Document:

Stock Pledge Agreement

 EXHIBIT 10.85 
  
 STOCK PLEDGE AGREEMENT 
  
 THIS STOCK PLEDGE AGREEMENT is made and entered into as of the 3rd day of January, 2002, by and between BOLAND T. JONES (the
“Pledgor”) and PTEK HOLDINGS, INC., Georgia corporation (the “Secured Party”). 
  
 W I T N E S S E T H: 
  
 WHEREAS, the Pledgor has been granted 156,125 shares of the $.01 par value common stock (the “Shares”) of Secured Party pursuant to that certain Restricted Stock Award Agreement dated November 27,
2001 (the “RSA Agreement”); and 
  
 WHEREAS, in
connection with such grant, Pledgor has delivered a Promissory Note of even date herewith (the “Note”) to the Secured Party in the principal amount of $209,935.17; and 
  
 WHEREAS, to secure the payment of all obligations of the Pledgor under the Note, the Pledgor has agreed to pledge to
the Secured Party, and to grant the Secured Party a security interest in, all of the Shares; 
  
 NOW, THEREFORE, for and in consideration of the premises and the agreements and covenants contained herein, the parties hereto agree as follows: 
  
 1. Security Interest. The Pledgor hereby unconditionally grants and assigns to the Secured Party, its successors and
assigns, a continuing security interest in and security title to the Shares. The Pledgor has delivered to and deposited with the Secured Party certificates representing the Shares and stock powers endorsed in blank, as security for payment of (i)
all obligations of the Pledgor to the Secured Party under the Note, and any extension, renewal, amendment or modification thereof, and (ii) all obligations of the Pledgor to the Secured Party hereunder. Beneficial ownership of the Shares, including,
without limitation, all voting, consensual and dividend rights, shall remain in the Pledgor until the occurrence of a Default pursuant to Section 3 hereof. 
  
 2. Representation and Warranty. The Pledgor hereby represents and warrants to the Secured party that except for the security interest created
hereby, the Pledgor owns the Shares free and clear of all liens, claims and encumbrances, and has the unencumbered right to pledge the Shares, subject to the terms and conditions of the RSA Agreement. 
  
 3. Default. Upon the occurrence of an Event of Default under the
Note, or if the Pledgor shall fail to perform or observe any provision of this Agreement and such failure shall continue for thirty (30) days after notice is given by the Secured Party to the Pledgor of such failure (any of such occurrences being
hereinafter referred to as a “Default”), the Secured Party shall be entitled, without limitation, to exercise the following rights, which the Pledgor hereby agrees to be commercially reasonable: 

 (a) to receive all amounts payable in respect of the Shares otherwise payable to the Pledgor, and to
exercise all of the rights, powers and remedies of the Pledgor with respect to such payments; 
  
 (b) to transfer all or any part of the Shares into the Secured Party’s name or the name of its nominee or nominees; 
  
 (c) to vote all or any part of the Shares (whether or not transferred into the name of the Secured Party) and give all consents, waivers and ratifications
in respect of the Shares and otherwise act with respect thereto as though it were the outright owner thereof; 
  
 (d) at any time or from time to time to sell, assign and deliver, or grant options to purchase, all or any part of the Shares in one or more blocks, or
any interest therein, at any public or private sale at any exchange or elsewhere, without demand of performance, advertisement or notice of intention to sell or of the time or place of sale or adjournment thereof (all of which are hereby expressly
and irrevocably waived by the Pledgor), for cash, on credit or for other property, for immediate or future delivery without any assumption of credit risk, and for such price or prices and on such terms as the Secured Party in its sole discretion may
determine; the Pledgor agrees that to the extent that notice of sale shall be required by law that at least five (5) business days’ notice to the Pledgor of the time and place of any public sale or the time after which any private sale is to be
made shall constitute reasonable notification; the Secured Party shall not be obligated to make any sale of the Shares regardless of notice of sale having been given; the Secured Party may adjourn any public or private sale from time to time by
announcement at the time and place fixed therefor, and any such sale may, without further notice, be made at the time and place to which it was so adjourned; the Pledgor hereby waives and releases to the fullest extent permitted by law any right or
equity of redemption with respect to the Shares, whether before or after sale hereunder, and all rights, if any, of marshalling the Shares; at any such sale, unless prohibited by applicable law, the Secured Party may bid for and purchase all or any
part of the Shares so sold free from any such right or equity of redemption; and the Secured Party shall not be liable for failure to collect or realize upon any or all of the Shares or for any delay in so doing nor shall any of them be under any
obligation to take any action whatsoever with regard thereto; and 
  
 (e) generally, to take all such other action as the Secured Party in its sole discretion may determined as incidental or conducive to any of the matters or powers mentioned in the foregoing provisions of this Section 3 and which the Secured
Party may or can be do lawfully and to use the name of the Pledgor for the purposes aforesaid and in any proceedings arising therefrom. 
  
 4. Application of Proceeds. The proceeds of the public or private sale or other disposition shall be applied (a) to the costs incurred in
connection with the sale; (b) to any unpaid interest which may have accrued on any obligations secured hereby; (c) to any unpaid principal on any obligations secured hereby; and (d) to damages incurred by the Secured Party by reason of any breach
secured against hereby, in such order as the Secured Party may determine, and any remaining proceeds shall be paid over to the Pledgor or others as provided by law. In the event 
  

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 the proceeds of the sale or other disposition of the Shares are insufficient to pay such expenses, interest, principal,
obligations and damages, the Pledgor shall remain liable to the Secured Party for any such deficiency. 
  
 5. Additional Rights of Secured Party. In addition to its rights and privileges under this Agreement, the Secured Party shall have all the rights,
powers and privileges of a secured party under the Georgia Uniform Commercial Code. 
  
 6. Return of Shares to Pledgor. Upon payment in full of all principal and interest on the Note, this Agreement shall terminate and the Secured Party shall return to the Pledgor all of the then remaining Shares.

  
 7. Voting Rights. 
  
 (a) For so long as any of the obligations secured hereby remain unpaid,
after a Default, (i) the Secured Party may exercise all voting rights, and all other ownership or consensual rights of the Shares, but under no circumstances is the Secured Party obligated by the terms of this Agreement to exercise such rights, and
(ii) the Pledgor hereby appoints the Secured Party the Pledgor’s true and lawful attorney-in-fact and IRREVOCABLE PROXY to vote the Shares in any manner the Secured Party seems advisable for or against all matters submitted or which nay be
submitted to a vote of shareholders. The power-of-attorney granted hereby is coupled with an interest and shall be irrevocable. 
  
 (b) For so long as the Pledgor shall have the right to vote the Shares, the Pledgor covenants and agrees that it will not, without the prior written
consent of the Secured Party, vote or take any consensual action with respect to the Shares which would constitute a default under this Agreement. 
  
 8. Assignment. The Pledgor shall not transfer, assign or otherwise dispose of its beneficial interest in any of the Shares without the prior
written consent of the Secured Party. 
  
 9. Notices. Any
notices or other communications required or permitted by this Agreement shall be in writing and shall be deemed to have been duly given and delivered when delivered in person, when mailed postage prepaid by registered or certified mail with return
receipt requested, or when delivered by overnight delivery service to the recipient at the address set forth below, or to such other address as to which the other party has been subsequently notified in writing by such recipient. 
  

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	 Pledgor:
	  	Secured Party:
	 Boland T. Jones
	  	PTEK Holdings, Inc.
	 229 The Prado
	  	3399 Peachtree Road
	 Atlanta, GA 30309
	  	The Lenox Building, Suite 600
	 	  	Atlanta, GA 30326
	 	  	Attention: Chief Legal Officer

  
 10. Applicable Law;
Binding Agreement. The provisions of this Agreement shall be construed and interpreted, and all rights and obligations of the parties hereto determined, in accordance with the laws of the State of Georgia. This Agreement, together with all
documents referred to herein, constitutes the entire agreement between the Pledgor and the Secured Party with respect to the matters addressed herein and may not be modified except by a writing executed by the Secured Party and Pledgor. This
Agreement may be executed in multiple counterparts, each of which shall be deemed an original but all of which, taken together, shall constitute one and the same instrument. 
  
 11. Severability. If any Section or part thereof shall for any reason be held or adjudged to be invalid, illegal or
unenforceable by any court of competent jurisdiction, such Section or part thereof so adjudicated invalid, illegal or unenforceable shall be deemed separate, distinct and independent, and the remainder of this Agreement shall remain in full force
and effect and shall not be affected by such holding or adjudication. 
  
 IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed as of the day and year first above written. 
  

	PLEDGOR:
	
	/s/ Boland T. Jones
	

	Boland T. Jones

	 
	 
	SECURED PARTY:
	 
	PTEK HOLDINGS, INC.
		
	By:	 	/s/ Patrick G. Jones
	 	

	 	 	 Patrick G. Jones
 Executive Vice
President

  

 4Restricted Stock Award Agreement

 EXHIBIT 10.86 
  
 RESTRICTED STOCK AWARD AGREEMENT 
 with respect to an award of Restricted Stock under the 
 PTEK Holdings, Inc. 1995 STOCK PLAN

  
 1. Grant of Shares. PTEK Holdings, Inc. (the
“Company”) grants to the Grantee named on the signature page hereto (the “Grantee”), in exchange for certain stock options tendered to the Company by the Grantee in accordance with that certain Offer to Purchase, dated November
29, 2001 (the “Offer to Purchase”), and subject to the restrictions and the other terms and conditions set forth in the PTEK Holdings, Inc. 1995 Stock Plan (the “Plan”) and in this agreement (this “Agreement”), the
number of shares of the Company’s $.01 par value common stock indicated on the signature page hereto (the “Shares”). The Shares are granted as of December 28, 2001 (the “Date of Grant”). Capitalized terms used herein and not
otherwise defined shall have the meanings assigned to such terms in the Plan. 
  
 2. Restrictions. The Shares are subject to the following restrictions. “Restricted Shares” mean those Shares that are subject to the restrictions imposed under this Section 2, which restrictions have
not then expired or terminated. Restricted Shares may not be sold, transferred, exchanged, assigned, pledged, hypothecated or otherwise encumbered (a “transfer”) until the expiration of the Restricted Period (as defined in Section 3 below)
with respect to such Restricted Shares, and any transfer or attempted transfer shall be null and void and of no effect whatsoever; provided, however, that Restricted Shares may be pledged to the Company. If the Grantee’s employment with the
Company terminates during the Restricted Period for any reason other than as set forth in subsection (b) or (c) of Section 3 below, then the Grantee shall forfeit all of the Grantee’s right, title and interest in and to the Restricted Shares as
of the date of such termination and such Restricted Shares shall be reconveyed to the Company as of the date of such termination without further consideration or any act or action by the Grantee. The restrictions imposed under this Section 2 shall
apply to all shares of the Company’s common stock or other securities issued with respect to Restricted Shares hereunder in connection with any merger, reorganization, consolidation, recapitalization, stock dividend or other change in corporate
structure affecting the common stock of the Company. 
  
 3.
Expiration and Termination of Restrictions. The restrictions imposed under Section 2 above (but not the restrictions imposed under Section 5 below) will expire on the earliest to occur of the following dates (the period prior to such expiration
being referred to herein as the “Restricted Period”): 
  
 (a) on the vesting dates and with respect to the number of Restricted Shares set forth on Schedule A attached hereto, provided that on such date the Grantee is an employee of the Company or any of its subsidiaries; 
  
 (b) with respect to all of the Restricted Shares, on the date of death or
Permanent and Total Disability of the Grantee; 
  

 (c) with respect to the Restricted Shares represented by Option Number 00003390, on the date the
Grantee’s employment with the Company is terminated without “cause” as defined in the Grantee’s Executive Employment and Incentive Option Agreement with the Company; and 
  
 (d) with respect to all of the Restricted Shares, upon a Change in Control
of the Company. 
  
 4. Change in Control. For the purposes
of this Agreement, a Change in Control of the Company shall mean the occurrence of any of the following events: 
  
 (a) An acquisition (other than directly from the Company) of any voting securities of the Company (“Voting Securities”) by any
“Person” (as the term person is used for purposes of Section 13(d) or 14(d) of the Securities Exchange Act of 1934 (the “1934 Act”)) immediately after which such Person has “Beneficial Ownership” (within the meaning of
Rule 13d-3 promulgated under the 1934 Act) of 25% or more of the combined voting power of the Company’s then outstanding Voting Securities; provided, however, that in determining whether a Change in Control has occurred, Voting Securities that
are acquired in an acquisition by (i) an employee benefit plan (or a trust forming a part thereof) maintained by (A) the Company or (B) any corporation or other person of which a majority of its voting power or its equity securities or equity
interests are owned directly or indirectly by the Company (a “Subsidiary”), or (ii) the Company or any Subsidiary, or (iii) any Person in connection with a “Non-Control Transaction” (as hereinafter defined), shall not constitute
an acquisition for purposes for this clause (a); or 
  
 (b) The
individuals who, as of the date of this Agreement, are members of the Board (the “Incumbent Board”) cease for any reason to constitute at least 60% of the Board; provided, however, that if the election, or nomination for election by the
Company’s shareholders, of any new director was approved by a vote of at least 80% of the Incumbent Board, such new director shall for purposes of this Agreement, be considered as a member of the Incumbent Board; provided, further, however,
that no individual shall be considered a member of the Incumbent Board if such individual initially assumed office as a result of either an actual or threatened “Election Contest” (as described in Rule 14a-11 promulgated under the 1934
Act) or other actual or threatened solicitation of proxies or consents by or on behalf of a Person other than the Board (a “Proxy Contest”), including by reason of any agreement intended to avoid or settle any Election Contest or Proxy
Contest; or 
  
 (c) Approval by the shareholders of the Company
of: 
  

	 	(i)	a merger, consolidation or reorganization involving the Company, unless: 

  
 (A) the shareholders of the Company, immediately before such merger, consolidation or reorganization, own, directly or indirectly, immediately following
such a merger, consolidation or reorganization, at least two-thirds (2/3) of the combined voting power of the outstanding voting securities of the corporation resulting from such merger, consolidation or reorganization (the “Surviving
Corporation”) in substantially the same 
  

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 proportion as their ownership of the Voting Securities immediately before such merger, consolidation or
reorganization, and 
  
 (B) the individuals who were members of
the Incumbent Board immediately prior to the execution of the agreement providing for such merger, consolidation or reorganization constitute at least 80% of the members of the board of directors of the Surviving Corporation. (A transaction in which
both of clauses (A) and (B) above shall be applicable is hereinafter referred to as a “Non-Control Transaction.”) 
  

	 	(ii)	A complete liquidation or dissolution of the Company; or 

  

	 	(iii)	An agreement for the sale or other disposition of all or substantially all of the assets of the Company to any Person (other than a transfer to a Subsidiary); or

  

	 	(iv)	A transaction in which the Company recapitalizes itself and uses the proceeds of such a recapitalization to buy back or tender common stock or declares a special cash dividend in
excess of $.50 per share of common stock. 

  
 Notwithstanding
anything to the contrary in this Agreement, any termination of the Grantee’s employment by the Company or one of its subsidiaries prior to, but in anticipation of, a Change in Control of the Company shall be deemed to be a termination following
a Change in Control of the Company, and, in such event all Restricted Shares shall immediately vest upon the date of termination. 
  
 5. Blackout Period. Separate and apart from the restrictions imposed under Section 2 above, for a period of twelve (12) months after the Date of
Grant (the “Blackout Period”), the Grantee may not transfer any of the Shares, except as provided in subsections (a) and (b) below: 
  
 (a) Tax Withholding. Vested Shares (i.e., Shares that have ceased to be Restricted Shares under Section 3 above) may be sold to
satisfy tax withholding obligations as provided in Section 10(b) below; provided, however, that no vested Shares may be sold during the Blackout Period to pay taxes due with respect to a Section 83(b) election pursuant to Section 10(a) below. If the
Grantee elects to sell vested Shares to satisfy tax withholding obligations, the Grantee shall complete and sign such documents as requested by the Company in order to sell such vested Shares, and all such vested Shares shall be sold through a
brokerage firm designated by the Company (the “Designated Broker”). 
  
 (b) Financial Hardship. The 1995 Plan Committee or senior management of the Company may, in its or their sole discretion, permit other sales of vested Shares during the Blackout Period in the event of a
severe financial hardship of the Grantee. 
  
 6. Voting and
Dividend Rights. The Grantee, as beneficial owner of the Shares, shall have full voting and dividend rights with respect to the Shares during the Restricted Period. 
  

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 7. Delivery of Shares. The Shares will be issued in the name of the Grantee as Restricted Shares
and will be held by the Company during the Restricted Period in certificated or uncertificated form. If a certificate for Restricted Shares is issued during the Restricted Period, such certificate shall be registered in the name of the Grantee and
shall bear a legend in substantially the following form: 
  
 This
certificate and the shares of stock represented hereby are subject to the terms and conditions (including forfeiture and restrictions against transfer) contained in a Restricted Stock Award Agreement dated December 28, 2001 between the registered
owner of the shares represented hereby and PTEK Holdings, Inc. Release from such terms and conditions shall be made only in accordance with the provisions of such Agreement, copies of which are on file in the office of PTEK Holdings, Inc.

  
 The Grantee shall deposit with the Company a stock power, or powers, executed
in blank and sufficient to reconvey the Restricted Shares to the Company upon any forfeiture of the Restricted Shares, in accordance with the provisions of this Agreement. Stock certificates for vested Shares, without the above legend, shall be
delivered to an account in the name of the Grantee with the Designated Broker as soon as practicable after such Shares cease to be Restricted Shares, but delivery may be postponed for such period as may be required for the Company with reasonable
diligence to comply if deemed advisable by the Company, with registration requirements under the Securities Act of 1933, listing requirements under the rules of any stock exchange, and requirements under any other law or regulation applicable to the
issuance or transfer of the Shares, and the Grantee will not transfer the vested Shares from his or her account with the Designated Broker to the Grantee or the Grantee’s designee until the Required Withholding with respect to such Shares has
been satisfied pursuant to Section 10(b) below and the Blackout Period has expired. 
  
 8. Nontransferability. This Agreement and all rights hereunder are nontransferable and nonassignable by the Grantee, other than by the last will and testament of the Grantee or the laws of descent and
distribution, unless the Company consents thereto in writing. Any transfer or attempted transfer except pursuant to the preceding sentence shall be null and void and of no effect whatsoever. 
  
 9. Plan Terms Incorporated. The terms contained in the Plan are
incorporated into and made a part of this Agreement, including without limitation the antidilution provisions of Section 5.2 of the Plan, and this Agreement shall be governed by and construed in accordance with the Plan. 
  
 10. No Implied Rights or Obligations. Nothing in this Agreement shall
interfere with or limit in any way the right of the Company to terminate the Grantee’s employment with the Company or any of its Subsidiaries at any time, nor confer upon the Grantee any right to continue as an employee of the Company or any of
its Subsidiaries. 
  

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 11. Tax Matters. 
  
 (a) The Grantee may make an election to be taxed upon the grant of his or her Shares under Section 83(b) of the Internal Revenue Code of 1986, as amended.
To effect such election, the Grantee must file an appropriate election with the Internal Revenue Service within thirty (30) days after the grant of the Shares and otherwise in accordance with applicable Treasury Regulations. 
  
 (b) The Grantee shall be required to pay or reimburse the Company for any
taxes or other amounts that the Company determines are required to be withheld under federal, foreign, state or local law in connection with the grant of the Shares or the lapse of the restrictions imposed under Section 2 above (the “Required
Withholding”). The Grantee may satisfy the Required Withholding by either (i) delivering a check to the Company for the full Required Withholding, (ii) authorizing the sale, through the Designated Broker, of a number of vested Shares having an
aggregate value as of the date(s) of sale equal to the Required Withholding, or (iii) a combination of such methods. Due to fluctuations in demand for the Company’s stock in the securities markets, the Designated Broker may have to sell the
vested Shares in a series of transactions over a period of days or weeks. The number of vested Shares that will ultimately be sold to satisfy the Required Withholding will depend upon the price of the Company’s stock on the actual sale date(s).
The Designated Broker will remit the net proceeds of any such sale to the Company in an amount equal to the Required Withholding, and any proceeds from the sale of a fractional share in excess of the Required Withholding will be deposited into the
brokerage account of the Grantee with the Designated Broker. The Grantee will pay the brokerage fees of the Designated Broker in connection with such sales as well as any other costs of sale. The obligations of the Company under this Agreement will
be conditioned on such payment of the Required Withholding, and the Company and its Subsidiaries will, to the extent permitted by law, have the right to deduct any unpaid Required Withholding from any payment of any kind otherwise due to the
Grantee, including without limitation salary and/or bonus. 
  
 12. Amendment. This Agreement may not be amended except by a writing signed by the Company and the Grantee. 
  
 13. Heirs and Successors. Subject to Section 8 above, this Agreement and all terms and conditions hereof shall be binding upon the Company and its
successors and assigns, and upon the Grantee and his heirs, legatees and legal representatives. 
  
 14. Severability. The provisions of this Agreement, and of each separate section and subsection, are severable, and if any one or more provisions
may be determined to be illegal or otherwise unenforceable, in whole or in part, the remaining provisions, and any unenforceable provisions to the extent enforceable, shall nevertheless be binding and enforceable. 
  
 15. Notices. All notices, requests and other communications required
or permitted hereunder shall be in writing and shall be deemed to have been duly given and received when delivered in person, when delivered by overnight delivery service, or three (3) business days after being mailed by registered or certified
mail, postage prepaid, return receipt requested, to the 
  

 5 

 following addresses (or to such other address as one party may from time to time designate in writing to the other party
hereto): 
  

	 If to the Company:
	 	 	 	 PTEK Holdings, Inc.
 3399
Peachtree Road, N.E.
 The Lenox Building, Suite 600
 Atlanta,
Georgia 30326
 Attn: Director of Stock Management
	 	 

  
 or any other address designated by the
Company in a written notice to the Grantee. Notices to the Grantee will be directed to the address of the Grantee then currently on file with the Company, or at any other address given by the Grantee in a written notice to the Company. 

 
 16. Governing Law. This Agreement shall be governed by, and
construed and enforced in accordance with, the laws of the State of Georgia. 
  
 (signatures on next page) 
  

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 IN WITNESS WHEREOF, PTEK Holdings, Inc., acting by and through its duly authorized officers, has
caused this Agreement to be executed, and the Grantee has executed this Agreement, all as of December 28, 2001. 
  

	PTEK HOLDINGS, INC.
		
	By:	 	/s/ Patrick G. Jones
	 	

	 	 	 Patrick G. Jones
 Executive Vice
President

  
 I hereby accept
the grant of Shares in accordance with and subject to the terms and conditions set forth above. 
  
 I agree that any Shares received by me hereunder will not be sold or otherwise disposed of by me except in a manner in compliance with applicable
securities laws. 
  

	GRANTEE:
	
	/s/ Boland T. Jones
	

	Boland Jones
	 	 	 
	 	 	 
	 	 	 
	Number of Shares:     320,716

  
  

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 Schedule A 
 to Restricted Stock Award Agreement 
  

	 First Name Last Name
	 	SSN or ID:	 	 
	 Address
	 	 	 	 
	 City, State Zip
	 	 	 	 
	 Country
	 	 	 	 

  

	 Option
 Number

	 	 Grant or
Repricing
Date

	 	 Option
 Exercise

Price

	 	 Options
Outstanding

	 	 Options
 Vested
on
12/28/01

	 	 Options
Unvested
 on
12/28/01

	 	 Restricted
Shares: To
 vest
on
 12/29/01

	 	 Restricted
Shares: To
follow vesting
of tendered
options

	 	 Total
Restricted
Shares

									
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

									
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

									
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

									
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

									
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

									
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

									
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

									
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

									
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 	 
									
	 TOTALS:

	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

  
 Restricted Shares are subject to a
blackout period ending December 28, 2002, as described in the Offer to Purchase. 
  
 Page 1 of 2 
  
  

 8 

 Schedule A 
 to Restricted Stock Award Agreement 
  

	 First Name Last Name
	 	SSN or ID:	 	 
	 Address
	 	 	 	 
	 City, State Zip
	 	 	 	 
	 Country
	 	 	 	 

  
 Post-Exchange
Vesting Schedule 
  

	 Option#:

	 	 Option#:

	 	 Option#:

	 	 Option#:

	 	 Option#:

	 Vest Date

	 	 # Shares

	 	 Vest Date

	 	 # Shares

	 	 Vest Date

	 	 # Shares

	 	 Vest Date

	 	 # Shares

	 	 Vest Date

	 	 # Shares

										
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

										
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

										
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

										
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

										
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

										
	 Total Shrs:
	 	 	 	Total Shrs:	 	 	 	Total Shrs:	 	 	 	Total Shrs:	 	 	 	Total Shrs:	 	 

  

	 Option#:

	 	 Option#:

	 	 Option#:

	 	 Option#:

	 	 Option#:

	 Vest Date

	 	 # Shares

	 	 Vest Date

	 	 # Shares

	 	 Vest Date

	 	 # Shares

	 	 Vest Date

	 	 # Shares

	 	 Vest Date

	 	 # Shares

										
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

										
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

										
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

										
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

										
	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	
	 	

										
	 Total Shrs:
	 	 	 	Total Shrs:	 	 	 	Total Shrs:	 	 	 	Total Shrs:	 	 	 	Total Shrs:	 	 

 Page 2 of 2 
  

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