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As Of Filer Filing For·On·As Docs:Size Issuer Filing Agent 2/14/12 Electromed, Inc. 10-Q 12/31/11 36:1.4M American Fin’l P… Inc/FA |
Document/Exhibit Description Pages Size
1: 10-Q For the Quarter Ended December 31, 2011 HTML 158K
2: EX-10.1 Amended and Restated Credit Agreement HTML 245K
3: EX-10.2 Amended and Restated Revolving Note HTML 16K
4: EX-10.3 Reaffirmation of Guaranty HTML 14K
5: EX-10.4 Form of Stock Option Award Agreement HTML 13K
6: EX-10.5 First Amendment to Amended and Restated Credit HTML 34K
Agreement
7: EX-10.6 Reaffirmation of Guaranty HTML 14K
8: EX-10.7 Separation Agreement and Release of Claims HTML 49K
9: EX-31.1 Certification of CEO Pursuant to Section 302 HTML 17K
10: EX-31.2 Certification of CFO Pursuant to Section 302 HTML 17K
11: EX-32.1 Certification of CEO Pursuant to Section 906 HTML 13K
12: EX-32.2 Certification of CFO Pursuant to Section 906 HTML 13K
25: R1 Document And Entity Information HTML 32K
21: R2 Condensed Consolidated Balance Sheets HTML 120K
24: R3 Condensed Consolidated Balance Sheets HTML 30K
(Parenthetical)
27: R4 Condensed Consolidated Statements Of Income HTML 78K
34: R5 Condensed Consolidated Statements Of Income HTML 16K
(Parenthetical)
22: R6 Condensed Consolidated Statements Of Cash Flows HTML 104K
23: R7 Condensed Consolidated Statements Of Cash Flows HTML 18K
(Parenthetical)
20: R8 Interim Financial Reporting HTML 21K
18: R9 Inventories HTML 19K
35: R10 Finite-Life Intangible Assets HTML 20K
29: R11 Warranty Liability HTML 20K
28: R12 Income Taxes HTML 18K
31: R13 Financing Arrangements HTML 18K
32: R14 Common Stock HTML 15K
30: R15 Commitments And Contingencies HTML 20K
33: R16 Related Parties HTML 22K
36: XML IDEA XML File -- Filing Summary XML 38K
19: EXCEL IDEA Workbook of Financial Reports (.xls) XLS 67K
15: EX-101.CAL XBRL Calculations -- elmd-20111231_cal XML 82K
13: EX-101.INS XBRL Instance -- elmd-20111231 XML 123K
16: EX-101.LAB XBRL Labels -- elmd-20111231_lab XML 281K
17: EX-101.PRE XBRL Presentations -- elmd-20111231_pre XML 161K
14: EX-101.SCH XBRL Schema -- elmd-20111231 XSD 36K
26: ZIP XBRL Zipped Folder -- 0000897101-12-000209-xbrl Zip 25K
Exhibit 10.4
Grant Date: _______________
[Electromed Option Agreement]
Dear __________________:
This is to let you know that you have been awarded options to purchase shares of common stock of Electromed, Inc. pursuant to the Electromed, Inc. 2012 Stock Incentive Plan (the “Plan”) as follows:
1. Number of shares which you may purchase: _________________.
2. Option price per share (that is, price payable per share): $______________. As provided in the Plan, this price will be equal to the Fair Market Value on the date of grant.
3. Earliest date options may be exercised: _________________.
4. Latest date options may be exercised: __________________. Options not exercised on or before this date will expire and no longer be exercisable.
These options are “non-qualified”, which means that any gains upon exercise are taxable as ordinary income.
To exercise all or any part of your options, contact [CFO]. The Plan provides a variety of ways you may pay the exercise price. See the Plan document for details.
If you have a separation from service (as defined in the Plan) before exercising the options:
(a) If a separation is due to your disability or death, or after you attain age 60, the options will remain exercisable until the date in #4 above.
(b) If the separation is not due to your disability or death and is before you attain age 60, the options will remain exercisable for three months after your separation from service (but not beyond the expiration date in #4 above).
However, if your separation from service is for “cause” as defined in the Plan, your options will be forfeited immediately. Also, if your separation from service occurs prior to the earliest date the options may be exercised as specified in #3 above, your options will be forfeited immediately.
Congratulations on receiving the award and thanks for your contributions to Electromed’s success.
Please let me know if you have any questions about your award. Also, please acknowledge your receipt of this letter by signing in the space below and returning a signed copy to me.
Sincerely,
Bob Hansen
_______________________________
Signature
C:As Of Filer Filing For·On·As Docs:Size Issuer Filing Agent 8/22/23 Electromed, Inc. 10-K 6/30/23 71:4.9M American Fin’l P… Inc/FA 8/23/22 Electromed, Inc. 10-K 6/30/22 71:5.7M American Fin’l P… Inc/FA 8/24/21 Electromed, Inc. 10-K 6/30/21 66:3.7M American Fin’l P… Inc/FA 8/25/20 Electromed, Inc. 10-K 6/30/20 69:4.7M American Fin’l P… Inc/FA |