0001616101-15-000009 Sample Contracts

AMENDMENT TO RESTRICTED STOCK AND CASH INCENTIVE AGREEMENT
Restricted Stock and Cash Incentive Agreement • November 9th, 2015 • Symmetry Surgical Inc. • Orthopedic, prosthetic & surgical appliances & supplies

THIS AMENDMENT TO RESTRICTED STOCK AND CASH INCENTIVE AGREEMENT (the “Amendment”) is made on this 22nd day of October, 2015 ("Effective Date") between Symmetry Surgical Inc., a Delaware corporation (the “Company”), and _______________ (“Grantee”).