0001193125-14-436479 Sample Contracts

FORM OF NORTHERN TIER ENERGY LP PHANTOM UNIT AGREEMENT (PERFORMANCE-BASED VESTING)
Phantom Unit Agreement • December 8th, 2014 • Northern Tier Energy LP • Petroleum refining • Delaware

This Phantom Unit Agreement (this “Agreement”) is made and entered into by and between Northern Tier Energy GP LLC, a Delaware limited liability company (the “General Partner”), and [ ] (the “Service Provider”). This Agreement is effective as of the [ ] day of [ ], 20[ ] (the “Date of Grant”). Capitalized terms used in this Agreement but not otherwise defined herein shall have the meanings ascribed to such terms in the Plan (as defined below), unless the context requires otherwise.

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