SEC Contract Filing

Filing Date: 2020-06-12

Document Content:
<DOCUMENT>
<TYPE>EX-10.1
<SEQUENCE>3
<FILENAME>tm2021520d4_ex10-1.htm
<DESCRIPTION>EXHIBIT 10.1
<TEXT>
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 <TITLE></TITLE>
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<P STYLE="text-align: right; margin: 0"><B>Exhibit 10.1</B></P>

<P STYLE="margin: 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">[_______] <SUP>1</SUP></P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

<TABLE CELLSPACING="0" CELLPADDING="0" STYLE="width: 100%; font: 10pt Times New Roman, Times, Serif; border-collapse: collapse">
<TR STYLE="vertical-align: top">
 <TD STYLE="padding-bottom: 5pt; font-size: 10pt; width: 5%"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt"><B>To:</B></FONT></TD>
 <TD STYLE="padding-bottom: 5pt; width: 2%">&nbsp;</TD>
 <TD STYLE="padding-bottom: 5pt; text-align: left; width: 93%; vertical-align: top">
 <P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">Glaukos Corporation</P>
 <P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">229 Avenida Fabricante</P>
 <P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">San Clemente, CA 92672</P></TD></TR>
<TR STYLE="vertical-align: top">
 <TD STYLE="padding-bottom: 5pt; font-size: 10pt"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt"><B>From:</B></FONT></TD>
 <TD STYLE="padding-bottom: 5pt">&nbsp;</TD>
 <TD STYLE="padding-bottom: 5pt; text-align: left; font-size: 10pt; vertical-align: top"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt">[_______]</FONT></TD></TR>
<TR STYLE="vertical-align: top">
 <TD STYLE="padding-bottom: 5pt; font-size: 10pt"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt"><B>Re:</B></FONT></TD>
 <TD STYLE="padding-bottom: 5pt">&nbsp;</TD>
 <TD STYLE="padding-bottom: 5pt; text-align: left; font-size: 10pt; vertical-align: top"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt">[Base]<SUP>2</SUP>[Additional]<SUP>3
</SUP></FONT>Capped Call Transaction</TD></TR>
<TR STYLE="vertical-align: top">
 <TD STYLE="padding-bottom: 5pt">
 <P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0"><B>Ref.</B></P>
 <P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0"><B>No:</B></P></TD>
 <TD STYLE="padding-bottom: 5pt">&nbsp;</TD>
 <TD STYLE="padding-bottom: 5pt; text-align: left; font-size: 10pt; vertical-align: top"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt">[_______]<SUP>4</SUP></FONT></TD></TR>
<TR STYLE="vertical-align: top">
 <TD STYLE="padding-bottom: 5pt; font-size: 10pt"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt"><B>Date:</B></FONT></TD>
 <TD STYLE="padding-bottom: 5pt">&nbsp;</TD>
 <TD STYLE="padding-bottom: 5pt; text-align: left; font-size: 10pt; vertical-align: top"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt">[_______], 2020</FONT></TD></TR>
</TABLE>
<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">Dear Ladies and Gentlemen:</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-indent: 0.5in"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt">The
purpose of this communication (this &ldquo;<B>Confirmation</B>&rdquo;) is to set forth the terms and conditions of the above-referenced
transaction entered into on the Trade Date specified below (the &ldquo;<B>Transaction</B>&rdquo;) between </FONT>[___] (&ldquo;<B>Dealer</B>&rdquo;)
and Glaukos Corporation (&ldquo;<B>Counterparty</B>&rdquo;). This communication constitutes a &ldquo;Confirmation&rdquo; as referred
to in the ISDA Master Agreement specified below.</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-indent: 0.5in"><FONT STYLE="font-family: Times New Roman, Times, Serif; font-size: 10pt">1.
</FONT>This Confirmation is subject to, and incorporates, the definitions and provisions of the 2006 ISDA Definitions (the &ldquo;<B>2006
Definitions</B>&rdquo;) and the definitions and provisions of the 2002 ISDA Equity Derivatives Definitions (the &ldquo;<B>Equity
Definitions</B>&rdquo;, and together with the 2006 Definitions, the &ldquo;<B>Definitions</B>&rdquo;), in each case, as published
by the International Swaps and Derivatives Association,&nbsp;Inc. (&ldquo;<B>ISDA</B>&rdquo;). In the event of any inconsistency
between the 2006 Definitions and the Equity Definitions, the Equity Definitions will govern and in the event of any inconsistency
between terms defined in the Equity Definitions and this Confirmation, this Confirmation shall govern.</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0">&nbsp;</P>

<P STYLE="font: 10pt Times New Roman, Times, Serif; margin: 0pt 0; text-indent: 0.5in">This Confirmation evidences a complete and
binding agreement between Dealer and Counterparty as to the terms of the Transaction to which this Confirmation relates. This Confirmation
shall be subject to an agreement (the &ldquo;<B>Agreement</B>&rdquo;) in the form of the 2002 ISDA Master Agreement as if Dealer
and Counterparty had executed an agreement in such form on the Trade Date (but without any Schedule except for (i)&nbsp;the election
of the laws of the State of New York as the governing law (without reference to choice of law doctrine, [(ii)&nbsp;the election
of an executed guarantee of [__________] (&ldquo;<B>Guarantor</B>&rdquo;) dated as of the Trade Date in substantially the form
attached hereto as Schedule 1 as a Credit Support Document, (iii)&nbsp;the election of Guarantor as Credit Support Provider in
relation to Dealer and (iv)]<SUP>5</SUP> [and (ii)] the election that the &l