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SEC Filings

S-8
PROTEON THERAPEUTICS INC filed this Form S-8 on 01/04/2018
Entire Document
 

Exhibit 99.3

 

 

PROTEON THERAPEUTICS, INC.
Amended and Restated 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. Amended and Restated 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: