SEC Contract Filing

Filing Date: 2016-03-24

Document Content:
<DOCUMENT>
<TYPE>EX-10.4
<SEQUENCE>2
<FILENAME>v427833_ex10-4.htm
<DESCRIPTION>EXHIBIT 10.4
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<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: right"><B>Exhibit 10.4</B></P>

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<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center"><B>AMENDED AND RESTATED XTANT MEDICAL
EQUITY INCENTIVE PLAN</B></P>

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<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: center"><B>AMENDED AND RESTATED RESTRICTED
STOCK AGREEMENT</B></P>

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<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-align: justify; text-indent: 27.5pt">This Agreement between
Xtant Medical Holdings, Inc. (the &ldquo;Company&rdquo;) and ________________ (the &ldquo;Participant&rdquo;) shall be effective
as of the date of grant. The Company and Participant agree as follows:</P>

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 <TD STYLE="width: 2%">1.</TD>
 <TD STYLE="width: 98%; font-weight: normal; text-decoration: none; text-align: justify; font-style: normal"><B><U>Grant of Restricted Stock</U>.
 </B>Participant is hereby granted Restricted Stock of the Company pursuant to the Amended and Restated Xtant Medical Equity
 Incentive Plan (the &quot;Plan&quot;). This Agreement is subject to and shall be construed in accordance with the terms and
 conditions of the Plan, as now or hereinafter in effect. Any terms which are used in this Agreement without being defined
 and which are defined in the Plan shall have the meaning specified in the Plan.</TD></TR>
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 <TD STYLE="width: 2%">2.</TD>
 <TD STYLE="width: 98%; font-weight: normal; text-decoration: none; text-align: justify; font-style: normal"><B><U>Date of Grant</U>.</B> The date of the grant of the Restricted Stock is ______________.</TD></TR>
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 <TD STYLE="width: 2%">3.</TD>
 <TD STYLE="width: 98%; font-weight: normal; text-decoration: none; text-align: justify; font-style: normal"><B><U>Number and Price of Shares</U>.</B> The number of Shares of Restricted Stock granted is _________. The Fair Market Value per Share on date of grant is $____.</TD></TR>
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 <TD STYLE="width: 2%">4.</TD>
 <TD STYLE="width: 98%; font-weight: normal; text-decoration: none; text-align: justify; font-style: normal"><B><U>Vesting</U>.</B> The Restricted Stock granted hereby shall become fully vested on ___________.</TD></TR>
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<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0 0pt 27.5pt; text-align: justify">In order to be vested in Shares
of Restricted Stock in accordance with the schedule, the Participant must have been continuously serving as _____________ from
the Date of Grant until the vesting date.</P>

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<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0 0pt 27.5pt; text-align: justify"><U>Acceleration of Exercisability</U>.
Upon a Change in Control of the Company, all Restricted Shares under this Agreement shall immediately be 100% vested without regard
to the vesting restrictions contained in this Restricted Stock Agreement.</P>

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 <TD STYLE="width: 2%">5.</TD>
 <TD STYLE="width: 98%; font-weight: normal; text-decoration: none; text-align: justify; font-style: normal"><B><U>Legends</U>.</B> Certificates representing vested Shares may contain such legends and transfer restrictions as the Company shall deem reasonably necessary or desirable, including, without limitation, legends restricting transfer of the Stock until there has been compliance with federal and state securities laws.</TD></TR>
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 <TD STYLE="width: 2%">6.</TD>
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