Document:

EX-4.1

 Exhibit 4.1 

AMENDMENT 
 This
Amendment (this “Amendment”), dated and effective as of December 27, 2016 (the “Effective Time”), is made and entered into by and between The Manitowoc Company, Inc., a Wisconsin corporation (the “Company”), and
Computershare Trust Company, N.A., a national banking association (the “Rights Agent”), under that certain Rights Agreement, dated as of March 21, 2007 (the “Rights Agreement”). 

RECITALS: 

WHEREAS, pursuant to Section 27 of the Rights Agreement, the Company may from time to time amend the Rights Agreement. 

WHEREAS, based on action of its Board of Directors, the Company desires to amend the Rights Agreement in the manner set forth below.

 AGREEMENT: 
 NOW,
THEREFORE, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, and intending to be legally bound hereby, the parties agree as follows: 

1.    Amendment of Section 7(a) of the Rights Agreement. Section 7(a) of the Rights Agreement is amended to read in
its entirety as follows as of the Effective Time: 
 “Subject to Section 7(e) hereof, the registered holder of any Rights Certificate
may exercise the Rights evidenced thereby (except as otherwise provided herein including, without limitation, the restrictions on exercisability set forth in Section 9(c), Section 11(a)(iii), Section 23(a) and Section 24(b) hereof) in whole or in
part at any time after the Distribution Date upon surrender of the Rights Certificate, with the form of election to purchase and the certificate on the reverse side thereof duly executed, to the Rights Agent at the office of the Rights Agent
designated for such purpose, together with payment (in accordance with subsection (c) of this Section 7) of the aggregate Purchase Price with respect to the total number of shares of Common Stock (or other securities, cash or other assets,
as the case may be) as to which such surrendered Rights are then exercisable, at or prior to the earliest of (i) the Close of Business on March 29, 2017 (the “Final Expiration Date”), (ii) the time at which the Rights are
redeemed as provided in Section 23 hereof (the “Redemption Date”) or (iii) the Close of Business on December 31, 2016 (the earliest of (i), (ii) and (iii) being herein referred to as the “Expiration
Date”).” 
 2.    Amendment to Section 20 of the Rights Agreement. 

(a)    Section 20(a) is hereby amended to read as follows as of the Effective Time: 

 “The Rights Agent may consult with legal counsel (who may be legal counsel for the Company),
and the opinion or advice of such counsel shall be full and complete authorization and protection to the Rights Agent as to any action taken or omitted by it in the absence of bad faith and in accordance with such opinion or advice.” 

(b)    Section 20(b) is hereby amended to read as follows as of the Effective Time: 

“Whenever in the performance of its duties under this Agreement the Rights Agent shall deem it necessary or desirable that any fact or
matter (including, without limitation, the identity of any Acquiring Person and the determination of “Current Market Price”) be proved or established by the Company prior to taking or suffering any action hereunder, such fact or matter
(unless other evidence in respect thereof be herein specifically prescribed) may be deemed to be conclusively proved and established by a certificate signed by any one of the Chairman of the Board, the Chief Executive Officer, the President, any
Vice President, the Treasurer, any Assistant Treasurer, the Secretary or any Assistant Secretary of the Company and delivered to the Rights Agent; and such certificate shall be full authorization to the Rights Agent for any action taken or suffered
by it under the provisions of this Agreement in reliance upon such certificate.” 
 (c)    Section
20(c) is hereby amended to read as follows as of the Effective Time: 
 “Notwithstanding anything to the contrary contained herein, the
Rights Agent shall be liable hereunder to the Company and any other Person only for its own gross negligence, bad faith or willful misconduct (which gross negligence, bad faith, or willful misconduct must be determined by a final, non-appealable judgment of a court of competent jurisdiction).” 

(d)    Section 20(g) is hereby amended to read as follows as of the Effective Time: 

“The Rights Agent is hereby authorized to and directed to accept instructions with respect to the performance of its duties hereunder from
any one of the Chairman of the Board, the Chief Executive Officer, the President, any Vice President, the Secretary, any Assistant Secretary, the Treasurer or any Assistant Treasurer of the Company, and to apply to any such officers for advice or
instructions in connection with its duties, and it shall not be liable for any action taken or suffered to be taken by it in accordance with instructions of any such officer.” 

(e)    New Section 20(l) is hereby added to the Rights Agreement as of the Effective Time: 

“The provisions contained in Section 18 and this Section 20 shall survive the expiration of the Rights and the termination of
this Agreement and the resignation, replacement or removal of the Rights Agent.” 

  
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 3.    Amendment to Section 29 of the Rights
Agreement. The final sentence of Section 29 of the Rights Agreement is amended to read in its entirety as follows as of the Effective Time: 

“Without limiting the rights of the Rights Agent, all such actions, calculations, interpretations and determinations (including, for
purposes of clause (y) below, all omissions with respect to the foregoing) which are done or made by the Board in good faith, shall (x) be final, conclusive and binding on the Company, the Rights Agent, the holders of the Rights and all
other parties, and (y) not subject the Board to any liability to the holders of the Rights and the Rights Agent is entitled to assume the Board acted in good faith and shall be fully protected and incur no liability in reliance thereon.”

 4.    Miscellaneous. Any certificate, instrument or other document for which the Rights Agent’s signature
is required under the Rights Agreement may be executed by an authorized signatory of the Rights Agent by manual or facsimile signature. Such signature when executed manually or transmitted electronically shall have the same authority, effect and
enforceability as an original signature. 
 5.    Representations and Warranties. The Company represents and
warrants that this Amendment is in compliance with the terms of Section 27 of the Rights Agreement. 
 6.    No
Further Amendment. Except as specifically supplemented and amended, changed or modified by this Amendment, the Rights Agreement shall be unaffected by this Amendment and shall remain in full force and effect. 

7.    Governing Law. This Amendment shall be deemed to be a contract made under the laws of the State of New York
and for all purposes shall be governed by and construed in accordance with the laws of such State applicable to contracts to be made and performed entirely within such State. 

8.    Counterparts. This Amendment may be executed in any number of counterparts, and each of such counterparts
shall for all purposes be deemed to be an original, and all such counterparts shall together constitute but one and the same instrument. 

9.    Descriptive Headings. Descriptive headings of the Sections of this Amendment are inserted for convenience
only and shall not control or affect the meaning or construction of any of the provisions of this Amendment. 

  
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 IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be duly executed and
delivered, all as of the day and year first above written. 
  

															
	THE MANITOWOC COMPANY, INC.	  	  	 COMPUTERSHARE TRUST COMPANY,

N.A., as Rights Agent

					
	 By:
	 	 /s/ Louis F. Raymond
	  				  	By:	  	 /s/ David L. Adamson

		 	Name:	 	Louis F. Raymond	  				  		  	Name:	 	David L. Adamson
		 	Title:	 	 Vice President,
 General Counsel and
Secretary
	  				  		  	Title:	 	Vice President

  
 [Signature Page to
Rights Agreement Amendment]EX-10.1

 Exhibit 10.1 

EMPLOYMENT AGREEMENT 
 EMPLOYMENT
AGREEMENT (the “Agreement”), entered into as of December 22, 2016, by and between iCAD, Inc., a Delaware corporation (the “Company”), and Kenneth Ferry (the “Executive”). 

W I T N E S E T H: 
 WHEREAS, the
Company and the Executive entered into an employment agreement dated as of September 25, 2012 (the “Prior Agreement”); and 

WHEREAS, the Company desires to continue the Executive’s employment with the Company on the terms and conditions set forth in this
Agreement, 
 WHEREAS, the Executive is willing to continue such employment upon such terms; 

NOW, THEREFORE, in consideration of the covenants and agreements hereinafter set forth and other good and valuable consideration, the receipt
and sufficiency of which are hereby acknowledged, the parties hereto agree as follows: 
 1. EMPLOYMENT AND DUTIES 

1.1. Term of Employment. The Executive’s employment under this Agreement shall commence on the date hereof (the “Start
Date”) and shall continue until December 31, 2018 (such period being herein referred to as the “Initial Term,” and any calendar year ending on December 31 shall be referred to as an “Employment Year”). After the
Initial Term and on the last day of any Employment Year thereafter, this Agreement shall be automatically renewed for successive one year periods (each such period being referred to as a “Renewal Term”), unless, more than ninety
(90) days prior to the expiration of the Initial Term or any Renewal Term, either the Executive or the Company gives written notice that this Agreement will not be renewed, whereupon the term of the Executive’s employment (the
“Term”) shall terminate upon the expiration of the Initial Term or the then current Renewal Term, unless sooner terminated pursuant to Section 5 hereof. 

1.2. General. 
 1.2.1.
During the Term, the Executive shall have the title of Chief Executive Officer of the Company and shall have such duties appropriate to his position as may be from time to time delegated to him by the Board of Directors of the Company (the
“Board”). The Executive shall faithfully and diligently discharge his duties hereunder and use his best efforts to implement the policies established by the Board. The Executive’s responsibilities shall include, among other things,
rendering executive, policy, operations and other management services to the Company of the type customarily provided by persons situated in similar executive and management capacities. 

1.2.2. The Executive shall devote all of his business time, attention, knowledge and skills faithfully, diligently and to the best of his
ability, in furtherance of the business and activities of the Company; provided, however, that nothing in this Agreement shall preclude the Executive from devoting reasonable periods of time required for: 

 (i) serving as a director or member of a committee of any organization or corporation involving
no conflict of interest with the interests of the Company and with the written consent of the Company which determination shall not be unreasonably delayed; 

(ii) delivering lectures, fulfilling speaking engagements, and any writing or publication relating to his area of expertise; 

(iii) engaging in professional organization and program activities; and 

(iv) managing his personal investments; 

provided that such activities do not materially interfere with the due performance of his duties and responsibilities under this Agreement as reasonably
determined by the Board. 
 1.3. Reimbursement of Expenses. 

(a) The Company shall pay to the Executive for reasonable expenses incurred by him in the performance of his duties hereunder, including,
without limitation, those incurred in connection with business related travel or entertainment, or, if such expenses are paid directly by the Executive, the Company shall promptly reimburse him for such payments, provided that the Executive properly
accounts for such expenses in accordance with the Company’s policy. 
 (b) The Company shall pay to the Executive an automobile
expense allowance in the amount of $2,200 per month accruing from day to day payable in equal installments on a bi-weekly basis. The Executive shall pay all the expenses of maintaining, insuring and operating such automobile. 

To the extent any reimbursements referenced in Section 1.3(a) (and any other reimbursements of costs and expenses provided for herein) or the automobile
expense allowance referenced in Section 1.3 (b) are includable in the Executive’s gross income for federal income tax purposes, all such reimbursements and the automobile expense allowance shall be made no later than March 15 of
the calendar year next following the calendar year in which the expenses to be reimbursed are incurred or the automobile expense allowance accrued. 

1.4. Consideration. In consideration for the Executive’s execution of this Agreement, the Company agrees that the Executive shall
become employed by the Company as set forth in this Agreement, the Executive shall be permitted access to the Company’s confidential information and shall be eligible to receive post-Term severance payments (Sections 5.4.2 and 5.4.4) as set
forth in this Agreement (subject to his compliance with Sections 7 and 8 of this Agreement). The Executive understands, acknowledges and agrees that the Executive would not receive the consideration specified in this Section 1.4, except for the
Executive’s execution of this Agreement and the fulfillment of the promises contained herein. 

  
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 1.5 Director. Following the Start Date, the Executive shall continue to serve as a
director of the Company. Upon termination of the Executive’s employment as Chief Executive Officer of the Company, the executive shall resign as a director of the Company. In such event, this agreement shall serve as the Executive’s
resignation and no further action by the Executive shall be required for such resignation as a director to become effective. 
 2.
COMPENSATION 
 2.1. Base Salary. During the Term, the Executive shall be entitled to receive a base salary (“Base
Salary”) at a rate of four hundred fifty five thousand dollars ($455,000.00) per annum, which Base Salary shall be payable in arrears in equal installments not less frequently than on a bi-weekly basis in accordance with the payroll practices
of the Company, with such increases as may be determined by the Board from time to time. 
 2.2. Incentive Bonus. The Executive shall
be eligible to receive, for each Employment Year during the Term (or a prorated portion thereof for any partial Employment Year during the Term), a target annual incentive bonus of 55% of Base Salary for such Employment Year (the “Incentive
Bonus”) if the Company achieves goals and objectives established by the Board of Directors for such Employment Year. Any Incentive Bonus shall be paid in full in a single lump sum cash payment during the calendar year next following the
Employment Year for which it is earned and vested (“Payment Calendar Year”), and no later than the earlier of (1) December 31 of the Payment Calendar Year or (2) fifteen (15) calendar days following the date on which
the Company publicly announces its results of operations for such Employment Year. 
 2.3. Additional Compensation. In addition to
the Base Salary and the Incentive Bonus, if any, the Executive shall be entitled to receive such other cash bonuses and such other compensation in the form of stock, stock options or other property or rights as may from time to time be awarded him
by the Board during or in respect of his employment hereunder. 
 3. PLACE OF PERFORMANCE. In connection with his employment by the
Company, the Executive shall be based at the Company’s principal executive offices in Nashua, New Hampshire, subject to the mutual agreement of the Executive and the Company to relocate him to another office of the Company. 

4. EMPLOYEE BENEFITS 

4.1. Benefit Plans. The Executive shall, during the Term, be included to the extent eligible thereunder in all employee benefit plans,
programs or arrangements of general application (including, without limitation, any plans, programs or arrangements providing for retirement benefits, options and other equity-based incentive compensation, profit sharing, bonuses, disability
benefits, health and life insurance, or vacation and paid holidays) which shall be established by the Company or any affiliate of the Company, for, or made available to, their respective senior executives (“Benefits”). During the Term, the
Benefits described in this Section 4 may only be reduced as a result of a general reduction for senior executives. 
 4.2.
Vacation. The Executive shall be entitled to four (4) weeks of vacation at full pay for each calendar year during the Term. Such vacation may be taken in the Executive’s discretion, and at such time or times as are not inconsistent
with the reasonable business needs of the Company. 

  
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 5. TERMINATION OF EMPLOYMENT 

5.1. General. The Executive’s employment under this Agreement may be terminated without any breach of this Agreement only under
the following circumstances: 
 5.1.1. Death. The Executive’s employment under this Agreement shall terminate upon his death.

 5.1.2. Disability. If, as a result of the Executive’s Disability (as defined below), the Executive shall have been absent
from his duties under this Agreement for sixty (60) consecutive days, the Company may terminate the Executive’s employment upon fifteen (15) days prior written notice; provided that the Executive has not returned to full time
performance of his duties during such fifteen (15) day period. For purposes hereof, “Disability” shall mean that the Executive is unable to perform his normal and customary duties hereunder as a result of physical or mental
incapacity, illness or disability. 
 5.1.3. Good Reason. The Executive may terminate his employment for Good Reason at any time.
For purposes of this Agreement, “Good Reason” shall mean: 
 (i) the failure by the Company to comply with its material
obligations and agreements contained in this Agreement; 
 (ii) a material diminution of the executive responsibilities, authority or title
of the Executive with the Company without the consent of the Executive; or 
 (iii) a reduction by the Company in the Base Salary as in
effect on the date hereof, or as the same may be increased from time to time, without the consent of the Executive. 
 provided, however, the
Executive must give notice to the Company of the existence of the condition described in Section 5.1.3 within a period not to exceed 90 days of the initial existence of the condition, upon notice of which the Company may, within 30 days
thereafter, remedy such condition. 
 5.1.4. Cause. The Company may terminate the Executive’s employment under this Agreement
for Cause. Termination for “Cause” shall mean termination of the Executive’s employment because of the occurrence of any of the following as reasonably determined by the Board: 

(i) the willful failure by the Executive to substantially perform his obligations under this Agreement (other than any such failure resulting
from the Executive’s incapacity due to physical or mental incapacity, illness or disease); provided, however, that the Company shall have provided the Executive with express written notice of such failure and the Executive shall
be afforded a reasonable opportunity of at least thirty (30) days to cure same, or 

  
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 (ii) the indictment of the Executive for a felony or other crime involving moral turpitude or
dishonesty; or 
 (iii) a breach of Section 7 or Section 8 hereof or a breach of any representation contained in this Agreement
by the Executive; or 
 (iv) a breach of fiduciary duty involving personal profit; or 

(v) a material act of dishonesty in connection with his employment with the Company; or 

(vi) the Executive having committed acts or omissions constituting gross negligence or willful misconduct (including theft, fraud,
embezzlement, and securities law violations) which is injurious to the Company, monetarily, or otherwise. For purposes of this Section 5.1.4(vi), no act, or failure to act, on the part of the Executive shall be considered “gross
negligence” or “willful” unless done, or omitted to be done, by him in bad faith and without reasonable belief that his action or omission was in the best interest of the Company; or 

(vii) the Executive having committed any willful or material violation of, or willful or material noncompliance with, any securities law,
rule or regulation or stock exchange regulation or rule relating to or affecting the Company, including without limitation (A) the Executive’s failure or refusal to honestly provide the chief executive officer or principal executive
officer certification required under the Sarbanes-Oxley Act of 2002, including the rules and regulations promulgated thereunder (the “Sarbanes-Oxley Act”), or failure to take reasonable and appropriate steps to determine whether or not any
such certificate was accurate or otherwise in compliance with the requirements of the Sarbanes-Oxley Act, or (B) the Executive’s failure to establish and administer effective systems and controls necessary for the Company to timely file
reports pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934. 
 5.2. Notice of Termination. Any termination
of the Executive’s employment by the Company or by the Executive (other than termination by reason of the Executive’s death) shall be communicated by written Notice of Termination to the other party of this Agreement. For purposes of this
Agreement, a “Notice of Termination” shall mean a notice which shall indicate the specific termination provision in this Agreement relied upon and shall set forth in reasonable detail the facts and circumstances claimed to provide a basis
for termination of the Executive’s employment under the provision so indicated. 
 5.3. Date of Termination. The “Date of
Termination” shall mean (a) if the Executive’s employment is terminated by his death, the date of his death, (b) if the Executive’s employment is terminated pursuant to subsection 5.1.2 above, fifteen (15) days after
Notice of Termination is given (provided that the Executive shall not have returned to the performance of his duties on a full-time basis during such fifteen (15) day period), (c) if the Executive’s employment is terminated pursuant
to subsections 5.1.3 or 5.1.4 above, the date 

  
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specified in the Notice of Termination after the expiration of any applicable cure periods, and (d) if the Executive’s employment is terminated for any other reason, the date on which a
Notice of Termination is given. 
 5.4. Compensation upon Termination. 

5.4.1. Termination for Cause. If the Executive’s employment shall be terminated for Cause, the Company shall pay the Executive
his Base Salary through the Date of Termination in accordance with the Company’s standard payroll practices, at the rate in effect at the time Notice of Termination is given, and all expenses and accrued Benefits arising prior to such
termination which are payable to the Executive pursuant to this Agreement through the Date of Termination and the Company shall have no further obligation with respect to this Agreement. 

5.4.2. Termination without Cause or For Good Reason. Subject to the provisions of subsection 5.4.3 hereof, if, prior to the expiration
of the Term, the Executive’s employment hereunder is terminated by the Executive for Good Reason or by the Company without Cause (other than a termination by reason of Disability), (i) the Company shall pay to the Executive all expenses
and accrued Benefits arising prior to such termination which are payable to the Executive pursuant to this Agreement through the Date of Termination and the Company shall continue to pay the Executive his Base Salary as then in effect for a period
of twenty four (24) months from the Date of Termination (such period being referred to hereinafter as the “Severance Period”), in equal installments on the Company’s normal payroll dates during the Severance Period in accordance
with the payroll practices of the Company, beginning with the first pay date that begins after the Date of Termination and, shall pay a pro rata portion of the Incentive Bonus, if any, earned for the Employment Year through the Date of Termination
as determined in the discretion of the Board of Directors, at such time the Incentive Bonus, if any, would otherwise have been payable in accordance with Section 2.2 hereof and (ii) to the extent permitted by the Company’s group
health insurance carrier and as would not cause the Company to incur tax or other penalties, the Company shall pay to Executive each month an after-tax amount equal to the monthly amount of the COBRA (as defined below) continuation coverage premium
under the Company’s group medical plans as in effect from time to time, for eighteen (18) months following the Date of Termination. The receipt of health care benefits set forth in (iii) above shall be conditioned upon the Executive
making a timely election to receive coverage provided to former employees under the Consolidated Omnibus Budget Reconciliation Act of 1985 (“COBRA”) and Section 4980B of the Code and continuing such coverage for so long as it may be
available, and thereafter continuing to pay an amount equal to the monthly COBRA premium as in effect at the Company from time to time in respect of the applicable level of coverage. If Executive allows such coverage to lapse by not paying the
applicable amount, such coverage may not thereafter be reinstated. In addition, during the Severance Period, the Executive shall be entitled to continue to participate in all employee benefit plans that the Company provides (and continues to
provide) generally to its senior executives. 
 5.4.3. Death during Severance Period. In the event of the Executive’s death
during the Severance Period, payments of Base Salary under this Section 5.4 and payments under the Company’s employee benefit plan(s) shall continue to be made in accordance with their terms during the remainder of the Severance Period to
the beneficiary designated in writing for such purpose by the Executive or, if no such beneficiary is specifically designated, to the Executive’s estate. 

  
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 5.4.4. Termination Following Change in Control. 

(i) Anything contained herein to the contrary notwithstanding, in the event the Executive’s employment hereunder is terminated within
twelve (12) months following a Change in Control (as defined below) by the Company without Cause, or by the Executive with Good Reason, then the Company shall pay to the Executive in complete satisfaction of its obligations under this
Agreement, as severance pay and as liquidated damages (because actual damages are difficult to ascertain), an amount equal to (i) (a) his Base Salary as then in effect for a period of twenty four (24) months from the Date of Termination,
in equal installments on the Company’s normal payroll dates over the twenty four (24) month period following the Date of Termination plus (b) an amount equal to the Incentive Bonus which would otherwise have been payable in accordance
with Section 2.2 hereof for the Employment Year in which the Date of Termination occurs at such time the Incentive Bonus, if any, would otherwise have been payable in accordance with Section 2.2 hereof; or (ii) except with regard to
the payment of an amount that is a Section 409A Amount, the Company, in its sole discretion, may elect to make a lump sum cash payment equal to the present value of the payments otherwise due under clause (i)(a); provided that if any
severance payment payable after a “Change in Control” as defined in Section 280G of the Internal Revenue Code of 1986 (the “Code”), either alone or together with other payments or benefits, either cash or non-cash, that the
Executive has the right to receive from the Company, including, but not limited to, accelerated vesting or payment of any deferred compensation, options, stock appreciation rights or any benefits payable to the Executive under any plan for the
benefit of employees, which would constitute an “excess parachute payment” (as defined in Code Section 280G), then such severance payment or other benefit shall be reduced to the largest amount that will not result in receipt by the
Executive of a excess parachute payment. The determination of the amount of the payment described in this subsection shall be made by the Company’s independent auditors at the sole expense of the Company. For purposes of clarification the value
of any options described above will be determined by the Company’s independent auditors using a Black-Scholes valuation methodology. 

For purposes of this Agreement, a “Change in Control” shall be deemed to occur (i) when any “person” as defined in
Section 3(a)(9) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and as used in Section 13(d) and 14(d) thereof, including a “group” as defined in Section 13(d) of the Exchange Act, but
excluding the Executive, the Company or any subsidiary or any affiliate of the Company or any employee benefit plan sponsored or maintained by the Company or any subsidiary of the Company (including any trustee of such plan acting as trustee),
becomes the “beneficial owner” (as defined in Rule 13(d)(3) under the Exchange Act) of securities of the Company representing 50% or more of the combined voting power of the Company’s then outstanding securities; or (ii) when,
during any period of twelve (12) consecutive months, the individuals who, at the beginning of such period, constitute the Board of Directors (the “Incumbent Directors”) cease for any reason other than death to constitute at least a
majority thereof; provided, however, that a director who was not a director at the beginning of such twelve (12)-month period shall be deemed to have satisfied such twelve (12) month requirement (and be an Incumbent Director) if
such director was elected 

  
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by, or on the recommendation of or with the approval of, at least a majority of the directors who then qualified as Incumbent Directors either actually (because they were directors at the
beginning of such twelve (12)-month period) or through the operation of this proviso; or (iii) the occurrence of a transaction requiring stockholder approval for the acquisition of the Company by an entity other than the Company or a subsidiary
or an affiliated company of the Company through purchase of assets, or by merger, or otherwise. 
 (ii) If within twelve (12) months
after the occurrence of a Change in Control, the Company shall terminate the Executive’s employment without Cause or the Executive terminates his employment for Good Reason, then notwithstanding the vesting and exercisability schedule in any
stock option or other equity award agreement between the Company and the Executive, all unvested stock options and other equity awards granted by the Company to the Executive pursuant to such agreement shall immediately vest and become exercisable
and shall remain exercisable for not less than 180 days thereafter. 
 5.4.5. Termination upon Death or Disability. In the event of
the termination of the Executive’s employment by reason of death or Disability, the Company shall pay the Executive his Base Salary through the Date of Termination in accordance with the Company’s standard payroll practices, at the rate
then in effect, and all expenses or accrued Benefits arising prior to such termination which are payable to the Executive pursuant to this Agreement through the Date of Termination. In addition, the Executive and/or his beneficiaries shall be
entitled to such other Benefits as shall be determined in accordance with the benefit plans maintained by the Company. 
 6.
INSURABILITY; RIGHT TO INSURE. During the continuance of the Executive’s employment hereunder, the Company shall have the right to maintain key man life insurance in its own name covering the Executive’s life in such amount as shall
be determined by the Company, for a term ending on the termination or expiration of this Agreement. The Executive shall aid in the procuring of such insurance by submitting to the required medical examinations, if any, and by filling out, executing
and delivering such applications and other instrument in writing as may be reasonably required by an insurance company or companies to which application or applications for insurance may be made by or for the Company. 

7 CONFIDENTIALITY; NONCOMPETITION; NONSOLICITATION; NONDISPARAGEMENT 

7.1. The Company and the Executive acknowledge that the services to be performed by the Executive under this Agreement are unique and
extraordinary and, as a result of such employment, the Executive shall be in possession of confidential information relating to the business practices of the Company. The term “confidential information” shall mean any and all information
(oral and written) relating to the Company or any of its affiliates, or any of their respective activities, as well as any distributors, vendors, suppliers, customers or other third party that the Executive shall possess in connection with his
employment with the Company, other than such information which (i) can be shown by the Executive to be in the public domain (such information not being deemed to be in the public domain merely because it is embraced by more general information
which is in the public domain) other than as the result of a breach of the provisions of this Section 7 or (ii) the Executive is required to disclose under 

  
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any applicable laws, regulations or directives of any government agency, tribunal or authority having jurisdiction in the matter or under subpoena or other process of law. The Executive shall
not, during the Term and for a period of five (5) years thereafter, except as may be required in the course of the performance of his duties hereunder, directly or indirectly, use, communicate, disclose or disseminate to any person, firm or
corporation any confidential information regarding the clients, customers or business practices of the Company acquired by the Executive, without the prior written consent of the Company; provided, however, that the Executive
understands that Executive shall be prohibited from misappropriating any trade secret at any time during or after the Term. 
 7.2. Upon the
termination of the Executive’s employment for any reason whatsoever, all documents, records, notebooks, equipment, price lists, specifications, programs, customer and prospective customer lists and other materials which refer or relate to any
aspect of the business of the Company which are in the possession of the Executive, including all copies thereof, shall be promptly returned to the Company. 

7.3. The Executive hereby agrees that he shall not, during the Term and for a period of two years after the Date of Termination, directly or
indirectly, within any county (or adjacent county) in any State within the United States or territory outside of the United States in which the Company is engaged in business during the Term, engage, have an interest in or render any services to any
business (whether as owner, manager, operator, licensor, licensee, lender, partner, stockholder, joint venturer, employee, consultant, advisor or otherwise) competitive with the business activities conducted by the Company, its subsidiaries, or
affiliates during the Term. Notwithstanding the foregoing, nothing herein shall prevent the Executive from owning stock in a publicly traded corporation whose activities compete with those of the Company’s, provided that such stock holdings are
not greater than two percent (2%) of such corporation. 
 7.4. The Executive shall not, during the Term and for a period of two years
after the Date of Termination, directly or indirectly, take any action which constitutes an interference with or a disruption of any of the Company’s business activities including, without limitation, the solicitations of the Company’s
customers, distributors or vendors or persons listed on the personnel lists of the Company. 
 7.5. For purposes of clarification, but not
of limitation, the Executive hereby acknowledges and agrees that the provisions of Sections 7.3 and 7.4 above shall serve as a prohibition against him from, during the period referred to therein, directly or indirectly, hiring, offering to hire,
enticing, soliciting or in any other manner persuading or attempting to persuade any officer, employee, agent, lessor, lessee, licensor, licensee or customer of the Company (but only those suppliers existing during the time of the Executive’s
employment by the Company, or at the termination of his employment), to discontinue or alter his, her or its relationship with the Company. 

7.6. (a) The Executive agrees that all processes, technologies and inventions (“Inventions”), including new contributions,
improvements, ideas and discoveries, whether patentable or not, conceived, developed, invented or made by him during the Term shall belong to the Company, provided that such Inventions grew out of the Executive’s work with the Company, are
related in any manner to the business (commercial or experimental) of the 

  
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Company or are conceived or made on the Company’s time or with the use of the Company’s facilities or materials. The Executive shall further: (a) promptly disclose such Inventions
to the Company; (b) assign to the Company, without additional compensation, all patent and other rights to such Inventions for the United States and foreign countries; (c) sign all papers necessary to carry out the foregoing; and
(d) give testimony in support of his inventorship; 
 (b) If any Invention is described in a patent application or is disclosed to
third parties, directly or indirectly, by the Executive within two (2) years after the termination of his employment by the Company, it is to be presumed that the Invention was conceived or made during the Term by the Company; and 

(c) The Executive agrees that he will not assert any rights to any Invention as having been made or acquired by him prior to the date of this
Agreement, except for Inventions, if any, disclosed to the Company in writing prior to the date hereof. 
 7.7. The Company shall be the
sole owner of all products and proceeds of the Executive’s services hereunder, including, but not limited to, all materials, ideas, concepts, formats, suggestions, developments, arrangements, packages, programs and other intellectual properties
that the Executive may acquire, obtain, develop or create in connection with and during the Term of the Executive’s employment hereunder, free and clear of any claims by the Executive (or anyone claiming under the Executive) of any kind or
character whatsoever (other than the Executive’s right to receive payments hereunder). The Executive shall, at the request of the Company, execute such assignments, certificates or other instruments as the Company may from time to time deem
necessary or desirable to evidence, establish, maintain, perfect, protect, enforce or defend its right, or title and interest in or to any such properties. 

7.8. At no time during or after the Term shall the Executive, directly or indirectly, disparage the commercial, business, professional or
financial, as the case may be, reputation of the Company or its officers or directors. 
 7.9. Without intending to limit the remedies
available to the Company, the Executive acknowledges that a breach of any of the covenants contained in this Section 7 may result in material and irreparable injury to the Company, or its affiliates or subsidiaries, for which there is no
adequate remedy at law, that it will not be possible to measure damages for such injuries precisely and that, in the event of such a breach or threat the Company shall be entitled to seek a temporary restraining order and/or a preliminary or
permanent injunction restraining the Executive from engaging in activities prohibited by this Section 7 or such other relief as may be required specifically to enforce any of the covenants in this Section 7. The Executive hereby
acknowledges and agrees that the type and periods of restrictions imposed in this Section 7 are fair and reasonable and are reasonably required for the protection of the Company’s confidential information and the goodwill associated with
the business of the Company. Further, the Executive acknowledges and agrees that the restrictions imposed in this Section 7 will not prevent him from obtaining suitable employment after his employment with the Executive ceases or from earning a
livelihood. If for any reason it is held that the restrictions under this Section 7 are not reasonable or that consideration therefor is inadequate, such restrictions shall be interpreted or modified to include as much of the duration and scope
identified in this Section as will render such restrictions valid and enforceable. 

  
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 8. EXECUTIVE’S COOPERATION. During the Term and thereafter, the Executive shall
cooperate with the Company in any internal investigation or administrative, regulatory or judicial proceeding as reasonably requested by the Company (including, without limitation, the Executive being available to the Company upon reasonable notice
for interviews and factual investigations, appearing at the Company’s request to give testimony without requiring service of a subpoena or other legal process, volunteering to the Company all pertinent information and turning over to the
Company all relevant documents which are or may come into the Executive’s possession, all at times and on schedules that are reasonably consistent with the Executive’s other permitted activities and commitments). In the event the Company
requires the Executive’s cooperation in accordance with this section after the termination of the Term, the Company shall reimburse the Executive for all of his reasonable costs and expenses incurred, in connection therewith, plus pay the
Executive a reasonable amount per day for his time spent. 
 9. RIGHTS OF INDEMNIFICATION. The Company shall defend and indemnify the
Executive to the fullest extent permitted by the General Corporation Law of the State of Delaware, as amended from time to time, for all amounts (including without limitation, judgments, fines, settlement payments, expenses and attorney’s fees)
(“Expenses”) incurred or paid by the Executive in connection with any action, suit, investigation or proceeding arising out of or relating to the performance by the Executive of services for, or the acting by the Executive as a director,
officer or employee of the Company, or any other person or enterprise at the Company’s request (a “ Proceeding”). Expenses incurred by the Executive in connection with any indemnification-eligible Proceeding shall be paid by the
Company in advance upon request of Executive that the Company pay such Expenses, (a) after receipt by the Company of a written request from Executive for such advance, together with documentation reasonably acceptable to the Board of Directors,
and (b) subject to an undertaking by Executive to pay back any advanced amounts for which it is determined that the Executive was not entitled to indemnification as described below. 

10. MISCELLANEOUS 
 10.1.
Notices. All notices or communications hereunder shall be in writing, addressed as follows: 
  

			
	        To the Company:	  	 iCAD, Inc.
 98 Split Brook Road, Suite
100
 Nashua, New Hampshire 03062
 Attn: Chairman of the
Board

		
		  	with a copy to:
		
		  	 Blank Rome LLP
 405 Lexington Avenue

New York, NY 10174
 Attn: Robert J. Mittman, Esq.

		
	        To the Executive:	  	Kenneth Ferry
		  	Address on file with the Company

  
 -11- 

 All such notices shall be conclusively deemed to be received and shall be effective (i) if sent by hand
delivery, upon receipt, (ii) if sent by telecopy or facsimile transmission, upon confirmation of receipt by the sender of such transmission, (iii) if sent by overnight courier, one business day after being sent by overnight courier, or
(iv) if sent by registered or certified mail, postage prepaid, return receipt requested, on the fifth day after the day on which such notice is mailed. 

10.2. Severability. Each provision of this Agreement shall be interpreted in such manner as to be effective and valid under applicable
law, but if any provision of this Agreement is held to be prohibited by or invalid under applicable law, such provision will be ineffective to the extent of such prohibition or invalidity, without invalidating the remainder of such provision or the
remaining provisions of this Agreement. 
 10.3. Binding Effect; Benefits. Executive may not delegate his duties or assign his rights
hereunder. This Agreement shall inure to the benefit of, and be binding upon, the parties hereto and their respective heirs, legal representatives, successors and permitted assigns. 

10.4. Entire Agreement. This Agreement represents the entire agreement of the parties and shall supersede any and all previous
contracts, arrangements or understandings between the Company and the Executive, including the Prior Agreement. This Agreement may be amended at any time by mutual written agreement of the parties hereto. In the case of any conflict between any
express term of this Agreement and any statement contained in any employment manual, memo or rule of general applicability of the Company, this Agreement shall control. 

10.5. Warranty. The Executive hereby represents and warrants as follows: (i) that the execution of this Agreement and the
discharge of the Executive’s obligations hereunder will not breach or conflict with any other contract, agreement, or understanding between the Executive and any other party or parties; and (ii) the Executive’s resume which was
provided to the Company by the Executive and other statements made about the Executive’s employment history to the Company by the Executive are true, accurate and complete in all material respects. 

10.6. Withholding. The payment of any amount pursuant to this Agreement shall be subject to applicable withholding and payroll taxes,
and such other deductions as may be required under the Company’s employee benefit plans, if any. 
 10.7. Governing Law. This
Agreement and the performance of the parties hereunder shall be governed by the internal laws (and not the law of conflicts) of the State of Delaware. Any claim or controversy arising out of or in connection with this Agreement, or the breach
thereof, shall be adjudicated exclusively by the state courts for the State of New Hampshire, or by a federal court sitting in New Hampshire. The parties hereto agree to the personal jurisdiction of such courts and agree to accept process by regular
mail in connection with any such dispute. 

  
 -12- 

 10.8. Execution in Counterparts. This Agreement may be executed by the parties in one or
more counterparts, each of which shall be deemed to be an original but all of which taken together shall constitute one and the same agreement, and shall become effective when one or more counterparts has been signed by each of the parties hereto
and delivered to each of the other parties hereto. A photocopy or electronic facsimile of this Agreement or of any signature hereon shall be deemed an original for all purposes. 

10.9. Section 409A of the Code. 

10.9.1. It is intended that the provisions of this Agreement comply with Section 409A of the Code and the regulations and guidance
promulgated thereunder (collectively “Code Section 409A”), and all provisions of this Agreement shall be construed in a manner consistent with the requirements for avoiding taxes or penalties under Code Section 409A. If any
provision of this Agreement (or of any award of compensation, including equity compensation or benefits) would cause the Executive to incur any additional tax or interest under Code Section 409A, the Company shall, upon the specific request of
the Executive, use its reasonable business efforts to in good faith reform such provision to comply with Code Section 409A; provided, that to the maximum extent practicable, the original intent and economic benefit to the Executive and
the Company of the applicable provision shall be maintained, but the Company shall have no obligation to make any changes that could create any additional economic cost or loss of benefit to the Company. Notwithstanding the foregoing, the Company
shall have no liability with regard to any failure to comply with Code Section 409A so long as it has acted in good faith with regard to compliance therewith. Any provision required for compliance with Code Section 409A that is omitted
from this Agreement shall be incorporated herein by reference and shall apply retroactively, if necessary, and be deemed a part of this Agreement to the same extent as though expressly set forth herein. 

10.9.2. A termination of employment shall not be deemed to have occurred for purposes of any provision of this Agreement providing for the
payment of any amounts or benefits upon or following a termination of employment unless such termination is also a “Separation from Service” within the meaning of Code Section 409A and, for purposes of any such provision of this
Agreement, references to a “termination,” “termination of employment” or like terms shall mean Separation from Service. If the Executive is deemed on the date of termination of his employment to be a “specified
employee”, within the meaning of that term under Section 409A(a)(2)(B) of the Code and using the identification methodology selected by the Company from time to time, or if none, the default methodology, then with regard to any payment or
the providing of any benefit subject to this Section 10.9.2, to the extent required to be delayed in compliance with Section 409A(a)(2)(B) of the Code, and any other payment or the provision of any other benefit that is required to be
delayed in compliance with Section 409A(a)(2)(B) of the Code, such payment or benefit shall not be made or provided prior to the earlier of (i) the expiration of the six-month period measured from the date of the Executive’s
Separation from Service or (ii) the date of the Executive’s death. On the first day of the seventh month following the date of Executive’s Separation from Service or, if earlier, on the date of his death, all payments delayed pursuant
to this Section 10.9.2 (whether they would have otherwise been payable in a single sum or in installments in the absence of such delay) shall be paid or reimbursed to the Executive in a lump sum, and any remaining payments and benefits due
under this Agreement shall be paid or provided in accordance with the normal payment dates 

  
 -13- 

 
specified for them herein. On any delayed payment date under this Section 10.9.2, there shall be paid to the Executive or, if the Executive has died, to his estate, in a single cash lump sum
together with the payment of such delayed payment, interest on the aggregate amount of such delayed payment at the Delayed Payment Interest Rate (as defined below) computed from the date on which such delayed payment otherwise would have been made
to the Executive until the date paid. For purposes of the foregoing, the “Delayed Payment Interest Rate” shall mean the short term Applicable Federal Rate as of the business day immediately preceding the payment date for the applicable
delayed payment. 
 10.9.3. Each installment payable hereunder shall constitute a separate payment for purposes of Treasury Regulation
Section 1.409A-2(b), including Treasury Regulation Section 1.409A-2(b)(2)(iii). Each payment that is made within the terms of the “short-term deferral” rule set forth in Treasury Regulation Section 1.409A-1(b)(4) is intended
to meet the “short-term deferral” rule. Each other payment is intended to be a payment upon an involuntary termination from service and payable pursuant to Treasury Regulation Section 1.409A-1(b)(9)(iii), et. seq., to the maximum
extent permitted by that regulation, with any amount that is not excepted from Code Section 409A being subject to Code Section 409A (“Section 409A Amounts”). Notwithstanding anything to the contrary in Section 5.4.4, the
lump sum option in Section 5.4.4(i) shall not apply to any Section 409A Amount and the payment of the Section 409A Amounts shall begin with the first installment that next follows the last full installment payment of a non
Section 409A Amount or would have been the last full installment in the event that a lump sum payment is made with regard to non-Section 409A Amounts under Section 5.4.4. 

10.9.4. With regard to any provision herein that provides for reimbursement of costs and expenses or in-kind benefits, except as permitted by
Code Section 409A, (i) the right to reimbursement or in-kind benefits is not subject to liquidation or exchange for another benefit, (ii) the amount of expenses eligible for reimbursement, or in-kind benefits, provided during any
taxable year shall not affect the expenses eligible for reimbursement, or in-kind benefits to be provided, in any other taxable year, provided that the foregoing clause (ii) shall not be violated with regard to expenses reimbursed under
any arrangement covered by Section 105(b) of the Code solely because such expenses are subject to a limit related to the period the arrangement is in effect and (iii) such payments shall be made on or before the last day of the
Executive’s taxable year following the taxable year in which the expense was incurred. 

  
 -14- 

 IN WITNESS WHEREOF, the Company has caused this Agreement to be duly executed and the Executive
has hereunto set his hand, as of the day and year first above written, 
  

			
	THE COMPANY:
	
	iCAD, INC
		
	By:	 	 /s/ Richard Christopher

		 	Name: Richard Christopher
		 	Title: Chief Financial Officer
	
	EXECUTIVE
	
	 /s/ Kenneth Ferry

	Kenneth Ferry

  
 -15-

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