[ITT INDUSTRIES LOGO]
ITT INDUSTRIES, INC. 2003 EQUITY INCENTIVE PLAN
AWARD AGREEMENT DATE OF AWARD
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Director's Name
ITT INDUSTRIES, INC. RESTRICTED STOCK AWARD
(Under the ITT Industries, Inc. 2003 Equity Incentive Plan)
You have been granted an ITT Industries restricted stock award as follows:
shares of ITT Industries common stock
These shares may not be sold, assigned, transferred, pledged or otherwise
disposed of, except by will or the laws of descent and distribution, prior to
the earliest of the following dates:
(1) The fifth anniversary of the date of grant, or (date)
(2) Retirement from the Board at age 72,
(3) "Acceleration Event" of the Company, as defined in the Plan,
(4) Death,
(5) Disability, as defined the Administrative Rules and Regulations,
(6) Termination of service from the Board of Directors, for one of the
reasons enumerated in the Administrative Rules and Regulations.
If your membership on the Board of Directors terminates before the fifth
anniversary of date of grant or (date) for a reason not set forth above, you
will forfeit the shares granted under this Award Agreement. A legended
certificate evidencing your grant will be held in escrow by the Compensation and
Personnel Committee ("Committee") of the ITT Industries Board of Directors until
the restrictions lapse and other requirements are satisfied. You will enjoy the
benefits of share ownership, including dividend payments and voting rights,
during the restriction period. When the restrictions lapse, you will be issued a
share certificate, subject to the terms of the Plan.
Please refer to the attached Administrative Rules and Regulations pertaining to
the grants of restricted stock to Non-employee Directors under the Plan, which
were adopted by the Committee on May 12, 2003, and to the copy of the Plan
attached hereto and incorporated herein.
Please indicate your acceptance of the above award and the terms and conditions
as described herein and in the attachments by executing both copies of this
Award Agreement and returning one copy to ▇▇. ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, ITT
Industries, Inc., ▇ ▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇.
I hereby accept the terms and conditions (signed by ▇▇▇▇▇ ▇. ▇▇▇▇)
of this Notice of Award: ITT INDUSTRIES, INC.
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Signature of Awardee Date Mailing Address:
Social Security #: Company
Citizenship: USA Street
State
Please return this copy to ▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇, ITT Industries, Inc.,
▇ ▇▇▇▇ ▇▇▇ ▇▇▇ ▇▇▇▇, ▇▇▇▇▇ ▇▇▇▇▇▇, ▇▇▇ ▇▇▇▇ ▇▇▇▇▇
