EX-10.19A 3 v392033_ex10-19a.htm EXHIBIT 10.19A

Exhibit 10.19a

Pursuant to the terms and conditions of the Company’s 2014 Incentive Plan (the “Plan”), you have been granted an Incentive Stock Option to purchase ________ shares of stock as outlined below.

Granted To: Employee Name |
Grant Date: mm/dd/yyyy |
Granted: ## |
Grant Price: $## | Total Cost to Exercise: $##
Expiration Date: mm/dd/yyy |
Vesting Schedule: |

By my signature below, I hereby acknowledge receipt of this Grant on the date shown above, which has been issued to me under the terms and conditions of the Plan. I further acknowledge receipt of the copy of the Plan and agree to conform to all of the terms and conditions of the Grant and the Plan.

Signature: |  |  | Date: |