Proteon logo     Print Page | Close Window

SEC Filings

S-1/A
PROTEON THERAPEUTICS INC filed this Form S-1/A on 10/07/2014
Entire Document
 

 

PROTEON THERAPEUTICS, INC.
2014 EQUITY INCENTIVE PLAN

 

OPTION EXERCISE FORM

 

Proteon Therapeutics, Inc.

200 West Street

Waltham, MA 02451

 

Attention:                                         Chief Financial Officer

 

Dear Sir:

 

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.]

 

 

Sincerely yours,

 

 

 

 

 

 

 

Name: