0001437749-21-004662 Sample Contracts

RESTRICTED STOCK UNIT AGREEMENT INFUSYSTEM HOLDINGS, INC.
Restricted Stock Unit Agreement • March 2nd, 2021 • InfuSystem Holdings, Inc • Surgical & medical instruments & apparatus

Restricted stock units are hereby granted to Carrie Lachance (the “Participant”) by InfuSystem Holdings, Inc., a Delaware corporation (the “Company”) pursuant to this Restricted Stock Unit Agreement (this “Agreement”). The restricted stock units granted pursuant to this Agreement (the “RSUs”) are subject to the terms and conditions of the InfuSystem Holdings, Inc. 2014 Equity Plan, as amended (the “Plan”), the receipt of which is hereby acknowledged by the Participant. Any capitalized terms that are not defined in this Agreement have the meaning set forth in the Plan.

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