Document:

Exhibit 10.10

Exhibit 10.10

GENESIS FLUID SOLUTIONS HOLDINGS, INC.

2009 EQUITY INCENTIVE PLAN

FORM OF INCENTIVE STOCK OPTION AGREEMENT

This INCENTIVE STOCK OPTION AGREEMENT
(the “Option Agreement”), dated as of the ____ day of ___________, 20___ 
(the “Grant Date”), is between Genesis Fluid Solutions Holdings, Inc., a Delaware
corporation (the “Company”), and  _______ (the “Optionee”), a key employee of the Company or of a
Subsidiary of the Company (a “Related Corporation”), pursuant to the Genesis Fluid Solutions
Holdings, Inc. 2009 Equity Incentive Plan (the “Plan”).

WHEREAS, the Company desires to give the Optionee the opportunity to purchase shares of common
stock of the Company, par value $0.001 (“Common Shares”) in accordance with the provisions of the
Plan, a copy of which is attached hereto;

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

1. Grant of Option. The Company hereby grants to the Optionee the right and option
(the “Option”) to purchase all or any part of an aggregate of [_____] (_____) Common Shares.
The Option is in all respects limited and conditioned as hereinafter provided, and is subject in
all respects to the terms and conditions of the Plan now in effect and as it may be amended from
time to time (but only to the extent that such amendments apply to outstanding options). Such
terms and conditions are incorporated herein by reference, made a part hereof, and shall control in
the event of any conflict with any other terms of this Option Agreement. The Option granted
hereunder is intended to be an incentive stock option (“ISO”) meeting the requirements of the Plan
and section 422 of the Internal Revenue Code of 1986, as amended (the “Code”), and not a
nonqualified stock option (“NQSO”).

2. Exercise Price. The exercise price of the Common Shares covered by this Option
shall be $________ per share. It is the determination of the committee administering the Plan
(the “Committee”) that on the Grant Date the exercise price was not less than the greater of (i)
100% (110% for an Optionee who owns more than 10% of the total combined voting power of all shares
of stock of the Company or of a Related Corporation — a “More-Than-10% Owner”) of the “Fair Market
Value” (as defined in the Plan) of a Common Share, or (ii) the par value of a Common Share.

3. Term. Unless earlier terminated pursuant to any provision of the Plan or of this
Option Agreement, this Option shall expire on
 ________________  ___, 20___ (the “Expiration
Date”), which date is not more than 10 years (five years in the case of a More-Than-10% Owner) from
the Grant Date. This Option shall not be exercisable on or after the Expiration Date.

 

 

4. Exercise of Option. The Option shall vest according to the following schedule,
provided that Optionee remains continuously employed as a key employee of the Company or a Related
Corporation from the date hereof through the applicable vesting date:

	 	 	 
	Date Installment Becomes Exercisable	 	Number of Shares	 
	 
	 	______ Shares
	 
	 	an additional ______ Shares
	 
	 	an additional ______ Shares
	 
	 	an additional ______ Shares

The Committee may accelerate any vesting date of the Option, in its discretion, if it deems such
acceleration to be desirable. Once the Option becomes exercisable, it will remain exercisable
until it is exercised or until it terminates.

5. Method of Exercising Option. Subject to the terms and conditions of this Option
Agreement and the Plan, the Option may be exercised by written notice to the Company at its
principal office. The form of such notice is attached hereto and shall state the election to
exercise the Option and the number of whole shares with respect to which it is being exercised;
shall be signed by the person or persons so exercising the Option; and shall be accompanied by
payment of the full exercise price of such shares. Only full shares will be issued.

The exercise price shall be paid to the Company:

(a) in cash, or by certified check, bank draft, or postal or express money order;

(b) through the delivery of Common Shares previously acquired by the Optionee;

(c) by delivering a properly executed notice of exercise of the Option to the Company and a
broker, with irrevocable instructions to the broker promptly to deliver to the Company the amount
necessary to pay the exercise price of the Option;

(d) in Common Shares newly acquired by the Optionee upon exercise of the Option (which shall
constitute a disqualifying disposition with respect to this ISO); or

(e) in any combination of (a), (b), (c) or (d) above.

In the event the exercise price is paid, in whole or in part, with Common Shares, the portion of
the exercise price so paid shall be equal to the Fair Market Value of the Common Shares surrendered
on the date of exercise.

Upon receipt of notice of exercise and payment, the Company shall deliver a certificate or
certificates representing the Common Shares with respect to which the Option is so
exercised. The Optionee shall obtain the rights of a shareholder upon receipt of a certificate(s)
representing such Common Shares.

 

-2-

 

Such certificate(s) shall be registered in the name of the person so exercising the Option
(or, if the Option is exercised by the Optionee and if the Optionee so requests in the notice
exercising the Option, shall be registered in the name of the Optionee and the Optionee’s spouse,
jointly, with right of survivorship), and shall be delivered as provided above to, or upon the
written order of, the person exercising the Option. In the event the Option is exercised by any
person after the death or disability (as determined in accordance with Section 22(e)(3) of the
Code) of the Optionee, the notice shall be accompanied by appropriate proof of the right of such
person to exercise the Option. All Common Shares that are purchased upon exercise of the Option as
provided herein shall be fully paid and non-assessable.

Upon exercise of the Option, Optionee shall be responsible for all employment and income taxes
then or thereafter due (whether Federal, State or local), and if the Optionee does not remit to the
Company sufficient cash (or, with the consent of the Committee, Common Shares) to satisfy all
applicable withholding requirements, the Company shall be entitled to satisfy any withholding
requirements for any such tax by disposing of Common Shares at exercise, withholding cash from
Optionee’s salary or other compensation or such other means as the Committee considers appropriate
to the fullest extent permitted by applicable law. Nothing in the preceding sentence shall impair
or limit the Company’s rights with respect to satisfying withholding obligations under Section 10
of the Plan.

6. Non-Transferability of Option. This Option is not assignable or transferable, in
whole or in part, by the Optionee other than by will or by the laws of descent and distribution.
During the lifetime of the Optionee, the Option shall be exercisable only by the Optionee or, in
the event of his or her disability, by his or her guardian or legal representative.

7. Termination of Employment. If the Optionee’s employment with the Company and all
Related Corporations is terminated for any reason (other than death or disability) prior to the
Expiration Date, then this Option may be exercised by Optionee, to the extent of the number of
Common Shares with respect to which the Optionee could have exercised it on the date of such
termination of employment, at any time prior to the earlier of (i) the Expiration Date, or (ii)
three months after such termination of employment. Any part of the Option that was not exercisable
immediately before the termination of Optionee’s employment shall terminate at that time.

8. Disability. If the Optionee becomes disabled (as determined in accordance with
section 22(e)(3) of the Code) during his or her employment and, prior to the Expiration Date, the
Optionee’s employment is terminated as a consequence of such disability, then this Option may be
exercised by the Optionee or by the Optionee’s legal representative, to the extent of the number of
Common Shares with respect to which the Optionee could have exercised it on the date of such
termination of employment at any time prior to the earlier of (i) the Expiration Date or (ii) one
year after such termination of employment. Any part of the Option that was not exercisable
immediately before the Optionee’s termination of employment shall terminate at that time.

 

-3-

 

9. Death. If the Optionee dies during his or her employment and prior to the
Expiration Date, or if the Optionee’s employment is terminated for any reason (as described in
Paragraphs 7 and 8) and the Optionee dies following his or her termination of employment but prior
to the earliest of (i) the Expiration Date, or (ii) the expiration of the period determined under
Paragraph 7 or 8 (as applicable to the Optionee), then this Option may be exercised by the
Optionee’s estate, personal representative or beneficiary who acquired the right to exercise this
Option by bequest or inheritance or by reason of the Optionee’s death, to the extent of the number
of Common Shares with respect to which the Optionee could have exercised it on the date of his or
her death, at any time prior to the earlier of (i) the Expiration Date or (ii) one year after the
date of the Optionee’s death. Any part of the Option that was not exercisable immediately before
the Optionee’s death shall terminate at that time.

10. Disqualifying Disposition of Option Shares. The Optionee agrees to give written
notice to the Company, at its principal office, if a “disposition” of the Common Shares acquired
through exercise of the Option granted hereunder occurs at any time within two years after the
Grant Date or within one year after the transfer to the Optionee of such shares. Optionee
acknowledges that if such disposition occurs, the Optionee generally will recognize ordinary income
as of the date the Option was exercised in an amount equal to the lesser of (i) the Fair Market
Value of the Common Shares on the date of exercise minus the exercise price, or (ii) the amount
realized on disposition of such shares minus the exercise price. If requested by the Company at
the time of and in the case of any such disposition, Optionee shall pay to the Company an amount
sufficient to satisfy the Company’s federal, state and local withholding tax obligations with
respect to such disposition. The provisions of this Section 10 shall apply, whether or not the
Optionee is in the employ of the Company at the time of the relevant disposition. For purposes of
this Paragraph, the term “disposition” shall have the meaning assigned to such term by section
424(c) of the Code.

11. Securities Matters. (a) If, at any time, counsel to the Company shall determine
that the listing, registration or qualification of the Common Shares subject to the Option upon any
securities exchange or under any state or federal law, or the consent or approval of any
governmental or regulatory body, or that the disclosure of non-public information or the
satisfaction of any other condition is necessary as a condition of, or in connection with, the
issuance or purchase of Common Shares hereunder, such Option may not be exercised, in whole or in
part, unless such listing, registration, qualification, consent or approval, or satisfaction of
such condition shall have been effected or obtained on conditions acceptable to the Board of
Directors. The Company shall be under no obligation to apply for or to obtain such listing,
registration or qualification, or to satisfy such condition. The Committee shall inform the
Optionee in writing of any decision to defer or prohibit the exercise of an Option. During the
period that the effectiveness of the exercise of an Option has been deferred or prohibited, the
Optionee may, by written notice, withdraw the Optionee’s decision to exercise and obtain a refund
of any amount paid with respect thereto.

 

-4-

 

(b) The Company may require: (i) the Optionee (or any other person exercising the Option in
the case of the Optionee’s death or Disability) as a condition of exercising the Option, to give
written assurances, in substance and form satisfactory to the
Company, to the effect that such person is acquiring the Common Shares subject to the Option for
his or her own account for investment and not with any present intention of selling or otherwise
distributing the same, and to make such other representations or covenants; and (ii) that any
certificates for Common Shares delivered in connection with the exercise of the Option bear such
legends, in each case as the Company deems necessary or appropriate, in order to comply with
federal and applicable state securities laws, to comply with covenants or representations made by
the Company in connection with any public offering of its Common Shares or otherwise. The Optionee
specifically understands and agrees that the Common Shares, if and when issued upon exercise of the
Option, may be “restricted securities,” as that term is defined in Rule 144 under the Securities
Act of 1933 and, accordingly, the Optionee may be required to hold the shares indefinitely unless
they are registered under such Securities Act of 1933, as amended, or an exemption from such
registration is available.

(c) The Optionee shall have no rights as a shareholder with respect to any Common Shares
covered by the Option (including, without limitation, any rights to receive dividends or non-cash
distributions with respect to such shares) until the date of issue of a stock certificate to the
Optionee for such Common Shares. No adjustment shall be made for dividends or other rights for
which the record date is prior to the date such stock certificate is issued.

12. Governing Law. This Option Agreement shall be governed by the applicable Code
provisions to the maximum extent possible. Otherwise, the laws of the State of Delaware (without
reference to the principles of conflict of laws) shall govern the operation of, and the rights of
the Optionee under, the Plan and Options granted thereunder.

[SIGNATURE PAGE FOLLOWS]

 

-5-

 

IN WITNESS WHEREOF, the parties hereto have duly executed this Incentive Stock Option
Agreement as of the  _____ day of  __________, 20___.

	 	 	 	 	 
	 	GENESIS FLUID SOLUTIONS HOLDINGS, INC.

 	 
	 	By:  	 	 
	 	 	Name:  	 	 
	 	 	Title:  	 	 
	 
	 	 	 
	 	
 	 
	 	Optionee 	 
	 	 	 

 

 

 

	 	 	 	 	 

GENESIS FLUID SOLUTIONS HOLDINGS, INC.

2009 EQUITY INCENTIVE PLAN

Notice of Exercise of Incentive Stock Option

I hereby exercise the incentive stock option granted to me pursuant to the Incentive Stock
Option Agreement dated as of ___________ ___, 20___, by Genesis Fluid Solutions Holdings, Inc. (the
“Company”), with respect to the following number of shares of the Company’s common stock
(“Shares”), par value $0.001 per Share, covered by said option:

	 	 	 	 	 
	Number of Shares to be purchased:
	 	 	__________	 
	Purchase price per Share:
	 	$	__________	 
	Total purchase price:
	 	$	__________	 

	 	 	 	 	 
	o

	 	A.
	 	Enclosed is cash or my certified check, bank draft, or postal or express money order
in the amount of $_____ in
full/partial [circle one] payment for such Shares;
	 
	 	 	 	 
	 

	 	 	 	and/or
	 
	 	 	 	 
	o

	 	B.
	 	Enclosed is/are Share(s) with a total fair market value of $on the date hereof in full/partial [circle
one] payment for such Shares;
	 
	 	 	 	 
	 

	 	 	 	and/or
	 
	 	 	 	 
	o

	 	C.
	 	I have provided notice to [insert name of broker], a broker, who will render full/partial
[circle one] payment for such Shares. [Optionee should attach to the notice of exercise provided to such broker a
copy of this Notice of Exercise and irrevocable instructions to pay to the Company the full/partial (as elected
above) exercise price.]
	 
	 	 	 	 
	 

	 	 	 	and/or
	 
	 	 	 	 
	o

	 	D.
	 	I elect to satisfy the payment for Shares purchased hereunder by having the Company withhold newly acquired Shares
pursuant to the exercise of the Option. I understand that this will result in a “disqualifying disposition,” as
described in Section 10 of my Incentive Stock Option Agreement.

 

 

 

Please have the certificate or certificates representing the purchased Shares registered in
the following name or names*:                                ; and sent to                               .

	 	 	 	 	 
	 	 	 
	DATED: ______________ _____, 20__ 	
 	 
	 	Optionee’s Signature 	 
	 	 	 
	 

 

	 	 	 
	*	 	Certificates may be registered in the name of the Optionee alone or
in the joint names (with right of survivorship) of the Optionee and his or her
spouse.

 

-2-Exhibit 10.11

Exhibit 10.11

GENESIS FLUID SOLUTIONS HOLDINGS, INC.

2009 EQUITY INCENTIVE PLAN

FORM OF NONQUALIFIED STOCK OPTION AGREEMENT

This NONQUALIFIED STOCK OPTION AGREEMENT (the “Option Agreement”), dated as of the
 _____ day of _____ 20_____ (the “Grant Date”), is between Genesis Fluid Solutions Holdings, Inc., a Delaware
corporation (the “Company”), and  _____ (the “Optionee”), a director, officer or employees
of, or consultant or advisor to, the Company or a Subsidiary of the Company (a “Related
Corporation”), pursuant to the Genesis Fluid Solutions Holdings, Inc. 2009 Equity Incentive Plan
(the “Plan”).

WHEREAS, the Company desires to give the Optionee the opportunity to purchase shares of common
stock of the Company, par value $0.001 (“Common Shares”) in accordance with the provisions of the
Plan, a copy of which is attached hereto;

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

1. Grant of Option. The Company hereby grants to the Optionee the right and option
(the “Option”) to purchase all or any part of an aggregate of
 _____ (_____) Common
Shares. The Option is in all respects limited and conditioned as hereinafter provided, and is
subject in all respects to the terms and conditions of the Plan now in effect and as it may be
amended from time to time (but only to the extent that such amendments apply to outstanding
options). Such terms and conditions are incorporated herein by reference, made a part hereof, and
shall control in the event of any conflict with any other terms of this Option Agreement. The
Option granted hereunder is intended to be a nonqualified stock option (“NQSO”) and not an
incentive stock option (“ISO”) as such term is defined in section 422 of the Internal Revenue Code
of 1986, as amended (the “Code”).

2. Exercise Price. The exercise price of the Common Shares covered by this Option
shall be $ _________ per share. It is the determination of the committee administering the Plan
(the “Committee”) that on the Grant Date the exercise price was not less than the greater of (i)
100% of the “Fair Market Value” (as defined in the Plan) of a Common Share, or (ii) the par value
of a Common Share.

3. Term. Unless earlier terminated pursuant to any provision of the Plan or of this
Option Agreement, this Option shall expire on
 _______ ___20_____ (the “Expiration Date”), which
date is not more than 10 years from the Grant Date. This Option shall not be exercisable on or
after the Expiration Date.

 

1

 

4. Exercise of Option. The Option shall vest according to the following schedule,
provided that Optionee remains continuously engaged as a director, officer or employee of, or
consultant or advisor to, the Company or a Related Corporation from the date hereof through the
applicable vesting date:

	 	 	 
	Date Installment Becomes Exercisable	 	Number of Shares
	 
	 	______ Shares
	 
	 	an additional ______ Shares
	 
	 	an additional ______ Shares
	 
	 	an additional ______ Shares

The Committee may accelerate any vesting date of the Option, in its discretion, if it deems such
acceleration to be desirable. Once the Option becomes exercisable, it will remain exercisable
until it is exercised or until it terminates.

5. Method of Exercising Option. Subject to the terms and conditions of this Option
Agreement and the Plan, the Option may be exercised by written notice to the Company at its
principal office. The form of such notice is attached hereto and shall state the election to
exercise the Option and the number of whole shares with respect to which it is being exercised;
shall be signed by the person or persons so exercising the Option; and shall be accompanied by
payment of the full exercise price of such shares. Only full shares will be issued.

The exercise price shall be paid to the Company:

(a) in cash, or by certified check, bank draft, or postal or express money order;

(b) through the delivery of Common Shares previously acquired by the Optionee;

(c) by delivering a properly executed notice of exercise of the Option to the Company and a
broker, with irrevocable instructions to the broker promptly to deliver to the Company the amount
necessary to pay the exercise price of the Option;

(d) in Common Shares newly acquired by the Optionee upon exercise of the Option; or

(e) in any combination of (a), (b), (c) or (d) above.

In the event the exercise price is paid, in whole or in part, with Common Shares, the portion of
the exercise price so paid shall be equal to the Fair Market Value of the Common Shares surrendered
on the date of exercise.

 

2

 

Upon receipt of notice of exercise and payment, the Company shall deliver a certificate or
certificates representing the Common Shares with respect to which the Option is so exercised. The
Optionee shall obtain the rights of a shareholder upon receipt of a certificate(s) representing
such Common Shares.

Such certificate(s) shall be registered in the name of the person so exercising the Option
(or, if the Option is exercised by the Optionee and if the Optionee so requests in the notice
exercising the Option, shall be registered in the name of the Optionee and the Optionee’s spouse,
jointly, with right of survivorship), and shall be delivered as provided above to, or upon the
written order of, the person exercising the Option. In the event the Option is exercised by any
person after the death or disability (as determined in accordance with Section 22(e)(3) of the
Code) of the Optionee, the notice shall be accompanied by appropriate proof of the right of such
person to exercise the Option. All Common Shares that are purchased upon exercise of the Option as
provided herein shall be fully paid and non-assessable.

Upon exercise of the Option, Optionee shall be responsible for all employment and income taxes
then or thereafter due (whether Federal, State or local), and if the Optionee does not remit to the
Company sufficient cash (or, with the consent of the Committee, Common Shares) to satisfy all
applicable withholding requirements, the Company shall be entitled to satisfy any withholding
requirements for any such tax by disposing of Common Shares at exercise, withholding cash from
Optionee’s salary or other compensation or such other means as the Committee considers appropriate
to the fullest extent permitted by applicable law. Nothing in the preceding sentence shall impair
or limit the Company’s rights with respect to satisfying withholding obligations under Section 10
of the Plan.

6. Non-Transferability of Option. This Option is not assignable or transferable, in
whole or in part, by the Optionee other than by will or by the laws of descent and distribution.
During the lifetime of the Optionee, the Option shall be exercisable only by the Optionee or, in
the event of his or her disability, by his or her guardian or legal representative.

7. Termination of Services. If the Optionee’s services with the Company and all
Related Corporations are terminated for any reason (other than death or disability) prior to the
Expiration Date, then this Option may be exercised by Optionee, to the extent of the number of
Common Shares with respect to which the Optionee could have exercised it on the date of such
termination of services, at any time prior to the earlier of (i) the Expiration Date, or (ii) three
months after such termination of services. Any part of the Option that was not exercisable
immediately before the termination of Optionee’s services shall terminate at that time.

8. Disability. If the Optionee becomes disabled (as determined in accordance with
section 22(e)(3) of the Code) during the period of his or her service and, prior to the Expiration
Date, the Optionee’s services are terminated as a consequence of such disability, then this Option
may be exercised by the Optionee or by the Optionee’s legal representative, to the extent of the
number of Common Shares with respect to which the Optionee could have exercised it on the date of such termination of services, at any time prior to the earlier of (i)
the Expiration Date or (ii) one year after such termination of services. Any part of the Option
that was not exercisable immediately before the Optionee’s termination of services shall terminate
at that time.

 

3

 

9. Death. If the Optionee dies during the period of his or her services and prior to
the Expiration Date, or if the Optionee’s services are terminated for any reason (as described in
Paragraphs 7 and 8) and the Optionee dies following his or her termination of services but prior to
the earliest of (i) the Expiration Date, or (ii) the expiration of the period determined under
Paragraph 7 or 8 (as applicable to the Optionee), then this Option may be exercised by the
Optionee’s estate, personal representative or beneficiary who acquired the right to exercise this
Option by bequest or inheritance or by reason of the Optionee’s death, to the extent of the number
of Common Shares with respect to which the Optionee could have exercised it on the date of his or
her death, at any time prior to the earlier of (i) the Expiration Date or (ii) one year after the
date of the Optionee’s death. Any part of the Option that was not exercisable immediately before
the Optionee’s death shall terminate at that time.

10. Securities Matters. (a) If, at any time, counsel to the Company shall determine
that the listing, registration or qualification of the Common Shares subject to the Option upon any
securities exchange or under any state or federal law, or the consent or approval of any
governmental or regulatory body, or that the disclosure of non-public information or the
satisfaction of any other condition is necessary as a condition of, or in connection with, the
issuance or purchase of Common Shares hereunder, such Option may not be exercised, in whole or in
part, unless such listing, registration, qualification, consent or approval, or satisfaction of
such condition shall have been effected or obtained on conditions acceptable to the Board of
Directors. The Company shall be under no obligation to apply for or to obtain such listing,
registration or qualification, or to satisfy such condition. The Committee shall inform the
Optionee in writing of any decision to defer or prohibit the exercise of an Option. During the
period that the effectiveness of the exercise of an Option has been deferred or prohibited, the
Optionee may, by written notice, withdraw the Optionee’s decision to exercise and obtain a refund
of any amount paid with respect thereto.

(b) The Company may require: (i) the Optionee (or any other person exercising the Option in
the case of the Optionee’s death or Disability) as a condition of exercising the Option, to give
written assurances, in substance and form satisfactory to the Company, to the effect that such
person is acquiring the Common Shares subject to the Option for his or her own account for
investment and not with any present intention of selling or otherwise distributing the same, and to
make such other representations or covenants; and (ii) that any certificates for Common Shares
delivered in connection with the exercise of the Option bear such legends, in each case as the
Company deems necessary or appropriate, in order to comply with federal and applicable state
securities laws, to comply with covenants or representations made by the Company in connection with
any public offering of its Common Shares or otherwise. The Optionee specifically understands and
agrees that the Common Shares,
if and when issued upon exercise of the Option, may be “restricted securities,” as that term is
defined in Rule 144 under the Securities Act of 1933 and, accordingly, the Optionee may be required
to hold the shares indefinitely unless they are registered under such Securities Act of 1933, as
amended, or an exemption from such registration is available.

 

4

 

(c) The Optionee shall have no rights as a shareholder with respect to any Common Shares
covered by the Option (including, without limitation, any rights to receive dividends or non-cash
distributions with respect to such shares) until the date of issue of a stock certificate to the
Optionee for such Common Shares. No adjustment shall be made for dividends or other rights for
which the record date is prior to the date such stock certificate is issued.

11. Governing Law. This Option Agreement shall be governed by the applicable Code
provisions to the maximum extent possible. Otherwise, the laws of the State of Delaware (without
reference to the principles of conflict of laws) shall govern the operation of, and the rights of
the Optionee under, the Plan and Options granted thereunder.

[SIGNATURE PAGE FOLLOWS]

 

5

 

IN WITNESS WHEREOF, the parties hereto have duly executed this Nonqualified Stock Option
Agreement as of the  _____ day of  _____, 20___.

	 	 	 	 	 
	 	GENESIS FLUID SOLUTIONS HOLDINGS, INC.

 	 
	 	By:  	 	 
	 	 	Name:  	 	 
	 	 	Title:  	 	 
	 
	 	 	 
	 	
 	 
	 	Optionee 	 
	 	 	 

 

6

 

	 	 	 	 	 

GENESIS FLUID SOLUTIONS HOLDINGS, INC.

2009 EQUITY INCENTIVE PLAN

Notice of Exercise of Nonqualified Stock Option

I hereby exercise the nonqualified stock option granted to me pursuant to the Nonqualified
Stock Option Agreement dated as of  ______ ___, 20_____, by Genesis Fluid Solutions Holdings,
Inc. (the “Company”), with respect to the following number of shares of the Company’s common stock
(“Shares”), par value $0.001 per Share, covered by said option:

	 	 	 	 	 
	Number of Shares to be purchased:
	 	 	__________	 
	Purchase price per Share:
	 	$	__________	 
	Total purchase price:
	 	$	__________	 

	 	 	 	 	 
	o

	 	A.
	 	Enclosed is cash or my certified check, bank draft, or postal or express money order in the amount of
$_____ in full/partial [circle one] payment for such Shares;
	 
	 	 	 	 
	 

	 	 	 	and/or
	 
	 	 	 	 
	o

	 	B.
	 	Enclosed is/are   Share(s) with a total fair market value of
$on the date hereof in full/partial [circle one] payment for such Shares;
	 
	 	 	 	 
	 

	 	 	 	and/or
	 
	 	 	 	 
	o

	 	C.
	 	I have provided notice to   [insert name of
broker], a broker, who will render full/partial [circle one] payment for such Shares.
[Optionee should attach to the notice of exercise provided to such broker a copy of this
Notice of Exercise and irrevocable instructions to pay to the Company the full exercise
price.]
	 
	 	 	 	 
	 

	 	 	 	and/or
	 
	 	 	 	 
	o

	 	D.
	 	I elect to satisfy the payment for Shares purchased hereunder by having the Company
withhold newly acquired Shares pursuant to the exercise of the Option.

 

 

 

Please have the certificate or certificates representing the purchased Shares registered in
the following name or names*:                                  ; and
sent to                         .

	 	 	 	 	 
	 	 	 
	DATED:                , 20__ 	
 	 
	 	Optionee’s Signature 	 
	 	 	 
	 

 

	 	 	 
	*	 	Certificates may be registered in the name of the
Optionee alone or in the joint names (with right of survivorship) of the
Optionee and his or her spouse.

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