Incentive Stock Options Form
Name *

First
Last
Email *
State or Country *
Are you required to file any notice with the SEC for any reason? *
 Yes 
 No 
When is your ISO exercisable? If it is exercisable in increments, when is the first increment exercisable? *

MM 		/
DD 		/
YYYY
When do the options expire? This may be incremental also, if so when does the first increment expire? *

MM 		/
DD 		/
YYYY
Can you exercise your vested ISO after your employment terminates? *
 Yes 
 No 
Are you capable of transferring your ISO to your broker, even if you dont have one yet? *
 Yes 
 No 
Are there any time restrictions on when you can transfer your ISO to your broker? *
 Yes 
 No 
Locate a copy of your ISO plan. Other than time restrictions for exercising are there any other restrictions? *
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