Document:

EX-10.35D

 Exhibit 10.35(d) 

RESTAURANT BRANDS INTERNATIONAL INC. 

2014 OMNIBUS INCENTIVE PLAN 

OPTION AWARD AGREEMENT 

Unless defined in this Option Award Agreement (this “Award Agreement”), capitalized terms will have the same meanings
ascribed to them in the Restaurant Brands International Inc. 2014 Omnibus Incentive Plan (as may be amended from time to time, the “Plan”). 

Pursuant to Section 6 of the Plan, you have been granted a Non-Qualified Stock Option (the “Option”) on the
following terms and subject to the provisions of the Plan, which is incorporated herein by reference.  
  

			
	 Total Number of Option Shares:
	  	[                ] Option Shares
		
	 Exercise Price per Share:
	  	$[            ] per Share
		
	 Grant Date:
	  	February 26, 2016
		
	 Expiration Date:
	  	February 25, 2026
		
	 Vesting Date:
	  	February 26, 2021, subject to your continued Service through the Vesting Date and further subject to the Section entitled “Termination” in Exhibit A.

 By your acceptance of this Award Agreement, you and the Company agree that this Option is granted under and
governed by the terms and conditions of the Plan and the terms and conditions set forth in the attached Exhibit A and the general terms and conditions for employees outside the U.S. and any special terms and conditions for your country set
forth in Exhibits B and C. Exhibits A, B, and C constitute part of this Award Agreement. 
  

									
	PARTICIPANT	 		 	RESTAURANT BRANDS INTERNATIONAL INC.
				
	  
	 		 	By:	 	  

	Name:	 		 	Name:	 	Jill Granat
		 		 	Title:	 	EVP, General Counsel

  
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 EXHIBIT A 

TERMS AND CONDITIONS OF THE 

OPTION AWARD AGREEMENT 

Vesting. 
 This
Option will vest and become exercisable on the “Vesting Date” set forth in this Award Agreement. Any portion of this Option that becomes exercisable in accordance with the foregoing will remain exercisable until the Expiration Date, unless
earlier terminated pursuant to the Plan or this Award Agreement (including, without limitation, the section below entitled “Termination”). Subject to the section below entitled “Termination,” this Option may be exercised only
while you are employed by the Company or any of its Affiliates. Prior to the exercise of this Option, you will not have any rights of a shareholder with respect to this Option or the Shares subject thereto. 

Method of Exercise. 

This Option will be exercisable pursuant to procedures approved by the Committee and communicated to you. No Shares will be delivered
pursuant to the exercise of this Option unless (i) you have complied with your obligations under this Award Agreement, (ii) the exercise of this Option and the delivery of such Shares complies with applicable law, and (iii) full
payment (or satisfactory provision therefor) of the aggregate Exercise Price of the Option and any Tax-Related Items have been received by the Company. Until such time as the Shares are delivered to you (as evidenced by the appropriate entry on
the books of the Company or of a duly authorized transfer agent of the Company), you will have no right to vote or receive dividends or any other rights as a shareholder with respect to such Shares, notwithstanding the exercise of this Option.

 Adjustment for Certain Events. 

If and to the extent that it would not cause a violation of Section 409A of the Code or other applicable law, if any Corporate Event
described in Section 5(d)(ii) of the Plan shall occur, the Committee shall make an adjustment as described in such Section 5(d)(ii) in such manner as the Committee may, in its sole discretion, deem appropriate and equitable to prevent
substantial dilution or enlargement of the rights provided under this Option. 
 Termination. 

Upon termination of your Service (other than as set forth below) prior to the Vesting Date, you will forfeit this Option without any
consideration due to you. For the purposes of the Plan and this Award Agreement, your Service will not be deemed to be terminated in the event that you transfer employment from the Company to any Affiliate or from an Affiliate to the Company or
another Affiliate, as the case may be. 

  
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 If your Service terminates prior to the Vesting Date Without Cause (as defined below) or by
reason of your Retirement or Disability (as defined below), you shall be vested in the number of Option Shares as if the Option Shares subject to the Option vested 20% on each of February 26, 2017, February 26,
2018, February 26, 2019, February 26, 2020 and February 26, 2021, respectively, and you may exercise the Option to the extent vested on the date of termination of your Service as provided for below. 

If your Service terminates prior to the Vesting Date by reason of your death, your Beneficiary shall be vested as if the Option Shares subject
to the Option vested 20% on February 26, 2017, 40% on February 26, 2018 and 100% on February 26, 2019 and your Beneficiary may exercise the Option to the extent vested on the date of your death as provided for below. 

Subject to any terms and conditions that the Committee may impose in accordance with Section 13 of the Plan, in the event that a Change
in Control occurs and, within twelve (12) months following the date of such Change in Control, your Service is terminated by the Company Without Cause (as defined herein), this Option shall vest in full upon such termination. In the event that
there is a conflict between the terms of this Award Agreement regarding the effect of a Change in Control on this Option and the terms of any Employment Agreement, the terms of this Award Agreement will govern. 

To the extent this Option is or becomes exercisable on the date of termination of your Service, then, if you (or, if applicable, such other
person who is entitled to exercise this Option) do not exercise this Option on or prior to the expiration of the Option Exercise Period (as set forth below), this Option will terminate. In no event may you exercise this Option after the Expiration
Date. 
  

			
	 Type of Termination
	  	 Option Exercise Period

	Without Cause	  	90 day period beginning on the date of termination
		
	Resignation	  	90 day period beginning on the date of termination
		
	Retirement	  	One year period beginning on the date of termination
		
	Disability	  	One year period beginning on the date of termination
		
	Death	  	One year period beginning on the date of termination
		
	For Cause	  	None, the Option expires immediately

  
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 The date of termination of your Service will not be extended by any period of notice of
termination of employment, payment in lieu of notice or severance mandated under local law, whether statutory, contractual or at common law (e.g., active employment would not include a period of “garden leave” or similar period
pursuant to local law) regardless of the reason for such termination and whether or not later found to be invalid or in breach of laws in the jurisdiction where you are rendering Service or the terms of your Employment Agreement, if any). The
Committee shall have the exclusive discretion to determine the date of termination of your Service for purposes of this Option. 
 In the
event that there is a conflict between the terms of this Award Agreement regarding the effect of a termination of your Service on this Option and the terms of any Employment Agreement, the terms of your Employment Agreement will govern. 

For purposes of this Award Agreement, the following terms shall have the following meanings: 

“Cause” means (i) a material breach by you of any of your obligations under any written employment agreement with the
Company or any of its Affiliates, (ii) a material violation by you of any of the policies, procedures, rules and regulations of the Company or any of its Affiliates applicable to employees or other service providers generally or to employees or
other service providers at your grade level; (iii) the failure by you to reasonably and substantially perform your duties to the Company or its Affiliates (other than as a result of physical or mental illness or injury); (iv) your willful
misconduct or gross negligence that has caused or is reasonably expected to result in material injury to the business, reputation or prospects of the Company or any of its Affiliates; (v) your fraud or misappropriation of funds; or
(vi) the commission by you of a felony or other serious crime involving moral turpitude; provided that if you are a party to an Employment Agreement at the time of termination of your Service and such Employment Agreement contains a
different definition of “cause” (or any derivation thereof), the definition in such Employment Agreement will control for purposes of this Award Agreement. 

If you are terminated Without Cause and, within the twelve (12) month period subsequent to such termination of your Service, the Company
determines that your Service could have been terminated for Cause, subject to anything to the contrary that may be contained in your Employment Agreement at the time of termination of your Service, your Service will, at the election of the Company,
be deemed to have been terminated for Cause, effective as of the date the events giving rise to Cause occurred. 

“Disability” means (i) a physical or mental condition entitling you to benefits under the long-term disability policy of
the Company covering you or (ii) in the absence of any such policy, a physical or mental condition rendering you unable to perform your duties for the Company or any of its Affiliates for a period of six (6) consecutive months or longer;
provided that if you are a party to an Employment Agreement at the time of termination of your Service and such Employment Agreement contains a different definition of “disability” (or any derivation thereof), the definition in such
Employment Agreement will control for purposes of this Award Agreement. 

  
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 “Option Shares” means the Shares underlying this Option. 

“Retirement” means a termination of Service by you on or after the later of (i) your 55th birthday and (ii) your completion of five years of Service with the Company or its Affiliates. 

“Vesting Date” means February 26, 2021 or such earlier vesting as may be provided in this Award Agreement. 

“Without Cause” means a termination of your Service by you for “Good Reason”, if you have an Employment Agreement
that defines the term “Good Reason”, or by your employer (the “Employer”) other than any such termination by your Employer for Cause or due to your death or Disability; provided that if you are a party to an
Employment Agreement at the time of termination of your Service and such Employment Agreement contains a different definition of “without cause” (or any derivation thereof), the definition in such Employment Agreement will control for
purposes of this Award Agreement. Notwithstanding the foregoing, if you are a party to an Employment Agreement at the time of termination of your Service and such Employment Agreement provides that a termination of your Service by you for “Good
Reason” constitutes termination of your Service “Without Cause”, such termination for Good Reason shall not constitute termination Without Cause for purposes of the acceleration of your Options following a Change in Control. 

Taxes. 
 Regardless
of any action the Company or your Employer takes with respect to any or all income tax, social security or insurance, government-sponsored pension plan, unemployment insurance, payroll tax, payment on account or other tax-related withholding
(“Tax-Related Items”), you acknowledge that the ultimate liability for all Tax-Related Items legally due by you is and remains your responsibility and that the Company and/or the Employer (1) make no representations or
undertakings regarding the treatment of any Tax-Related Items in connection with any aspect of the Option grant, including the grant, vesting or exercise of this Option, the subsequent sale of Shares acquired pursuant to such exercise and the
receipt of any dividends; and (2) do not commit to structure the terms of the grant or any aspect of this Option to reduce or eliminate your liability for Tax-Related Items. 

Prior to exercise of this Option, you will pay or make adequate arrangements satisfactory to the Company and/or any relevant Employer to
satisfy all withholding and payment on account obligations of the Company and/or the Employer. In this regard, you authorize the Company and/or the Employer to withhold all applicable Tax-Related Items legally payable by you from your wages or other
cash compensation paid to you by the Company and/or the Employer or from proceeds of the sale of Shares. Alternatively, or in addition, if permissible under local law, the Company may in its sole and absolute

  
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discretion (1) sell or arrange for the sale of Shares that you acquire to meet the withholding obligation for Tax-Related Items (on your behalf pursuant to this authorization without further
consent), and/or (2) withhold the amount of Shares necessary to satisfy the Tax-Related Items. 
 Depending on the withholding method,
the Company may withhold or account for Tax-Related Items by considering applicable minimum statutory withholding rates or other applicable withholding rates, including maximum applicable rates, in which case I may receive a refund of any
over-withheld amount in cash and will have no entitlement to the Common Stock equivalent. If the obligation for Tax-Related Items is satisfied by withholding in Shares, for tax purposes, you are deemed to have been issued the full number of Shares
subject to the vested Option, notwithstanding that a number of the Shares are held back solely for the purpose of paying the Tax-Related Items. 

Finally, you will pay to the Company or the Employer any amount of Tax-Related Items that the Company or the Employer may be required to
withhold as a result of your participation in the Plan or your purchase of Shares that cannot be satisfied by the means previously described. The Company may refuse to honor the exercise and refuse to deliver the Shares if you fail to comply with
your obligations in connection with the Tax-Related Items as described in this section. 
 No Guarantee of Continued Service.

 You acknowledge and agree that the vesting of this Option on the Vesting Date is earned only by performing continuing Service (not
through the act of being hired or being granted this Award). You further acknowledge and agree that this Award Agreement, the transactions contemplated hereunder and the Vesting Date shall not be construed as giving you the right to be retained in
the employ of, or to continue to provide Service to, the Company or any Affiliate. Further, the Company or the applicable Affiliate may at any time dismiss you, free from any liability, or any claim under the Plan, unless otherwise expressly
provided in any other agreement binding you, the Company or the applicable Affiliate. The receipt of this Award is not intended to confer any rights on you except as set forth in this Award Agreement. 

Termination for Cause; Restrictive Covenants. 

In consideration for the grant of this Option and for other good and valuable consideration, the sufficiency of which is acknowledged by you,
you agree as follows: 
 Upon (i) a termination of your Service for Cause, (ii) a retroactive termination of your Service for
Cause as permitted herein or under your Employment Agreement, or (iii) a violation of any post-termination restrictive covenant (including, without limitation, non-disclosure, non-competition and/or non-solicitation) contained in your
Employment Agreement, any separation or termination or similar agreement you may enter into with the Company or one of its Affiliates in connection with termination of your Service, any Options you hold that are then outstanding shall be immediately
forfeited and the Company may require that you repay (with interest or appreciation (if any), as applicable, 

  
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determined up to the date payment is made), and you shall promptly repay, to the Company, the Fair Market Value (in cash or in Shares) of any Shares received upon the exercise of Options during
the period beginning on the date that is one year before the date of your termination and ending on the first anniversary of the date of your termination, minus the applicable Exercise Price. The Fair Market Value of any such Shares shall be
determined as of the date of exercise of such Option. 
 Company’s Right of Offset. 

If you become entitled to a distribution of benefits under this Award, and if at such time you have any outstanding debt, obligation, or other
liability representing an amount owing to the Company or any of its Affiliates, then the Company or its Affiliates, upon a determination by the Committee, and to the extent permitted by applicable law and it would not cause a violation of
Section 409A of the Code, may offset such amount so owing against the amount of benefits otherwise distributable. Such determination shall be made by the Committee. 

Acknowledgment of Nature of Award. 

In accepting this Option, you acknowledge that: 

(a) the Plan is established voluntarily by the Company, it is discretionary in nature and may be modified, amended, suspended or terminated by
the Company at any time, as provided in the Plan; 
 (b) the Option award is voluntary, occasional and discretionary and does not create any
contractual or other right to receive future Option awards, or benefits in lieu of Options even if Options have been awarded in the past; 

(c) all decisions with respect to future awards, if any, will be at the sole discretion of the Company; 

(d) your participation in the Plan is voluntary; 

(e) this Option and any Shares acquired upon the exercise of this Option, and the value and income of same, are is not part of normal or
expected compensation or salary for any purposes, including, but not limited to, calculation of any severance, resignation, termination, redundancy, end of service payments, bonuses, long-service awards, pension or retirement benefits or similar
payments; 
 (f) the future value of the underlying Shares is unknown and cannot be predicted with certainty; 

(g) if the underlying Shares do not increase in value, this Option will have no value; 

(h) if you receive Shares, the value of such Shares acquired upon exercise may increase or decrease in value; and 

  
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 (i) no claim or entitlement to compensation or damages arises from termination of this Option,
and no claim or entitlement to compensation or damages shall arise from any diminution in value of this Option or Shares received upon exercise of this Option resulting from termination of your Service by the Employer and you irrevocably release the
Company and the Employer from any such claim that may arise. 
 Securities Laws. 

By accepting this Option, you acknowledge that Canadian or other applicable securities laws, including, without limitation, U.S. securities
laws, and/or the Company’s policies regarding trading in its securities may limit or restrict your right to buy or sell Shares, including, without limitation, sales of Shares acquired in connection with this Option. You agree to comply with all
Canadian and any other applicable securities law requirements, including, without limitation, any U.S. securities law requirements, and Company policies, as such laws and policies are amended from time to time. 

Data Privacy Notice and Consent. 

You hereby explicitly and unambiguously consent to the collection, use and transfer, in electronic or other form, of your personal data as
described in this Award Agreement by and among, as applicable, the Employer, the Company and its Affiliates or such other third party administrator as designated by the Committee in its sole and absolute discretion for the exclusive purpose of
implementing, administering and managing your participation in the Plan. 
 You understand that the Company, the Employer and/or such other
third party administrator as designated by the Committee in its sole and absolute discretion may hold certain personal information about you, including, but not limited to, your name, home address and telephone number, date of birth, social
insurance or social security number or other identification number, salary, nationality, job title, any shares of stock or directorships held in the Company, details of this Option or any other entitlement to Shares awarded, canceled, vested,
unvested or outstanding in your favor (“Data”), for the exclusive purpose of implementing, administering and managing your participation in the Plan. You understand that Data may be transferred to any third parties assisting in the
implementation, administration and management of the Plan, that these recipients may be located in your country, or elsewhere, and that the recipient’s country may have different data privacy laws and protections than your country. You
understand that you may request a list with the names and addresses of any potential recipients of the Data by contacting your local human resources representative. You authorize the recipients to receive, possess, use, retain and transfer the Data,
in electronic or other form, for the purposes of implementing, administering and managing your participation in the Plan, including any requisite transfer of such Data as may be required to a broker, escrow agent or other third party with whom the
Shares received upon exercise of this Option may be deposited. You understand that Data will be held only as long as is necessary to implement, administer and manage your participation in the Plan. You understand that you may, at any time, view
Data, request additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or withdraw the 

  
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consents herein, in any case without cost, by contacting in writing your local human resources representative. You understand that refusal or withdrawal of consent may affect your ability to
participate in the Plan. Further, you understand that you are providing the consents herein on a purely voluntary basis. If you do not consent, or if you later seek to revoke your consent, your employment status or Service and career with the
Employer will not be adversely affected; the only adverse consequence of refusing or withdrawing your consent is that the Company would not be able to grant you Options or other Awards or administer or maintain such Awards. For more information on
the consequences of your refusal to consent or withdrawal of consent, you understand that you may contact your local human resources representative. 

Limits on Transferability; Beneficiaries.  

This Option shall not be pledged, hypothecated or otherwise encumbered or subject to any lien, obligation or liability to any party, or
Transferred, otherwise than by your will or the laws of descent and distribution or to a Beneficiary upon your death, and this Option shall be exercised during your lifetime only by you or your guardian or legal representative, except that this
Option may be Transferred to one or more Beneficiaries or other Transferees during your lifetime with the consent of the Committee, and may be exercised by such Transferees in accordance with the terms of this Award Agreement. A Beneficiary,
Transferee, or other person claiming any rights under this Award Agreement shall be subject to all terms and conditions of the Plan and this Award Agreement, except as otherwise determined by the Committee, and to any additional terms and conditions
deemed necessary or appropriate by the Committee. 
 No Transfer to any executor or administrator of your estate or to any Beneficiary by
will or the laws of descent and distribution of any rights in respect of this Option shall be effective to bind the Company unless the Committee shall have been furnished with (i) written notice thereof and with a copy of the will and/or such
evidence as the Committee may deem necessary to establish the validity of the Transfer and (ii) the written agreement of the Transferee to comply with all the terms and conditions applicable to this Option and any Shares purchased upon exercise
of this Option that are or would have been applicable to you. 
 No Compensation Deferrals. 

It is intended that the Option awarded pursuant to this Award Agreement be exempt from Section 409A of the Code (“Section
409A”) because it is believed that (i) the Exercise Price per Share may never be less than the Fair Market Value of a Share on the Grant Date and the number of Shares subject to the Option is fixed on the original Grant Date,
(ii) the Transfer or exercise of the Option is subject to taxation under Section 83 of the Code and Treasury Regulation 1.83-7, and (iii) the Option does not include any feature for the deferral of compensation other than the deferral
of recognition of income until the exercise of the Option. The provisions of this Award Agreement shall be interpreted in a manner consistent with this intention. In the event that the Company believes, at any time, that any benefit or right under
this Award Agreement is subject to Section 409A, then the Committee may (acting alone and without any required consent  

  
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by you) amend this Award Agreement in such manner as the Committee deems necessary or appropriate to be exempt from or otherwise comply with the requirements of Section 409A (including
without limitation, amending the Award Agreement to increase the Exercise Price per Share to such amount as may be required in order for the Option to be exempt from Section 409A). 

Notwithstanding the foregoing, the Company does not make any representation to you that the Option awarded pursuant to this Agreement is
exempt from, or satisfies, the requirements of Section 409A, and the Company shall have no liability or other obligation to indemnify or hold harmless you or any Beneficiary for any tax, additional tax, interest or penalties that you or any
Beneficiary may incur in the event that any provision of this Agreement, or any amendment or modification thereof or any other action taken with respect thereto, is deemed to violate any of the requirements of Section 409A. 

Entire Agreement; Governing Law; Jurisdiction; Waiver of Jury Trial. 

The Plan, this Award Agreement and, to the extent applicable, your Employment Agreement or any separation agreement constitute the entire
agreement of the parties with respect to the subject matter hereof and supersede in their entirety all prior undertakings, representations and agreements (whether oral or written) of the Company and you with respect to the subject matter hereof.
This Award Agreement may not be modified in a manner that adversely affects your rights heretofore granted under the Plan, except with your consent or to comply with applicable law or to the extent permitted under other provisions of the Plan. This
Award Agreement is governed by the laws of the Province of Ontario and the laws of Canada applicable in the Province of Ontario, without regard to its principles of conflict of laws. 

ANY ACTION OR PROCEEDING AGAINST THE PARTIES RELATING IN ANY WAY TO THIS AGREEMENT MAY BE BROUGHT EXCLUSIVELY IN THE COURTS OF THE PROVINCE OF
ONTARIO, AND YOU IRREVOCABLY SUBMIT TO THE JURISDICTION OF SUCH COURTS IN RESPECT OF ANY SUCH ACTION OR PROCEEDING. ANY ACTIONS OR PROCEEDINGS TO ENFORCE A JUDGMENT ISSUED BY ONE OF THE FOREGOING COURTS MAY BE ENFORCED IN ANY JURISDICTION. 

TO THE EXTENT NOT PROHIBITED BY APPLICABLE LAW THAT CANNOT BE WAIVED, YOU HEREBY WAIVE, AND COVENANT THAT YOU WILL NOT ASSERT (WHETHER AS
PLAINTIFF, DEFENDANT OR OTHERWISE), ANY RIGHT TO TRIAL BY JURY IN ANY FORUM IN RESPECT OF ANY ISSUE, CLAIM OR PROCEEDING ARISING OUT OF THIS AGREEMENT OR THE SUBJECT MATTER HEREOF, IN EACH CASE WHETHER NOW EXISTING OR HEREAFTER ARISING AND WHETHER
IN CONTRACT, TORT OR OTHERWISE. 
 By signing this Award Agreement, you acknowledge receipt of a copy of the Plan and represent that you are
familiar with the terms and conditions of the Plan, and hereby accept this Award subject to all provisions in this Award Agreement and in the Plan. You hereby agree to accept as final, conclusive and binding all decisions or interpretations of the
Committee upon any questions arising under the Plan or this Award Agreement. 

  
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 Electronic Delivery and Acceptance. 

The Company may, in its sole discretion, decide to deliver any documents related to this Option or future options that may be awarded under the
Plan by electronic means or request your consent to participate in the Plan by electronic means. You hereby consent to receive such documents by electronic delivery and agree to participate in the Plan through an on-line or electronic system
established and maintained by the Company or a third party designated by the Company. 
 Agreement Severable. 

In the event that any provision in this Award Agreement will be held invalid or unenforceable, such provision will be severable from, and such
invalidity or unenforceability will not be construed to have any effect on, the remaining provisions of this Award Agreement. 
 Language.

 If you have received this Award Agreement or any other document related to the Plan translated into a language other than English and
if the meaning of the translated version is different than the English version, the English version will control. 
 Non-U.S. Terms and
Conditions. 
 Notwithstanding any provision in this Award Agreement, if you work and/or reside outside the U.S., this Option shall
be subject to the general terms and conditions and the special terms and conditions for your country set forth in Exhibits B and C, as applicable. Moreover, if you relocate to one of the countries included in Exhibits B or
C, the general terms and conditions and the special terms and conditions for such country will apply to you, to the extent the Company determines that the application of such terms and conditions is necessary or advisable for legal or
administrative reasons. Exhibits B and C constitute part of this Award Agreement. 
 Waiver. 

You acknowledge that a waiver by the Company of breach of any provision of this Award Agreement shall not operate or be construed as a waiver
of any other provision of this Award Agreement, or of any subsequent breach by you or any other participant. 

  
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 EXHIBIT B 

RESTAURANT BRANDS INTERNATIONAL INC. 

2014 OMNIBUS INCENTIVE PLAN 

ADDITIONAL TERMS AND CONDITIONS OF THE OPTION AWARD 

AGREEMENT FOR PARTICIPANTS 

OUTSIDE THE U.S. 
 Certain capitalized
terms used but not defined in this Appendix A have the meanings set forth in the Restaurant Brands International Inc. 2014 Omnibus Incentive Plan (the “Plan”) and/or the Option Award Agreement (the “Award
Agreement”). 
 TERMS AND CONDITIONS 
 This
Exhibit B includes additional terms and conditions that govern this Option granted to you under the Plan if you reside and/or work outside the U.S. and Canada and/or in one of the countries listed below. If you are a citizen or resident of a country
other than the one in which you are currently residing and/or working, transfer employment after this Option is granted or are considered a resident of another country for local law purposes, the Committee shall, in its discretion, determine to what
extent the terms and conditions contained herein shall apply to you. 
 NOTIFICATIONS 

This Exhibit B also includes information regarding securities, exchange controls, tax and certain other issues of which you should be aware with respect to
participation in the Plan. The information is based on the securities, exchange control, and other laws in effect in the respective countries as of February 2016. Such laws are often complex and change frequently. As a result, the Company strongly
recommends that you not rely on the information in this Appendix A as the only source of information relating to the consequences of your participation in the Plan because the information may be out of date at the time you vest in or exercise this
Option or sell Shares acquired under the Plan. 
 In addition, the information contained herein is general in nature and may not apply to your particular
situation, and the Company is not in a position to assure you of a particular result. Accordingly, you are advised to seek appropriate professional advice as to how the relevant laws in your country may apply to your situation. 

Finally, if you are a citizen or resident of a country other than the one in which you are currently residing and/or working, transfer employment after this
Option is granted or are considered a resident of another country for local law purposes, the information contained herein may not be applicable to you. 

  
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 GENERAL NON-U.S. AND CANADA TERMS AND CONDITIONS 

TERMS AND CONDITIONS 
 The following terms and
conditions apply to you if you reside and/or work outside of the U.S. and Canada. 
 Entire Agreement. 

The following provisions supplement the entire Award Agreement, generally: 

If you reside and/or work outside the U.S. and Canada, in no event will any aspect of this Option be determined in accordance with your Employment Agreement
(or other Service contract). The terms and conditions of this Option will be solely determined in accordance with the provisions of the Plan and the Award Agreement, including this Appendix A, which supersede and replace any prior agreement, either
written or verbal (including your Employment Agreement, if applicable) in relation to this Option. 
 Retirement. 

Notwithstanding the favorable treatment that is potentially available upon a termination due to Retirement (as set forth in the Termination section of
the Award Agreement), if the Company receives an opinion of counsel that there has been a legal judgment and/or legal development in your jurisdiction that would likely result in this favorable treatment upon termination due to Retirement being
deemed unlawful and/or discriminatory, then the favorable Retirement treatment will not apply at the time your Service terminates and the Award will be forfeited if your Service ends before the Vesting Date for any reason other than as set forth in
the Termination section of the Award Agreement. 
 Termination for Cause. 

The Termination for Cause section of the Award Agreement shall only be enforced, to the extent deemed permissible under applicable local law, as
determined in the sole discretion of the Committee. 
 Taxes. 

The following provisions supplement the Taxes section of the Award Agreement: 

You acknowledge that your liability for Tax-Related Items may exceed the amount withheld by the Company and/or the Employer. 

If you have become subject to tax in more than one jurisdiction, you acknowledge that the Company and/or the Employer (or former employer, as applicable) may
be required to withhold or account for Tax-Related Items in more than one jurisdiction. 
 To avoid any negative accounting treatment, the Company may
withhold or account for Tax-Related Items by considering applicable minimum statutory withholding amounts or other applicable withholding rates. If the obligation for Tax-Related Items is satisfied by

  
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withholding in Shares, for tax purposes, you are deemed to have been issued the full number of Shares subject to the exercised Option, notwithstanding that a number of Shares are held back solely
for the purpose of paying the Tax-Related Items due as a result of any aspect of your participation in the Plan. 
 Limits on Transferability;
Beneficiaries. 
 The following provision supplements the Limits on Transferability; Beneficiaries section of the Award Agreement: 

If you are located outside the U.S. and Canada, this Option may not be Transferred to a designated Beneficiary and may only be Transferred upon your death to
your legal heirs in accordance with applicable laws of descent and distribution. In no case may this Option be Transferred to another individual during your lifetime. 

Acknowledgement of Nature of Award. 
 The following
provisions supplement the Acknowledgment of Nature of Award section of the Award Agreement: 
 You acknowledge the following with respect to this
Option: 
 (a) The Option and any Shares acquired under the Plan are not intended to replace any pension rights or compensation. 

(b) In no event should this Option or any Shares acquired under the Plan be considered as compensation for, or relating in any way to, past
services for the Company, the Employer or any Affiliate. 
 (c) Neither the Company, the Employer nor any other Affiliate shall be liable
for any foreign exchange rate fluctuation between your local currency and the United States Dollar that may affect the value of this Option or of any amounts due to your pursuant to exercise of this Option or the subsequent sale of any Shares
acquired upon exercise. 
 (d) Unless otherwise agreed with the Company, this Option and any Shares acquired upon the exercise of this
Option, and the value and income of same, are not granted as consideration for, or in connection with, any service you may provide as a director of any Affiliate. 

No Advice Regarding Award. 
 The Company is not
providing any tax, legal or financial advice, nor is the Company making any recommendations regarding your participation in the Plan, or your acquisition or sale of the underlying Shares. You are hereby advised to consult with your own personal tax,
legal and financial advisors regarding your participation in the Plan before taking any action related to the Plan. 

  
 A-14 

 Insider Trading Restrictions/Market Abuse Laws. 

You acknowledge that you may be subject to insider trading restrictions and/or market abuse laws, which may affect your ability to acquire or sell Shares or
rights to Shares under the Plan during such times as you are considered to have “inside information” regarding the Company (as defined by the laws in your country). Any restrictions under these laws or regulations are separate from and in
addition to any restrictions that may be imposed under any applicable Company insider trading policy. You acknowledge that it is your responsibility to comply with any applicable restrictions, and you are advised to speak to your personal advisor on
this matter. 
 Foreign Asset/Account Reporting Requirements. 

You acknowledge that there may be certain foreign asset and/or account reporting requirements which may affect your ability to acquire or hold the Shares
acquired under the Plan or cash received from participating in the Plan (including from any dividends paid on the Shares acquired under the Plan) in a brokerage or bank account outside your country. You may be required to report such accounts,
assets or transactions to the tax or other authorities in your country. You also may be required to repatriate sale proceeds or other funds received as a result of participating in the Plan to your country through a designated bank or broker within
a certain time after receipt. You acknowledge that it is your responsibility to be compliant with such regulations, and you are advised to speak to your personal advisor on this matter. 

Imposition of Other Requirements. 
 The Company
reserves the right to impose other requirements on your participation in the Plan, on this Option and on any Shares purchased upon exercise of this Option, to the extent the Company determines it is necessary or advisable for legal or administrative
reasons, and to require you to sign any additional agreements or undertakings that may be necessary to accomplish the foregoing. 

  
 A-15 

 COUNTRY-SPECIFIC TERMS AND CONDITIONS/NOTIFICATIONS 

BRAZIL 
 TERMS AND CONDITIONS 

Compliance with Law. 
 By accepting this Option, you
acknowledge that you agree to comply with applicable Brazilian laws and pay any Tax-Related Items associated with participation in the Plan, including the exercise of this Option, the receipt of any dividends, and the sale of Shares acquired under
the Plan. 
 NOTIFICATIONS 
 Exchange Control
Information. 
 If you are resident or domiciled in Brazil, you will be required to submit annually a declaration of assets and rights held outside
of Brazil to the Central Bank of Brazil if the aggregate value of such assets and rights is equal to or greater than US$100,000. Assets and rights that must be reported include Shares. Foreign individuals holding Brazilian visas are considered
Brazilian residents for purposes of this reporting requirement and must declare at least the assets held abroad that were acquired subsequent to the date of admittance as a resident of Brazil. 

Tax Financial Transaction (IOF). Payments to foreign countries and repatriation of funds into Brazil, and the conversion between BRL and USD
associated with such fund transfers, may be subject to the Tax on Financial Transaction. It is your responsibility to comply with any applicable Tax on Financial Transaction arising from participation in the Plan. You should consult with your
personal tax advisor for additional details. 
 PORTUGAL 

TERMS AND CONDITIONS 
 Language Consent. 

You hereby expressly declare that you have full knowledge of the English language and have read, understood and fully accepted and agreed with the terms and
conditions established in the Plan and Award Agreement. 

  
 A-16 

 Conhecimento da Lingua. 

O Contratado, pelo presente instrumento, declara expressamente que tem pleno conhecimento da língua inglesa e que leu, compreendeu e livremente
aceitou e concordou com os termos e condições estabelecidas no Plano e no Acordo de Atribuição (Agreement em inglês). 

NOTIFICATIONS 
 Exchange Control Information.

 The transfer of funds abroad to exercise this Option generally requires the filing of a report to the Banco de Portugal for statistical purposes. If a
commercial bank in Portugal is involved in the transfer, it will file the report for you. However, if a commercial bank in Portugal is not involved in the transfer, you will be responsible for filing the report within ten days of the transfer. 

In addition, if you acquire Shares upon exercise of this Option and do not hold the Shares with a Portuguese financial intermediary, you must file a report
regarding the acquisition and the sale of the Shares with the Banco de Portugal. If the Shares are held by a Portuguese financial intermediary, it will file the necessary report for you. 

SINGAPORE 
 NOTIFICATIONS 

Securities Law Information. 
 The grant of this
Option is being made pursuant to the “Qualifying Person” exemption under section 273(1)(f) of the Securities and Futures Act (Chapter 289, 2006 Ed.) (“SFA”). The Plan has not been lodged or registered as a
prospectus with the Monetary Authority of Singapore. You should note that this Option is subject to section 257 of the SFA and you will not be able to make (i) any subsequent sale of Shares in Singapore or (ii) any offer of such subsequent
sale of Shares in Singapore, unless such sale or offer in is (a) more than six months after the Grant Date or (b) made pursuant to the exemptions under Part XIII Division (1) Subdivision (4) (other than section 280) of the SFA.

 CEO/Director Notification Requirement. 
 If
you are a chief executive officer (“CEO”), director, associate director or shadow director of the Company’s Singapore Affiliate, you are subject to certain notification requirements under the Singapore Companies Act. Among these
requirements is an obligation to notify the Singapore Affiliate in writing when you receive an interest (e.g., this Option, Shares) in the Company or Affiliate. In addition, you must notify the Singapore Affiliate when you sell Shares
(including when you sell Shares issued upon exercise of this Option). These notifications must be made within two business days of acquiring or disposing of any interest in the Company or any Affiliate. In addition, a notification of your interests
in the Company or Affiliate must be made within two business days of becoming the CEO or a director. 

  
 A-17 

 SPAIN 

TERMS AND CONDITIONS 
 Nature of Grant. 

This provision supplements the Acknowledgement of Nature of Award section of the Award Agreement including this Appendix A: 

In accepting this Option, you consent to participation in the Plan and acknowledge that you have received a copy of the Plan. 

You understand and agree that, as a condition of the grant of this Option, except as provided for in the Award Agreement, the termination of your Service for
any reason (including for the reasons listed below) will automatically result in the loss of this Option that has not vested on the date of termination. 

You understand and agree that, unless otherwise provided for in the Award Agreement, any unvested Option as of your termination date and any vested Option not
exercised within the period set forth in the Award Agreement following your termination date will be forfeited without entitlement to the underlying Shares or to any amount as indemnification in the event of a termination by reason of, including,
but not limited to: disciplinary dismissal adjudged to be with cause, disciplinary dismissal adjudged or recognized to be without cause, individual or collective layoff on objective grounds, whether adjudged to be with cause or adjudged or
recognized to be without cause, material modification of the terms of employment under Article 41 of the Workers’ Statute, relocation under Article 40 of the Workers’ Statute, Article 50 of the Workers’ Statute, unilateral withdrawal
by the Employer, and under Article 10.3 of Royal Decree 1382/1985. 
 Furthermore, you understand that the Company has unilaterally, gratuitously and
discretionally decided to grant this Option under the Plan to individuals who may be employees of the Company or any Affiliate. The decision is a limited decision that is entered into upon the express assumption and condition that any grant will not
economically or otherwise bind the Company or its Affiliates on an ongoing basis other than to the extent set forth in the Award Agreement. Consequently, you understand that this Option is granted on the assumption and condition that this Option and
the Shares issued upon exercise shall not become a part of any employment or service contract (either with the Company, the Employer or any other Affiliate) and shall not be considered a mandatory benefit, salary for any purposes (including
severance compensation) or any other right whatsoever. In addition, you understand that the grant of this Option would not be made to you but for the assumptions and conditions referred to above; thus, you acknowledge and freely accept that should
any or all of the assumptions be mistaken or should any of the conditions not be met for any reason, then any grant to you of this Option shall be null and void. 

  
 A-18 

 NOTIFICATIONS 

Securities Law Information. 
 The Option and the
Shares described in the Award Agreement and this Appendix A do not qualify under Spanish regulations as securities. No “offer of securities to the public,” as defined under Spanish law, has taken place or will take
place in the Spanish territory. The Award Agreement (including this Appendix A) has not been nor will it be registered with the Comisión Nacional del Mercado de Valores, and does not constitute a public offering prospectus. 

Exchange Control Information. 
 To participate in
the Plan, you must comply with exchange control regulations in Spain. You are required to declare electronically to the Bank of Spain any securities accounts (including brokerage accounts held abroad), as well as the Shares held in such accounts,
depending on the value of the transactions during the prior tax year or the balances in such accounts as of December 31 of the prior tax year. 
 The
acquisition of Shares and the sale of Shares must also be declared for statistical purposes to the Dirección General de Comercio e Inversiones (the “DGCI”) of the Ministry of Industry, Tourism and Commerce. Because you
will not purchase or sell the Shares through the use of a Spanish financial institution, you must make the declaration by filing a D-6 form with the DGCI. Generally, the D-6 form must be filed each January while the Shares are owned or to report the
sale of Shares. 
 When receiving foreign currency payments derived from the ownership of Shares (i.e., dividends or sale proceeds) exceeding
€50,000, you must inform the financial institution receiving the payment of the basis upon which such payment is made. You will need to provide the institution with the following information: (i) your name, address, and fiscal
identification number; (ii) the name and corporate domicile of the Company; (iii) the amount of the payment; (iv) the currency used; (v) the country of origin; (vi) the reasons for the payment; and (vii) any further
information that may be required. 
 Foreign Asset/Account Reporting Information. 

To the extent that you hold rights or assets (e.g., Shares, cash, etc.) in a bank or brokerage account outside of Spain with a value in excess of
€50,000 per type of right or asset as of December 31 each year, you are required to report information on such rights and assets on your tax return for such year. Shares acquired under the Plan constitute securities for purposes of
this requirement, but this Option (whether vested or unvested) is not considered an asset or right for purposes of this requirement. 
 If applicable, you
must report the rights or assets on Form 720 by no later than March 31 following the end of the relevant year. After such rights or assets are initially reported, the reporting obligation will only apply for subsequent years if the value of any
previously-reported rights or assets increases by more than €20,000. Failure to comply with this reporting requirement may result in penalties to you. Accordingly, you are advised to consult your personal tax and legal advisors to ensure that
you are properly complying with your reporting obligations. 

  
 A-19 

 In addition, you are required to electronically declare to the Bank of Spain any securities accounts
(including brokerage accounts held abroad), as well as the securities held in such accounts if the value of the transactions for all such accounts during the prior tax year or the balances in such accounts as of December 31 of the prior
tax year exceeds €1,000,000. 
 SWITZERLAND 

NOTIFICATIONS 
 Securities Law Information.

 The offer of this Option is considered a private offering in Switzerland and is therefore not subject to registration in Switzerland. 

UNITED KINGDOM 
 TERMS & CONDITIONS 

Tax Acknowledgment. 
 The following provisions
supplement the Taxes section of the Award Agreement: 
 You shall pay to the Company or the Employer the amount of income tax that the Company or the
Employer may be required to account to HM Revenue & Customs (“HMRC”) with respect to the event giving rise to the income tax (the “Taxable Event”) that cannot be satisfied by the means described in the
Award Agreement. If payment or withholding of the income tax is not made within ninety (90) days of the end of the U.K. tax year in which the Taxable Event occurs or such other period specified in Section 222(1)(c) of the U.K. Income Tax
(Earnings and Pensions) Act 2003 (the “Due Date”), then the amount that should have been withheld shall constitute a loan owed by you to the Employer, effective on the Due Date. You agree that the loan will bear interest at the HMRC
official rate and will be immediately due and repayable by you, and the Company and/or the Employer may recover it at any time thereafter by any of the means set forth in Award Agreement. 

Notwithstanding the foregoing, if you are an executive officer or director (as within the meaning of Section 13(k) of the U.S. Securities and Exchange
Act of 1934, as amended), the terms of the immediately foregoing provision will not apply. In the event that you are an executive officer or director, as defined above, and income tax due is not collected from or paid by you by the Due Date, the
amount of any uncollected income tax may constitute a benefit to you on which additional income tax and National Insurance contributions may be payable. You will be responsible for reporting and paying any income tax due on this additional benefit
directly to HMRC under the self-assessment regime and for reimbursing the Company or the Employer, as applicable, for the value of any employee National Insurance contributions due on this additional benefit which the Company and/or the Employer may
recover by any of the means set forth in the Award Agreement. 

  
 A-20 

 EXHIBIT C 

RESTAURANT BRANDS INTERNATIONAL INC. 

2014 OMNIBUS INCENTIVE PLAN 

ADDITIONAL TERMS AND CONDITIONS TO THE OPTION AWARD 

AGREEMENT FOR PARTICIPANTS 

RESIDENT IN CANADA 
 Certain
capitalized terms used but not defined in this Exhibit C have the meanings set forth in the Restaurant Brands International Inc. 2014 Omnibus Incentive Plan (the “Plan”) and/or the Option Award Agreement (the “Award
Agreement”). 
 TERMS AND CONDITIONS 

This Exhibit C includes additional terms and conditions that govern this Option granted to you under the Plan if you reside and/or work in Canada. If you are a
citizen or resident of a country other than Canada, transfer employment after this Option is granted or are considered a resident of another country for local law purposes, the Committee shall, in its discretion, determine to what extent the terms
and conditions contained herein shall apply to you. 
 NOTIFICATIONS 

This Exhibit C also includes information regarding securities, exchange controls, tax and certain other issues of which you should be aware with respect to
participation in the Plan. The information is based on the securities, exchange control, and other laws in effect in Canada as of February 2016. Such laws are often complex and change frequently. As a result, the Company strongly recommends that you
not rely on the information in this Appendix B as the only source of information relating to the consequences of your participation in the Plan because the information may be out of date at the time you vest in or exercise this Option or sell Shares
acquired under the Plan. 
 In addition, the information contained herein is general in nature and may not apply to your particular situation, and the
Company is not in a position to assure you of a particular result. Accordingly, you are advised to seek appropriate professional advice as to how the relevant laws in Canada may apply to your situation. 

Finally, if you are a citizen or resident of a country other than Canada, transfer employment after this Option is granted or are considered a resident of
another country for local law purposes, the information contained herein may not be applicable to you. 

  
 A-21 

 TERMS AND CONDITIONS 

Method of Exercise. 
 Notwithstanding any provision
in the Plan or the Award Agreement, under no circumstances shall you be permitted to exercise this Option by way of a net exercise. In addition, notwithstanding any provision in the Plan or the Award Agreement, under no circumstances shall you be
permitted to pay the Exercise Price for this Option with Shares you previously acquired. Furthermore, you undertake not to use the Shares acquired upon exercise of this Option to pay the exercise price for any options that may be granted to you in
the future. 
 The following provisions will apply to you if you are a resident of Quebec: 

Language Consent. 
 The parties acknowledge that it
is their express wish that the Award Agreement, as well as all addenda, documents, notices, and legal proceedings entered into, given or instituted pursuant hereto or relating directly or indirectly hereto, be drawn up in English. 

Les parties reconnaissent avoir exigé la rédaction en anglais de cette Convention, ainsi que de tous documents exécutés, avis
donnés et procédures judiciaries intentées, directement ou indirectement, relativement à ou suite à la présente convention. 

Data Privacy Notice and Consent. 
 This provision
supplements the Data Privacy Notice and Consent section of the Award Agreement: 
 You hereby authorize the Company and the Company’s
representatives to discuss and obtain all relevant information from all personnel, professional or non-professional, involved in the administration of the Plan. You further authorize the Company, its Affiliates and the Committee to disclose and
discuss the Plan with their advisors. You further authorize the Employer, the Company, and any other Affiliate to record such information and to keep such information in your employee file. 

NOTIFICATIONS 
 Securities Law Information.

 You acknowledge that you are permitted to sell Shares acquired under the Plan through the designated broker appointed under the Plan, if any,
provided the sale of the Shares acquired under the Plan takes place through the facilities of a stock exchange on which the Shares are listed (i.e., the New York Stock Exchange or the Toronto Stock Exchange). 

Foreign Asset/Account Reporting Information. 
 You
must report annually on Form T1135 (Foreign Income Verification Statement) the foreign property you hold (including any Shares acquired under the Plan, if held outside Canada), if the total value of such foreign property exceeds C$100,000 at any
time during 

  
 A-22 

 
the year. The unvested portion of this Option also must be reported (generally at nil cost) on Form 1135 if the C$100,000 threshold is exceeded due to other foreign property you hold. If Shares
are acquired, the cost generally is their adjusted cost base (the “ACB”). The ACB would normally equal the Fair Market Value of the Shares at the time of acquisition, but if you own other Shares, the ACB may have to be averaged with
the ACB of the other Shares. The form must be filed by April 30 of the following year. You should consult with a personal advisor to ensure you comply with the applicable reporting obligation. 

  
 A-23EX-10.1

 Exhibit 10.1 

2012 Genworth Financial, Inc. Omnibus Incentive Plan 

Restricted Stock Unit Award Agreement 
  

 
 Dear [Participant Name]: 

This Award Agreement and the 2012 Genworth Financial, Inc. Omnibus Incentive Plan (the “Plan”) together govern your rights under this Award
and set forth all of the conditions and limitations affecting such rights. Unless the context otherwise requires, capitalized terms used in this Award Agreement shall have the meanings ascribed to them in the Plan. If there is any inconsistency
between the terms of this Award Agreement and the terms of the Plan, the Plan’s terms shall supersede and replace the conflicting terms of this Award Agreement. 
  

	1.	Grant. You are hereby granted Restricted Stock Units (“RSUs”), which vest (become non-forfeitable) based on your continued future employment with the Company and/or certain other events,
as set forth in Section 3 below. Each vested RSU entitles you to receive from the Company one Share of the Company’s Class A common stock, as set forth in Section 6 below, all in accordance with the terms and conditions of this
Award Agreement, the Plan, and any rules and procedures adopted by the Committee. 

  

	 	a.	Grant Date: [Grant Date] 

  

	 	b.	Number of RSUs: [RSUs Granted] 

  

	 	c.	Vesting Dates. The RSUs shall not provide you with any rights or interests therein until the RSUs vest. Unless vesting is accelerated as provided in Section 3 herein or otherwise in the discretion of
the Committee as permitted under the Plan, one-third of the RSUs (rounded to a whole Share) shall vest (become non-forfeitable) on each of the first, second and third anniversaries of the grant date, provided that you have been continuously in the
service of the Company or one of its Affiliates through such dates. 

  

	2.	Agreement to Participate. You have been provided with this Agreement, and you have the opportunity to accept this agreement, by accessing and following the procedures set forth on the stock plan
administrator’s website. The Plan is available for your reference on the stock plan administrator’s website. You may also request a copy of the Plan at any time by contacting Human Resources at the address or telephone number set forth
below in Section 14(a). By agreeing to participate, you acknowledge that you have reviewed the Plan and this Award Agreement, and you fully understand all of your rights under the Plan and this Award Agreement, the Company’s remedies if
you violate the terms of this Award Agreement, and all of the terms and conditions which may limit your eligibility to retain and receive the RSUs and/or Shares issued pursuant to the Plan and this Award Agreement. 

If you do not wish to accept the RSUs and participate in the Plan and be subject to the provisions of the Plan and this Award Agreement, please
contact the Human Resources Department, Genworth Financial, Inc., 6620 W. Broad Street, Richmond, VA 23230, or at (804) 281-6000, within thirty (30) days of receipt of this Award Agreement. If you do not respond within thirty
(30) days of receipt of this Award Agreement, the Award Agreement is deemed accepted. If you choose to participate in the Plan, you agree to abide by all of the governing terms and provisions of the Plan and this Award Agreement. 

 

	3.	Vesting of RSUs. The RSUs have been credited to a bookkeeping account on your behalf. The RSUs will vest and become non-forfeitable on the earliest to occur of the following (the “Vesting
Date”): 

  

	 	a.	Designated Vesting Dates. The RSUs will vest on the designated vesting dates provided in Section 1(c), provided that you have been continuously in the service of the Company or one of its Affiliates
through such dates. Unvested RSUs shall be immediately cancelled upon termination of your service with the Company and its Affiliates, except as provided in Sections 3(b), (c), (d), (e), (f) and (g) below. 

	 	b.	Employment Termination Due to Death. If your service with the Company and its Affiliates terminates as a result of your death, then all of your RSUs shall immediately vest. 

 

	 	c.	Employment Termination for Retirement. If, on or after the first anniversary of the original grant date, your service with the Company and its Affiliates terminates as a result of your voluntary
resignation on or after you have attained age sixty (60) and accumulated five (5) or more years of combined and continuous service with the Company, then all of your RSUs shall automatically vest. 

 

	 	d.	Employment Termination for Disability. If, on or after the first anniversary of the original grant date, your service with the Company and its Affiliates terminates as a result of your Disability, then all
of your RSUs shall automatically vest. For purposes of this Award Agreement, “Disability” shall mean a permanent disability that would make you eligible for benefits under the long-term disability program maintained by the Company
or any of its Affiliates (without regard to any time period during which the disabling condition must exist) or in the absence of any such program, such meaning as the Committee shall determine. 

 

	 	e.	Qualifying Change of Control and Awards are Not Assumed. Upon the occurrence of a Qualifying Change of Control in which the Successor Entity fails to Assume and Maintain this Award of RSUs, all such RSUs
shall immediately vest as of the effective date of the Qualifying Change of Control, provided that the circumstances giving rise to such Qualifying Change of Control meet the definition of a “change in control event” under Code
Section 409A. 

  

	 	f.	Employment Termination without Cause or for Good Reason within 12 Months of a Qualifying Change of Control. If a Qualifying Change of Control occurs and the Successor Entity Assumes and Maintains this
Award of RSUs, and if your service with the Successor Entity and its Affiliates is terminated by the Successor Entity or one of its Affiliates without Cause (other than such termination resulting from your death or Disability) or by you for Good
Reason within twelve (12) months following the effective date of the Qualifying Change of Control, then all such RSUs shall immediately vest as of the date of such termination of service. 

 

	 	g.	Employment Termination without Cause or for Good Reason within 12 Months of a Non-Qualifying Change of Control. If a Non-Qualifying Change of Control occurs and if your service with the Company and its
Affiliates is terminated by the Company or one of its Affiliates without Cause (other than such termination resulting from your death or Disability) or by you for Good Reason within twelve (12) months following the effective date of the
Non-Qualifying Change of Control, then all such RSUs shall immediately vest as of the date of such termination of service. 

  

	4.	Forfeiture of RSUs Upon Termination of Employment. If your employment terminates prior to the Vesting Date for any reason other than as described in Section 3 above, you shall forfeit all right, title
and interest in and to the RSUs as of the date of such termination and the RSUs will be reconveyed to the Company without further consideration or any act or action by you. Any RSUs that fail to vest in accordance with the terms of this Award
Agreement will be forfeited and reconveyed to the Company without further consideration or any act or action by you. 

  

	5.	For purposes of this Award Agreement: 

  

	 	a.	“Business Unit Sale” shall mean the Company’s sale or disposition of all or any portion of a business unit. 

 

	 	b.	 “Cause” shall mean (i) your willful and continued failure to substantially perform
your duties with the Company and its Affiliates (other than any such failure resulting from your Disability); (ii) your commission, conviction or pleading guilty or nolo contendere (or any similar plea or

  
 2 

	 	
admission) to any felony or any act of fraud, misappropriation or embezzlement; (iii) your willful engagement in conduct (other than conduct covered under clause (i) above) which, in
the good faith judgment of the Committee, is injurious to the Company and/or its Affiliates, monetarily or otherwise; or (iv) your material violation or breach of any Company or Affiliate policy, or any noncompetition, confidentiality, or other
restrictive covenant with respect to the Company or any of its Affiliates, that applies to you; provided, however, that for purposes of clauses (i) and (ii) of this definition, no act, or failure to act, on your part shall be
deemed “willful” unless done, or omitted to be done, by you not in good faith and without reasonable belief that the act, or failure to act, was in the best interests of the Company and/or its Affiliates. 

 

	 	c.	“Good Reason” shall mean any material reduction in the aggregate value of your compensation (including base salary and bonus), or a substantial reduction in the aggregate value of benefits
provided to you; provided, however, that Company-initiated across-the-board reductions in compensation or benefits affecting substantially all employees shall alone not be considered Good Reason. 

 

	 	d.	“Non-Qualifying Change of Control” shall mean a Change of Control of the Company (as defined in the Plan) that results from a Business Unit Sale, provided that following such Change of Control
(i) the Company remains in existence as a publicly-traded company (separate and apart from any Successor Entity resulting from the Change of Control, and regardless of whether the Company continues to use the name “Genworth Financial,
Inc.” or a different name), (ii) your employment with the Company is not terminated by the Company or one of its Affiliates without Cause in connection with the Change of Control, and (iii) the RSUs subject to this agreement remain
outstanding. 

  

	 	e.	“Qualifying Change of Control” shall mean a Change of Control of the Company (as defined in the Plan) that is not a Non-Qualifying Change of Control. 

 

	6.	Conversion to Stock. Unless the RSUs are forfeited prior to the Vesting Date as provided in Section 4 above, the RSUs will be converted to Shares on the Vesting Date, provided, however, that if the
RSUs become vested upon your separation from service during a period in which you are a “specified employee” (as defined below), then, subject to any permissible acceleration of payment by the Company under Treas. Reg.
Section 1.409A-3(j)(4)(ii) (domestic relations order), (j)(4)(iii) (conflicts of interest), or (j)(4)(vi) (payment of employment taxes), your right to receive the Shares will be delayed until the earlier of your death or the first day of the
seventh month following your separation from service (the “Conversion Date”). Shares will be registered on the books of the Company in your name as of the Conversion Date and delivered to you as soon as practical thereafter, in
certificated or uncertificated form, as you shall direct. 

 For purposes of this Agreement, the term “Specified
Employee” has the meaning given such term in Internal Revenue Code Section 409A and the final regulations thereunder (“Final 409A Regulations”), provided, however, that, as permitted in the Final 409A Regulations, the
Company’s Specified Employees and its application of the six-month delay rule of Section 409A(a)(2)(B)(i) shall be determined in accordance with rules adopted by the Company’s Board of Directors or a committee thereof, which shall be
applied consistently with respect to all nonqualified deferred compensation arrangements of the Company, including this Agreement. 
  

	7.	Dividend Equivalents. Until such time as the RSUs convert to Shares, or the RSUs are cancelled, whichever occurs first, the Company will establish an amount to be paid to the Participant (“Dividend
Equivalent”) equal to the number of outstanding RSUs under this Award Agreement times the per share quarterly dividend payments made to shareholders of the Company’s Class A common stock. The Company shall accumulate Dividend
Equivalents and will, on the date that RSUs convert to Shares, pay to the Participant a cash amount equal to the Dividend Equivalents attributable to such RSUs. Notwithstanding the foregoing, any accumulated and unpaid Dividend Equivalents
attributable to RSUs that are cancelled will not be paid and are immediately forfeited upon cancellation of the RSUs. 

  

	8.	Restrictive Covenants. As a condition to receiving payment of the Award, you agree to the following: 

  
 3 

	 	a.	Non-Disparagement. Subject to any obligations you may have under applicable law, you will not make or cause to be made any statements that disparage, are inimical to, or damage the reputation of the
Company or any of its Affiliates, agents, officers, directors or employees. Nothing in this section shall limit your ability to provide truthful testimony or information in response to a subpoena, court order, or investigation by a government
agency. 

  

	 	b.	Non-Solicitation of Customers or Clients. Unless waived in writing by the most senior Human Resources officer of the Company (or his or her successor), you will not, during and for a period of 12 months
following the cessation of your employment with the Company and its Affiliates, directly or indirectly, solicit or contact any of the customers or clients of the Company with whom you had material contact during your employment, regardless of the
location of such customers or clients, for the purpose of engaging in, providing, marketing, or selling any services or products that are competitive with the services and products being offered by the Company. 

 

	 	c.	Non-Solicitation of Company Employees. Unless waived in writing by the most senior Human Resources officer of the Company (or his or her successor), you will not, during and for a period of 12 months
following the cessation of your employment with the Company and its Affiliates, directly or indirectly, solicit or encourage any director, agent or employee of the Company to terminate his or her employment or other engagement with the Company.

  

	9.	Tax Withholding. The Company shall have the power and the right to deduct or withhold, or require you or your beneficiary to remit to the Company, an amount in cash or Shares (including “sell to
cover” arrangements whereby the company has the right to sell shares on your behalf to cover the taxes) sufficient to satisfy federal, state, and local taxes, domestic or foreign, required by law or regulation to be withheld with respect to any
taxable event arising as a result of this Award Agreement. 

  

	10.	Nontransferability. The RSUs awarded pursuant to this Award Agreement may not be sold, transferred, pledged, assigned, or otherwise alienated or hypothecated (“Transfer”), other than by
will or by the laws of descent and distribution, except as provided in the Plan. If any prohibited Transfer, whether voluntary or involuntary, of the RSUs is attempted to be made, or if any attachment, execution, garnishment, or lien shall be
attempted to be issued against or placed upon the RSUs, your right to such RSUs shall be immediately forfeited to the Company, and this Award Agreement shall be null and void. 

 

	11.	Requirements of Law. The granting of the RSUs and the issuance of Shares under the Plan shall be subject to all applicable laws, rules and regulations, and to such approvals by any governmental agencies or
national securities exchanges as may be required. The RSUs shall be null and void to the extent the grant, vesting or conversion of RSUs is prohibited under the laws of the country of your residence. 

 

	12.	Administration. This Award Agreement and your rights hereunder are subject to all the terms and conditions of the Plan, as the same may be amended from time to time, as well as to such rules and
regulations as the Committee may adopt for administration of the Plan. It is expressly understood that the Committee is authorized to administer, construe, and make all determinations necessary or appropriate to the administration of the Plan and
this Award Agreement, all of which shall be binding upon you, the Participant. The Committee’s interpretation of the Plan and this Award Agreement, and all decisions and determinations by the Committee with respect to the Plan and this Award
Agreement, shall be final, binding, and conclusive on all parties. 

  

	13.	No Guarantee of Employment. This Award Agreement shall not confer upon you any right to continuation of employment by the Company or any of its Affiliates, nor shall this Award Agreement interfere in any
way with the Company’s or any of its Affiliate’s right to terminate your employment at any time. 

  
 4 

	14.	Plan; Prospectus and Related Documents; Electronic Delivery. 

  

	 	a.	A copy of the Plan will be furnished upon written or oral request made to the Human Resources Department, Genworth Financial, Inc., 6620 W. Broad Street, Richmond, VA 23230, or telephone (804) 281-6000.

  

	 	b.	As required by applicable securities laws, the Company is delivering to you a prospectus in connection with this Award, which delivery is being made electronically. A paper copy of the prospectus may also be
obtained without charge by contacting the Human Resources Department at the address or telephone number listed above. By accepting this Award Agreement, you shall be deemed to have consented to receive the prospectus electronically.

  

	 	c.	The Company will deliver to you electronically a copy of the Company’s Annual Report to Stockholders for each fiscal year, as well as copies of all other reports, proxy statements and other communications
distributed to the Company’s stockholders. You will be provided notice regarding the availability of each of these documents, and such documents may be accessed by going to the Company’s website at www.genworth.com and clicking on
“Investors” and then “SEC Filings & Financial Reports” (or, if the Company changes its web site, by accessing such other web site address(es) containing investor information to which the Company may direct you in the
future) and will be deemed delivered to you upon posting or filing by the Company. Upon written or oral request, paper copies of these documents (other than certain exhibits) may also be obtained by contacting the Company’s Human Resources
Department at the address or telephone number listed above or by contacting the Investor Relations Department, Genworth Financial, Inc., 6620 W. Broad Street, Richmond, VA 23230, or telephone (804) 281-6000. 

 

	 	d.	By accepting this Award, you agree and consent, to the fullest extent permitted by law, in lieu of receiving documents in paper format to accept electronic delivery of any documents that the Company may be
required to deliver in connection with this Award and any other Awards granted to you under the Plan. Electronic delivery of a document may be via a Company e-mail or by reference to a location on a Company intranet or internet site to which you
have access. 

  

	15.	Amendment, Modification, Suspension, and Termination. The Board of Directors shall have the right at any time in its sole discretion, subject to certain restrictions, to alter, amend, modify, suspend,
or terminate the Plan in whole or in part, and the Committee shall have the right at any time in its sole discretion to alter, amend, modify, suspend or terminate the terms and conditions of any Award; provided, however, that
no such action shall adversely affect in any material way your Award without your written consent. 

  

	16.	Applicable Law. The validity, construction, interpretation, and enforceability of this Award Agreement shall be determined and governed by the laws of the State of Delaware without giving effect to the
principles of conflicts of law. 

  

	17.	Entire Agreement. Except as set forth in Section 18 below, this Award Agreement, the Plan, and the rules and procedures adopted by the Committee contain all of the provisions applicable to the RSUs
and no other statements, documents or practices may modify, waive or alter such provisions unless expressly set forth in writing, signed by an authorized officer of the Company and delivered to you. 

 

	18.	Compensation Recoupment Policy. Notwithstanding Section 17 above, this Award shall be subject to any compensation recoupment policy of the Company that is applicable by its terms to you and to Awards
of this type. 

  

	19.	Severability. The provisions of this Award Agreement are severable and if any one or more provisions are determined to be illegal or otherwise unenforceable, in whole or in part, the remaining provisions
shall nevertheless be binding and enforceable. 

 Please refer any questions you may have regarding your Restricted Stock Unit grant to your
local Human Resources Manager. 

  
 5

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