Document:

EX-10.53

 Exhibit 10.53 

STOCK APPRECIATION RIGHTS AGREEMENT 

PURSUANT TO THE 

LOANDEPOT, INC. 2021 OMNIBUS INCENTIVE PLAN 

* * * * * 
 Participant: 

Grant Date: 
 Base Price: $ 

Number of Shares subject to this SAR: 
 * * * * *

 THIS STOCK APPRECIATION RIGHTS AGREEMENT (this “Agreement”), dated as of the Grant Date specified above, is entered into
by and between loanDepot, Inc., a corporation organized in the State of Delaware (the “Company”), and the Participant specified above, pursuant to the loanDepot, Inc. 2021 Omnibus Incentive Plan, as in effect and as amended from
time to time (the “Plan”), which is administered by the Committee; and 
 WHEREAS, it has been determined under the Plan
that it would be in the best interests of the Company to grant the Stock Appreciation Rights (“SAR”) provided for herein to the Participant. 

NOW, THEREFORE, in consideration of the mutual covenants and promises hereinafter set forth and for other good and valuable consideration, the
parties hereto hereby mutually covenant and agree as follows: 
 1. Incorporation By Reference; Plan Document Receipt.
This Agreement is subject in all respects to the terms and provisions of the Plan (including, without limitation, any amendments thereto adopted at any time and from time to time unless such amendments are expressly intended not to apply to the
Award provided hereunder), all of which terms and provisions are made a part of and incorporated in this Agreement as if they were each expressly set forth herein. Any capitalized term not defined in this Agreement shall have the same meaning as is
ascribed thereto in the Plan. The Participant hereby acknowledges receipt of a true copy of the Plan and that the Participant has read the Plan carefully and fully understands its content. In the event of any conflict between the terms of this
Agreement and the terms of the Plan, the terms of the Plan shall control. 
 2. Grant of SAR. The Company hereby grants
to the Participant, as of the Grant Date, a SAR on the number of shares specified above. The SAR represents the right, upon exercise, to receive [either cash or] a number of shares of Common Stock [, or a combination of cash and shares of
Common Stock,] with a Fair Market Value on the date of exercise equal [, in each case,] to the product of (i) the aggregate number of shares with respect to which this SAR is exercised and (ii) the excess of (A) the Fair
Market Value of a share of Common Stock as of the date of exercise over (B) the SAR Base Price specified above. Except as otherwise provided by 

 
the Plan, the Participant agrees and understands that nothing contained in this Agreement provides, or is intended to provide, the Participant with any protection against potential future
dilution of the Participant’s interest in the Company for any reason. The Participant shall have no rights as a stockholder with respect to any shares of Common Stock covered by the SAR unless and until the Participant has become the holder of
record of such shares, and no adjustments shall be made for dividends in cash or other property, distributions or other rights in respect of any such shares, except as otherwise specifically provided for in the Plan or this Agreement. 

3. Vesting and Exercise. 

(a) Vesting. Subject to the provisions of Sections 3(b) and 3(c) hereof, the SAR shall vest and become exercisable as follows,
provided that the Participant has not incurred a Termination prior to each such vesting date: 
  

			
	 Vesting Date
	  	 Number of Shares

	 [●]
	  	[●]
	 [●]
	  	[●]
	 [●]
	  	[●]
	 [●]
	  	[●]

 There shall be no proportionate or partial vesting in the periods prior to each vesting date and all vesting shall occur only
on the appropriate vesting date, subject to the Participant’s continued service with the Company or any of its Subsidiaries on each applicable vesting date. Upon expiration of the SAR, the SAR shall be cancelled and no longer exercisable. 

(b) Committee Discretion to Accelerate Vesting. Notwithstanding the foregoing, the Committee may, in its sole discretion, provide for
accelerated vesting of the SAR at any time and for any reason. 
 (c) Expiration. Unless earlier terminated in accordance with the
terms and provisions of the Plan and/or this Agreement, all portions of the SAR (whether vested or not vested) shall expire and shall no longer be exercisable after the expiration of ten (10) years from the Grant Date. 

4. Termination. Subject to the terms of the Plan and this Agreement, the SAR, to the extent vested at the time of the
Participant’s Termination, shall remain exercisable as follows: 
 (a) Termination due to Death or Disability. In the event of
the Participant’s Termination by reason of death or Disability, the vested portion of the SAR shall remain exercisable until the earlier of (i) one (1) year from the date of such Termination, and (ii) the expiration of the stated term
of the SAR pursuant to Section 3(d) hereof; provided, however, that in the case of a Termination due to Disability, if the Participant dies within such one (1) year exercise period, any unexercised SAR held by the Participant
shall thereafter be exercisable by the legal representative of the Participant’s estate, to the extent to which it was exercisable at the time of death, for a period of one (1) year from the date of death, but in no event beyond the
expiration of the stated term of the SAR pursuant to Section 3(d) hereof. 

  
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 (b) Involuntary Termination Without Cause. In the event of the Participant’s
involuntary Termination by the Company without Cause, the vested portion of the SAR shall remain exercisable until the earlier of (i) ninety (90) days from the date of such Termination, and (ii) the expiration of the stated term of the SAR
pursuant to Section 3(d) hereof. 
 (c) Voluntary Resignation. In the event of the Participant’s voluntary Termination
(other than a voluntary Termination described in Section 4(d) hereof), the vested portion of the SAR shall remain exercisable until the earlier of (i) thirty (30) days from the date of such Termination, and (ii) the expiration of the
stated term of the SAR pursuant to Section 3(d) hereof. 
 (d) Termination for Cause. In the event of the Participant’s
Termination for Cause or in the event of the Participant’s voluntary Termination (as provided in Section 4(c) hereof) after an event that would be grounds for a Termination for Cause, the Participant’s entire SAR (whether or not
vested) shall terminate and expire upon such Termination. 
 (e) Treatment of Unvested SAR upon Termination. Any portion of the SAR
that is not vested as of the date of the Participant’s Termination for any reason shall terminate and expire as of the date of such Termination. 

5. Method of Exercise. Subject to Section 8, to the extent that all or a portion of the SAR has become vested and
exercisable, such portion of the SAR may thereafter be exercised by the Participant, in whole or in part, at any time or from time to time prior to the expiration of the SAR as provided herein and in accordance with Sections 7.4(c) and 7.4(d) of the
Plan, including, without limitation, by the filing of any written form of exercise notice as may be required by the Committee. 
 6.
Non-Transferability. The SAR, and any rights and interests with respect thereto, issued under this Agreement and the Plan shall not be sold, exchanged, transferred, assigned or otherwise disposed
of in any way by the Participant (or any beneficiary(ies) of the Participant), other than by testamentary disposition by the Participant or the laws of descent and distribution. Any attempt to sell, exchange, transfer, assign, pledge, encumber or
otherwise dispose of or hypothecate in any way the SAR, or the levy of any execution, attachment or similar legal process upon the SAR, contrary to the terms and provisions of this Agreement and/or the Plan shall be null and void and without legal
force or effect. 
 7. Governing Law. All questions concerning the construction, validity and interpretation of this
Agreement shall be governed by, and construed in accordance with, the laws of the State of Delaware, without regard to the choice of law principles thereof. 

8. Withholding of Tax. The Company shall have the power and the right to deduct or withhold, or require the Participant to remit to the
Company, an amount sufficient to satisfy any federal, state, local and foreign taxes of any kind (including, but not limited to, the Participant’s FICA and SDI obligations) which the Company, in its sole discretion, deems necessary to be
withheld or remitted to comply with the Code and/or any other applicable law, rule or regulation with respect to the SAR and, if the Participant fails to do so, the Company may otherwise refuse to issue or transfer any shares of Common Stock
otherwise required to be issued pursuant to this Agreement. [Any minimum statutorily required withholding obligation with regard to the Participant or any additional tax obligation with regard to the Participant that does not result in any
adverse accounting implications to the Company may, with the consent of the Committee, be satisfied by reducing the amount of cash or shares of Common Stock otherwise deliverable upon exercise of the SAR.] 

  
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 9. Entire Agreement; Amendment. This Agreement, together with the Plan,
contains the entire agreement between the parties hereto with respect to the subject matter contained herein, and supersedes all prior agreements or prior understandings, whether written or oral, between the parties relating to such subject matter.
The Committee shall have the right, in its sole discretion, to modify or amend this Agreement from time to time in accordance with and as provided in the Plan. This Agreement may also be modified or amended by a writing signed by both the Company
and the Participant. The Company shall give written notice to the Participant of any such modification or amendment of this Agreement as soon as practicable after the adoption thereof. 

10. Notices. Any notice hereunder by the Participant shall be given to the Company in writing and such notice shall be
deemed duly given only upon receipt thereof by the General Counsel of the Company. Any notice hereunder by the Company shall be given to the Participant in writing and such notice shall be deemed duly given only upon receipt thereof at such address
as the Participant may have on file with the Company. 
 11. No Right to Employment. Any questions as to whether and
when there has been a Termination and the cause of such Termination shall be determined in the sole discretion of the Committee. Nothing in this Agreement shall interfere with or limit in any way the right of the Company, its Subsidiaries or its
Affiliates to terminate the Participant’s employment or service at any time, for any reason and with or without Cause. 
 12.
Transfer of Personal Data. The Participant authorizes, agrees and unambiguously consents to the transmission by the Company (or any Subsidiary) of any personal data information related to the SAR awarded under this Agreement for
legitimate business purposes (including, without limitation, the administration of the Plan). This authorization and consent is freely given by the Participant. 

13. Compliance with Laws. The issuance of this SAR (and the shares of Common Stock upon exercise of this SAR) pursuant to
this Agreement shall be subject to, and shall comply with, any applicable requirements of any foreign and U.S. federal and state securities laws, rules and regulations (including, without limitation, the provisions of the Securities Act, the
Exchange Act and in each case any respective rules and regulations promulgated thereunder) and any other law or regulation applicable thereto. The Company shall not be obligated to issue the SAR or any of the shares pursuant to this Agreement if any
such issuance would violate any such requirements. 
 14. Section 409A. Notwithstanding anything herein or in the Plan
to the contrary, this SAR award is intended to be exempt from the applicable requirements of Section 409A of the Code and shall be limited, construed and interpreted in accordance with such intent. 

  
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 15. Binding Agreement; Assignment. This Agreement shall inure to the
benefit of, be binding upon, and be enforceable by the Company and its successors and assigns. The Participant shall not assign (except in accordance with Section 6 hereof) any part of this Agreement without the prior express written consent of
the Company. 
 16. Headings. The titles and headings of the various sections of this Agreement have been inserted for
convenience of reference only and shall not be deemed to be a part of this Agreement. 
 17. Counterparts. This
Agreement may be executed in one or more counterparts, each of which shall be deemed to be an original, but all of which shall constitute one and the same instrument. 

18. Further Assurances. Each party hereto shall do and perform (or shall cause to be done and performed) all such further
acts and shall execute and deliver all such other agreements, certificates, instruments and documents as either party hereto reasonably may request in order to carry out the intent and accomplish the purposes of this Agreement and the Plan and the
consummation of the transactions contemplated thereunder. 
 19. Severability. The invalidity or unenforceability of any
provisions of this Agreement in any jurisdiction shall not affect the validity, legality or enforceability of the remainder of this Agreement in such jurisdiction or the validity, legality or enforceability of any provision of this Agreement in any
other jurisdiction, it being intended that all rights and obligations of the parties hereunder shall be enforceable to the fullest extent permitted by law. 

20. Acquired Rights. The Participant acknowledges and agrees that: (a) the Company may terminate or amend the Plan at
any time; (b) the award of the SAR made under this Agreement is completely independent of any other award or grant and is made at the sole discretion of the Company; (c) no past grants or awards (including, without limitation, the SAR
awarded hereunder) give the Participant any right to any grants or awards in the future whatsoever; and (d) any benefits granted under this Agreement are not part of the Participant’s ordinary salary, and shall not be considered as part of
such salary in the event of severance, redundancy or resignation. 
 [Remainder of Page Intentionally Left Blank] 

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

			
	LOANDEPOT, INC.
		
	By:	 	              

	Name:	 	  

	Title:	 	  

	
	PARTICIPANT
		
	Name:Exhibit 10.1

 

SOC TELEMED,
INC.

 

1768 Business Center Drive, Suite 100, Reston,
Virginia 20190

 

[Effective Date]

 

[Name]

 

	 	Re:	EMPLOYMENT AGREEMENT

 

Dear [First Name]:

 

This Employment Agreement
(the “Agreement”) between you (referred to hereinafter as the “Executive”)
and SOC Telemed, Inc., a Delaware corporation (the “Company”), sets forth the terms and conditions that
shall govern the period of Executive’s continued employment with the Company (referred to hereinafter as “Employment”)
effective as of the date first set forth above (the “Effective Date”).

 

1. Duties
and Scope of Employment.

 

(a) Term.
Executive’s full-time Employment with the Company shall continue for an initial term with the Company effective as of the
Effective Date and continuing for a three (3)-year period (the “Initial Term”), unless sooner terminated
in accordance with the provisions of Section 6; with such employment to automatically continue following the Initial Term for additional
one (1)-year periods in accordance with the terms of this Agreement (subject to termination as aforesaid) unless either party notifies
the other party in writing of its intention not to renew this Agreement at least 60 days prior to the expiration of the Initial
Term or any applicable extension period of employment hereunder (the Initial Term, together with any such extension period of employment
hereunder, shall hereinafter be referred to as the “Employment Period”).

 

(b) Position
and Responsibilities. During the Employment Period, the Company agrees to employ Executive in the position of [Position].
Executive will report initially to the Company’s Chief Executive Officer (Executive’s “Supervisor”),
and Executive will work out of the Company’s office in Virginia or, as directed by the Company from time to time, remotely.
Executive will perform the duties and have the responsibilities and authority customarily performed and held by an employee in
Executive’s position or as otherwise may be assigned or delegated to Executive by Executive’s Supervisor.

 

(c) Obligations
to the Company. During the Employment Period, Executive shall perform Executive’s duties faithfully and to the best
of Executive’s ability and will devote Executive’s full business efforts and time to the Company. During the Employment
Period, without the prior written approval of the Chief Executive Officer of the Company, Executive shall not render services in
any capacity to any other Person and shall not act as a sole proprietor or partner of any other Person or own more than five percent
(5%) of the stock of any other corporation. Notwithstanding the foregoing, Executive may serve on civic or charitable boards or
committees, deliver lectures, fulfill speaking engagements, teach at educational institutions, or manage personal investments without
advance written consent of the Chief Executive Officer of the Company; provided that such activities do not individually or in
the aggregate interfere with the performance of Executive’s duties under this Agreement or create a potential business or
fiduciary conflict. Executive shall comply with the Company’s policies and rules, as they may be in effect from time to time
during Executive’s Employment.

 

     

     

    

 

(d) Business
Opportunities. During Executive’s Employment, Executive shall promptly disclose to the Company each business opportunity
of a type, which based upon its prospects and relationship to the business of the Company or its affiliates, the Company might
reasonably consider pursuing. In the event that Executive’s Employment is terminated for any reason, the Company or its affiliates
shall have the exclusive right to participate in or undertake any such opportunity on their own behalf without any involvement
by or compensation to Executive under this Agreement.

 

(e) No
Conflicting Obligations. Executive represents and warrants to the Company that Executive is under no obligations or commitments,
whether contractual or otherwise, that are inconsistent with Executive’s obligations under this Agreement or that would otherwise
prohibit Executive from performing Executive’s duties with the Company. In connection with Executive’s Employment,
Executive shall not use or disclose any trade secrets or other proprietary information or intellectual property in which Executive
or any other Person has any right, title or interest and Executive’s Employment will not infringe or violate the rights of
any other Person. Executive represents and warrants to the Company that prior to the Effective Date Executive shall have returned
all property and confidential information belonging to any prior employer.

 

2. Cash
and Incentive Compensation.

 

(a) Base
Salary. The Company shall pay Executive, as compensation for Executive’s services, a base salary at a gross annual
rate of $[Salary], less all required tax withholdings and other applicable deductions, in accordance with the Company’s
standard payroll procedures. The annual compensation specified in this subsection (a), together with any modifications in
such compensation that the Company may make from time to time, is referred to in this Agreement as the “Base Salary.”
Executive’s Base Salary will be subject to review and adjustments that will be made based upon the Company’s normal
performance review practices. Effective as of the date of any change to Executive’s Base Salary, the Base Salary as so changed
shall be considered the new Base Salary for all purposes of this Agreement.

 

(b) Cash
Incentive Bonus. Executive will be eligible to be considered for an annual cash incentive bonus (the “Cash
Bonus”) each calendar year during the Employment Period based upon the achievement of certain objective and/or subjective
criteria (collectively, the “Performance Goals”). In compliance with all relevant legal requirements
and based on Executive’s level within the Company, the Performance Goals for Executive’s Cash Bonus for a particular
year will be established by, and in the sole discretion of, the Board of Directors of the Company (the “Board”)
or the Compensation Committee of the Board (the “Committee”). The initial target opportunity for any
such Cash Bonus will be up to [Target]% of Executive’s Base Salary (the “Target Bonus Percentage”),
less all required tax withholdings and other applicable deductions. The determinations of the Board or the Committee, as applicable,
with respect to such Cash Bonus or the Target Bonus Percentage shall be final and binding. Executive’s Target Bonus Percentage
for any subsequent year may be adjusted up or down, as determined in the sole discretion of the Board or Committee, as applicable.
Executive shall not earn a Cash Bonus unless Executive is employed by the Company on the date when such Cash Bonus is actually
paid by the Company.

 

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3. Employee
Benefits. During the Employment Period, Executive shall be eligible to participate in the employee benefit plans maintained
by the Company and generally available to similarly situated employees of the Company, subject to the generally applicable terms
and conditions of the plan in question and to the determinations of any Person or committee administering such plan. The Company
reserves the right to cancel or change the employee benefit plans, policies and programs it offers to its employees at any time.

 

4. Business
Expenses. The Company will reimburse Executive for necessary and reasonable business expenses incurred in connection with
Executive’s duties hereunder upon presentation of an itemized account and appropriate supporting documentation, all in accordance
with the Company’s generally applicable policies.

 

5. Rights
Upon Termination. Except as may be provided in the Severance and Change in Control Agreement entered (or to be entered)
into between the parties substantially in the form set forth as Attachment A hereto (the “Severance and Change
in Control Agreement”), upon the termination of Executive’s Employment, Executive shall only be entitled to
(a) any accrued but unpaid Base Salary, (b) all other benefits earned, and expenses to be reimbursed, as described in this Agreement
or under any Company-provided plans, policies, and arrangements for the Employment Period, each in accordance with the governing
documents and policies of any such benefits, reimbursements, plans and arrangements, and (c) such other compensation or benefits
as may be required by law (collectively, the “Accrued Benefits”).

 

6. Employment
at Will. Executive’s Employment shall be “at will,” meaning that either Executive or the Company shall
be entitled to terminate Executive’s Employment at any time and for any reason, with or without cause or notice. Any contrary
representations that may have been made to Executive shall be superseded by this Agreement. This Agreement shall constitute the
full and complete agreement between Executive and the Company on the “at-will” nature of Executive’s Employment,
which may only be changed in an express written agreement signed by Executive and a duly authorized officer of the Company.

 

7. Section
409A. To the extent that reimbursements or in-kind benefits under this Agreement constitute non-exempt “nonqualified
deferred compensation” for purposes of Section 409A, (a) all reimbursements hereunder shall be made on or prior to the last
day of the calendar year following the calendar year in which the expense was incurred by Executive, (b) any right to reimbursement
or in-kind benefits shall not be subject to liquidation or exchange for another benefit, and (c) the amount of expenses eligible
for reimbursement or in-kind benefits provided in any calendar year shall not in any way affect the expenses eligible for reimbursement
or in-kind benefits to be provided, in any other calendar year. The payments and benefits provided hereunder are intended to be
exempt from or comply with the requirements of Section 409A so that none of the payments and benefits to be provided hereunder
will be subject to the additional tax imposed under Section 409A, and any ambiguities or ambiguous terms herein will be interpreted
to be exempt or so comply. The Company and Executive agree to work together in good faith to consider amendments to this Agreement
and to take such reasonable actions that are necessary, appropriate or desirable to avoid imposition of any additional tax or income
recognition prior to actual payment to Executive under Section 409A.

 

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8. Definition
of Terms. The following terms referred to in this Agreement will have the following meanings:

 

(a) Code.
“Code” means the Internal Revenue Code of 1986, as amended.

 

(b) Governmental
Authority. “Governmental Authority” means any federal, state, municipal, foreign or other government, governmental
department, commission, board, bureau, agency or instrumentality, or any private or public court or tribunal.

 

(c) Person.
“Person” shall be construed in the broadest sense and means and includes any natural person, a partnership, a corporation,
an association, a joint stock company, a limited liability company, a trust, a joint venture, an unincorporated organization and
other entity or Governmental Authority.

 

(d) Section
409A. “Section 409A” means Section 409A of the Code, and the final regulations and any guidance promulgated
thereunder or any state law equivalent.

 

9. Golden
Parachute.

 

(a) Anything
in this Agreement to the contrary notwithstanding, if any payment or benefit Executive would receive from the Company or otherwise
(“Payment”) would (i) constitute a “parachute payment” within the meaning of Section 280G
of the Code; and (ii) but for this sentence, be subject to the excise tax imposed by Section 4999 of the Code (the “Excise
Tax”), then such Payment shall be equal to the Reduced Amount. The “Reduced Amount”
shall be either (x) the largest portion of the Payment that would result in no portion of the Payment being subject to the
Excise Tax; or (y) the largest portion, up to and including the total, of the Payment, whichever amount, after taking into
account all applicable federal, state and local employment taxes, income taxes, and the Excise Tax (all computed at the highest
applicable marginal rate), results in Executive’s receipt, on an after-tax basis, of the greater amount of the Payment. Any
reduction made pursuant to this Section 9(a) shall be made in accordance with the following order of priority: (i) stock options
whose exercise price exceeds the fair market value of the optioned stock (“Underwater Options”) (ii)
Full Credit Payments (as defined below) that are payable in cash, (iii) non-cash Full Credit Payments that are taxable, (iv) non-cash
Full Credit Payments that are not taxable, (v) Partial Credit Payments (as defined below) and (vi) non-cash employee welfare benefits.
In each case, reductions shall be made in reverse chronological order such that the payment or benefit owed on the latest date
following the occurrence of the event triggering the excise tax will be the first payment or benefit to be reduced (with reductions
made pro-rata in the event payments or benefits are owed at the same time). “Full Credit Payment” means
a payment, distribution or benefit, whether paid or payable or distributed or distributable pursuant to the terms of this Agreement
or otherwise, that if reduced in value by one dollar reduces the amount of the parachute payment (as defined in Section 280G of
the Code) by one dollar, determined as if such payment, distribution or benefit had been paid or distributed on the date of the
event triggering the excise tax. “Partial Credit Payment” means any payment, distribution or benefit
that is not a Full Credit Payment.

 

    -4-

     

    

 

(b) A
nationally recognized certified public accounting firm selected by the Company (the “Accounting Firm”)
shall perform the foregoing calculations related to the Excise Tax. If a reduction is required pursuant to Section 9(a), the Accounting
Firm shall administer the ordering of the reduction as set forth in Section 9(a). The Company shall bear all expenses with respect
to the determinations by such accounting firm required to be made hereunder.

 

(c) The
Accounting Firm engaged to make the determinations hereunder shall provide its calculations, together with detailed supporting
documentation, to Executive and the Company within fifteen (15) calendar days after the date on which Executive’s right to
a Payment is triggered. Any good faith determinations of the Accounting Firm made hereunder shall be final, binding, and conclusive
upon Executive and the Company.

 

(d) Notwithstanding
anything to the contrary in Section 9(a), if any Payment that would be otherwise reduced pursuant to Section 9(a) would not be
so reduced if the stockholder approval requirements of Section 280G(b)(5) of the Code are capable of being satisfied, the Company
will use its reasonable best efforts to cause such payments to be timely submitted for such approval in accordance with such requirements.

 

10. Pre-Employment
Conditions.

 

(a) Confidentiality
Agreement. Executive’s acceptance of this offer and Executive’s Employment with the Company is contingent upon
the execution, and delivery to an officer of the Company, of the Company’s Employee Nondisclosure, Non-Solicitation, Confidentiality
and Developments Agreement, a copy of which is attached hereto as Attachment B for Executive’s review and execution
(the “Confidentiality Agreement”), prior to or on the Effective Date.

 

(b) Right
to Work. For purposes of federal immigration law, Executive will be required, if Executive has not already, to provide
to the Company documentary evidence of Executive’s identity and eligibility for employment in the United States. Such documentation
must be provided to the Company within three (3) business days of the Effective Date, or our Employment relationship with Executive
may be terminated.

 

(c) Verification
of Information. This Agreement is also contingent upon the successful verification of the information Executive provided
to the Company during Executive’s application process, as well as a general background check performed by the Company to
confirm Executive’s suitability for Employment. By accepting this Agreement, Executive warrants that all information provided
by Executive is true and correct to the best of Executive’s knowledge, Executive agrees to execute any and all documentation
necessary for the Company to conduct a background check and Executive expressly releases the Company from any claim or cause of
action arising out of the Company’s verification of such information.

 

    -5-

     

    

 

11. Arbitration.

 

(a) Arbitration.
In consideration of Executive’s Employment with the Company, its promise to arbitrate all employment-related disputes
(subject to Section 10 of the Confidentiality Agreement), and Executive’s receipt of the compensation, pay raises and other
benefits paid to Executive by the Company, at present and in the future, Executive agrees that any and all controversies, claims,
or disputes with anyone (including the Company and any employee, officer, director, shareholder or benefit plan of the Company
in their capacity as such or otherwise) arising out of, relating to, or resulting from Executive’s Employment with the Company
or termination thereof, including any breach of this Agreement, will be subject to binding arbitration pursuant to Virginia law.
The Federal Arbitration Act shall also apply with full force and effect.

 

(b) Dispute
Resolution. Disputes that Executive agrees to arbitrate, and thereby agrees to waive any right to a jury trial, include
any statutory claims under local, state, or federal law, including, but not limited to, claims under Title VII of the Civil Rights
Act of 1964, the Americans with Disabilities Act of 1990, the Age Discrimination in Employment Act of 1967, the Older Workers Benefit
Protection Act, the Sarbanes Oxley Act, the Worker Adjustment and Retraining Notification Act, the Virginia Human Rights Act, the
Virginia Values Act, the Virginia Labor Code, claims of harassment, discrimination, and wrongful termination, and any statutory
or common law claims. Executive further understands that this agreement to arbitrate also applies to any disputes that the Company
may have with Executive.

 

(c) Procedure.
Executive agrees that any arbitration will be administered by Judicial Arbitration & Mediation Services, Inc. (“JAMS”),
pursuant to its Employment Arbitration Rules & Procedures (the “JAMS Rules”). The arbitrator shall
have the power to decide any motions brought by any party to the arbitration, including motions for summary judgment and/or adjudication,
motions to dismiss and demurrers, and motions for class certification, prior to any arbitration hearing. The arbitrator shall have
the power to award any remedies available under applicable law, and the arbitrator shall award attorneys’ fees and costs
to the prevailing party, except as prohibited by law. The Company will pay for any administrative or hearing fees charged by the
administrator or JAMS, and all arbitrator’s fees, except that Executive shall pay any filing fees associated with any arbitration
that Executive initiates, but only so much of the filing fee as Executive would have instead paid had Executive filed a complaint
in a court of law. Executive agrees that the arbitrator shall administer and conduct any arbitration in accordance with Virginia
law, and that the arbitrator shall apply substantive and procedural Virginia law to any dispute or claim, without reference to
the rules of conflict of law. To the extent that the JAMS Rules conflict with Virginia law, Virginia law shall take precedence.
The decision of the arbitrator shall be in writing. Any arbitration under this Agreement shall be conducted in Virginia.

 

(d) Remedy.
Arbitration shall be the sole, exclusive, and final remedy for any dispute between Executive and the Company. Accordingly, except
as provided by this Agreement, neither Executive nor the Company will be permitted to pursue court action regarding claims that
are subject to arbitration. Notwithstanding, the arbitrator will not have the authority to disregard or refuse to enforce any
lawful Company policy, and the arbitrator will not order or require the Company to adopt a policy not otherwise required by law
that the Company has not adopted.

 

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(e) Administrative
Relief. Executive is not prohibited from pursuing an administrative claim with a local, state, or federal administrative
body or government agency that is authorized to enforce or administer laws related to employment, including, but not limited to,
the Department of Fair Employment and Housing, the Equal Employment Opportunity Commission, the National Labor Relations Board,
or the Workers’ Compensation Board. However, Executive may not pursue court action regarding any such claim, except as permitted
by law.

 

(f) Voluntary
Nature of Agreement. Executive acknowledges and agrees that Executive is executing this Agreement voluntarily and without
any duress or undue influence by the Company or anyone else. Executive further acknowledges and agrees that Executive has carefully
read this Agreement and that Executive has asked any questions needed for Executive to understand the terms, consequences and binding
effect of this Agreement and fully understands it, including that EXECUTIVE IS WAIVING EXECUTIVE’S RIGHT TO A JURY
TRIAL.

 

(g) Independent
Advice. Executive acknowledges that Executive has been advised to obtain independent advice and legal counsel to advise
Executive concerning this Agreement, and that Executive has either done so or has knowingly waived that opportunity of Executive’s
own free choice. Neither the Company nor any attorneys for the Company have advised Executive concerning this Agreement, and Executive
is relying solely upon the advice of Executive’s own independent counsel (if any); nor has the Company or any attorneys for
the Company coerced, used undue influence, or otherwise induced Executive to enter into this Agreement.

 

12. Successors.

 

(a) Company’s
Successors. This Agreement shall be binding upon any successor (whether direct or indirect and whether by purchase, lease,
merger, consolidation, liquidation or otherwise) to all or substantially all of the Company’s business and/or assets. For
all purposes under this Agreement, the term “Company” shall include any successor to the Company’s
business or assets that become bound by this Agreement or any affiliate of any such successor that employs Executive.

 

(b) Executive’s
Successors. This Agreement and all of Executive’s rights hereunder shall inure to the benefit of, and be enforceable
by, Executive’s personal or legal representatives, executors, administrators, successors, heirs, distributees, devisees and
legatees.

 

13. Miscellaneous
Provisions.

 

(a) Indemnification.
The Company shall indemnify Executive to the maximum extent permitted by applicable law and the Company’s Bylaws with respect
to Executive’s service and Executive shall also be covered under a directors and officers liability insurance policy paid
for by the Company to the extent that the Company maintains such a liability insurance policy now or in the future. Executive agrees
to indemnify and save the Company and its affiliates harmless from any damages, which the Company may sustain in any manner primarily
through Executive’s willful misconduct or gross negligence or a material breach of the provisions of this Agreement.

 

    -7-

     

    

 

(b) Headings.
All captions and section headings used in this Agreement are for convenient reference only and do not form a part of this Agreement.

 

(c) Notice.

 

(i) General.
Notices and all other communications contemplated by this Agreement shall be in writing and shall be deemed to have been duly given
when personally delivered or when mailed by U.S. registered or certified mail, return receipt requested and postage prepaid. In
Executive’s case, mailed notices shall be addressed to Executive at the home address that Executive most recently communicated
to the Company in writing. In the case of the Company, mailed notices shall be addressed to its corporate headquarters, and all
notices shall be directed to the attention of its Secretary.

 

(ii) Notice
of Termination. Any termination by the Company or by Executive will be communicated by a notice of termination to the other
party hereto given in accordance with Section 13(c)(i) of this Agreement. Such notice will indicate the specific termination provision
in this Agreement relied upon, will set forth in reasonable detail the facts and circumstances claimed to provide a basis for termination
under the provision so indicated, and will specify the termination date (which will be not more than thirty (30) days after the
giving of such notice), subject to any applicable cure period.

 

(d) Modifications
and Waivers. No provision of this Agreement shall be modified, waived or discharged unless the modification, waiver or
discharge is agreed to in writing and signed by Executive and by an authorized officer of the Company (other than Executive). No
waiver by either party of any breach of, or of compliance with, any condition or provision of this Agreement by the other party
shall be considered a waiver of any other condition or provision or of the same condition or provision at another time.

 

(e) Whole
Agreement. No other agreements, representations or understandings (whether oral or written and whether express or implied)
that are not expressly set forth in this Agreement have been made or entered into by either party with respect to the subject matter
hereof. This Agreement, the Severance and Change in Control Agreement, and the Confidentiality Agreement contain the entire understanding
of the parties with respect to the subject matter hereof.

 

(f) Withholding
Taxes. All payments made under this Agreement shall be subject to reduction to reflect taxes or other deductions required
to be withheld by law.

 

(g) Choice
of Law and Severability. This Agreement shall be interpreted in accordance with the laws of the Commonwealth of Virginia,
without giving effect to provisions governing the choice of law. If any provision of this Agreement becomes or is deemed invalid,
illegal or unenforceable in any applicable jurisdiction by reason of the scope, extent or duration of its coverage, then such provision
shall be deemed amended to the minimum extent necessary to conform to applicable law so as to be valid and enforceable or, if such
provision cannot be so amended without materially altering the intention of the parties, then such provision shall be stricken
and the remainder of this Agreement shall continue in full force and effect. If any provision of this Agreement is rendered illegal
by any present or future statute, law, ordinance or regulation (collectively, the “Law”) then that provision
shall be curtailed or limited only to the minimum extent necessary to bring the provision into compliance with the Law. All the
other terms and provisions of this Agreement shall continue in full force and effect without impairment or limitation.

 

    -8-

     

    

 

(h) No
Assignment. This Agreement and all of Executive’s rights and obligations hereunder are personal to Executive and
may not be transferred or assigned by Executive at any time. The Company may assign its rights under this Agreement to any entity
that assumes the Company’s obligations hereunder in connection with any sale or transfer to such entity of all or a substantial
portion of the Company’s assets.

 

(i) Acknowledgment.
Executive acknowledges that Executive has had the opportunity to discuss this matter with and obtain advice from Executive’s
personal attorney, has had sufficient time to, and has carefully read and fully understood all the provisions of this Agreement,
and is knowingly and voluntarily entering into this Agreement.

 

(j) Counterparts.
This Agreement may be executed in two or more counterparts, each of which shall be deemed an original, but all of which together
shall constitute one and the same instrument. Execution of a facsimile or electronic copy will have the same force and effect as
execution of an original, and a facsimile or electronic signature will be deemed an original and valid signature.

 

(k) Electronic
Delivery. The Company may, in its sole discretion, decide to deliver any documents related to this Agreement by electronic
means. Executive hereby consents to receive such documents by electronic delivery.

 

[Signature Page Follows]

 

    -9-

     

    

 

After you have had an
opportunity to review this Agreement, please feel free to contact me if you have any questions or comments. To indicate your acceptance
of this Agreement, please sign and date this letter in the space provided below and return it to the Company.

 

	 	 	Very truly yours,
	 	 	 
	 	 	SOC TELEMED, INC.
	 	 	 
	 	 	By:	                             
	 	 	(Signature)
	 	 	 
	 	 	Name: 	 
	 	 	 	 
	 	 	Title:	 
	 	 	 
	ACCEPTED AND AGREED:	 	 
	 	 	 
	[FULL NAME]	 	 
	 	 	 
		 	 
	(Signature)	 	 
	 	 	 
	 	 	 
	Date	 	 

 

	Attachment A:	Severance and Change in Control Agreement
	 	 
	Attachment B:	Employee Nondisclosure, Non-Solicitation, Confidentiality and Developments Agreement

 

[Signature Page to Employment Agreement]

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