Effective [insert date], you have been granted an award of
[insert number] restricted stock units. These units are restricted until
the vest date(s) shown below, at which time you will receive shares of LCA
Vision Inc. (the Company) common stock.
The current total value of the award is $ [insert value].
The award will vest in increments on the date(s) shown.
By your signature and the Company’s signature below, you and the
Company agree that this award is granted under and governed by the
terms and conditions of the Company’s Award Plan as amended and the
Award Agreement, all of which are attached and made a part of this