Exhibit 10.4
MIND MEDICINE (MINDMED) INC.
INDUCEMENT GRANT
NONSTATUTORY STOCK OPTION AGREEMENT
Your Option has been granted as an “inducement” award pursuant to the inducement grant exception under Nasdaq Stock Market Rule 5635(c)(4) and not pursuant to the Mind Medicine (MindMed) Inc. Stock Option Plan (the “Plan”) or any equity incentive plan of the Corporation, as an inducement that is material to the Participant’s employment with the Corporation. However, the Option will be governed in all respects as if issued under the Plan, as well this Stock Option Agreement.
It is intended that the option evidenced by this Stock Option Agreement shall not be an incentive stock option as defined in Section 422 of the Internal Revenue Code of 1986, as amended, and any regulations promulgated thereunder (the “Code”). Unless otherwise defined herein, the terms defined in the Plan will have the same defined meanings in this Stock Option Agreement, which includes this Notice of Stock Option Grant (the “Notice of Grant”).
NOTICE GRANT
Participant: [[FIRSTNAME]] [[LASTNAME]]
Address: [[RESADDR1]] [[RESADDR2]] [[RESCITY]] [[RESSTATEORPROV]] [[RESPOSTALCODE]] [[RESCOUNTRY]]
The undersigned Participant has been granted an Option to purchase Shares of the Corporation, subject to the terms and conditions of the Plan are as follows:
Grant Number: [[GRANTNUMBER]]
Date of Grant: [[GRANTDATE]]
Vesting Commencement Date: [[VESTINGSTARTDATE]]
Number of Shares Subject to the Option: [[SHARESGRANTED]]
Type of Grant: Option
Option:
Exercise Price per Share (USD): $ [[GRANTCODE1]]
Total Exercise Price (USD): $[[GRANTCODE2]]