PROTEON THERAPEUTICS, INC.
2014 EQUITY INCENTIVE PLAN
OPTION EXERCISE FORM
Proteon Therapeutics, Inc.
200 West Street
Waltham, MA 02451
Attention: Chief Financial Officer
In accordance with and subject to the terms and conditions of the Proteon Therapeutics, Inc. 2014 Equity Incentive Plan, as amended, I hereby elect to exercise my option granted under the agreement dated , to purchase ( ) shares of the common stock, par value $0.001 per share, in Proteon Therapeutics, Inc. (the Company).
Enclosed herewith is payment to the Company in the amount of Dollars ($ ) in full payment of the option price for said shares. [To be revised as necessary for non-cash payment of exercise price.]