreement and the Plan, Three-Year Performance-Vesting RSUs shall be eligible to become vested as follows (with linear interpolation between performance
levels): 
  

			
	 Upon Achievement
 of this Relative TSR Percentile Rank
	  	 This Restricted Stock Unit Award Shall be Eligible to Become
Vested with
Respect to the Following Number of the Three-Year Performance-Vesting RSUs

		  	
		  	
		  	
		  	

 NOTE, any Three-Year Performance-Vesting RSUs that do not become vested in accordance with this

 schedule shall be forfeited as of the date that it is determined that such RSUs will not become vested.

 Notwithstanding the foregoing, in the event that the Company has negative TSR for the Three-Year Performance Period,
no Three-Year Performance-Vesting RSUs may be earned, regardless of the Relative TSR Percentile Rank. 
 For purposes of the
Three-Year Performance-Vesting RSUs: 
 “Beginning Stock Price”, with respect to the Company or any other company in
the Peer Group, means the average of the closing sales prices for a share of common stock of the applicable company for the calendar month prior to the beginning of the Three-Year Performance Period, as reported in the Wall Street Journal or such
other source as the Committee deems reliable. 
 “Ending Stock Price”, with respect to the Company or any other
company in the Peer Group, means the average of the closing sales prices for a share of common stock of the applicable company for the last calendar month of the Three-Year Performance Period, as reported in the Wall Street Journal or such other
source as the Committee deems reliable. 
 “Peer Group” shall consist of the companies identified as peer group
companies in the Company’s most recent proxy statement filed prior to the Date of Grant. 
 “Relative TSR Percentile
Rank” means the percentile rank of the Company’s TSR relative to the TSR of the companies in the Peer Group, as determined by the Committee for the Three-Year Performance Period. The Committee will determine Relative TSR Percentile Rank by
ranking the TSR of the Company and the companies in the peer group (with the company having the lowest TSR being ranked number 1, the company with the second-lowest TSR being ranked number 2, and so on) and determining the Company’s percentile
rank based upon its position in the list by dividing the Company’s position by the total number of companies (including the Company) in the Peer Group and rounding the quotient to the nearest hundredth. 

“Three-Year Performance Period” means the three-year period from January 20     through December
20    . 

  
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 “TSR” means total shareholder return as applied to the Company and each of the
companies in the Peer Group, and will be calculated as follows: 
 Ending Stock Price – Beginning Stock Price + Dividends
Paid With Respect to a 
 Record Date that Occurs During Three-Year Performance Period 

Beginning Stock Price 
 For
purposes of determining TSR: 
 (1) Any dividend paid in cash shall be valued at its cash amount. Any dividend paid in securities with a readily
ascertainable fair market value shall be valued at the market value of the securities as of the dividend record date. 
 (2) If any company
included in the Peer Group on the Date of Grant (and any successor to such company) does not have a common stock price that is quoted on a national securities exchange at the end of the Three-Year Performance Period, then such company will be
removed from the Peer Group; provided that if any company included in the Peer Group on the Date of Grant (and any successor to such company) (a) files for bankruptcy, reorganization or liquidation under any chapter of the U.S.
Bankruptcy Code, (b) is the subject of an involuntary bankruptcy proceeding that is not dismissed within 30 days, (c) is the subject of a stockholder approved plan of liquidation or dissolution or (d) ceases to conduct substantial
business operations, the TSR of such company shall be zero for purposes of determining Relative TSR Percentile Rank. 
 (3) The Compensation
Committee may equitably adjust the TSR of any company in the Peer Group upon the occurrence of any of the events described in Section 12.3(a) of the Plan with respect to the common stock of such company. 

IN WITNESS WHEREOF, the Company has granted this Restricted Stock Unit award, subject to the terms and conditions set forth herein, on
the Date of Grant specified above. 
  

	
	 ACTAVIS, INC.

	
	 

	 Chief Executive Officer

	
	GRANT NO: OPTION_NUMBER
	
	ACCOUNT_ID / Restricted Stock Units

  
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 EXHIBIT 1-A 

AWARD AGREEMENT 
 THIS AWARD AGREEMENT, dated as of the Date of Grant appearing on the Notice of Grant and Signature Page hereof, is made by and between Actavis, Inc., a Nevada corporation (the “Company”), and
the Employee, Director or Consultant whose name and signature appear on the Notice of Grant and Signature Page hereof (“Holder”). 
 WHEREAS, the Company wishes to grant to Holder an award of restricted stock units (the “Restricted Stock Units” or “RSUs”), pursuant to the terms and conditions and restrictions of the
Notice of Grant and Signature Page, this Award Agreement (including, in the case of Foreign Holders, the Foreign Country Appendix) and The 2001 Incentive Award Plan of Actavis, Inc., as amended from time to time (the terms of which are hereby
incorporated by reference and made a part of this Award Agreement, the “Plan”); and 
 WHEREAS, it has been determined
that it would be to the advantage and best interest of the Company and its stockholders to grant Holder the Restricted Stock Units as an inducement to enter into or remain in the service of the Company or its Subsidiaries and as an incentive for
increased efforts during such service. 
 NOW, THEREFORE, in consideration of the mutual covenants herein contained and other
good and valuable consideration, receipt of which is hereby acknowledged, the parties hereto do hereby agree as follows: 

ARTICLE I 

GRANT OF RESTRICTED STOCK UNITS 
 Section 1.1 – Grant of Restricted Stock Units. In consideration of the recitals, Holder’s agreement to remain in the employ or service of the Company or a Subsidiary, and for other
good and valuable consideration, the Company grants to Holder an award of Restricted Stock Units as specified in the Notice of Grant and Signature Page upon the terms and conditions set forth in this Award Agreement. 

Section 1.2 – Consideration to the Company. As partial consideration for the grant of the Restricted Stock Units by the
Company, Holder agrees to render faithful and efficient services to the Company or a Subsidiary. Nothing in this Award Agreement or in the Plan shall confer upon Holder any right to continue in the employ or services of the Company or any
Subsidiary, or as a director of the Company, or shall interfere with or restrict in any way the rights of the Company and any Subsidiary, which are hereby expressly reserved, to discharge Holder at any time for any reason whatsoever, with or without
cause, except to the extent expressly provided otherwise in a written employment or other agreement between Holder and the Company and any Subsidiary. 
 Section 1.3 – Adjustments in Restricted Stock Units. The Administrator may adjust the Restricted Stock Units in accordance with the provisions of Section 12.3 of the Plan.

  
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 ARTICLE II 
 VESTING AND PAYMENT OF RESTRICTED STOCK UNITS 
 Section 2.1 –
Vesting Schedule. Subject to Section 2.2 hereof and except as may be otherwise provided pursuant to Company policy, a valid employment agreement or otherwise, in each case as and to the extent applicable, the Restricted Stock Units will
vest and become nonforfeitable with respect to each portion thereof upon satisfaction of the conditions specified in the applicable vesting schedule set forth on the Notice of Grant and Signature Page, subject to Holder’s continued employment
or services through the applicable vesting dates, as a condition to the vesting of the applicable installment of the RSUs and the rights and benefits under this Award Agreement. For the avoidance of doubt, for purposes of determining the vesting
date, any performance conditions will be considered to be satisfied (to the extent that they are determined to be satisfied) as of the last day of the applicable performance period. Unless otherwise determined by the Administrator, partial
employment or service, even if substantial, during any vesting period will not entitle Holder to any proportionate vesting or avoid or mitigate a termination of rights and benefits upon or following a Termination of Employment, Consultancy or
Directorship as provided in Section 2.2 hereof or under the Plan. 
 Section 2.2 – Forfeiture, Termination and
Cancellation upon Termination of Services. Except as may be otherwise provided pursuant to Company policy, a valid employment agreement or otherwise, in each case as and to the extent applicable, in the event of Holder’s Termination of
Employment, Consultancy or Directorship, all unvested RSUs subject to this Award Agreement as of the date of such Termination shall thereupon be automatically forfeited, terminated and cancelled as of the applicable termination date without payment
of any consideration by the Company, and Holder, or Holder’s beneficiaries or personal representatives, as the case may be, shall have no further rights hereunder. 
 Section 2.3 – Payment Upon Vesting. As soon as administratively practicable following the vesting of any Restricted Stock Units pursuant to Section 2.1, but in no event later than
seventy-five (75) days after such vesting date (for the avoidance of doubt, this deadline is intended to comply with the “short-term deferral” exemption from Section 409A of the Code for Holders subject thereto), the Company
shall deliver to Holder (or any transferee permitted under the Plan): (a) in the case of Holders who reside in the United States (“United States Holders”), with respect to the Three-Year Performance-Vesting RSUs, a number of fully
vested shares of Common Stock equal to the number of Restricted Stock Units subject to the award that vest on the applicable vesting date, (b) in the case of United States Holders, with respect to the One-Year Performance-Vesting RSUs, a number
of restricted shares of Common Stock of the Company subject to the restrictions imposed under Article IV (“Restricted Stock”) equal to the number of Restricted Stock Units subject to the award that vest on the applicable vesting date,
(c) in the case of Foreign Holders other than those who reside in those certain countries listed on Annex 1 to the Foreign Country Appendix, (i) a number of fully vested shares of Common Stock equal to the number of Restricted Stock Units
that vest on the applicable vesting date or (ii) an amount of cash with a value equal to the Fair Market Value of a number of shares of Common Stock equal to the number of Restricted Stock Units that vest on the applicable vesting date, in the
Company’s discretion, (d) in the case of Foreign Holders who reside in those certain countries listed in Annex 2 to the Foreign Country Appendix, an amount of cash with a value equal to the Fair Market Value of a number of shares of Common
Stock equal to the number of Restricted Stock Units that vest on the applicable vesting date, in each case unless such Restricted Stock Units terminate prior to the given vesting date pursuant to Section 2.2 hereof. Notwithstanding the
foregoing, in the event shares of Common Stock are otherwise payable pursuant to the preceding sentence but cannot be issued pursuant to Section 4.2 (a), (b) (c) or (d) hereof, then the shares of Common Stock shall be issued
pursuant to the preceding sentence as soon as administratively practicable after the Administrator determines that shares of Common Stock can again be issued in accordance with Section 4.2 (a), (b) (c) or (d) hereof. 

  
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 Section 2.4 – Grant is Not Transferable. Except as provided herein,
Holder (and Holder’s legal representative) shall not sell, exchange, transfer, alienate, hypothecate, pledge, encumber or assign the Restricted Stock Units subject to this Award Agreement other than by will or the laws of descent and
distribution, unless and until the shares of Common Stock underlying the Restricted Stock Units have been issued, subject to Section 3.4. Neither the Restricted Stock Units subject to this Award Agreement nor any interest or right therein or
part thereof shall be liable for the debts, contracts, or engagements of Holder or his successors in interest or shall be subject to disposition by transfer, alienation, anticipation, pledge, encumbrance, assignment or any other means whether such
disposition be voluntary or involuntary or by operation of law by judgment, levy, attachment, garnishment or any other legal or equitable proceedings (including bankruptcy) and any attempted disposition thereof shall be null and void and of no
effect; provided, however, that, this Section 2.4 shall not prevent transfers subject to the consent of the Administrator, pursuant to a DRO or an analogous non-United States order or procedure. 

ARTICLE III 

TERMS OF RESTRICTED STOCK GRANTED TO UNITED STATES HOLDERS PURSUANT TO SECTION 2.3 

Section 3.1 – Evidence of Restricted Stock. The Restricted Stock shall be entered in book entry form or evidenced
by certificates held in custody by the Company or its designee, as determined by the Company in its sole discretion. 

Section 3.2 – Adjustments in Restricted Stock. The Administrator may adjust the Restricted Stock in accordance
with the provisions of Section 12.3 of the Plan. 
 Section 3.3 – Forfeiture of Restricted Stock.
In the event of Holder’s Termination of Employment, Consultancy or Directorship, any Restricted Stock (including, without limitation, any cash, securities or other property subject to Section 3.5) that has not vested as of the date of the
Termination of Employment, Consultancy or Directorship shall thereupon be forfeited and surrendered by Holder and transferred and delivered by Holder to the Company for no consideration (the “Forfeiture Restriction”). For purposes of this
Award Agreement, the “Restrictions” shall mean the Forfeiture Restriction and the restrictions on sale or other transfer of the Restricted Stock and other restrictions as set forth in this Article III. 

Section 3.4 – Transferability of the Restricted Stock. 

(a) Except as provided herein, Holder (and Holder’s legal representative) shall not sell, exchange, transfer, alienate, hypothecate,
pledge, encumber or assign the Restricted Stock subject to the Forfeiture Restriction, or any interest or right with respect thereto. Neither the Restricted Stock subject to the Forfeiture Restriction nor any interest or right therein or part
thereof shall be liable for the debts, contracts, or engagements of Holder or his successors in interest or shall be subject to disposition by transfer, alienation, anticipation, pledge, encumbrance, assignment or any other means whether such
disposition be voluntary or involuntary or by operation of law by judgment, levy, attachment, garnishment or any other legal or equitable proceedings (including bankruptcy) and any attempted disposition thereof shall be null and void and of no
effect; provided, however, that, this Section 3.4(a) shall not prevent transfers subject to the consent of the Administrator, pursuant to a DRO or an analogous non-United States order or procedure. 

  
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 (b) Legend. Any share certificate(s) evidencing the Restricted Stock issued hereunder
(or such account or other evidence representing the Restricted Stock issued hereunder) shall be endorsed with the following legend (in addition to any legend required under applicable state securities laws): 

THE SECURITIES REPRESENTED BY THIS [CERTIFICATE] [ACCOUNT] ARE SUBJECT TO CERTAIN RESTRICTIONS ON TRANSFER AND FORFEITURE RESTRICTIONS
HELD BY THE COMPANY AS SET FORTH IN A NOTICE OF GRANT AND SIGNATURE PAGE AND AWARD AGREEMENT BETWEEN THE COMPANY AND THE STOCKHOLDER, A COPY OF WHICH IS ON FILE WITH THE SECRETARY OF THE COMPANY. SUCH TRANSFER RESTRICTIONS AND FORFEITURE
RESTRICTIONS ARE BINDING ON TRANSFEREES OF THIS RESTRICTED STOCK. 
 Section 3.6 – Lapse of
Restrictions. 
 (a) As of the date of issuance under Section 3.1, all of the Restricted Stock shall be subject to the
Restrictions. Subject to Section 3.3 and the terms and conditions of the Plan, and except as may be otherwise provided pursuant to Company policy, a valid employment agreement or otherwise, in each case as and to the extent applicable, the
Restrictions shall lapse as to the number of shares of Restricted Stock specified in the Notice of Grant and Signature Page, on the date or dates, or upon satisfaction of the condition or conditions, specified therein. 

(b) Upon the lapse of the Restrictions on the Restricted Stock (or portion thereof), the Company may, in its sole discretion, cause new
certificates (or accounts or other evidence representing the Restricted Stock issued hereunder) to be issued with respect to such Restricted Stock and delivered to Holder or his legal representative, free from the legend provided for in
Section 3.5 and of any of the other Restrictions. Notwithstanding the foregoing, no such new certificate, account or other evidence shall be delivered to Holder or his legal representative unless and until Holder or his legal representative
shall have paid to the Company in cash the full amount of all federal, state and local withholding and employment taxes applicable to the taxable income and wages of Holder resulting from the award of the Restricted Stock or the lapse of the
Restrictions, or Holder has otherwise provided for the tax withholding required with respect to the issuance, vesting or payment pursuant to this Restricted Stock award in accordance with Section 4.7. 

Section 3.7 – Restrictions on Distributions, etc. In the event that any dividend or other distribution (including
ordinary cash dividends, and whether in the form of Common Stock, other securities, or other property), or other distribution by reason of any recapitalization, reclassification, stock split, reverse stock split, reorganization, merger,
consolidation, split-off, spin-off, combination, repurchase, liquidation, dissolution, or sale, transfer, exchange or other disposition of all or substantially all of the assets of the Company, or exchange of Common Stock or other securities of the
Company, or issuance of warrants or other rights to purchase Common Stock or other securities of the Company, or other similar transaction or event, is paid, issued, exchanged or distributed in respect of Restricted Stock, such new or additional or
different shares or securities or property (including cash) which are attributable to Holder in his capacity as the owner of the Restricted Stock then subject to Restrictions, shall be considered to be Restricted Stock and shall be subject to all of
the Restrictions, unless the Administrator shall, in its discretion, otherwise provide. 

  
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 ARTICLE IV 
 OTHER PROVISIONS 
 Section 4.1 – Administration.
The Administrator shall have the power to interpret the Plan and this Award Agreement, and to adopt such rules for the administration, interpretation and application of the Plan as are consistent therewith, to interpret, amend or revoke any such
rules and to amend this Award Agreement, provided that the rights or obligations of Holder are not affected adversely. All actions taken and all interpretations and determinations made by the Administrator in good faith shall be final and binding
upon Holder, the Company and all other interested persons. No member of the Administrator shall be personally liable for any action, determination or interpretation made in good faith with respect to the Plan, the Restricted Stock Units or the
Restricted Stock award. 
 Section 4.2 – Conditions to Issuance of Stock Certificates. Any Common Stock
issuable hereunder (including the Restricted Stock) may be either previously authorized but unissued shares or issued shares which have then been reacquired by the Company. Such shares shall be fully paid and nonassessable. The Company shall not be
required to issue or deliver any certificate or certificates (or any account or other evidence representing issuance) for shares of Common Stock or other cash, stock or other property pursuant to this Award Agreement prior to fulfillment of all of
the following conditions: 
 (a) The admission of such shares to listing on all stock exchanges on which such
class of stock is then listed, if applicable; and 
 (b) The completion of any registration or other
qualification of such shares under any applicable law or under rulings or regulations of the Securities and Exchange Commission or of any other governmental regulatory body, if applicable, or the receipt of further representations from Holder as to
investment intent or completion of other actions necessary to perfect exemptions, as the Administrator shall, in its absolute discretion, deem necessary or advisable; and 

(c) The obtaining of any approval or other clearance from any governmental agency which the Administrator shall, in its
absolute discretion, determine to be necessary or advisable; and 

  
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 (d) The lapse of such reasonable period of time as the Administrator may
from time to time establish for reasons of administrative convenience; and 
 (e) The receipt by the Company of
payment of any applicable withholding tax in accordance with Section 4.7. 
 Section 4.3 – Rights as
Stockholder. Holder shall not be, nor have any of the rights or privileges of, a stockholder of the Company, including, without limitation, voting rights and rights to dividends, in respect of the Restricted Stock Units or any shares of Common
Stock issuable thereunder unless and until any such shares shall have been issued by the Company and held of record by Holder pursuant to Section 2.3. No adjustment to the Restricted Stock Units will be made for a dividend or other right for
which the record date is prior to the date, if any, the shares of Common Stock are issued, except as provided in Section 12.3 of the Plan. Except as otherwise provided herein (including in Section 3.7), upon the delivery of Common Stock,
including Restricted Stock, hereunder, Holder shall have all the rights of a stockholder with respect to the Common Stock, including the right to vote the Common Stock and the right to receive all dividends or other distributions paid or made with
respect to the Common Stock. 
 Section 4.4 – Notices. Any notice to be given under the terms of this
Award Agreement to the Company shall be addressed to the Company in care of its Secretary, and any notice to be given to Holder shall be addressed to him at the address given beneath his signature hereto. By a notice given pursuant to this
Section 4.4, either party may hereafter designate a different address for notices to be given to him. Any notice which is required to be given to Holder shall, if Holder is then deceased, be given to Holder’s personal representative if
such representative has previously informed the Company of his status and address by written notice under this Section 4.4. Any notice shall be deemed duly given when enclosed in a properly sealed envelope or wrapper addressed as aforesaid,
deposited (with postage prepaid) in a post office or branch post office regularly maintained by the United States Postal Service. 
 Section 4.5 – Titles and Construction. Titles are provided herein for convenience only and are not to serve as a basis for interpretation or construction of this Award Agreement.
This Award Agreement shall be administered, interpreted and enforced under the internal laws of the State of New Jersey, without regard to conflicts of laws thereof. 
 Section 4.6 – Conformity to Securities Laws. Holder acknowledges that the Plan and this Award Agreement are intended to conform to the extent necessary with all provisions of all
applicable laws, rules and regulations (including, but not limited to the Securities Act and the Exchange Act and any and all regulations and rules promulgated by the Securities and Exchange Commission thereunder, including without limitation the
applicable exemptive conditions of Rule 16b-3) and to such approvals by any listing, regulatory or other governmental authority as may, in the opinion of counsel for the Company, be necessary or advisable in connection therewith. Notwithstanding
anything herein to the contrary, the Plan shall be administered, and the Restricted Stock Units and Restricted Stock award granted, only in such a manner as to conform to such laws, rules and regulations. To the extent permitted by applicable law,
the Plan, this Award Agreement and the Restricted Stock Units and Restricted Stock award shall be deemed amended to the extent necessary to conform to such laws, rules and regulations. 

Section 4.7 – Tax Withholding. In the case of Employees, the Company (or a Subsidiary) shall be entitled to
require payment in cash or deduction from any shares of Common Stock or cash payable under this Restricted Stock Unit award or other compensation payable to Holder of any sums required pursuant to applicable tax law to be withheld with respect to
the issuance, vesting or payment of this Restricted Stock Unit award or the shares of Common Stock or cash. Except as otherwise provided by the Administrator in its discretion, in satisfaction of the foregoing requirement, the Company shall withhold
shares of Common Stock or cash payable under this Restricted Stock Unit award and Holder hereby elects 

  
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to transfer and deliver to the Company such cash or shares of Common Stock having a Fair Market Value equal to the sums required to be withheld. Notwithstanding any other provision of the Plan
and this Award Agreement, the shares of Common Stock or cash which may be withheld with respect to the issuance, vesting or payment of this Restricted Stock Unit award or the shares of Common Stock in order to satisfy Holder’s income taxes and
payroll tax liabilities and, in the case of Foreign Holders, social insurance, with respect to the issuance, vesting or payment of this Restricted Stock Unit award or the shares of Common Stock or cash shall be limited to the number of shares which
have a Fair Market Value, or cash with a value, on the date of withholding equal to the aggregate amount of such liabilities based on the minimum statutory withholding rates for income tax and payroll tax purposes that are applicable to such
supplemental taxable income, or such other rate as may be required by applicable law, rule or regulation as determined by the Administrator. If Common Stock is payable under this Restricted Stock Unit Award, the Company shall not be obligated to
deliver any new certificate representing shares of Common Stock to Holder or Holder’s legal representative or enter such share of Common Stock in book entry form unless and until Holder or Holder’s legal representative shall have paid or
otherwise satisfied in full the amount of all taxes applicable to the taxable income of Holder resulting from the grant of the Restricted Stock Units or the issuance or vesting of shares of Common Stock. In the case of Directors and Consultants,
Holder shall be solely responsible for all applicable income and self-employment taxes and other wage deductions incurred in connection with the issuance, vesting or payment of this Restricted Stock Unit Award or the shares of Common Stock or cash
payable hereunder. Unless required to do by applicable law, the Company shall not pay or withhold any taxes of any kind with respect to Restricted Stock Unit Awards of Directors and Consultants. 

Section 4.8 – Authorization to Release Necessary Personal Information. 

(a) In the case of Foreign Holders, Holder hereby authorizes and directs Holder’s employer or the entity to which Holder provides
services to collect, use and transfer in electronic or other form, any personal information (the “Data”) regarding Holder’s employment or services, the nature and amount of Holder’s compensation and the fact and conditions of
Holder’s participation in the Plan (including, but not limited to, Holder’s name, home address, telephone number, date of birth, social security number (or other applicable social or national identification number), salary, nationality,
job title, number of shares of Common Stock held and the details of all Restricted Stock Units or any other entitlement to shares of Common Stock awarded, cancelled, exercised, vested, unvested or outstanding) for the purpose of implementing,
administering and managing Holder’s participation in the Plan. Holder understands that the Data may be transferred to the Company or any of its Subsidiaries, or to any third parties assisting in the implementation, administration and management
of the Plan, including any requisite transfer to a broker or other third party assisting with the grant of Restricted Stock Units under the Plan or with whom shares of Common Stock or cash acquired upon settlement of Restricted Stock Units may be
deposited. Holder acknowledges that recipients of the Data may be located in different countries, and those countries may have data privacy laws and protections different from those in the country of Holder’s residence. Furthermore, Holder
acknowledges and understands that the transfer of the Data to the Company or any of its Subsidiaries, or to any third parties, is necessary for Holder’s participation in the Plan. 

(b) Holder may at any time withdraw the consents herein, by contacting Holder’s local human resources representative in writing.
Holder further acknowledges that withdrawal of consent may affect Holder’s ability to realize benefits from the Restricted Stock Units, and Holder’s ability to participate in the Plan. 

  
 11 

 Section 4.9 – No Entitlement or Claims for Compensation. 

(a) Holder’s rights, if any, in respect of or in connection with Restricted Stock Unit (including the underlying Restricted Stock
award) or any other award is derived solely from the discretionary decision of the Company to permit Holder to participate in the Plan and to benefit from a discretionary award. By accepting this Restricted Stock Unit award, Holder expressly
acknowledges that there is no obligation on the part of the Company to continue the Plan and/or grant any additional awards to Holder. This Restricted Stock Unit award is not intended to be compensation of a continuing or recurring nature, or part
of Holder’s normal or expected compensation, and in no way represents any portion of Holder’s salary, compensation or other remuneration for purposes of pension benefits, severance, redundancy, resignation or any other purpose. 

(b) Neither the Plan nor this Restricted Stock Unit award or any other award granted under the Plan shall be deemed to give Holder a
right to remain an Employee, Consultant or Director of the Company, a Subsidiary or parent or any other affiliate. The Company and its Subsidiaries, parents and affiliates, as applicable, reserve the right to Terminate the Consultancy, Directorship
or Employment of Holder, as applicable, at any time, with or without cause, and for any reason, subject to applicable laws, the Company’s Certificate of Incorporation and Bylaws and a written employment or other agreement (if any), and Holder
shall be deemed irrevocably to have waived any claim to damages or specific performance for breach of contract or dismissal, compensation for loss of office, tort or otherwise with respect to the Plan, this Restricted Stock Unit award or any
outstanding award that is forfeited and/or is terminated by its terms or to any future award. 
 Section 4.10 –
Electronic Delivery. The Company may, in its sole discretion, decide to deliver any documents related to Holder’s current or future participation in the Plan by electronic means or to request Holder’s consent to participate in the
Plan by electronic means. Holder hereby consents to receive such documents by electronic delivery and agrees to participate in the Plan through an on-line or electronic system established and maintained by the Company or a third party designated by
the Company. 
 Section 4.11 – Foreign Country Appendix. In the case of Foreign Holders, notwithstanding
any provisions in this Award Agreement, the Restricted Stock Unit award shall be subject to any special terms and conditions set forth in the Foreign Country Appendix to this Award Agreement for Holder’s country of residence. Moreover, if
Holder relocates to one of the countries included in the Foreign Country Appendix, the special terms and conditions for such country will apply to Holder, to the extent the Company determines that the application of such terms and conditions is
necessary or advisable in order to comply with local law or facilitate the administration of the Plan. The Foreign Country Appendix constitutes part of this Award Agreement. 
 ARTICLE V 
 DEFINITIONS 

All capitalized terms used herein without definition shall have the meanings ascribed to such terms in the Plan. The masculine pronoun
shall include the feminine and neuter, and the singular the plural, where the context so indicates. 

  
 12 

 FOREIGN COUNTRY APPENDIX 

TO EXHIBIT 1-A 
 ADDITIONAL TERMS AND CONDITIONS OF THE AWARD AGREEMENT 
 Terms and Conditions

 This Appendix includes additional terms and conditions that govern Restricted Stock Unit awards granted to you under the Plan if you
reside in one of the countries listed below. Certain capitalized terms used but not defined in this Foreign Country Appendix (the “Appendix”) have the meanings set forth in the Plan and/or the Award Agreement. 

Notifications 
 This Appendix also
includes information regarding exchange controls and certain other issues of which you should be aware with respect to your participation in the Plan. The information is based on the securities, exchange control and other laws in effect in the
respective countries as of [June 2010]. Such laws are often complex and change frequently. As a result, the Company strongly recommends that you not rely on the information in this Appendix as the only source of information relating to the
consequences of your participation in the Plan because the information may be out of date at the time that your Restricted Stock Units vest or you sell shares of Common Stock acquired under the Plan. 

In addition, the information contained herein is general in nature and may not apply to your particular situation and the Company is not in a position to
assure you of a particular result. Accordingly, you are advised to seek appropriate professional advice as to how the relevant laws in your country may apply to your situation.
 Finally, if you are a citizen or resident of a country other than the one in which you are currently working, the information contained herein may not be applicable to you. 

AUSTRALIA 

Notifications 
 Securities Law
Information. If you acquire shares of Common Stock pursuant to Restricted Stock Units and you offer the shares of Common Stock for sale to a person or entity resident in Australia, the offer may be subject to disclosure requirements under
Australian law. You should obtain legal advice on disclosure obligations prior to making any such offer. 
 Exchange Control Information.
Exchange control reporting is required for cash transactions exceeding A$10,000 and international fund transfers. The Australian bank assisting with the transaction will file the report. If there is no Australian bank involved in the transfer, you
will be required to file the report. 

  
 13 

 BRAZIL 
 Notifications 
 Exchange Control Information. If you are a resident or domiciled in
Brazil, you will be required to submit an annual declaration of assets and rights held outside of Brazil to the Central Bank of Brazil if the aggregate value of such assets and rights is equal to or greater than US$100,000.

CANADA 

Notifications 
 French Language
Provision. The following provisions will apply if you are a resident of Quebec: 
 The parties acknowledge that it is their express wish that
this Award Agreement, as well as all documents, notices and legal proceedings entered into, given or instituted pursuant hereto or relating directly or indirectly hereto, be drawn up in English. 

Les parties reconnaissent avoir exigé la redaction en anglais de cette convention (“Award Agreement”), ainsi que de tous documents
exécutés, avis donnés et procedures judiciaries intentées, directement ou indirectement, relativement à la présente convention. 
 Termination of Service. This provision replaces Section 2.2 of the Award Agreement: 
 In the event of Termination of Employment, Consultancy or Directorship, as applicable, for any reason (whether or not in breach of local labor laws), all unvested Restricted Stock Units shall be
immediately forfeited without consideration. For purposes of the preceding sentence, your right to vest in your Restricted Stock Units will terminate effective as of the date that is the earlier of (1) the date you receive notice of
Termination of Employment, Consultancy or Directorship, as applicable, from the Company or the employer, or (2) the date you are no longer actively employed, regardless of any notice period or period of pay in lieu of such notice required under
local law (including, but not limited to statutory law, regulatory law and/or common law); the Company shall have the exclusive discretion to determine when you are no longer actively employed for purposes of your Restricted Stock Units. 

Authorization to Release and Transfer Necessary Personal Information. This provision supplements the Award Agreement: 

You hereby authorize the Company and the Company’s representatives to discuss with and obtain all relevant information from all personnel,
professional or not, involved in the administration and operation of the Plan. You further authorize the Company, or any Subsidiary and the Administrator to disclose and discuss the Plan with their advisors. You further authorize the
Company and any Subsidiary to record such information and to keep such information in your employee file. 
 CHINA

 Terms and Conditions 

Settlement of Restricted Stock Units and Sale of Shares of Common Stock. This provision supplements the Award Agreement. 

Due to local regulatory requirements, upon the vesting of Restricted Stock Units, you agree to the immediate sale of any shares of Common Stock to be
issued to you upon vesting of the Restricted Stock 

  
 14 

 
Units. You further agree that the Company is authorized to instruct its designated broker to assist with the mandatory sale of such shares of Common Stock (on your behalf pursuant to this
authorization) and you expressly authorize the Company’s designated broker to complete the sale of such shares of Common Stock. You acknowledge that the Company’s designated broker is under no obligation to arrange for the sale of the
shares of Common Stock at any particular price. Upon the sale of the shares of Common Stock, the Company agrees to pay you the cash proceeds from the sale of the shares of Common Stock, less any brokerage fees or commissions and subject to any
obligation to satisfy any income tax, social insurance, payroll tax, payment on account or other tax-related items related to your participation in the Plan and legally applicable to you. You acknowledge that you are not aware of any material
nonpublic information with respect to the Company or any securities of the Company as of the date of this Award Agreement. 
 Exchange
Control Requirements. You understand and agree that, pursuant to local exchange control requirements, you will be required to repatriate the cash proceeds from the immediate sale of the shares of Common Stock upon the vesting of the
Restricted Stock Units to China. You further understand that, under local law, such repatriation of your cash proceeds may need to be effectuated through a special exchange control account established by the Company or Subsidiary, and you
hereby consent and agree that any proceeds from the sale of any shares of Common Stock you acquire upon the vesting of Restricted Stock Units may be transferred to such special account prior to being delivered to you. You further agree to
comply with any other requirements that may be imposed by the Company in the future in order to facilitate compliance with exchange control requirements in China. 
 FRANCE 
 Notifications 

Tax Information. The Restricted Stock Units are not intended to be French tax-qualified awards. 

Terms and Conditions 
 French Language
Provision. By signing and returning this Award Agreement, you confirm having read and understood the documents relating to the Plan which were provided to you in English language. You accept the terms of those documents accordingly. 

French translation: En signant et renvoyant ce Contrat vous confirmez ainsi avoir lu et compris les documents relatifs au Plan qui vous ont
été communiqués en langue anglaise. Vous en acceptez les termes en connaissance de cause. 
 GERMANY

 Exchange Control Information. Cross-border payments in excess of €12,500 must be reported monthly to the German Federal
Bank. If you use a German bank to transfer a cross-border payment in excess of €12,500 in connection with the sale of shares of Common Stock acquired under the Plan, the bank will make the report for you. In addition, you must report any
receivables, payables, or debts in foreign currency exceeding an amount of €5,000,000 on a monthly basis. 
 GREECE

 There are no country specific provisions. 

  
 15 

 ICELAND 
 There are no country specific provisions. 
 INDIA 

Notifications 
 Exchange Control
Information. You understand that you must repatriate any proceeds from the sale of shares of Common Stock acquired under the Plan to India and convert the proceeds into local currency within 90 days of receipt. You will receive a foreign inward
remittance certificate (“FIRC”) from the bank where you deposit the foreign currency. You should maintain the FIRC as evidence of the repatriation of funds in the event the Reserve Bank of India or the Employer requests proof of
repatriation. 
 IRELAND 
 Terms and Conditions 
 Restriction on Type of Shares Issued to Directors. If you are a
director or shadow director of an Irish Subsidiary or Affiliate, your Restricted Stock Unit will be paid in newly issued shares only. Treasury shares will not be used to satisfy the Restricted Stock Units. 

Notifications 
 Director Notification
Obligation. If you are a director, shadow director or secretary of the Company’s Irish Subsidiary or Affiliate, you must notify the Irish Subsidiary or Affiliate in writing within five business days of receiving or disposing of an interest
in the Company (e.g., Restricted Stock Units, etc.), or within five business days of becoming aware of the event giving rise to the notification requirement or within five days of becoming a director or secretary if such an interest exists at the
time. This notification requirement also applies with respect to the interests of a spouse or children under the age of 18 (whose interests will be attributed to the director, shadow director or secretary). 

MALTA 
 There are
no country specific provisions. 
 NEW ZEALAND 
 There are no country specific provisions. 
 NORWAY 

There are no country specific provisions. 

  
 16 

 POLAND 
 Notifications 
 Exchange Control Information. If you hold foreign securities
(including shares of Common Stock) and maintain accounts abroad, you may be required to file certain reports with the National Bank of Poland. Specifically, if the value of securities and cash held in such foreign accounts exceeds €10,000,
you must file reports on the transactions and balances of the accounts on a quarterly basis by the 20th day of the month following the end of each quarter and an annual report by no later than January 30 of the following calendar
year. Such reports are filed on special forms available on the website of the National Bank of Poland.
 SOUTH AFRICA

 Terms and Conditions 

Taxes. The following provision supplements Section 3.7 of the Award Agreement: 
 By accepting the Restricted Stock Units, you agree that, immediately upon the vesting of the Restricted Stock Units, you will notify the Company of the amount of any gain realized. If you fail to
advise the Company of the gain realized upon vesting, you may be liable for any applicable fines and penalties. You will be solely responsible for paying any difference between the actual tax liability and the amount withheld. 

Notifications 
 Exchange Control
Information. Because no transfer of funds from South Africa is required under the Restricted Stock Unit awards, no filing or reporting requirements should apply when the Restricted Stock Units are granted or when the Restricted Stock Units
vest. However, because the exchange control regulations are subject to change, you should consult your personal advisor prior to vesting and settlement of the Restricted Stock Units to ensure compliance with current regulations. You are
responsible for ensuring compliance with all exchange control laws in South Africa. 
 SWEDEN 

There are no country specific provisions. 
 TURKEY 
 There are no country specific provisions. 

  
 17 

 UNITED KINGDOM 
 Terms and Conditions 
 Tax and National Insurance Contributions
Acknowledgment. The following provisions supplement Section 3.7 of the Award Agreement: 
 You agree that if you do not pay to the
Company or Subsidiary, as applicable, or if the Company and/or Subsidiary, as applicable, does not withhold from you the full amount of all income tax, social insurance, payroll tax, payment on account or other tax-related items related to your
participation in the Plan and legally applicable to you that you owe due to the vesting of the Restricted Stock Units, or the release or assignment of the Restricted Stock Units for consideration, or the receipt of any other benefit in connection
with the Restricted Stock Units (the “Taxable Event”) within 90 days after the Taxable Event, or such other period specified in Section 222(1)(c) of the U.K. Income Tax (Earnings and Pensions) Act 2003, then the amount that should
have been withheld shall constitute a loan owed by you to the Company or Subsidiary, effective 90 days after the Taxable Event. You agree that the loan will bear interest at the HMRC’s official rate and will be immediately due and
repayable by you, and the Company or Subsidiary may recover it at any time thereafter by withholding the funds from salary, bonus or any other funds due to you by the Company or Subsidiary, by withholding in shares of Common Stock issued upon
vesting of the Restricted Stock Units or from the cash proceeds from the sale of shares of Common Stock or by demanding cash or a cheque from you. You also authorize the Company to delay the issuance of any shares of Common Stock to you unless and
until the loan is repaid in full. 
 Notwithstanding the foregoing, if you are an officer or executive director (as within the meaning of
Section 13(k) of the United States Securities Exchange Act of 1934, as amended), the terms of the immediately foregoing provision will not apply. In the event that you are an officer or executive director and the applicable income tax,
social insurance, payroll tax, payment on account or other tax-related items related to your participation in the Plan and legally applicable to you are not collected from or paid by you within 90 days of the Taxable Event, the amount of any
uncollected income tax, social insurance, payroll tax, payment on account or other tax-related items related to your participation in the Plan and legally applicable to you, may constitute a benefit to you on which additional income tax and national
insurance contributions may be payable. You acknowledge that the Company or Subsidiary may recover any such additional income tax and national insurance contributions at any time thereafter by any of the means referred to in the Award
Agreement. 
 Joint Election for Transfer of Secondary Class 1 National Insurance Contributions to You. The following provision is added to
the Award Agreement: 
 (a) As a condition of the issuance of shares of Common Stock upon the vesting and settlement of the Restricted Stock
Units and delivery of such shares of Common Stock to you, you agree to accept any liability for secondary Class 1 national insurance contributions (“Employer NICs”), which may be payable by the Company or Subsidiary with respect to the
purchase of shares of Common Stock or otherwise payable in connection with the right to acquire shares of Common Stock under the Plan. To accomplish the foregoing, by accepting this grant of Restricted Stock Units, you expressly agree to the
terms of the joint election set forth in this section between you and the Company (the “Election”), the form of such Election being formally approved by HM Revenue and Customs (“HMRC”), and any other consents or elections
required to accomplish the transfer of the Employer NICs to you. You further agree to execute such other joint elections as may be required between you and any successor to the Company or Subsidiary. You agree to enter into an Election
prior to the vesting of any Restricted Stock Units you receive pursuant to the Restricted Stock Unit award. 

  
 18 

 (b) This Election is between: (A) you, an employee of one of the employing companies listed in
Schedule 1 below and are eligible to receive Restricted Stock Units pursuant to the Plan, and (B) the Company, Morris Corporate Center III, 400 Interpace Parkway, Parsippany, New Jersey 07054, which may grant Restricted Stock Units under the
Plan and is entering into this Form of Election on behalf of your employer. 
 (c) This Election relates to Employer NICs which may arise
on: 
 (i) the acquisition of securities pursuant to Restricted Stock Units; and/or 

(ii) the assignment or release of Restricted Stock Units in return for consideration; and/or 

(iii) the receipt of a benefit in connection with Restricted Stock Units, 
 (each, a “Taxable Event”) pursuant to section 4(4)(a) of the Social Security Contributions and Benefits Act 1992.
 (d) You and the Company jointly elect that the entire liability of the employer to pay Employer NICs on the Taxable Event is hereby transferred to you. You understand that by accepting the Award
Agreement, including this Election, you will become personally liable for the Employer NICs covered by this Election. You hereby authorize the Company and/or your employer to collect the Employer NICs from you at any time on or after the
Taxable Event by any of the means set forth above in Paragraph 6(b) of the Award Agreement. The Company reserves for itself and your employer the right to withhold the transfer of any shares of Common Stock to you until full payment of the
Employer NICs is received. The Company or its Subsidiary or affiliate, as applicable, agrees to remit the Employer NICs to the HMRC on your behalf within 14 days after the end of the U.K. tax month during which the Taxable Event occurs.

 (e) You and the Company agree to be bound by the terms of this Election regardless of whether you are transferred abroad or are not employed
by your employer on the date on which the Employer NICs becomes due. This Election will continue in effect until the earliest of the following: 
 (i) you and the Company agree in writing that it should cease to have effect; 
 (ii) the date the
Company serves written notice on you terminating its effect; or 
 (iii) the date the HMRC withdraws approval of this Election. 

This Election will continue in force regardless of whether you undergo a Termination of Employment, Consultancy, or Directorship, as applicable.

 This Election does not apply in relation to any liability, or any part of any liability, arising as a result of regulations being given
retrospective effect by virtue of section 4B(2) of either the SSCBA, or the Social Security Contributions and Benefits (Northern Ireland) Act 1992. 
 Schedule 1: 
 Entities 

 

	 	•	 	 Arrow Generics Ltd 

  

	 	•	 	 Arrow No. 7 Ltd 

  

	 	•	 	 Breath Ltd 

  
 19 

 ANNEX 1 TO FOREIGN COUNTRY APPENDIX 

[Countries where cash or shares may be paid in settlement of RSUs, in Company’s discretion] 

Those countries not included in Annex 2 
 ANNEX 2 TO FOREIGN COUNTRY APPENDIX 
 [Countries where cash must be
paid in settlement of RSUs] 
 Greece 
 South Africa 
 EXHIBIT 1-B 

THE 2001 INCENTIVE AWARD PLAN (as amended from time to time) 

Provided separately 

  
 20EX-10.4J

 EXHIBIT 10.4J 
 INSTRUCTIONS 
 Shares of Restricted Stock 

A Long Term Incentive Award 
 (The Agreement begins after this page) 
 You will be deemed to have accepted this
Restricted Stock award and agreed to be bound by the terms and conditions of the Notice of Grant and Signature Page, the Restricted Stock Agreement and the Plan (as defined in such Notice) unless you inform the Company in writing that you wish
to decline the Restricted Stock award. 
 To decline the Restricted Stock Award, please send written notice of your decision to decline this
Restricted Stock award to the Stock Plan Administrator as follows: 
  

	 	•	 	 via e-mail 

  

	 	•	 	 alma.gonzalez-monarrez@watson.com 

  

	 	•	 	 via inter-office mail 

  

	 	•	 	 Stock Plan Administrator, Corona, Bldg 4, Finance Dept 

 

	 	•	 	 or via regular mail to 

   Actavis, Inc. 
   Attn: Stock Plan
Administrator 
   Bldg 4, Finance Department 

  P.O. Box 1900 
   311 Bonnie Circle 
   Corona, CA 92878

 In order to be effective, your written notice to decline the Restricted Stock Award must be received by the Stock Plan
Administrator prior to the date that is [30] days immediately following the Date of Grant set forth on the Notice of Grant and Signature Page. The company, including its stock plan administration, will not be responsible for any delivery delay of
your notice for any reason. 
 If you do not decline this Restricted Stock award within [30] days immediately following the Date of Grant, you
will be deemed to have accepted this Restricted Stock award. Should you choose to decline this grant; the grant will be updated to reflect your decision. 
 Shares of Restricted Stock 

 ACTAVIS, INC. 
 2001 INCENTIVE AWARD PLAN 
 NOTICE OF GRANT AND SIGNATURE PAGE

 Congratulations, you (“Holder”) have been granted an award of restricted shares of Common Stock of Actavis,
Inc., a Nevada corporation (the “Company”), subject to the restrictions imposed under this Notice of Grant and Signature Page and the Award Agreement (the “Restricted Stock” award). The Restricted Stock award is subject to the
terms and conditions of the Award Agreement and the Amendment and Restatement of The 2001 Incentive Award Plan of the Company, as amended from time to time (the “Plan”), which are attached hereto as Exhibits 1-A and 1-B, respectively,
and of which this Notice of Grant and Signature Page is a part. By accepting (or being deemed to have accepted) the Restricted Stock award, you represent and warrant to the Company that you have read the Award Agreement and the Plan and agree to be
bound by their terms and conditions. Capitalized terms not otherwise defined in this Notice of Grant and Signature Page shall be as defined in the Plan and the Award Agreement. 

Subject to the terms and conditions of the Award Agreement and the Plan, the terms and conditions of this Restricted Stock award are set
forth below: 
  

					
	 Holder’s Name: FIRST_NAME, LAST_NAME
	  	Total Number of Shares Granted:	  	TOTAL_SHARES_GRANTED,

 Date of Grant: OPTION_DATE, Month DD, YYYY 

Subject to the terms and restrictions of the Award Agreement and the Plan, this Restricted Stock award shall be eligible to become vested
in accordance with the following schedule: 
  

			
	 On Each of These Dates
	  	 This Restricted Stock Award Shall be Eligible to
Become
 Vested with Respect to the Following Number of Shares

	 VEST_DATE_PERIOD1,’Month DD, YYYY’
	  	SHARES_PERIOD1
	 VEST_DATE_PERIOD2,’Month DD, YYYY’
	  	SHARES_PERIOD2
	 Total Shares
	  	TOTAL_SHARES_GRANTED

 NOTE, schedule does not reflect cumulative vesting. 

IN WITNESS WHEREOF, the Company has granted this Restricted Stock award, subject to the terms and conditions set forth herein, on the
Date of Grant specified above. 
  

					
		 	ACTAVIS, INC.
			
		 	 

	 	
		 	Chief Executive Officer
		
		 	 GRANT NO: OPTION_NUMBER

		
		 	 ACCOUNT_ID / Shares of Restricted Stock

 EXHIBIT 1-A 

AWARD AGREEMENT 
 THIS AWARD AGREEMENT, dated as of the Date of Grant appearing on the Notice of Grant and Signature Page hereof, is made by and between Actavis, Inc., a Nevada corporation (the “Company”), and
the Employee whose name appears on the Notice of Grant and Signature Page hereof (“Holder”). 
 WHEREAS, the Company
wishes to grant to Holder shares of its Common Stock, pursuant to the terms and conditions and restrictions of the Notice of Grant and Signature Page, this Award Agreement and the Amendment and Restatement of The 2001 Incentive Award Plan of
Actavis, Inc., as amended from time to time (the terms of which are hereby incorporated by reference and made a part of this Award Agreement, the “Plan”); and 
 WHEREAS, it has been determined that it would be to the advantage and best interest of the Company and its stockholders to grant Holder the Restricted Stock award as an inducement to enter into or remain
in the service of the Company or its Subsidiaries and as an incentive for increased efforts during such service. 
 NOW,
THEREFORE, in consideration of the mutual covenants herein contained and other good and valuable consideration, receipt of which is hereby acknowledged, the parties hereto do hereby agree as follows: 

ARTICLE I 

ISSUANCE OF RESTRICTED STOCK 
 Section 1.1 – Issuance of Restricted Stock. In consideration of the recitals, Holder’s agreement to remain in the employ of the Company or a Subsidiary, and for other good and
valuable consideration, the Company agrees to issue to Holder the shares of Common Stock specified in the Notice of Grant and Signature Page (the “Restricted Stock”) upon the terms and conditions set forth in this Award Agreement. The
Restricted Stock shall be entered in book entry form or evidenced by certificates held in custody by the Company or its designee, as determined by the Company in its sole discretion. 

Section 1.2 – Consideration to the Company. As partial consideration for the issuance of the Restricted Stock by
the Company, Holder agrees to render faithful and efficient services to the Company or a Subsidiary, with such duties and responsibilities as the Company shall from time to time prescribe. Nothing in this Award Agreement or in the Plan shall confer
upon Holder any right to continue in the employ of the Company or any Subsidiary, or as a director of the Company, or shall interfere with or restrict in any way the rights of the Company and any Subsidiary, which are hereby expressly reserved, to
discharge Holder at any time for any reason whatsoever, with or without cause, except to the extent expressly provided otherwise in a written employment agreement between Holder and the Company and any Subsidiary. 

Section 1.3 – Adjustments in Restricted Stock. The Administrator may adjust the Restricted Stock in accordance
with the provisions of Section 12.3 of the Plan. 

  
 2 

 ARTICLE II 
 RESTRICTIONS 
 Section 2.1 – Forfeiture of Restricted
Stock. Except as may be otherwise provided pursuant to Company policy, a valid employment agreement or otherwise, in each case as and to the extent applicable, in the event of Holder’s Termination of Employment, any Restricted Stock
(including, without limitation, any cash, securities or other property subject to Section 2.5) that has not vested as of the date of the Termination of Employment shall thereupon be forfeited and surrendered by Holder and transferred and
delivered by Holder to the Company for no consideration (the “Forfeiture Restriction”). For purposes of this Award Agreement, the “Restrictions” shall mean the Forfeiture Restriction and the restrictions on sale or other transfer
of the Restricted Stock and other restrictions as set forth in this Article II. 
 Section 2.2 –
Transferability of the Restricted Stock. Except as provided herein, Holder (and Holder’s legal representative) shall not sell, exchange, transfer, alienate, hypothecate, pledge, encumber or assign the Restricted Stock subject to the
Forfeiture Restriction, or any interest or right with respect thereto. Neither the Restricted Stock subject to the Forfeiture Restriction nor any interest or right therein or part thereof shall be liable for the debts, contracts, or engagements of
Holder or his successors in interest or shall be subject to disposition by transfer, alienation, anticipation, pledge, encumbrance, assignment or any other means whether such disposition be voluntary or involuntary or by operation of law by
judgment, levy, attachment, garnishment or any other legal or equitable proceedings (including bankruptcy) and any attempted disposition thereof shall be null and void and of no effect; provided, however, that, this Section 2.2
shall not prevent transfers subject to the consent of the Administrator, pursuant to a DRO. 
 Section 2.3 –
Legend. Any share certificate(s) evidencing the Restricted Stock issued hereunder (or any account or other evidence representing the Restricted Stock issued hereunder) shall be endorsed with the following legend (in addition to any
legend required under applicable state securities laws): 
 THE SECURITIES REPRESENTED BY THIS [CERTIFICATE] [ACCOUNT] ARE
SUBJECT TO CERTAIN RESTRICTIONS ON TRANSFER AND FORFEITURE RESTRICTIONS HELD BY THE COMPANY AS SET FORTH IN A NOTICE OF GRANT AND SIGNATURE PAGE AND AWARD AGREEMENT BETWEEN THE COMPANY AND THE STOCKHOLDER, A COPY OF WHICH IS ON FILE WITH THE
SECRETARY OF THE COMPANY. SUCH TRANSFER RESTRICTIONS AND FORFEITURE RESTRICTIONS ARE BINDING ON TRANSFEREES OF THIS RESTRICTED STOCK. 
 Section 2.4 – Lapse of Restrictions. 
 (a) As of the date
of issuance under Section 1.1, all of the Restricted Stock shall be subject to the Restrictions. Subject to Section 2.1 and the terms and conditions of the Plan, and except as may be otherwise provided pursuant to Company policy, a valid
employment agreement or otherwise, in each case as and to the extent applicable, the Restrictions shall lapse as to the number of shares of Restricted Stock specified in the Notice of Grant and Signature Page, on the date or dates, or upon
satisfaction of the condition or conditions, specified therein. 
 (b) Upon the lapse of the Restrictions on the Restricted
Stock (or portion thereof), the Company may, in its sole discretion, cause new certificates (or accounts or other evidence representing the Restricted Stock issued hereunder) to be issued with respect to such Restricted Stock and delivered to Holder
or his legal representative, free from the legend provided for in Section 2.3 and of any of the other Restrictions. Notwithstanding the foregoing, no such new certificate, account or other evidence shall be delivered to Holder or his legal
representative unless and until Holder or his legal 

  
 3 

 
representative shall have paid to the Company in cash the full amount of all federal, state and local withholding and employment taxes applicable to the taxable income and wages of Holder
resulting from the award of the Restricted Stock or the lapse of the Restrictions, or Holder has otherwise provided for the tax withholding required with respect to the issuance, vesting or payment pursuant to this Restricted Stock award in
accordance with Section 3.8. 
 Section 2.5 – Restrictions on Distributions, etc. In the event that
any dividend or other distribution (including ordinary cash dividends, and whether in the form of Common Stock, other securities, or other property), or other distribution by reason of any recapitalization, reclassification, stock split, reverse
stock split, reorganization, merger, consolidation, split-off, spin-off, combination, repurchase, liquidation, dissolution, or sale, transfer, exchange or other disposition of all or substantially all of the assets of the Company, or exchange of
Common Stock or other securities of the Company, or issuance of warrants or other rights to purchase Common Stock or other securities of the Company, or other similar transaction or event, is paid, issued, exchanged or distributed in respect of
Restricted Stock, such new or additional or different shares or securities or property (including cash) which are attributable to Holder in his capacity as the owner of the Restricted Stock then subject to Restrictions, shall be considered to be
Restricted Stock and shall be subject to all of the Restrictions, unless the Administrator shall, in its discretion, otherwise provide. 
 ARTICLE III 
 OTHER PROVISIONS 

Section 3.1 – Administration. The Administrator shall have the power to interpret the Plan and this Award
Agreement, and to adopt such rules for the administration, interpretation and application of the Plan as are consistent therewith, to interpret, amend or revoke any such rules and to amend this Award Agreement, provided that the rights or
obligations of Holder are not affected adversely. All actions taken and all interpretations and determinations made by the Administrator in good faith shall be final and binding upon Holder, the Company and all other interested persons. No member of
the Administrator shall be personally liable for any action, determination or interpretation made in good faith with respect to the Plan or the Restricted Stock award. 
 Section 3.2 – Conditions to Issuance of Stock Certificates. The Restricted Stock may be either previously authorized but unissued shares or issued shares which have then been
reacquired by the Company. Such shares shall be fully paid and nonassessable. The Company shall not be required to issue the Restricted Stock or issue or deliver any certificate or certificates (or any account or other evidence representing
issuance) for shares of Common Stock or other cash, stock or other property pursuant to this Award Agreement prior to fulfillment of all of the following conditions: 

(a) The admission of such shares to listing on all stock exchanges on which such class of stock is then listed, if
applicable; and 
 (b) The completion of any registration or other qualification of such shares under any state
or federal law or under rulings or regulations of the Securities and Exchange Commission or of any other governmental regulatory body, if applicable, or the receipt of further representations from Holder as to investment intent or completion of
other actions necessary to perfect exemptions, as the Administrator shall, in its absolute discretion, deem necessary or advisable; and 
 (c) The obtaining of any approval or other clearance from any state or federal governmental agency which the Administrator shall, in its absolute discretion, determine to be necessary or advisable; and

  
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 (d) The lapse of such reasonable period of time as the Administrator may
from time to time establish for reasons of administrative convenience; and 
 (e) The receipt by the Company of
payment of any applicable withholding tax in accordance with Section 3.8. 
 Section 3.3 – Rights as
Stockholder. Except as otherwise provided herein (including in Section 2.5), Holder shall have all the rights of a stockholder with respect to the Restricted Stock, including the right to vote the Restricted Stock and the right to receive
all dividends or other distributions paid or made with respect to the Restricted Stock, subject to Section 2.5. 

Section 3.4 – Notices. Any notice to be given under the terms of this Award Agreement to the Company shall be
addressed to the Company in care of its Secretary, and any notice to be given to Holder shall be addressed to him at the address given beneath his signature hereto. By a notice given pursuant to this Section 3.4, either party may hereafter
designate a different address for notices to be given to him. Any notice which is required to be given to Holder shall, if Holder is then deceased, be given to Holder’s personal representative if such representative has previously informed the
Company of his status and address by written notice under this Section 3.4. Any notice shall be deemed duly given when enclosed in a properly sealed envelope or wrapper addressed as aforesaid, deposited (with postage prepaid) in a post office
or branch post office regularly maintained by the United States Postal Service. 
 Section 3.5 – Titles and
Construction. Titles are provided herein for convenience only and are not to serve as a basis for interpretation or construction of this Award Agreement. This Agreement shall be administered, interpreted and enforced under the internal laws of
the State of New Jersey, without regard to conflicts of laws thereof. 
 Section 3.6 – Conformity to
Securities Laws. Holder acknowledges that the Plan and this Award Agreement are intended to conform to the extent necessary with all provisions of all applicable federal and state laws, rules and regulations (including, but not limited to the
Securities Act and the Exchange Act and any and all regulations and rules promulgated by the Securities and Exchange Commission thereunder, including without limitation the applicable exemptive conditions of Rule 16b-3) and to such approvals by any
listing, regulatory or other governmental authority as may, in the opinion of counsel for the Company, be necessary or advisable in connection therewith. Notwithstanding anything herein to the contrary, the Plan shall be administered, and the
Restricted Stock are granted, only in such a manner as to conform to such laws, rules and regulations. To the extent permitted by applicable law, the Plan, this Award Agreement and the Restricted Stock shall be deemed amended to the extent necessary
to conform to such laws, rules and regulations. 
 Section 3.7 – Section 83(b) Election. Holder
understands that Section 83(a) of the Code taxes as ordinary income the difference between the amount, if any, paid for the shares of Common Stock and the Fair Market Value of such shares at the time the Restrictions on such shares lapse.
Holder understands that, notwithstanding the preceding sentence, Holder may elect to be taxed on the Date of Grant, rather than at the time the Restrictions lapse, by filing an election under Section 83(b) of the Code (an “83(b)
Election”) with the Internal Revenue Service within 30 days of the Date of Grant. In the event Holder files an 83(b) Election, Holder will recognize ordinary income in an amount equal to the difference between the amount, if any, paid for the
shares of Common Stock and the Fair Market Value of such shares as of the Date of Grant. Holder further understands that an additional copy of such 83(b) Election form should be filed with Holder’s federal income tax return for the calendar
year in which the date of this Agreement falls. Holder acknowledges that the foregoing is only a summary of the effect of United States federal income taxation with respect to the award of Restricted Stock hereunder, and does not purport to be
complete. HOLDER FURTHER ACKNOWLEDGES THAT THE COMPANY IS NOT 

  
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RESPONSIBLE FOR FILING HOLDER’S 83(b) ELECTION, AND THE COMPANY HAS DIRECTED HOLDER TO SEEK INDEPENDENT ADVICE REGARDING THE APPLICABLE PROVISIONS OF THE CODE, THE INCOME TAX LAWS OF ANY
MUNICIPALITY, STATE OR FOREIGN COUNTRY IN WHICH HOLDER MAY RESIDE, AND THE TAX CONSEQUENCES OF HOLDER’S DEATH. 

Section 3.8 – Tax Withholding. The Company shall be entitled to require payment in cash or deduction from the
shares of Common Stock issued under this Restricted Stock award or other compensation payable to Holder of any sums required by federal, state or local tax law to be withheld with respect to the issuance, vesting or payment pursuant to this
Restricted Stock award. Except as otherwise provided by the Administrator in its discretion, in satisfaction of the foregoing requirement, the Company shall withhold shares of Common Stock issued under this Restricted Stock award and Holder hereby
elects to transfer and deliver to the Company such shares of Common Stock having a Fair Market Value equal to the sums required to be withheld. Notwithstanding any other provision of the Plan and this Award Agreement, the shares of Common Stock
which may be withheld with respect to the issuance, vesting or payment under this Restricted Stock award in order to satisfy Holder’s federal and state income taxes and payroll tax liabilities with respect to the issuance, vesting or payment
under this Restricted Stock award shall be limited to the number of shares which have a Fair Market Value on the date of withholding equal to the aggregate amount of such liabilities based on the minimum statutory withholding rates for federal and
state income tax and payroll tax purposes that are applicable to such supplemental taxable income. 
 Section 3.9
– No Entitlement or Claims for Compensation. 
 (a) Holder’s rights, if any, in respect of or in connection
with Restricted Stock awards or any other award is derived solely from the discretionary decision of the Company to permit Holder to participate in the Plan and to benefit from a discretionary award. By accepting this Restricted Stock award, Holder
expressly acknowledges that there is no obligation on the part of the Company to continue the Plan and/or grant any additional awards to Holder. This Restricted Stock award is not intended to be compensation of a continuing or recurring nature, or
part of Holder’s normal or expected compensation, and in no way represents any portion of a Holder’s salary, compensation, or other remuneration for purposes of pension benefits, severance, redundancy, resignation or any other purpose.

 (b) Neither the Plan nor this Restricted Stock award or any other award granted under the Plan shall be deemed to give Holder
a right to remain an Employee, Consultant or Director of the Company, a Subsidiary or parent or any other affiliate. The Company and its Subsidiaries, parents and affiliates, as applicable, reserve the right to Terminate the Consultancy,
Directorship or Employment of Holder, as applicable, at any time, with or without cause, and for any reason, subject to applicable laws, the Company’s Certificate of Incorporation and Bylaws and a written employment agreement (if any), and
Holder shall be deemed irrevocably to have waived any claim to damages or specific performance for breach of contract or dismissal, compensation for loss of office, tort or otherwise with respect to the Plan, this Restricted Stock Unit award or any
outstanding award that is forfeited and/or is terminated by its terms or to any future award. 
 Section 3.10 –
Electronic Delivery. The Company may, in its sole discretion, decide to deliver any documents related to Holder’s current or future participation in the Plan by electronic means or to request Holder’s consent to participate in the
Plan by electronic means. Holder hereby consents to receive such documents by electronic delivery and agrees to participate in the Plan through an on-line or electronic system established and maintained by the Company or a third party designated by
the Company. 

  
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 ARTICLE IV 
 DEFINITIONS 
 All capitalized terms used herein without definition shall
have the meanings ascribed to such terms in the Plan. The masculine pronoun shall include the feminine and neuter, and the singular the plural, where the context so indicates. 
 EXHIBIT 1-B 
 AMENDMENT AND RESTATEMENT OF 2001 INCENTIVE AWARD
PLAN 
 Provided separately 

  
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