0001193125-10-080592 Sample Contracts

INFUSYSTEM HOLDINGS, INC. Restricted Stock Award Agreement
Restricted Stock Award Agreement • April 9th, 2010 • InfuSystem Holdings, Inc • Surgical & medical instruments & apparatus • Delaware

This Award Agreement evidences the grant of shares of common stock of InfuSystem Holdings, Inc. (the “Company”), par value $0.0001 per share (“Shares”), pursuant to the InfuSystem Holdings, Inc. 2007 Stock Incentive Plan (the “Plan”), to the individual whose name appears below (the “Participant”), pursuant to the provisions of the Plan and on the following express terms and conditions. Capitalized terms not otherwise defined herein will each have the meanings assigned to them in the Plan.

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INFUSYSTEM HOLDINGS, INC. Share Award Agreement
Share Award Agreement • April 9th, 2010 • InfuSystem Holdings, Inc • Surgical & medical instruments & apparatus • Delaware

This Share Award Agreement (the “Agreement”) by and between Sean McDevitt (the “Participant”) and InfuSystem Holdings, Inc. (the “Company”), dated this day of April, 2010, evidences the grant to the Participant of the right to receive up to 2,000,000 shares of common stock of the Company, par value $0.0001 per share (individually, a “Share” and collectively, the “Shares”), on the following express terms and conditions:

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