0001193125-11-351490 Sample Contracts

FORM OF CVR ENERGY, INC. RESTRICTED STOCK AGREEMENT
Restricted Stock Agreement • December 23rd, 2011 • CVR Energy Inc • Petroleum refining • Delaware

THIS RESTRICTED STOCK AGREEMENT, made as of the day of , 20 (the “Grant Date”), between CVR Energy, Inc., a Delaware corporation (the “Company”), and the individual grantee designated on the signature page hereof (the “Grantee”).

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