Fill and Sign the Form of Stock Grant Agreement for 2009 Stock Incentive Secgov

TRANSFER OF STOCK __________ __________STOCK OF _____________________ FOR VALUE RECEIVED, the undersigned hereby sells, transfers, assigns, and transfers unto ___________________________________ of __________________, _________, __________, _________ shares of stock of _________________________, a ___________________ Corporation and hereby irrevocably appoints the ___________________ of the Corporation as attorney-in-fact to transfer the said shares on the books of the within named corporation with full power of substitution in the premises. [The certificate to which this transfer applies is attached.] or [The certificate to which this transfer applies has been lost and the Corporation is requested to process this transfer and cancel the lost certificate or take such other action as may be appropriate in the premises to honor this transfer.] or [This transfer is for only a portion of the stock held by the shareholder named below. The Certificate to which this transfer applies is for ____ shares of stock, Certificate Number ________. After the transfer is processed the shareholder named below will own _____ shares of the certificate and ____________________________ will own ____________ shares. The certificate is presented to the Secretary of the Corporation to reissue same as specified herein.] DATED this the _______ day of _______________, _____. _________________________________Shareholder
Name of shareholder date date of the grant and transfer of the shares of stock [this certificate to which this transfer applies is attached.] date for which the person named above sold, transferred, or assigned these shares [this certificate to which this transfer applies is attached.] date to which the person named above sold, transferred, or assigned this stock [this certificate to which this transfer applies is attached.] date of the grant of the interest of [the certificates to which this transfer applies is attached.] date of this grant and the number of shares of stock [this certificate to which this transfer applies is attached.] name of person as agent to sell shares to [the certificate to which this transfer applies is attached.] date the certificate is to be filed with the [the certificate to which this transfer applies is attached.] date the certificate is to be filed with the sec date of transfer of stock to agent amount paid by trustee of [the certificate to which this transfer applies is attached.] [the certificate to which this transfer applies is attached. This certificate is dated the day of. Date of transfer of stock to agent amount received by the shareholder for value received in this transaction] [the certificate to which this transfer applies is attached.] [the certificate to which this transfer applies is attached.] [the certificate to which this transfer applies is attached.] date transfer was completed, this is a confirmation of the transfer that the transfer of the shares of the corporation will be processed.] date transfer was completed and this is a confirmation of the transfer or transfer was not completed for some other reasons] [the certificate to which this transfer apply is attached.] date transfer was completed and this is a confirmation of the transfer or transfer was not completed for some other reasons] date that the [ the certificate to which this transfer apply [is attached.] the undersigned, being duly authorized to do acts under the laws of the state of New York, do hereby transfer to the corporation named above in the certificate to which this transfer applies the right to receive a payment for shares of stock owned by the undersigned which are described on the next page and the amount of this payment due. Date 1 and title 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 value of stock 0.