UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

SCHEDULE 14A
Proxy Statement Pursuant to Section 14(a) of
the Securities Exchange Act of 1934

 
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TENAX THERAPEUTICS, INC.
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TENAX THERAPEUTICS, INC.
ONE Copley Parkway, Suite 490
Morrisville, North Carolina 27560

 
August 17, 2015April 26, 2016

Dear Stockholders:

It is my pleasure to invite you to the Annual Meeting of Stockholders of Tenax Therapeutics, Inc., to be held on September 15, 2015,June 16, 2016, at 9:00 a.m. at the offices of Tenax Therapeutics, Inc. located at ONE Copley Parkway, Suite 490, Morrisville, North Carolina, 27560. This booklet includes the Notice of Annual Meeting of Stockholders and Proxy Statement. The Proxy Statement provides information about the business we will conduct at the meeting. We hope you will be able to attend the meeting, where you can vote in person.

The matters to be acted upon at the meeting are described in the accompanying Notice of Annual Meeting of Stockholders and Proxy Statement.

Whether or not you plan to attend the Annual Meeting personally, and regardless of the number of shares you own, it is important that your shares be represented at the Annual Meeting. We need more than half of our outstanding common shares to be represented at the Annual Meeting to establish a quorum. Every vote counts! Accordingly, we urge you to complete the enclosed proxy and return it to our vote tabulators promptly in the envelope provided. If you do attend the Annual Meeting and wish to vote in person, you may withdraw your proxy at that time. You may also elect to vote your shares by telephone or electronically via the Internet. With respect to shares held through a broker, bank or nominee, please follow the separate instructions from your broker, bank or nominee on how to vote your shares.
 
Sincerely,
    
  /s/ John P. Kelley 
  John P. Kelley 
  Chief Executive Officer 
    

YOUR SHARES CANNOT BE VOTED UNLESS YOU SIGN AND RETURN THE ENCLOSED PROXY, VOTE YOUR SHARES BY TELEPHONE OR INTERNET, OR ATTEND THE ANNUAL MEETING IN PERSON.
 
 
 

 
 
TENAX THERAPEUTICS, INC.
ONE Copley Parkway, Suite 490
Morrisville, North Carolina 27560

Notice of Annual Meeting of Stockholders
To Be Held on September 15, 2015June 16, 2016

To the Stockholders:

The stockholders of Tenax Therapeutics, Inc. will hold an annual meeting (the “Annual Meeting”) on September 15, 2015,June 16, 2016, at 9:00 a.m. at the offices of Tenax Therapeutics, Inc. located at ONE Copley Parkway, Suite 490, Morrisville, North Carolina, 27560.

The purpose of the meeting is to propose and act upon the following matters:

1.  the election of the seven director nominees described in the Proxy Statement to serve as directors until the sooner of the 20162017 Annual Meeting of Stockholders or the election and qualification of their successors;

2.  to approve Amendment No. 3 to our 1999 Amendedthe Tenax Therapeutics, Inc. 2016 Stock Plan to increase the number of shares authorized for issuance thereunder;Incentive Plan; and

3.  the ratification of the appointment of Cherry Bekaert LLP as our independent registered public accounting firm for the fiscal year ending April 30, 2016; and

4.  the advisory (nonbinding) approval of named executive officer compensation.December 31, 2016.

At the Annual Meeting we may transact such other business as may properly come before the meeting.

The above matters are described in the Proxy Statement accompanying this notice.

The Board has fixed the close of business on August 5, 2015April 18, 2016 as the record date for determining those stockholders who will be entitled to notice of and to vote at the Annual Meeting. Representation of at least a majority in voting interest of our common stock, either in person or by proxy, is required to constitute a quorum for purposes of voting on the proposals set forth above.

It is important that your shares be represented at the Annual Meeting to establish a quorum.

WHETHER OR NOT YOU PLAN TO ATTEND THE ANNUAL MEETING, PLEASE COMPLETE, DATE AND SIGN THE ENCLOSED PROXY AND RETURN IT IN THE ENCLOSED ENVELOPE. Your proxy may be revoked at any time prior to the time it is voted at the Annual Meeting.

Your vote is important, and we appreciate your cooperation in considering and acting on the matters presented.
 
  By order of the Board of Directors, 
    
  /s/ Nancy J. Hecox 
  Nancy J. Hecox, Corporate Secretary 

August 17, 2015April 26, 2016
 
 
 

 
 
TENAX THERAPEUTICS, INC.
 

PROXY STATEMENT
 

 
Important Notice Regarding the Availability of Proxy Materials
For the Stockholder Meeting to be held on September 15, 2015June 16, 2016

The Notice of Annual Meeting of Stockholders, Proxy Statement, Form of Proxy, and 20152016 Annual Report to Stockholders are available at www.proxyvote.comwww.iproxydirect.com/TENX
 
The board of directors (the “Board of Directors” or the “Board”) of Tenax Therapeutics, Inc. is asking for your proxy for use at the 20152016 Annual Meeting of Stockholders (the “Annual Meeting”) and any adjournments of the meeting. The meeting will be held at the offices of Tenax Therapeutics, Inc. located at ONE Copley Parkway, Suite 490, Morrisville, North Carolina, 27560 on September 15, 2015,June 16, 2016, at 9:00 a.m. local time, to elect the seven director nominees described in this Proxy Statement, to approve Amendment No. 3 to our 1999 Amendedthe Tenax Therapeutics, Inc. 2016 Stock Incentive Plan to increase the number of shares authorized for issuance thereunder,(the “2016 Plan”), to ratify the appointment of Cherry Bekaert LLP as our independent registered public accounting firm to solicit advisory (nonbinding) approval of named executive officer compensation and to conduct such other business as may be properly brought before the meeting.

The Board of Directors recommends that you vote “FOR” the election of the director nominees listed in this proxy statement, “FOR” the amendment to our 1999 Amended Stockapproval of the 2016 Plan to increase the number of shares authorized for issuance thereunder,and “FOR” ratification of the appointment of Cherry Bekaert LLP as our independent registered public accounting firm and “FOR” the approval of the resolution regarding the advisory (nonbinding) vote on named executive officer compensation.firm.

This proxy statement and the accompanying proxy card are first being delivered to stockholders on or about August 17, 2015.April 26, 2016.

All references in this Proxy Statement to “Tenax,” “we,” “our,” and “us” mean Tenax Therapeutics, Inc.  All numbers of shares or share prices relating to our common stock in this Proxy reflect the 1-for-20 reverse stock split of our common stock on May 10, 2013.
 
What is the difference between holding shares as a stockholder of record and as a beneficial owner?

Many of our stockholders hold their shares through a broker, bank or other nominee rather than directly in their own name as the stockholder of record. As summarized below, there are some distinctions between shares held of record and those owned beneficially.

Stockholder of Record. If your shares are registered directly in your name with our transfer agent, Interwest Transfer Company (“Interwest”), you are considered, with respect to those shares, the stockholder of record, and these proxy materials are being sent directly to you by Interwest on our behalf. As the stockholder of record, you have the right to grant your voting proxy directly to us or to vote in person at the Annual Meeting. We have enclosed a proxy card for you to use.

Beneficial Owner. If your shares are held in a stock brokerage account or by a bank or other nominee, you are considered the beneficial owner of shares held in street name and the proxy materials are being sent to you by your broker or nominee who is considered, with respect to those shares, the stockholder of record. As the beneficial owner, you have the right to direct your broker or nominee on how to vote and are also invited to attend the Annual Meeting. However, since you are not the stockholder of record, you may not vote these shares in person at the meeting unless you receive a proxy from your broker or nominee. Your broker or nominee has enclosed a voting instruction card for you to use. If you wish to attend the Annual Meeting and vote in person, please mark the box on the voting instruction card received from your broker or nominee and return it to them so that you can receive a legal proxy to present at the Annual Meeting.

 
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How many votes do I have?

You are entitled to one vote for each share of our common stock that you hold.

How is the vote counted?

Votes cast by proxy or in person at the Annual Meeting will be counted by persons appointed by us to act as tellers for the meeting. The tellers will count shares represented by proxies that withhold authority to vote for a nominee for election as a director only as shares that are present and entitled to vote for purposes of determining the presence of a quorum. None of the withheld votes will be counted as votes “for” a director. Shares properly voted to “abstain” and broker non-votes on a particular matter are considered as shares that are entitled to vote for the purpose of determining a quorum but are generally not treated as votes cast for the matter. Abstentions do not count as a vote against the proposals.  A broker non-vote occurs when a broker holding shares for a customer does not vote on a particular proposal because the broker has not received voting instructions on the matter from its customer and is barred by stock exchange rules from exercising discretionary authority to vote on the matter.

How do I vote?

If you are a stockholder of record, you may vote using any of the following methods:

   ●  ·
Proxy Vote by Mail. Return the enclosed proxy form by mail using the enclosed prepaid envelope. Be sure to complete, sign and date the form before mailing. If you are a stockholder of record and you return your signed proxy form but do not indicate your voting preferences, the persons named in the proxy form will vote FOR the election of each director nominated by the Board of Directors, FOR the amendment to our 1999 Amended Stockapproval of the 2016 Plan to increase the number of shares authorized for issuance thereunder,and FOR the ratification of the appointment of Cherry Bekaert LLP as our independent registered public accounting firm, and FOR the approval of the resolution regarding the advisory (nonbinding) vote on named executive officer compensation, and at the discretion of the persons named in the proxy on any other matter that comes before the meeting for a vote.

●  ·
Proxy Vote by Internet. You may use the Internet to transmit your voting instructions up until 11:59 p.m. Eastern Daylight Time on September 14, 2015June 15, 2016 by going to the website www.proxyvote.com. www.iproxydirect.com/TENX.Please have your proxy card in hand when you access the website and follow the instructions to obtain your records and to create an electronic voting instruction form.

●  ·
Proxy Vote by Phone. You may use any touch-tone telephone to transmit your voting instructions up until 11:59 p.m. Eastern Daylight Time on September 14, 2015June 15, 2016 by calling the toll-free number 1-800-690-6903.1-866-752-VOTE (8683). Have your proxy card in hand when you call and then follow the instructions.

●  ·
In Person at the Annual Meeting. All stockholders may vote in person at the Annual Meeting. You may also be represented by another person at the meeting by executing a proper proxy designating that person.

If you are a beneficial owner because your shares are held in a stock brokerage account or by a bank or other nominee, to vote your shares you must direct your broker, bank or nominee how to vote your shares by using the voting instructions included in the mailing you received, or attend the Annual Meeting by following the directions below under “Who Can Attend the Annual Meeting?”

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What can I do if I change my mind after I vote my shares?

If you are a stockholder of record, you may revoke your proxy at any time before it is voted at the Annual Meeting by:

●  ·sending written notice of revocation to our Corporate Secretary;

 ●  ·submitting a new, proper proxy by mail (not by Internet or phone) after the date of the revoked proxy; or

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●  ·attending the Annual Meeting and voting in person.

If you are a beneficial owner of shares, you may submit new voting instructions by contacting your broker, bank or nominee.

When is the record date for the Annual Meeting?

The Board has fixed the record date for the Annual Meeting as of the close of business on August 5, 2015.April 18, 2016.

How many votes can be cast by all stockholders?

There were 28,119,60728,119,771 shares of our common stock outstanding on the record date and entitled to vote at the Annual Meeting. Each share of common stock is entitled to one vote on each matter.matter.

 What constitutes a quorum?

A majority of the outstanding shares present or represented by proxy, or 14,059,80414,059,886 shares, constitutes a quorum for the purpose of adopting proposals at the Annual Meeting. If you submit a properly executed proxy, then you will be considered part of the quorum.

What vote is required to approve each item?

For the election of the directors, the seven directors who receive the greatest number of votes cast in person or by proxy will be elected directors.

The approval of the amendment to our 1999 Amended Stock2016 Plan to increase the number of shares authorized for issuance thereunder requires approval by a majority of the total votes cast in person or by proxy.

The ratification of Cherry Bekaert LLP as our independent registered public accounting firm and the proposal relating to the advisory (nonbinding) vote on named executive officer compensation each requirerequires approval by a majority of the total votes cast in person or by proxy. Although ratification is not required by our bylaws or otherwise, the Board is submitting the selection of Cherry Bekaert LLP to our stockholders for ratification as a matter of good corporate practice. If our stockholders do not ratify the appointment, the Audit and Compliance Committee will reconsider whether or not to retain Cherry Bekaert LLP but still may retain them. Even if the selection is ratified, the Audit and Compliance Committee may change the appointment at any time during the year if it determines that such change would be in the best interests of us and our stockholders.

If there are insufficient votes to approve the proposals, your proxy may be voted by the persons named in the proxy to adjourn the Annual Meeting in order to solicit additional proxies in favor of the approval of such proposals. If the Annual Meeting is adjourned or postponed for any purpose, at any subsequent reconvening of the Annual Meeting your proxy will be voted in the same manner as it would have been voted at the original convening of the Annual Meeting unless you withdraw or revoke your proxy. Your proxy may be voted in this manner even though it may have been voted on the same or any other matter at a previous session of the Annual Meeting.

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Who can attend the Annual Meeting?

All stockholders as of August 5, 2015April 18, 2016 may attend the Annual Meeting. If you are listed as stockholder of record you may attend the Annual Meeting if you bring proof of identification. If you are the beneficial owner of shares held in street name, you will need to bring proof of identification and provide proof of ownership by bringing either a copy of a brokerage statement or a letter from the record holder indicating that you owned the shares as of August 5, 2015.April 18, 2016.

What does it mean if I receive more than one proxy card or voting instruction form?

It means that you have multiple accounts at the transfer agent or with brokers. Please complete and return all proxy cards or voting instruction forms to ensure that all of your shares are voted.
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What is Tenax Therapeutics’ fiscal year?

We recently changed our fiscal year end from April 30 to December 31 and filed an Annual Report on Form 10-KT for the eight month transition period ended December 31, 2015 (“Transition Period 2015”).  Our prior fiscal years ended April 30, 2015, April 30, 2014 and April 30, 2013 are referred to herein as “Fiscal 2015,” “Fiscal 2014,” and “Fiscal 2013”, respectively.

Where can I find more information about Tenax Therapeutics?

We file periodic reports with the Securities and Exchange Commission (the “SEC”) pursuant to Section 15(d)13(a) of the Securities Exchange Act of 1934. Our SEC filings are available from the SEC’s Internet site at http://www.sec.gov, which contains reports and other information regarding issuers that file electronically. Our filings with the SEC are available without charge on our website (http://www.tenaxthera.com) as soon as reasonably practicable after filing. Further, the reports filed with the SEC may be inspected without charge at the SEC’s Public Reference Room at 100 F Street N.E., Washington, D.C. 20549. Please call the SEC at (800) 732-0330 for further information on the Public Reference Room.

Who can help answer my questions about the Annual Meeting or how to submit or revoke my proxy?

If you are the stockholder of record, please contact:

Tenax Therapeutics, Inc.
Attn: Investor Relations
ONE Copley Parkway, Suite 490
Morrisville, NC 27560
Telephone: (919) 855-2100

If your shares are held in street name, please call the telephone number provided on your voting instruction form or contact your broker directly.
 
 
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PROPOSAL 1:  ELECTION OF DIRECTORS

Nominees for Election as Directors
 
SixAll seven of the persons nominated for election to the Board of Directors at the Annual Meeting are currently serving as our directors. We are not aware of any nominee who will be unable or will decline to serve as a director. If a nominee becomes unable or declines to serve, the Board will either select a substitute nominee or reduce the size of the Board.  If you have submitted a proxy and a substitute nominee is selected, your shares will be voted for election of the substitute nominee, if any, designated by the Board of Directors. The term of office of each person elected as a director will continue until the sooner of the 20162017 Annual Meeting of Stockholders or the election and qualification of their successors.  One of our current directors, William A. Chatfield, has chosen not to stand for re-election at the Annual Meeting.
 
The following table lists the nominees for election and information about each as of August 17, 2015:April 26, 2016:

NameAgePosition with Tenax Therapeutics, Inc.Director Since
Ronald R. Blanck, DO74ChairmanDecember 2009
Anthony A. DiTonno67DirectorDecember 2011
John P. Kelley62Chief Executive Officer and DirectorDecember 2013
James Mitchum63DirectorSeptember 2015
Gregory Pepin3233DirectorAugust 2009
Gerald T. Proehl5657DirectorApril 2014
Chris A. Rallis6162DirectorDecember 2011
James Mitchum62Director Nominee-

Ronald R. Blanck, DO has served as a director since December 2009 and as Chairman since September 2011. Dr. Blanck has served as chairman of Martin, Blanck & Associates, a federal health services consulting firm based in Falls Church, VA since January 2010.August 2006. Dr. Blanck has also served as director and chairman of Pyng Medical Corp, a medical device company since July 2012, and as a director of Nanotherapeutics, Inc., a pharmaceutical manufacturing company since March 2014.  He began his military career in 1968 as a medical officer and battalion surgeon in Vietnam, retiring 32 years later as a Lieutenant General and Surgeon General of the U.S. Army and commander of the U.S. Army Medical Command. He also served as commander of Walter Reed Medical Center and the North Atlantic Region Medical Command. His background also includes serving as president of the University of North Texas Health Science Center at Fort Worth.Worth, chair of the Board of Regents of Uniformed Services University and Vice-chair of the Education Commission on Foreign Medical Graduates. Dr. Blank has also been recognized as a Master of the American College of Physicians.

We believe Dr. Blanck’s extensive medical background and treatment of critical care patients qualifiesqualify him to serve on our Board and his many leadership positions throughout his military career qualify him to serve as our Chairman of the Board.

Dr. Blanck serves as a member of the Corporate Governance and Nominating Committee and as chair of the Audit and Compliance Committee.

Anthony A. DiTonno has served as a director since December 2011. Since FebruaryJanuary 2013, Mr. DiTonno has served as Chief Executive Officer of Avantis Medical Systems, Inc., a medical device company that develops and manufactures catheter-based endoscopic devices.  From April 2003 until December 2011, Mr. DiTonno was President and Chief Executive Officer of Neurogesx Inc., a biopharmaceutical company based in the San Francisco Bay area (“Neurogesx”). During his time at Neurogesx, Mr. DiTonno also served on its board of directors.  Mr. DiTonno has funded companies through a variety of financial arrangements including private and public financings, partnerships and debt. He has also been successful in gaining regulatory approvals in both the United States and European Union. Previously, he was Executive Vice President of Marketing and Sales at Enteric Medical Technologies Inc., which was acquired by Boston Scientific Company; President and Chief Executive Officer of Lifesleep Systems, Inc.; and Vice President and General Manager of Olcassen Pharmaceuticals, which was sold to Watson Laboratories. Early in his career, he held a variety of positions of increasing responsibility at Rorer Group, Inc. (Rhône Poulenc Rorer) and Wyeth Laboratories. Mr. DiTonno received an M.B.A. from Drexel University and a B.S. in Business Administration from St. Joseph’s University.
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We believe that Mr. DiTonno’s extensive corporate experience and financial background qualifiesqualify him to serve on our Board and provides valuable insight to the company.

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Mr. DiTonno serves as a memberchair of the Compensation Committee.

John P. Kelley joined our company as Chief Executive Officer in November 2013, and has served as a director since December 2013. Prior to joining our company, Mr. Kelley co-founded Phyxius Pharma, Inc. (“Phyxius”) and held the positions of Chief Executive Officer and Director from January 20102011 until November 2013. Prior to Phyxius, Mr. Kelley served as President and Chief Operating Officer of The Medicines Company, a provider of medical solutions to hospitals, from December 2004 to December 2009 and as a director from February 2005 to December 2009.  Prior to The Medicines Company, Mr. Kelley held a series of positions at Aventis Pharmaceuticals, Inc. (“Aventis”), an international pharmaceutical company.  From September 2003 until September 2004, Mr. Kelley served as Senior Vice President, Global Marketing and Medical at Aventis, where he was accountable for worldwide brand management of Aventis’ core strategic brands and managed strategic alliances with partner companies.  From September 2002 to September 2003, he served as Senior Vice President, Strategic Risk Officer for Aventis, advising the Management Board and Chief Executive Officer.  From January 2000 to September 2002, Mr. Kelley served as Vice President, Head of Strategic Development of Aventis where he was responsible for leading the strategic planning process of the pharmaceutical division of Aventis as well as merger and acquisition activity. Prior to the formation of Aventis, he served as a Vice President, Commercial Director, U.S. at Hoechst Marion Roussel, Inc. (“HMR”), a life sciences firm focused on pharmaceuticals and agriculture, from March 1998 through December 1999 and Mr. Kelley served as Vice President of Marketing of Hoechst Marion RousselHMR from 1995 to 1998.  Mr. Kelley currently serves on the Board of Directors of Acorda Therapeutics.Therapeutics, Inc., a publicly traded pharmaceuticals company.  Mr. Kelley received a B.S. degree in Biology from Wilkes University and an M.B.A. from Rockhurst University.

We believe that Mr. Kelley’s extensive leadership, business and operating experience, as well as his knowledge of our business as our Chief Executive Officer, uniquely qualifiesqualify him to serve on our Board.

James Mitchum has served as a director since September 2015.  Mr. Mitchum has served as the Chief Executive Officer of Heart to Heart International, a non-profit international humanitarian organization, since September 2014.  From March 2009 to July 2012, Mr. Mitchum served as President of the Americas for EUSA Pharma, Inc., where he oversaw the streamlining of that business as well as the development, FDA approval and successful launch of a pediatric oncology drug in 2011. From 2005 to 2008, Mr. Mitchum served as President and Chief Executive Officer of Enturia, Inc., a privately owned drug-device company, based in Kansas City. From 2003 to 2005, Mr. Mitchum served as the President and Chief Executive Officer of Sanofi-Aventis Group Japan and was Chief Executive for Aventis Pharma UK from 2000 through 2002. He served in many senior financial roles from 1985 until 1999 with HMR and predecessor companies and was the Corporate Controller for HMR from 1997 until 2000.  Mr. Mitchum currently serves as a director for NephroGenex Inc., a publicly traded company developing drugs to treat kidney disease, and is a member of its Compensation Committee and chair of its Audit Committee. Mr Mitchum has also served as a director on numerous private company and organization boards.  Mr. Mitchum earned an MBA in Business from the University of Tennessee in Knoxville, Tennessee and a Bachelor of Science degree in Business and Math from Milligan College in Johnson City, Tennessee.
We believe that Mr. Mitchum’s experience in managing companies in the life sciences industry, as well as his financial and operational expertise, qualify him to serve on our Board.

Mr. Mitchum serves as a member of the Audit and Compliance Committee.

Gregory Pepin has served as a director since August 2009. Since October 2013, Mr. Pepin has served as an independent financial consultant and managing director for Cedrus Capital LLC, an investment and business strategy consulting firm, primarily for foreign clients. From December 2011 until September 2013,, Mr. Pepin served as managing director of FGP Capital France (“FGP”), a business strategy consulting firm. In May 2010, he co-founded EOS Investment, Ltd. (“EOS”), an investment company based in the Cayman Islands, which serves as investment manager of Vatea Fund, a stakeholder in our company, and as investment manager and managing director of OXBT Fund, one of our principal stockholders. EOS serves as the investment manager and the managing director for two other funds that are not affiliated with us. In May 2010, Mr. Pepin also co-founded Independent Wealth Management, SA, an investment management company based in Switzerland, and he served as a financial analyst for the company until December 2011. From July 2008 until April 2010, he was engaged as a Senior Vice President at Melixia SA (“Melixia”), an investment management company based in Switzerland. During his time at Melixia, Mr. Pepin’s primary responsibility was to oversee the formation of Vatea Fund. After establishing Vatea Fund, Mr. Pepin left Melixia, but has continued to serve as a Managing Director of Vatea Fund since June 2009. From September 2005 through the end of June 2008, Mr. Pepin was employed as a consultant in finance and insurance by Winter & Associates located in Paris, France. In July 2005, Mr. Pepin earned the degree of Master of Science and Economy, Finance and Actuaries, from HEC Lausanne.
 
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We believe that Mr. Pepin’s investment management experience and skills qualify him to serve on our Board, and provide the Board with valuable insight into the investment community.

Mr. Pepin serves as chair of the Compensation Committee and as a member of the Corporate Governance and Nominating Committee and Compensation Committee.

Gerald T. Proehlhas served as a director since April 2014. Currently, Mr. Proehl is a Founder, President, CEO and Director of Dermata Therapeutics, LLC, a private specialty pharmaceuticalbiotechnology company. From January 2002 to January 2014, Mr. Proehl was the President, Chief Executive Officer and a Director of Santarus, Inc. (“Santarus”), a company that he helped to found in 1999.  From March 2000 through December 2001, Mr. Proehl was President and Chief Operating Officer of Santarus, and from April 1999 to March 2000, Mr. Proehl was Vice President, Marketing and Business Development of Santarus.  Mr. Proehl helped lead the sale of Santarus to Salix Pharmaceuticals for $2.6 billion in January of 2014.  Prior to joining Santarus, Mr. Proehl was with Hoechst Marion Roussel, Inc. (“Hoechst”), a global pharmaceutical company,HMR for 14 years where he served in various capacities, including Vice President of Global Marketing. During his career at HoechstHMR he worked across numerous therapeutic areas, including CNS, cardiovascular, and gastrointestinal.  Mr. Proehl currently serves on the Board of Directors of Auspex Pharmaceuticals, Inc., a pre-NDA biopharmaceutical company focused on developing and commercializing novel medicines for the treatment of orphan diseases.  He also serves on the Board of Directors of Sophiris Bio Inc., a publicly traded company developing a late-stage, targeted treatment for benign prostatic hyperplasia.hyperplasia, and Ritter Pharmaceuticals, Inc., a publicly traded company developing therapeutic products that modulate the human gut microbiome to treat gastrointestinal diseases.  Mr. Proehl also serves on a number of private company boards including Kinetek Sports, Inc., Patara Pharma, LLC MDRejuvena, Inc., Dermata Therapeutics, LLC and Ritter Pharmaceuticals,MDRejuvena, Inc.  Mr. Proehl holds a B.S. in education from the State University of New York at Cortland, an M.A. in exercise physiology from Wake Forest University and an M.B.A. from Rockhurst College.University.
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We believe that Mr. Proehl’s general business and commercial experience in the pharmaceutical industry, as well as his strong background in business operations developed through his leadership at other companies, qualifiesqualify him to serve on our Board.

Mr. Proehl serves as a memberthe chair of the CompensationCorporate Governance and Nominating Committee and as a member of the AuditCompensation Committee.

Chris A. Rallis has served as a director since December 2011. Since January 2008, Mr. Rallis has served as an Executive-in-Residence at Pappas Ventures, a life science venture capital firm based in Durham, NC. From April 2006 until June 2007, he was President and Chief Executive Officer of ImmunoBiosciences, Inc., a vaccine technology company formerly located in Raleigh, NC. He has served as a consultant for Duke University and Panacos Pharmaceuticals, Inc., and is the former President and Chief Operating Officer of Triangle Pharmaceuticals, Inc. (“Triangle”), which was acquired by Gilead Sciences in January 2003 for approximately $465 million. While at Triangle, he participated in 11 equity financings generating gross proceeds of approximately $500 million. He was also primarily responsible for all business development activities which included a worldwide alliance with Abbott Laboratories and the in-licensing of 10 compounds. Earlier, he served in various business development and legal management roles with Burroughs Wellcome, Co. Mr. Rallis serves on the boards of Aeolus Pharmaceuticals and Fennec Pharmaceuticals (formerly Adherex Technologies) and chairs the Audit Committee of both boards.boards, both of which are publicly traded companies. He received his A.B. degree in economics from Harvard College and a J.D. from Duke University.

We believe that Mr. Rallis’ strong background in raising capital, business development and operations developed through his leadership at other companies operating within the biomedical industry qualifies him to serve on our Board.

Mr. Rallis serves as a member of the Audit and Compliance Committee.

James Mitchum is being nominated to serve as a director. Mr. Mitchum was recommended to the Corporate Governance and Nominating Committee for consideration as a director nominee by management.  Mr. Mitchum has served as the Chief Executive Officer of Heart to Heart International a non-profit humanitarian organization since September 2014.  From 2009 to July 2012, Mr. Mitchum served as President of the Americas for EUSA Pharma (USA), Inc., where he oversaw the streamlining of that business as well as the development, FDA approval and successful launch of a pediatric oncology drug in 2011. From 2005 to 2008, Mr. Mitchum served as President and Chief Executive Officer of Enturia, Inc., a privately owned drug-device company, based in Kansas City. From 2003 to 2005, Mr. Mitchum served as the President and Chief Executive Officer of Sanofi-Aventis Group Japan and was Chief Executive for Aventis Pharma UK from 2000 through 2002. He served in many senior financial roles from 1985 until 1999 with Hoechst Marion Roussel (HMR) and predecessor companies and was the Corporate Controller for HMR from 1997 until 2000.  Mr. Mitchum currently serves as a director for NephroGenex Inc., a company developing drugs to treat kidney disease, and is a member of its Compensation Committee and chair of its Audit Committee. Mr Mitchum has also served as a director on numerous private company and organization boards.  Mr. Mitchum earned an MBA in Business from the University of Tennessee in Knoxville, Tennessee and a Bachelor of Science degree in Business and Math from Milligan College in Johnson City, Tennessee.
We believe that Mr. Mitchum’s experience in managing companies in the life sciences industry, as well as his financial and operational expertise, qualify him to serve on our Board.


THE BOARD OF DIRECTORS RECOMMENDS A VOTE “FOR” THE ELECTION OF EACH OF THE DIRECTOR NOMINEES.

 
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CORPORATE GOVERNANCE MATTERS

Code of Ethics
 
We have adopted a Code of Ethics applicable to all of our officers, directors and employees, including our Chief Executive Officer and Chief Financial Officer, aprincipal executive officer, principal financial officer, principal accounting officer, controller, or persons performing similar functions. A copy of which will be provided tothis code of conduct is posted on our website at http://investors.tenaxthera.com/corporate_governance. In the event the code of conduct is revised, or any person, free of charge, upon request. A request for a copy ofwaiver is granted under the Code of Ethics shouldwith respect to our principal executive officer, principal financial officer, principal accounting officer, controller, or persons performing similar functions, notice of such revision or waiver will be in writing and sent to Tenax Therapeutics, Inc., Attn: Corporate Secretary, ONE Copley Parkway, Suite 490, Morrisville, North Carolina 27560.posted on our website or disclosed on a current report on Form 8-K as required.

Board Composition and Independence of Directors
 
Our Board of Directors currently has seven members. Dr. Ronald R. Blanck is our Chairman and William A. Chatfield, Anthony DiTonno, John P. Kelley, James Mitchum, Gregory Pepin, Gerald T. Proehl and Chris A Rallis are Directors.

In accordance with the listing rules of The NASDAQ Stock Market LLC (“NASDAQ”), our Board of Directors must consist of a majority of “independent directors,” as determined in accordance with NASDAQ Rule 5605(a)(2). The Board has determined that current directors Messrs. Blanck, Chatfield, DiTonno, Mitchum, Pepin, Proehl and Rallis are independent directors in accordance with applicable NASDAQ listing rules. If elected to serve onAdditionally, the Board determined that William A. Chatfield, who did not stand for re-election at our Board2015 Annual Meeting of Directors,Stockholders, also qualified as an independent director nominee Mr. Mitchum will also be independentduring the time in accordance with applicable NASDAQ listing rules.which he served. The Board performed a review to determine the independence of the director nominees and made a subjective determination as to each of these independent director nominees that no transactions, relationships, or arrangements exist that, in the opinion of the Board, would interfere with the exercise of independent judgment in carrying out the responsibilities of a director of our company. In making these determinations, the Board reviewed the information provided by the director nominees with regard to each individual’s business and personal activities as they may relate to us and our management.

Attendance at Meetings
 
During the fiscal year ended April 30, 2015, theThe Board met three times during Transition Period 2015 and four times during Fiscal 2015, and each of our current directors attended at least 75% of the aggregate of the total number of board meetings held during the period each has been a director and the total number of meetings held by all committees on which each director then served.  From time to time the Board also acted through written consents. We have no formal policy requiring director attendance at the Annual Meeting, although all directors are expected to attend the Annual Meeting if they are able to do so. AllSix of our seven directors of the Company who were memberscompany at the time of the Board2015 Annual Meeting, comprising all six directors standing for re-election, and Mr. Mitchum, who was a director nominee at the time of the Annual Meeting in 20142015, attended the 20142015 Annual Meeting.

Board Leadership Structure

The Board recognizes that one of its key responsibilities is to evaluate and determine its optimal leadership structure so as to provide independent oversight of management. The Board understands that there is no single, generally accepted approach to providing Board leadership and that given the dynamic and competitive environment in which we operate, the right Board leadership structure may vary as circumstances warrant. Consistent with this understanding, the independent Directors consider the Board’s leadership structure on an annual basis. This consideration includes the pros and cons of alternative leadership structures in light of the Company’sour operating and governance environment at the time, with the goal of achieving the optimal model for effective oversight of management by the Board.

Currently, Mr. Kelley serves as our Chief Executive Officer and Dr. Blanck, who has been a member of our board since December 2009, serves as our Chairman of the Board.  Based on the Board’s most recent review of our Board leadership structure, the Board has determined that this leadership structure is optimal for the Companycompany because it allows Mr. Kelley to focus on leading our business and operations and carrying out our strategy, and Dr. Blanck, our Chairman of the Board, to focus on leading our Board’s oversight of our strategy and business.
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In considering its leadership structure, the Board has taken a number of factors into account. The Board, which consists of highly qualified and experienced directors, a majority of whom are independent, exercises a strong, independent oversight function. This oversight function is enhanced by the fact that all of the Board’s three key Committees—Audit and Compliance, Compensation, and Corporate Governance and Nominating—are comprised entirely of independent directors.  A number of Board and Committee processes and procedures, including regular executive sessions of directors, periodic executive sessions of the independent directors, and annual evaluations of our Chief Executive Officer’s performance against pre-determined goals, provide substantial independent oversight of our Chief Executive Officer’s performance. The Board believes that these factors provide the appropriate balance between the authority of those who oversee the Companycompany and those who manage it on a day-to-day basis.

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Board’s Role in Risk Oversight

We operate in a highly complex and regulated industry and are subject to a number of significant risks.  The Board plays a key role with respect to our risk oversight, such as determining whether and under what circumstances we will engage in financing transactions or enter into strategic alliances and collaborations.  The Board is also involved in our management of risks related to our financial condition or to the development and commercialization of our product candidates.

One of the Board’s risk oversight roles is to provide guidance to management.  The Board receives regular business updates from members of senior management in order to identify matters that involve operational, financial, legal or regulatory risks.

To facilitate its oversight of our company, the Board of Directors has delegated certain functions (including the oversight of risks related to these functions) to Board committees. The Audit and Compliance Committee reviews and discusses with management our major financial risk exposures and the steps management has taken to monitor and control such exposures, the Compensation Committee evaluates the risks presented by our compensation programs and analyzes these risks when making compensation decisions, and the Corporate Governance and Nominating Committee evaluates whether the composition of the Board is appropriate to respond to the risks that we face. The roles of these committees are discussed in more detail below.

Although the Board of Directors has delegated certain functions to various committees, each of these committees regularly reports to and solicits input from the full Board regarding its activities.

Standing Committees

Our Board of Directors has three standing committees:  the Audit and Compliance Committee, the Compensation Committee and the Corporate Governance and Nominating Committee. Copies of the charters of the Audit and Compliance, Compensation, and Corporate Governance and Nominating Committees, as they may be amended from time to time, are available on our website at http://www.tenaxthera.com.

The Board has determined that all of the members of each of the Audit and Compliance, Compensation, and Corporate Governance and Nominating Committees are independent as defined under NASDAQ rules, and, in the case of all members of the Audit and Compliance Committee, that they meet the additional independence requirements of Rule 10A-3 under the Securities Exchange Act of 1934.

Audit and Compliance Committee.

The Audit and Compliance Committee’s principal responsibilities include:

●  ·overseeing the accounting and financial reporting processes of our company and audits of our financial statements;

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●  ·acting on behalf of the Board in providing oversight with respect to (i) the quality and integrity of our financial statements and internal accounting and financial controls; (ii) all audit, review and attest services relating to our financial statements and internal control over financial reporting (collectively, “Audit Services”), including the appointment, compensation, retention and oversight of the work of the independent auditors engaged to provide Audit Services to us; and (iii) our compliance with legal and regulatory requirements;

●  ·reporting to the Board on such matters as the Audit and Compliance Committee deems necessary or appropriate to assure that the Board is informed of any significant developments within the scope of the Audit and Compliance Committee’s responsibilities that merit the attention of the Board;

 ●  ·providing the report required of the Audit and Compliance Committee by the rules of the SEC for inclusion in our annual proxy statement;

●  ·
conducting review and oversight of any related person transactions, other than related person transactions for which the Board has delegated review to another independent body of the Board; and

●  ·fulfilling such other responsibilities as may be required of the Audit and Compliance Committee under applicable laws and regulations.

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The members of the Audit and Compliance Committee are Messrs. Blanck, ProehlMitchum and Rallis. Mr.Dr. Blanck serves as chair of the Audit and Compliance Committee. The Board of Directors has determined that Messrs. Blanck, ProehlMitchum and Rallis each qualify as an “audit committee financial expert” as defined by applicable SEC rules. The Audit and Compliance Committee met three times during Transition Period 2015 and five times in fiscalduring Fiscal 2015.

Compensation Committee.

The Compensation Committee’s primary responsibilities include:

●  ·assisting the Board in discharging its overall responsibility relating to executive officer and director compensation and overseeing and reporting to the Board as appropriate on our compensation and benefit policies, programs and plans, including our stock-based compensation programs;

●  ·approving the compensation of all executive officers and recommending compensation for non-employee directors;

 ●  ·
engaging and evaluating any compensation consultants, independent counsel and other advisers used to assist in the evaluation of director or executive compensation, including evaluation of the advisors’ independence in advance of engagement;

●  ·reviewing our succession and development plans for executive officers and other members of senior management; and

●  ·preparing an annual report on executive compensation for inclusion in our proxy statement, if required by applicable laws.

The members of the Compensation Committee are Messrs. DiTonno, Pepin DiTonno and Proehl. Mr. PepinDiTonno serves as chair of the Compensation Committee. The Compensation Committee met three times during Transition Period 2015 and one time in fiscalduring Fiscal 2015.
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Corporate Governance and Nominating Committee.

The Corporate Governance and Nominating Committee’s primary responsibilities include:

●  ·identifying individuals qualified to become directors and recommending that the Board select the candidates for all directorships to be filled by the Board or by the stockholders;

●  ·upon the recommendation of the Compensation Committee, determining compensation arrangements for non-employee directors;

●  ·developing and recommending to the Board corporate governance principles for our company; and

●  ·
otherwise taking a leadership role in shaping the corporate governance of our company.

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The members of the Corporate Governance and Nominating Committee are Messrs. Chatfield,Proehl, Blanck, and Pepin. Mr. ChatfieldProehl serves as chair of the Corporate Governance and Nominating Committee. The Corporate Governance and Nominating Committee met one time during Transition Period 2015 and did not meet in fiscalmet during Fiscal 2015.  Mr. Chatfield has chosen not to stand for re-election and will no longer serve on the Corporate Governance and Nominating Committee after the Annual Meeting.

Processes and Procedures for Executive and Director Compensation

The Compensation Committee has the authority to determine and approve the compensation of the Chief Executive Officer and all other executive officers.officers, as described in “Compensation Discussion and Analysis.”  The Corporate Governance and Nominating Committee has authority to determine and approve all matters pertaining to compensation of our directors.  In making its determination with respect to the compensation of the Chief Executive Officer, the Compensation Committee considers, among other things, the Chief Executive Officer’s performance in light of established corporate goals and objectives.  In making its determination with respect to the compensation of other executive officers, the Compensation Committee takes into account, among other things, each executive officer’s performance in light of established goals and objectives as well as the recommendations of the Chief Executive Officer.  The Chief Executive Officer has no input and may not be present during voting or deliberations about his compensation.  In addition, the Compensation Committee has engaged Arnosti Consulting, Inc. (“Arnosti Consulting”), an independent executive compensation consultant, to provide advice to it regarding the compensation of our executive officers. Arnosti Consulting focuses on executive compensation and does not provide services other than those related to executive compensation and benefits. In making its determination with respect to director compensation, the Corporate Governance and Nominating Committee considers, among other things, the Compensation Committee’s recommendation, the Board’s overall level of performance, the individual director’s participation in committees, the compensation paid to other director’s in similarly situated companies, and our financial growth.

Our Compensation Committee may delegate its authority to the chair of the committee to the extent it deems necessary to finalize matters as to which the committee has given its general approval.

The Compensation and Corporate Governance and Nominating Committees have the authority to retain compensation consultants and other outside advisors to assist in discharging their responsibilities.  The recommendations of such consultants are considered in conjunction with the other considerations listed above.  As more fully described in “Compensation Discussion and Analysis,” our Compensation Committee looks to Arnosti Consulting to analyze our executive compensation structure and plan designs, and to assess whether the compensation programs are competitive with the market and support the Compensation Committee’s goal to align stockholders’ interests with those of our executive officers.  To ensure Arnosti Consulting’s independence, Arnosti Consulting reports directly to our Compensation Committee and works specifically for the committee solely on compensation and benefits.

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Procedures for Director Nominations
 
Under the charter of the Corporate Governance and Nominating Committee, the Committee is responsible for identifying from a wide field of candidates, including women and minority candidates, and recommending that the Board select qualified candidates for membership on the Board. In evaluating the suitability of individual director candidates, the Committee takes into account such factors as it considers appropriate, which may include (i) ensuring that the Board, as a whole, is diverse as to race, gender, culture, thought and geography, such that the Board reflects a range of viewpoints, backgrounds, skills, experience and expertise, and consists of individuals with relevant technical skills, industry knowledge and experience, financial expertise and local or community ties; (ii) minimum individual qualifications, including strength of character, mature judgment, relevant career experience, independence of thought and an ability to work collegially; (iii) questions of independence, possible conflicts of interest and whether a candidate has special interests or a specific agenda that would impair his or her ability to effectively represent the interests of all stockholders; (iv) the extent to which the candidate would fill a present need on the Board; and (v) whether the candidate can make sufficient time available to perform the duties of a director. The Corporate Governance and Nominating Committee implements and assesses the effectiveness of these factors and the Board’s commitment to diversity by considering these factors in our assessment of potential director nominees and the overall make-up of our Board. In determining whether to recommend a director for re-election, the Committee will consider the director’s past attendance at meetings and participation in and contributions to the activities of the Board.
 
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The Corporate Governance and Nominating Committee does not set specific, minimum qualifications that nominees must meet in order to be recommended to the Board, but rather the Board believes that each nominee should be evaluated based on his or her individual merits, taking into account the needs of our company and the composition of the Board. The Corporate Governance and Nominating Committee conducts appropriate inquiries into the backgrounds and qualifications of possible nominees, and investigates and reviews each proposed nominee’s qualifications for service on the Board.
 
The Corporate Governance and Nominating Committee may engage outside search firms to assist in identifying or evaluating potential nominees. During fiscalFiscal 2015, the Board conducted a self-evaluation to determine areas in which the Board could be strengthened.  As a result of the self-evaluation process the Board determined that Mr. Mitchum would bring additional skills, experience and characteristics to the Board to fill the areas identified.

The Corporate Governance and Nominating Committee will consider candidates recommended by stockholders. It is the policy of the Corporate Governance and Nominating Committee that candidates recommended by stockholders will be given appropriate consideration in the same manner as other candidates. The procedure for submitting candidates for consideration by the Corporate Governance and Nominating Committee for election at our 20162017 Annual Meeting is described under “Other Matters - Stockholder Proposals.”

Stockholder Communications with Directors
 
It is the policy of our company and the Board to encourage free and open communication between stockholders and the Board. Any stockholder wishing to communicate with the Board should send any communication to Tenax Therapeutics, Inc., Attn: Corporate Secretary, ONE Copley Parkway, Suite 490, Morrisville, North Carolina 27560. Any such communication must be in writing and must state the number of shares beneficially owned by the stockholder making the communication. Our Corporate Secretary will forward such communication to the full Board or to any individual director or directors to whom the communication is directed unless the communication is unduly hostile, threatening, illegal, or similarly inappropriate, in which case the Corporate Secretary has the authority to discard the communication or take appropriate legal action regarding the communication. This policy is not designed to preclude other communications between the Board and stockholders on an informal basis.
 
 
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AUDIT COMMITTEE REPORT
 
The Audit and Compliance Committee has reviewed our audited financial statements for the eight month transition period ended December 31, 2015, and has discussed these statements with management. The Audit and Compliance Committee has also discussed with Cherry Bekaert LLP, our independent registered public accounting firm during the eight months ended December 31, 2015, fiscal year, the matters required to be discussed by the Public Company Accounting Oversight Board Auditing Standard No. 16,1301, Communications with Audit Committees.
 
The Audit and Compliance Committee also received from Cherry Bekaert LLP the written disclosures and the letter required by PCAOB Ethics and Independence Rule 3526 (Communication with Audit Committees Concerning Independence), and discussed with them their independence.
 
Based on the review and discussions noted above, the Audit and Compliance Committee recommended to the Board that the 2015 audited financial statements be included in our AnnualTransition Report on Form 10-K10-KT for fiscalthe eight month transition period from May 1, 2015 to December 31, 2015, for filing with the SEC.
 
With respect to the above matters, the Audit and Compliance Committee submits this report.
 
 Ronald R. Blanck
 Gerald T. ProehlJames Mitchum
 Chris A. Rallis
 
 
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MANAGEMENT

The names of our executive officers as of August 17, 2015April 26, 2016 are listed below. Our executive officers are appointed by our Board of Directors to hold office until their successors are duly appointed and qualified, or until their resignation, retirement, death, removal, or disqualification.  The information appearing below and certain information regarding beneficial ownership of securities by certain executive officers contained in this proxy statement has been furnished to us by the executive officers. Information regarding Mr. Kelley is included in the director nominee profiles set forth above.

NameAgePosition
John P. Kelley62Chief Executive Officer
Michael B. Jebsen, CPA44President and Chief Financial Officer


Michael B. Jebsen joined our company as our Accounting Manager in April 2009, and was elected Chief Financial Officer, Executive Vice President Finance and Administration in August 2009.  Mr. Jebsen also served as our Interim Chief Executive Officer from August 2011 until November 2013. Before joining us, he was an auditor with Grant Thornton, LLP from July 2003 through December 2005 and from April 2008 through April 2009. In addition, he held various positions, including Chief Ethics Officer, Senior Internal Auditor, and Senior Financial Analyst with RTI International, a non-profit research and development organization, from January 2006 to February 2008. Mr. Jebsen holds a Master of Science in Accounting from East Carolina University and is a Certified Public Accountant, licensed in North Carolina.

EXECUTIVE AND DIRECTOR COMPENSATION

Compensation Discussion and Analysis

The following discussion and analysis describes our executive compensation philosophy, components and policies, including analysis of the compensation earned by our named executive officers (the “Named Executive Officers”) in Transition Period 2015.

The following executives were our Named Executive Officers serving during Transition Period 2015:

NamePosition
John P. KelleyChief Executive Officer
Michael B. JebsenPresident and Chief Financial Officer

This discussion and analysis is comprised of the following sections explaining the decisions that were made in determining the compensation for each Named Executive Officer during Transition Period 2015:

(1)  
Executive Summary: highlights our compensation philosophy and elements, and Transition Period 2015 performance and pay;
(2)  
Compensation Philosophy and Objectives: discusses the philosophy behind our compensation practices;
(3)  
Compensation Process: discusses how each element of compensation is determined; and
(4)  
Elements of Executive Compensation and Analysis of Transition Period 2015 Compensation Decisions: provides greater detail on each element of compensation and the individual compensation of each Named Executive Officer.

Executive Summary

The Compensation Committee is responsible for assisting the Board in determining executive officer compensation and overseeing and reporting to the Board as appropriate on our compensation and benefit policies, programs and plans, including our stock-based compensation programs.  The Compensation Committee is also responsible for engaging and evaluating any compensation consultants, independent counsel and other advisers used to assist in the evaluation of director or executive compensation.
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In making its determination with respect to the compensation of the Chief Executive Officer and other executive officers, the Compensation Committee considers, among other things, the officers’ performance against pre-established operational goals and objectives.  In making its determination with respect to the compensation of other executive officers, the Compensation Committee also takes into account the recommendations of the Chief Executive Officer.

We compensate our executive officers generally through a mix of (i) base salary, (ii) annual cash bonus based on achievement of predetermined operational goals and (iii) long-term equity compensation, in the form of options or restricted common stock.  Our executive compensation program is designed to attract, retain and motivate talented executive officers who are capable of providing leadership, innovation and implementation necessary to achieve our corporate objectives.  The Compensation Committee believes that executive officer compensation should align the interests of the executive officers with those of our stockholders and provide individual executive officers with the opportunity to earn compensation at levels that are competitive with executives in comparable jobs at comparable companies within our peer company group.

During Transition Period 2015, the Compensation Committee engaged Arnosti Consulting, Inc. (“Arnosti Consulting”), an independent executive compensation consultant, to analyze our executive compensation structure and plan designs, and to assess whether the compensation programs are competitive with the market and support the Compensation Committee’s goal to align stockholders’ interests with those of the Named Executive Officers.  Arnosti Consulting also provided the Compensation Committee with market data, which the Compensation Committee referenced when determining compensation for the Named Executive Officers.

Key actions the Compensation Committee took during Transition Period 2015 with respect to the Named Executive Officers are summarized below.  These actions are discussed in depth below under “Elements of Executive Compensation and Analysis of Transition Period 2015 Compensation Decisions.”

·
Base salaries.  The Compensation Committee approved salary increases for Messrs. Kelley and Jebsen in May 2015 to make the officers’ salaries more competitive in the marketplace, and to align these officers’ salaries with the 25th-50th percentile of the “market data” (as such term is described and defined in “Role of Benchmarking and Comparative Analysis” below).

·
Cash bonus.  The Compensation Committee determined that each of Mr. Kelley and Mr. Jebsen achieved approximately 75% of the pre-established operational goals during Transition Period 2015.  Accordingly, the Compensation Committee awarded Mr. Kelley and Mr. Jebsen cash bonuses of $159,000 and $81,000, respectively, with such amounts having been prorated based on an eight-month period as compared to a standard twelve-month period.

·
Long-term equity compensation.  The Compensation Committee determined that each of Mr. Kelley and Mr. Jebsen have a sufficient equity interest in our company to align his interest with that of our stockholders. Accordingly, during Transition Period 2015, the Compensation Committee did not grant any equity awards to Mr. Kelley or Mr. Jebsen.

Compensation Philosophy and Objectives

The Compensation Committee believes that the compensation packages provided to our Named Executive Officers should typically include both cash and, when appropriate, stock-based compensation and should, in part, be correlated with our results to reward performance as measured against established operational goals.  For Transition Period 2015, the Compensation Committee endeavored to create compensation packages for our Named Executive Officers with the general goal that a substantial portion of such individuals’ total cash compensation would be at risk, and would generally only be earned by the executives if they achieved the predetermined operational goals set by the Compensation Committee.

For Transition Period 2015, the Compensation Committee generally targeted total compensation for our Named Executive Officers to be between the 25th and 50th percentiles of the market data.  In setting Transition Period 2015 compensation for our Named Executive Officers, the Compensation Committee:
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·evaluated each element of compensation as compared to executives in similar roles in the Peer Group (as defined below);

·assessed the performance of the Named Executive Officers, and considered the scope of responsibility and strategic impact of their respective roles within our company;

·emphasized variable and performance-based compensation to motivate executives to achieve our business objectives and align pay with the market and performance; and

·assessed whether our Named Executive Officers had sufficient equity interests in our company to ensure their alignment with stockholder interests.

Compensation Process

Role of Say-on-Pay Vote

At our 2015 Annual Meeting of Stockholders, approximately 98% of our stockholders who voted on the say-on-pay proposal approved the compensation of our Named Executive Officers.  The Compensation Committee believes that this vote endorses our compensation philosophy and programs.  Due to the support received and the relative similarities from year-to-year in our executive compensation structures, the 2015 advisory vote has had no measurable impact on our deliberations approving our current executive compensation programs.  The Compensation Committee will continue to monitor stockholder feedback each year as it reviews and establishes future executive compensation plans and determines awards for our Named Executive Officers.

Executive Officers’ Roles

No executive officer, including our Chief Executive Officer, provides input to the Compensation Committee in setting his own compensation.  However, in making its determination with respect to the compensation of our other executive officers, the Compensation Committee takes into account the recommendations of the Chief Executive Officer, who is responsible for annually evaluating the performance of the executive officers (except himself) and making recommendations to the Compensation Committee based on those reviews for the compensation of those executives.  The Chief Executive Officer’s recommendations are one factor the Compensation Committee considers in making final compensation decisions.

Role of Compensation Consultant

The Compensation Committee has engaged Arnosti Consulting to act as its independent compensation consultant.  The Compensation Committee has assessed Arnosti Consulting’s independence and determined that Arnosti Consulting had no conflicts of interest in connection with its provision of services to the Compensation Committee.  Arnosti Consulting reports directly to the Compensation Committee and works with management only at the Compensation Committee’s direction.  During Transition Period 2015, Arnosti Consulting was given the directive to analyze our executive compensation structure and plan designs, and to assess whether the compensation programs are competitive with the market and support the Compensation Committee’s goal to align the Named Executive Officers’ interests with those of our stockholders.  Arnosti Consulting also provided the Compensation Committee with market data, which the Compensation Committee reviewed as part of the information used to determine compensation for the Named Executive Officers.

Role of Benchmarking and Comparative Analysis

During Transition Period 2015, the Compensation Committee used market analyses provided by Arnosti Consulting as a reference point to evaluate the competitiveness of our compensation packages for the executive officers.  Arnosti Consulting developed a market overview (referred to herein as “market data”) using data from public company filings from a select peer group (the “Peer Group”).  Jobs of similar scope and responsibility as those at the Peer Group companies are identified and a market overview is created for each of the executive officer roles.  The Compensation Committee used this market data to analyze base salary, short-term cash incentive compensation and long-term equity compensation for Transition Period 2015.
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Arnosti Consulting worked with the chair of the Compensation Committee, with input from management, to select the Peer Group based on the following criteria:

·comparable market capitalization;
·comparable development stage;
·comparable number of employees; and
·geographic location.

The Compensation Committee intends to review the Peer Group each year to determine if companies should be added or removed from the Peer Group list.  Based on the criteria listed above, Arnosti Consulting and the chair of the Compensation Committee recommended that the Compensation Committee should include, and the Compensation Committee approved, the following companies:

Advaxis, Inc.Geron Corporation
Akebia Therapeutics, Inc.NephroGenex, Inc
Arrowhead Research CorporationNorthwest Biotherapeutics, Inc.
Athersys, Inc.Ocera Therapeutics, Inc.
BioCryst Pharmaceuticals, Inc.Opexa Therapeutics, Inc.
Biodel Inc.Proteon Therapeutics, Inc.
Catalyst Pharmaceutical Partners, Inc.Sarepta Therapeutics, Inc.
CEL-SCI CorporationStemCells, Inc.
Celsion CorporationSunesis Pharmaceuticals, Inc.
Conatus Pharmaceuticals Inc.Targacept, Inc.
Cyclacel Pharmaceuticals, Inc.TG Therapeutics, Inc.
Cytokinetics, IncorporatedTrevena, Inc.
CytRx CorporationXOMA Corporation
Fibrocell Science, Inc.

In May 2015, the Compensation Committee evaluated our Named Executive Officer compensation against the compensation for similar officers of the Peer Group through the last completed fiscal years for which data was available. The Compensation Committee determined that compensation of our Named Executive Officers should track approximately to the relative market capitalization of our company compared to the other companies in the Peer Group, which was between the 25th and 50th percentile.

Determination of Objectives

At a meeting shortly after the end of the fiscal year, the Compensation Committee approves one or more operational goals that align with our strategic goals for the coming fiscal year. The operational goals, and their respective weighting, approved by the Compensation Committee for Transition Period 2015 included the following:

·achievement of certain milestones related to our Phase III trial for levosimendan (40%);
·achievement of certain milestones related to the ongoing LeoPARDS Trial (Levosimendan for the Prevention of Acute oRgan Dysfunction in Sepsis) (20%);
·the implementation and execution of a pediatric strategy (15%);
·achievement of certain business development goals (15%); and
·the transition to a calendar year company (10%).
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Each Named Executive Officer’s performance is assessed against these goals and objectives. Achievement of these pre-determined operational objectives determines the eventual cash bonus payouts.

Elements of Executive Compensation and Analysis of Transition Period 2015 Compensation Decisions

The primary elements of our Named Executive Officer compensation are described below. The term “market data” is described under “Role of Benchmarking and Comparative Analysis” above.

Compensation ElementPurposeApproach
Base Salary
Annual cash compensation for services rendered during the year.
Competitive market ranges are established using the 25th to 50th percentiles of the market data as the relevant range.  Actual executive salary is based on a holistic assessment by the Compensation Committee of the scope of position, experience, overall contributions to our company’s success and individual performance and may be outside of this range.
Cash Bonus
Annual cash payments for achievement of predetermined operational goals and objectives.
Target annual cash bonus, as a percentage of a Named Executive Officer’s base salary, is established based on a review and evaluation of the market data. Actual payout is linked directly to the achievement of specified predetermined goals and objectives. The target annual cash bonus is based on 100% achievement of goals (with no cap on the bonus for greater than 100% achievement of goals and no threshold amount).
Long-term Equity CompensationStock options or restricted common stock that are designed to drive Named Executive Officers’ focus on long-term growth and increased stockholder value.Equity award grants are established based on a review and evaluation of the market data and corporate performance. Equity levels vary among participants based on position and current equity interests.

Base Salary

We use base salaries to recognize the experience, skills, knowledge and responsibilities of our employees, including the Named Executive Officers. The Compensation Committee annually reviews and evaluates the base salaries of the Named Executive Officers for adjustments based on the scope of each executive officer’s responsibilities, individual contribution, prior experience and sustained performance. Base salaries are also reviewed and adjusted, as deemed appropriate, in other circumstances, such as significant changes in responsibility. The Named Executive Officers are not entitled to any specific base salary increase in any given year. In making decisions regarding salary increases, the Compensation Committee may also draw on the Peer Group market data reviewed by the Compensation Committee. During Transition Period 2015, the Compensation Committee determined that compensation of our Named Executive Officers should be in line with the relative market cap of our company compared to the other companies in the Peer Group, which was between the 25th and 50th percentile.  Accordingly, the Compensation Committee’s review of the market data and our company’s overall performance resulted in a determination to (i) increase our Chief Executive Officer’s annual base salary to $430,000 and (ii) increase our Chief Financial Officer’s annual base salary to $325,000, each retroactively effective as of May 1, 2015.  The resulting annual base salaries for our Chief Executive Officer and Chief Financial Officer placed at approximately the 10th and 40th percentiles, respectively, of the relevant Peer Group market data.
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The following table sets forth the annual base salaries of the Named Executive Officers as of December 31, 2015, April 30, 2015 and April 30, 2014, as well as the percentage increase from Fiscal 2015 to the Transition Period 2015:

Name Fiscal 2014 Base Salary  Fiscal 2015 Base Salary  Percent Increase  Transition Period 2015 Base Salary 
John P. Kelley $330,000  $330,000   30.3% $430,000 
Michael B. Jebsen $285,000  $285,000   14.0% $325,000 

Cash Bonus

We use annual cash bonuses to compensate the Named Executive Officers for the achievement of our specified predetermined goals and objectives.  Under each of their employment agreements, Mr. Kelley and Mr. Jebsen are eligible to receive annual cash bonuses based on achievement of annual goals.  During Transition Period 2015, Mr. Kelley and Mr. Jebsen were eligible to receive a target cash bonus consisting of 75% and 50%, respectively, of their base salaries, based on 100% achievement of the predetermined operational goals.  There is no cap on the bonuses for greater than 100% achievement of goals, and there is no threshold amount that must be achieved to receive any cash bonus payment.

The following table shows the Transition Period 2015 target annual cash bonus amount calculated as a percentage of the prorated portion of annual base salary for which each of Mr. Kelley and Mr. Jebsen was eligible. The Transition Period 2015 target bonus amount was prorated based on an eight-month period as compared to a standard twelve-month period.

Name and Principal Position Transition Period 2015 Target Bonus Amount Percentage  Transition Period 2015 Prorated Target Bonus Amount 
John P. Kelley  75% $215,000 
Michael B. Jebsen  50% $108,388 

As stated above, during Transition Period 2015, the Compensation Committee determined that compensation of our Named Executive Officers should be in line with 25th and 50th percentile of our Peer Group.  Accordingly, the Compensation Committee’s review of the market data and our company’s overall performance resulted in a determination to (i) increase our Chief Executive Officer’s target annual cash bonus to the current 75% of his base salary and (ii) maintain our Chief Financial Officer’s target annual cash bonus at 50% of his base salary.  These changes were retroactively effective as of May 1, 2015.  In effect, the resulting target annual cash bonuses for our Chief Executive Officer and Chief Financial Officer placed at approximately the 45th and 50th percentiles, respectively, of the relevant Peer Group market data.

The Compensation Committee determined that each of Mr. Kelley and Mr. Jebsen achieved approximately 75% of the pre-established operational goals for Transition Period 2015.  Accordingly, the Compensation Committee awarded Mr. Kelley and Mr. Jebsen cash bonuses of $159,000 and $81,000, respectively, with such amounts having been prorated based on an eight-month period as compared to a standard twelve-month period.

For the year ending December 31, 2016, the operational goals, and their respective weighting, approved by the Compensation Committee include the following:

·achievement of certain milestones related to our Phase III trial for levosimendan (50%);
·achievement of certain milestones related to the ongoing LeoPARDS Trial (Levosimendan for the Prevention of Acute oRgan Dysfunction in Sepsis) (20%);
·the execution of a pediatric strategy (10%);
·achievement of certain business development goals (10%); and
·finalization of plans for commercialization (10%).
20

The Compensation Committee determined that during the fiscal year ending December 31, 2016, Mr. Kelley and Mr. Jebsen would be eligible to receive a target cash bonus consisting of 75% and 50%, respectively, of their base salaries, based on 100% achievement of the predetermined operational goals.  There is no cap on the bonuses for greater than 100% achievement of goals, and there is no threshold amount that must be achieved to receive any cash bonus payment.

Long-term Equity Compensation

We typically make equity awards to our officers and employees as an incentive to align management’s interests with that of our stockholders and to enhance long-term stockholder value. Equity awards are typically granted when the person is first hired, receives a promotion or other significant change in responsibility, and thereafter once annually as a part of our equity incentive program at a regularly scheduled Compensation Committee meeting at the beginning of the respective fiscal year or comparable reporting period.

During Transition Period 2015, the Compensation Committee elected not to grant any equity awards to Mr. Kelley or Mr. Jebsen, as they were already the beneficial owner, directly and indirectly, of approximately 5.65% and 1.81% of our outstanding common stock, respectively. The Compensation Committee determined that each of Mr. Kelley and Mr. Jebsen has a sufficient equity interest in our company to align his interest with that of our stockholders.

Benefits and Other Compensation

We maintain broad based benefits that are provided to all employees, including health and dental insurance. Our executive officers are eligible to participate in all of our employee benefit plans, in each case, on the same basis as other employees.

Severance and Change-of-Control Benefits

Pursuant to employment agreements we have entered into with the Named Executive Officers, each such officer is entitled to specified benefits in the event of the termination of his employment under specified circumstances, including termination following a change in control of our company. We have provided more detailed information about these benefits, along with estimates of their value under various circumstances, under the caption “Employment and other Contracts” below.

Summary of Compensation

The following table provides certain summary information concerning compensation earned for services rendered in all capacities to us for the fiscal years ended April 30, 2015 and 2014,or transition period indicated, by our chief executive officer and chief financial officer (the “NamedNamed Executive Officers”).Officers. We had no other executive officers during any part of fiscalTransition Period 2015.  This information includes the dollar amount of base salaries, bonus awards, restricted stock, stock options and all other compensation, if any, whether paid or deferred.

The amounts for Mr. Kelley and Mr. Jebsen under the Option Awards column for fiscalFiscal 2014 below reflect option grants made pursuant to their respective employment agreements, which were negotiated in connection with our acquisition of a license for levosimendan in our transaction with Phyxius Pharma, Inc. in November 2013.  Prior to the acquisition of our license for levosimendan, our stock price was approximately $1.50 per share of common stock, however the amounts indicated in the Option Awards column for fiscalFiscal 2014 below are based upon a stock price of approximately $5.65 per share of common stock.

In addition, at the time Mr. Jebsen was appointed as interim Chief Executive Officer in August 2011, the Board determined that, upon completion of his service as interim Chief Executive Officer, he would be eligible to receive a discretionary bonus based upon his performance as interim Chief Executive Officer.  In November 2013, Mr. Jebsen’s service as interim Chief Executive Officer was complete, with the appointment of Mr. Kelley as Chief Executive Officer following the Phyxius transaction.  Following a review of Mr. Jebsen’s performance as interim Chief Executive Officer, and in light of his long period of service in that role, the Board awarded Mr. Jebsen a discretionary bonus consisting of $225,000 in cash and 32,143 shares of restricted common stock.  These amounts are reflected in the Bonus and Stock Awards columns for fiscalFiscal 2014 below.

 
1521

 

Summary Compensation Table

Name and Principal Position Year 
Salary
($)
  
Non-Equity Incentive Plan (2)
($)
  Bonus ($)  
Stock Awards(1) ($)
  
Option Awards(1) ($)
  
All Other Compensation(3) ($)
  
Total
($)
 Year 
Salary
($)
  Bonus ($)  
Stock Awards(2) ($)
  
Option Awards(2) ($)
  
Non-Equity
Incentive Plan (3)
($)
  
All Other Compensation(4) ($)
  
Total
($)
 
John P. Kelley(1) 2015  330,000   148,500               478,500 Transition Period 2015  286,667            159,000      445,667 
Chief Executive Officer 2014  151,250   82,500         3,954,628      4,188,378 Fiscal 2015  330,000            148,500      478,500 
Michael B. Jebsen, CPA(4)
 2015  285,000   128,250      2,141(5)     9,600   424,991 
Fiscal 2014  151,250         3,954,628   82,500      4,188,378 
Michael B. Jebsen, CPA(5)
Transition Period 2015  216,667            81,000      297,667 
President, Chief Financial Officer 2014  309,375   176,150   225,000   332,150   3,954,628   9,600   5,007,003 Fiscal 2015  285,000      2,141(6)     128,250   9,600   424,991 
Fiscal 2014  309,375   225,000   332,150   3,954,628   176,150   9,600   5,007,003 
Fiscal 2013  330,000      60,308(6)        9,600   399,908 

(1)Mr. Kelley was not a named executive officer in Fiscal 2013.

(2)  The amounts in these columns reflect the aggregate grant date fair value of awards granted during the year computed in accordance with Financial Accounting Standards Board ASC Topic 718, Compensation — Stock Compensation. The assumptions made in determining the fair values of our stock and option awards are set forth in Note G to our Financial Statements included in our Form 10-K10-KT for the year ended April 30,Transition Period 2015, filed with the SEC on JulyMarch 14, 2015.2016.

(2)(3)  These payments were made based on achievement of milestonesannual goals in accordance with each of Mr. Kelley’s and Mr. Jebsen’s employment agreement, which is described below in the section entitled “Employment and other Contracts.”

(3)(4)  The amounts in this column represent payments for automobile allowances issued in accordance with the terms of Mr. Jebsen’s employment agreement, which is described below in the section entitled “Employment and other Contracts.”

(4)(5)  Mr. Jebsen served as our Interim Chief Executive Officer from August 2011 until November 2013. In connection with such service, Mr. Jebsen received additional compensation of $10,000 per month.  Mr. Jebsen’s salary for fiscalFiscal 2014 and Fiscal 2013 reflects the additional compensation he received during the portionportions of 2014 and 2013 in which he served as our Interim Chief Executive Officer.

(5)(6)  Represents the grant date fair value of the shares issued in accordance with the terms of Mr. Jebsen’s employment agreement, which is described below in the section entitled “Employment and other Contracts.”

Option Grants

In September 1999, our Board of Directors approved the 1999 Amended Stock Plan, which provided for the granting of incentive and nonstatutory stock options to employees and directors to purchase up to 13,333 shares of our common stock. The 1999 Amended Stock Plan was approved by stockholders on October 10, 2000. Options granted under the 1999 Amended Stock Plan generally have vesting schedules of up to four years and have expiration periods of generally ten years. On June 17, 2008, our stockholders approved an amendment and restatement to the 1999 Amended Stock Plan to increase the number of shares of common stock available for awards under the plan from 13,333 to 40,000, to increase the maximum number of shares covered by awards granted under the 1999 Amended Stock Plan to an eligible participant from 13,333 to 16,667 shares, and to make additional technical changes to update the plan. On September 30, 2011, our stockholders approved an amendment to the 1999 Amended Stock Plan, to increase the number of shares of common stock available for awards under the plan from 40,000 to 300,000. On March 13, 2014, our stockholders approved an amendment to the 1999 Amended Stock Plan, to increase the number of shares of common stock available for awards under the plan from 300,000 to 4,000,000. Persons eligible to receive grants under the 1999 Amended Stock Plan consist of all of our employees, including executive officers and employee directors. As of April 30, 2015 and 2014, we had 3,693,298 and 3,647,858 outstanding options under the 1999 Amended Stock Plan, respectively. As of April 30, 2015 and 2014, there were 122,399 and 155,408, respectively, options available for grant under the 1999 Amended Stock Plan.

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In addition, we have issued options outside the 1999 Amended Stock Plan.  At April 30, 2015 the total number of options outstanding that were issued outside the 1999 Amended Stock Plan was 25,000 with a weighted average exercise price of $3.22.

The following table summarizes certain information as of April 30, 2015 concerning the stock options and restricted stock granted to the Named Executive Officers during the fiscal year ended April 30, 2015. No stock appreciation rights or long-term performance awards had been granted as of April 30, 2015.

Name and Principal Position Grant Date 
Number of Securities Underlying Options(1)
(#)
  
Exercise Price of Options
($)
  
Number of Securities Underlying Restricted Stock Grant
(#)
  
Grant Date Fair Value of Option and Restricted Stock Awards(2) ($)
 
Michael B. Jebsen, CPA 5/1/2014        430(3)  2,141 
  President, Chief Financial Officer and Former Interim Chief Executive Officer                  


(1)  Each option listed in the table immediately vests and is exercisable over a ten-year period.

(2)  The amounts in this column reflects the aggregate grant date fair value of awards granted during the year computed in accordance with Financial Accounting Standards Board ASC Topic 718, Compensation — Stock Compensation. The assumptions made in determining the fair values of our option awards are set forth in Note G to our Financial Statements included in our Form 10-K for the year ended April 30, 2015, filed with the SEC on July 14, 2015.

(3)  The shares underlying these grants vest monthly over a 12 month period.


Outstanding Equity Awards
The following table provides information about outstanding equity awards held by the Named Executive Officers as of April 30, 2015.

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Outstanding Equity Awards at 2015 Fiscal Year-End

  
Option Awards(1)
 Stock Awards 
Name and Principal Position 
Number of securities underlying unexercised options (Exercisable)
(#)
  
Number of securities underlying unexercised options (Unexercisable)
(#)
  
Option exercise price
($/Sh)
 Option expiration date 
Number of shares or units of stock that have not vested
(#)
  
Market value of shares or units of stock that have not vested
($)
 
John P. Kelley  446,110(3)  446,110(3)  5.65 4/2/2024      
Chief Executive Officer                     
Michael B. Jebsen, CPA  34(2)      123.00 7/20/2019      
President, Chief Financial Officer and Former Interim Chief Executive Officer  167       117.00 8/12/2019        
   34       127.60 9/1/2019        
   34       117.00 10/1/2019        
   34       129.00 11/1/2019        
   34       111.60 12/1/2019        
   34       115.80 1/1/2020        
   34       114.60 2/1/2020        
   34       102.00 3/1/2020        
   34       100.00 4/1/2020        
   34       100.00 5/1/2020        
   34       59.40 6/1/2020        
   34       57.80 7/1/2020        
   34       54.80 8/1/2020        
   167       55.80 8/13/2020        
   34       60.80 9/1/2020        
   34       50.60 10/1/2020        
   34       42.20 11/1/2020        
   34       43.00 12/1/2020        
   625       43.00 12/1/2020        
   34       38.40 1/1/2021        
   34       41.00 2/1/2021        
   34       38.60 3/1/2021        
   34       36.80 4/1/2021        
   446,610(3)  446,610(3)  5.65 4/2/2024        

(1)  Except as otherwise noted, the option awards reflected in these columns vested immediately on the date of grant. The date of grant for each of these options is the date 10 years prior to the expiration date reflected in this table.

(2)  These options were granted with the following vesting schedule: 100% on the first anniversary of the grant date.

(3)  These options were granted with the following vesting schedule: 25% on the (i) Initiation of the Phase III Clinical Trial or (ii) Parent attaining a Market Capitalization of at least $50,000,000; 25% on the (i) Database Lock with respect to the Phase III Clinical Trial or (ii) Parent attaining a Market Capitalization of at least $100,000,000; 25% on the Acceptance For Review of an NDA for the Product for LCOS; 25% on the Approval of the Product for LCOS.

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Employment and other Contracts

Pursuant to the employment agreement with Mr. Jebsen that was effective for the fiscal year ending April 30,during Fiscal 2013 and a portion of the fiscal year ending April 30,Fiscal 2014 (the “Prior Jebsen Employment Agreement”), Mr. Jebsen received as compensation (i) an annual base salary of $210,000, (ii) a fixed monthly automobile allowance of $800, and (iii) participation in medical insurance, dental insurance, and other benefit plans on the same basis as our other officers. Under the Prior Jebsen Employment Agreement, Mr. Jebsen received an annual cash bonus consisting of 50% of his base salary, based on 100% achievement of annual goals (with no cap on the bonus for greater than 100% achievement of goals). In addition to the foregoing, Mr. Jebsen received annual grants totaling 430 shares of our restricted common stock, vesting over a 12-month period, of which 180 shares will only vest so long as he continued serving as our Corporate Secretary.
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The Prior Jebsen Employment Agreement (i) was to be effective for a one-year term, and automatically renewed for additional one-year terms, unless the Prior Jebsen Employment Agreement was terminated in advance of renewal or either party gave notice at least 90 days prior to the end of the then current term of an intention not to renew, and (ii) provided that we would indemnify Mr. Jebsen against any adverse tax consequences in connection with the Prior Jebsen Employment Agreement or any prior employment agreement that may result from any non-compliance with Section 409A of the Internal Revenue Code of 1986, as amended (the “IRC”).

In addition, the Prior Jebsen Employment Agreement provided that if Mr. Jebsen was terminated without cause, if Mr. Jebsen terminated his employment for good reason, or if we elected not to renew the Prior Jebsen Employment Agreement, Mr. Jebsen would be entitled to receive (i) one-year of base salary, (ii) an amount equal to the annual bonus that he would have received had 100% of goals been achieved, and (iii) one-year of COBRA reimbursements or benefits payments, as applicable. Mr. Jebsen’s entitlement to these payments was conditioned upon his execution of a release of claims.

For purposes of the Prior Jebsen Employment Agreement: (i) “cause” included (a) a material breach of the Prior Jebsen Employment Agreement by Mr. Jebsen, (b) material misappropriation of our property, (c) material failure to comply with our policies, (d) use of illegal drugs or use of alcohol in a manner that interferes with the performance of Mr. Jebsen’s duties, (e) dishonest or illegal action that is materially detrimental to us, and (f) failure to disclose material conflicts of interest, and (ii) "good reason" includes (a) a material reduction in base salary, (b) a material reduction of Mr. Jebsen’s authority, duties or responsibility, (c) relocation of Mr. Jebsen’s employment by more than 50 miles, (d) a material breach of the Prior Jebsen Employment Agreement by us, or (e) a change in control of us, which means a change in the ownership or effective control of us or a change in the ownership of a substantial portion of our assets (each as defined in the Internal Revenue Service regulations under Section 409A of the IRC); provided, however, that the replacement of two or more of our directors within a 12-month period by new directors not endorsed by a majority of the Board prior to their appointment would also constitute a change in control.certain severance arrangements.

On March 21, 2011, we entered into an indemnification agreement with Mr. Jebsen, which provides that in respect of acts or omissions occurring prior to such time as Mr. Jebsen ceases to serve as our officer Mr. Jebsen will receive (i) indemnification and advancement of expenses to the extent provided under our Certificate of Incorporation and to the fullest extent permitted by applicable law and (ii) indemnification against any adverse tax consequences in connection with prior option awards that may have been non-compliant with Section 409A of the IRC.

On August 24, 2011, Mr. Jebsen became interim Chief Executive Officer. In connection with this service, Mr. Jebsen received additional compensation of $10,000 per month for each month that he served as interim Chief Executive Officer. Upon completion of his service as interim Chief Executive Officer, Mr. Jebsen would be eligible to receive a discretionary bonus based upon his performance as interim Chief Executive Officer. During fiscal 2014, Mr. Jebsen ceased serving as our interim Chief Executive Officer.

Effective November 13, 2013, we entered into an employment agreement with Mr. Kelley and a new amended and restated employment agreement with Mr. Jebsen (the “Employment Agreements”).  The Employment Agreements were effective during a portion of fiscal 2014, fiscal 2015 and Transition Period 2015.  Under the Employment Agreements, Mr. Kelley and Mr. Jebsen receive annual base salaries of $330,000 and $285,000, respectively.  Each of Mr. Kelley and Mr. Jebsen also receives participation in medical insurance, dental insurance and other benefit plans on the same basis as our other officers. Under the Employment Agreements, Mr. Kelley and Mr. Jebsen also receive annual cash bonuses consisting of 50% of their base salaries, based on 100% achievement of annual goals (with no cap on the bonus for greater than 100% achievement of goals).  The Employment Agreements also provide for the Contingent Option Awards described below.  In addition to the foregoing, Mr. Jebsen will also receive a fixed monthly automobile allowance of $800 and annual grants totaling 430 shares of restricted common stock, vesting over a 12-month period, of which 180 shares will only vest so long as he continues serving as our Treasurer.  In addition, on November 13, 2013, the Board also awarded Mr. Jebsen a discretionary bonus consisting of $225,000 in cash and 32,143 shares of restricted common stock, one half of which vested immediately and one-half which vested six months after the grant, in recognition of his service as our interim Chief Executive Officer from August 2011 through November 2013.

On June 18, 2015, we entered into an amendment to the Employment Agreements.  The amendment to Mr. Kelley’s employment agreement increased his base salary to $430,000 from $330,000, effective as of May 1, 2015, and also increased his target annual cash bonus to 75% of his base salary, based on 100% achievement of annual goals (with no cap on the bonus for greater than 100% achievement of goals).  The amendment to Mr. Jebsen’s employment agreement increased his base salary to $325,000 from $285,000, effective as of May 1, 2015, while removing the fixed monthly automobile allowance of $800.
19


The Employment Agreements are effective for a one-year term, and automatically renew for additional one-year terms, unless the Employment Agreements are terminated in advance of renewal or either party gives notice at least 90 days prior to the end of the then current term of an intention not to renew.   If Mr. Kelley or Mr. Jebsen is terminated without cause, if he terminates his employment for good reason, or if we elect not to renew the Employment Agreement, the executive officer would be entitled to receive (i) one-yearone year of base salary, (ii) a pro-rated amount of the annual bonus that he would have received had 100% of goals been achieved, and (iii) one-yearone year of COBRA reimbursements or benefits payments, as applicable.  Mr. Kelley’s and Mr. Jebsen’s entitlement to these payments is conditioned upon execution of a release of claims.

For purposes of the Employment Agreements: (i) “cause” includes (a) a willful material breach of the Employment Agreement by the executive, (b) material misappropriation of our company’s property, (c) material failure to comply with our company’s policies, (d) abuse of illegal drugs or abuse of alcohol in a manner that interferes with the performance of the officer’s duties, (e) dishonest or illegal action that is materially detrimental to our company, and (f) failure to disclose material conflicts of interest, and (ii) “good reason” includes (a) a material reduction in base salary, (b) a material reduction of the officer’s authority, duties or responsibility, (c) certain changes in geographic location of the officer’s employment, or (d) a material breach of the Employment Agreement by us.
23


Pursuant to Employment Agreements, each of Mr. Kelley and Mr. Jebsen received a one-time non-statutory stock option grant of 893,220 shares of common stock in April 2014, following stockholder approval of the amendment to the 1999 Stock Plan to increase the amount of stock options authorized for issuance under the 1999 Stock Plan to 4,000,000 shares of common stock (the “Contingent Option Awards”).

Equity Awards

In September 1999, our Board of Directors approved the 1999 Amended Stock Plan, which provided for the granting of incentive and nonstatutory stock options to employees and directors to purchase up to 13,333 shares of our common stock. The 1999 Amended Stock Plan was approved by stockholders on October 10, 2000. Options granted under the 1999 Amended Stock Plan generally have vesting schedules of up to four years and have expiration periods of generally ten years. On June 17, 2008, our stockholders approved an amendment and restatement to the 1999 Amended Stock Plan to increase the number of shares of common stock available for awards under the plan from 13,333 to 40,000, to increase the maximum number of shares covered by awards granted under the 1999 Amended Stock Plan to an eligible participant from 13,333 to 16,667 shares, and to make additional technical changes to update the plan. On September 30, 2011, our stockholders approved an amendment to the 1999 Amended Stock Plan, to increase the number of shares of common stock available for awards under the plan from 40,000 to 300,000. On March 13, 2014, our stockholders approved a second amendment to the 1999 Amended Stock Plan, to increase the number of shares of common stock available for awards under the plan from 300,000 to 4,000,000. On September 15, 2015, our stockholders approved a third amendment to the 1999 Amended Stock Plan, to increase the number of shares of common stock available for awards under the plan from 4,000,000 to 5,000,000. Persons eligible to receive grants under the 1999 Amended Stock Plan consist of all of our employees, including executive officers and non-employee directors. As of December 31, 2015 and April 30, 2015 and 2014, we had 4,007,698, 3,693,298 and 3,647,858 outstanding options under the 1999 Amended Stock Plan, respectively. As of December 31, 2015 and April 30, 2015 and 2014, we had 394, 90 and 42,478 outstanding shares of restricted stock under the 1999 Amended Stock Plan, respectively. As of December 31, 2015 and April 30, 2015 and 2014, there were 994,713, 122,399 and 155,408, respectively, shares available for grant under the 1999 Amended Stock Plan.

In addition, we have issued options outside the 1999 Amended Stock Plan.  At December 31, 2015, the total number of options outstanding that were issued outside the 1999 Amended Stock Plan was 25,000 with a weighted average exercise price of $3.22.

The following table summarizes certain information as of December 31, 2015 concerning the stock options and restricted stock granted to the Named Executive Officers during the eight months ended December 31, 2015. No stock appreciation rights or long-term performance awards had been granted as of December 31, 2015.

Transition Period 2015 Grants of Plan-Based Awards

   
Estimated Future Payouts under Non-equity Incentive Plan Awards (1)
  All Other Stock Awards: Number of Shares of Stock or Units (#)  Grant Date Fair Value of Stock and Option Awards (2) ($) 
NameGrant Date 
Target
($)
     
John P. Kelley   215,000       
Chief Executive Officer             
Michael B. Jebsen, CPA   108,333       
President, Chief Financial Officer and Former Interim Chief Executive Officer5/1/2015      430(3)  1,471 
(1)  The amounts in this column reflect the target annual cash bonus opportunities under each Named Executive Officer’s employment agreement for Transition Period 2015.  There are no threshold or maximum payouts under the Named Executive Officers’ employment agreements.  The actual cash bonuses paid to the Named Executive Officers for Transition Period 2015 are set forth in the Summary Compensation Table under the “Non-Equity Incentive Plan” column.
24

(2)  The amounts in this column reflects the aggregate grant date fair value of awards granted during the year computed in accordance with Financial Accounting Standards Board ASC Topic 718, Compensation — Stock Compensation. The assumptions made in determining the fair values of our option awards are set forth in Note G to our Financial Statements included in our Form 10-KT for Transition Period 2015, filed with the SEC on March 14, 2016.

(3)  Reflects shares of restricted common stock granted pursuant to Mr. Jebsen’s employment agreement that vest monthly over a 12 month period.
Outstanding Equity Awards
The following table provides information about outstanding equity awards held by the Named Executive Officers as of December 31, 2015.

Outstanding Equity Awards as of December 31, 2015

  
Option Awards(1)
 Stock Awards 
Name and Principal Position 
Number of securities underlying unexercised options (Exercisable)
(#)
  
Number of securities underlying unexercised options (Unexercisable)
(#)
  
Equity incentive plan award: number of securities underlying unexercised unearned options
(#)
  
Option exercise price
($/Sh)
 
Option
expiration
date
 
Number of shares or units of stock that have not vested
(#)
  
Market value of shares or units of stock that have not vested
($)
 
John P. Kelley  446,610(3)     446,610(3)  5.65 4/2/2024      
Chief Executive Officer                         
Michael B. Jebsen, CPA  34(2)          123.00 7/20/2019      
President, Chief Financial Officer and Former Interim Chief Executive Officer  167           117.00 8/12/2019        
   34           127.60 9/1/2019        
   34           117.00 10/1/2019        
   34           129.00 11/1/2019        
   34           111.60 12/1/2019        
   34           115.80 1/1/2020        
   34           114.60 2/1/2020        
   34           102.00 3/1/2020        
   34           100.00 4/1/2020        
   34           100.00 5/1/2020        
   34           59.40 6/1/2020        
   34           57.80 7/1/2020        
   34           54.80 8/1/2020        
   167           55.80 8/13/2020        
   34           60.80 9/1/2020        
   34           50.60 10/1/2020        
   34           42.20 11/1/2020        
   34           43.00 12/1/2020        
   625           43.00 12/1/2020        
   34           38.40 1/1/2021        
   34           41.00 2/1/2021        
   34           38.60 3/1/2021        
   34           36.80 4/1/2021        
   446,610(3)     446,610(3)  5.65 4/2/2024        
                    142(4)  466 
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(1)  Except as otherwise noted, the option awards reflected in these columns vested immediately on the date of grant. The date of grant for each of these options is the date 10 years prior to the expiration date reflected in this table.

(2)  These options were granted with the following vesting schedule: 100% on the first anniversary of the grant date.

(3)  These options were granted with the following vesting schedule: 25% on the (i) Initiation of the Phase III Clinical Trial or (ii) Parent attaining a Market Capitalization of at least $50,000,000; 25% on the (i) Database Lock with respect to the Phase III Clinical Trial or (ii) Parent attaining a Market Capitalization of at least $100,000,000; 25% on the Acceptance For Review of an NDA for the Product for LCOS; 25% on the Approval of the Product for LCOS.

(4)  Mr. Jebsen was originally granted 430 shares of restricted common stock on May 1, 2015 with such shares vesting monthly over a 12 month period.

Option Exercises and Stock Vested

The following table provides information about options exercised by the Named Executive Officers during Transition Period 2015.

Option Exercises and Stock Vested during Transition Period 2015

 Option Awards  Stock Awards 
 
Number of Shares Acquired on Exercise
(#)
  
Value Realized on Exercise
($)
  
Number of Shares Acquired on Vesting
(#)
 
Value Realized on Vesting
($) (1)
 
Name and Principal Position            
John P. Kelley            
Chief Executive Officer                
Michael B. Jebsen, CPA        170   543 
President, Chief Financial Officer                
(1)
Value realized is determined by multiplying (i) the market value of the underlying shares on the vesting date by (ii) the number of underlying shares.
Potential Payments Upon Termination or Change of Control

Employment Agreements

We have entered into employment agreements with each of Mr. Kelley and Mr. Jebsen that include severance arrangements as described above under “Employment and other Contracts.”
26


1999 Amended Stock Plan

Each of Mr. Kelley and Mr. Jebsen have received equity awards under our 1999 Amended Stock Plan, during fiscal 2014, which provide for accelerated vesting of such options under certain circumstances.  If Mr. Kelley or Mr. Jebsen is terminated other than as a result of his death or disability, his unvested options will terminate on his termination date and his vested options will remain exercisable until 3 months after the termination date.  If Mr. Kelley or Mr. Jebsen is terminated as a result of his death or disability, his unvested options will vest in fullterminate on his termination date and his vested options will remain exercisable until 12 months after the first anniversary of such termination.termination date.

Additionally, upon a change of control, except as otherwise determined by the Board of Directors in its discretion, all options will become fully vested and exercisable.  Upon a change of control, except as determined in the discretion of the Board of Directors, restrictions on shares of restricted stock do not automatically lapse.  For this purpose, a “change of control” means:  (i) the acquisition of shares of our stock representing fifty percent (50%) or more of the combined voting power of the our shares entitled to vote on the election of directors; (ii) the consummation of a merger, share exchange, consolidation or reorganization involving us and any other company or other entity as a result of which less than fifty percent (50%) of the combined voting power of the surviving or resulting company or entity after such transaction is held in the aggregate by the holders of the combined voting power of our outstanding shares immediately prior to such transaction; (iii) the approval by our stockholders of an agreement for the sale or disposition by the Companyus of all or substantially all of our assets; or (iv) a change in the composition of the Board of Directors occurring within a two-year period, as a result of which fewer than a majority of directors were current directors.

Summary of Potential Payments Upon Termination or Change of Control as of December 31, 2015

The following table quantifies the amounts that would be payable to the Named Executive Officers upon termination of their employment under the circumstances described above under “Employment and other Contracts.” We calculated the amounts shown based upon each such named executive officer’s employment agreement, if applicable, described above and upon the hypothetical assumption that we terminated each named executive officer effective December 31, 2015. Due to the numerous factors involved in estimating these amounts, the actual value of benefits and amounts to be paid can only be determined upon an executive’s actual termination of employment.

  Company Termination  Executive Termination       
  
 
For Cause ($)
  Without Cause ($)  Through Notice of Non-Renewal ($)  Through Notice of Non-Renewal ($)  
For Good Reason
($)
  
Death or Disability
($)
  
Change of Control (no termination)
($)
 
John P. Kelley                     
Cash Severance (1)     645,589   645,589      645,589       
Insurance Benefits (2)     27,857   27,857      27,857       
Vesting Acceleration (3)                     
Total     673,446   673,446      673,446       
                             
Michael B. Jebsen                            
Cash Severance (1)     433,630   433,630      433,630       
Insurance Benefits (2)     20,228   20,228      20,228       
Vesting of Acceleration (3)                     
Total     453,858   453,858      453,858       
(1)Equals one year of base salary and a pro-rated amount of the annual bonus that would have been received had 100% of goals been achieved.  Amount would be paid in monthly installments following termination.
(2)Equal to 12 times our monthly cost of providing medical, dental, vision, long-term disability and term life insurance benefits. The amount above also includes the estimated value of additional payments related to taxes incurred (at an assumed tax rate of 35%) as a result of our reimbursement of these expenses. Amount would be paid in monthly installments following termination.
(3)Equal to the number of unvested options that would be accelerated upon a change of control, multiplied by the difference between the exercise price of each such stock option, and the fair market value of $3.28 per share as of December 31, 2015 based on the closing price of our shares of common stock as reported on Nasdaq.
27

Equity Compensation Plan Information

  (a)  (b)  (c) 
  Number of securities to be issued upon exercise of outstanding options, warrants and rights  Weighted-average exercise price of outstanding options, warrants and rights  Number of securities remaining available for future issuances under equity compensation plans (excluding securities reflected in column (a)) 
Plan category         
Equity compensation plans approved by security holders  3,693,388  $5.70   122,399 
Equity compensation plans not approved by security holders(1)
  25,000  $3.22   0 
Total  3,718,388  $5.68   122,399 
The following table provides information about the securities authorized for issuance under our equity compensation plans as of December 31, 2015.

  (a)  (b)  (c) 
  Number of securities to be issued upon exercise of outstanding options, warrants and rights  Weighted-average exercise price of outstanding options, warrants and rights  Number of securities remaining available for future issuances under equity compensation plans (excluding securities reflected in column (a)) 
Plan category         
Equity compensation plans approved by security holders  4,007,939  $5.50   994,713(1)
Equity compensation plans not approved by security holders(2)
  25,000  $3.22   0 
Total  4,032,939  $5.49   994,713 

(1)All of these shares are available for issuance as restricted stock under the 1999 Amended Stock Plan.
(2)Inducement stock option grants outside of the 1999 Amended Stock Plan.

20


Compensation of Directors

The following table summarizes the compensation paid to non-employee directors for the fiscal year ended April 30,Transition Period 2015.

Transition Period 2015 Director Compensation

Director 
Fees Earned or Paid in Cash
($)
  
Option Awards
($)
  
Stock Awards
($)
  
All Other Compensation
($)
  
Total
($)
  
Fees Earned or Paid in Cash
($)
  
Option Awards
($)
  
Stock Awards
($)
  
All Other Compensation
($)
  
Total
($)
 
Ronald R. Blanck, DO(1)
  70,000   39,607         109,607   54,688   17,533         72,221 
William A. Chatfield(1)(2)
  55,000   39,607         94,607   18,125   17,533         35,658 
Anthony DiTonno(1)
  50,000   39,607         89,607   37,500   17,533         55,033 
James Mitchum(1)
  19,688   29,017         48,705 
Gregory Pepin(1)
  60,000   39,607         99,607   44,063   17,533         61,596 
Gerald T. Proehl(1)
  55,000            55,000   44,376   17,533         61,909 
Chris A. Rallis(1)
  50,000   39,607         89,607   39,063   17,533         56,596 
 

(1)As of April 30,December 31, 2015, our non-employee directors held the following aggregate stock options: Dr. Blanck, 20,507; 30,507; Mr. DiTonno, 31,488; Mr. Mitchum, 25,000; Mr. Pepin, 20,000; Mr. Proehl, 35,000; Mr. Rallis, 29,798.
(2)
Mr. Chatfield 19,656; Mr. DiTonno, 21,488; Mr. Pepin, 10,000; Mr. Proehl, 25,000; Mr. Rallis, 19,798.served as a director until the date of our 2015 Annual Meeting.

During fiscalFrom May 1, 2015 until June 15, 2015, all of our non-employee directors were paid the following compensation for service on the Board and Board Committees:

●  ·An annual director fee in each fiscal year of $45,000 ($55,000 for our board chairman), which was paid in equal quarterly installments on the first day of each fiscal quarter;

28

●  ·An annual audit committee member fee in each fiscal year of $7,500 ($15,000 for our audit committee chairman), which was paid in equal quarterly installments on the first day of each fiscal quarter;

●  ·An annual compensation committee member fee in each fiscal year of $5,000 ($10,000 for our compensation committee chairman), which was paid in equal quarterly installments on the first day of each fiscal quarter;

●  ·An annual nominating and corporate governance committee member fee in each fiscal year of $5,000 ($10,000 for our nominating and corporate governance committee chairman), which was paid in equal quarterly installments on the first day of each fiscal quarter;

●  ·An annual grant of 10,000 stock options, which vest one-yearone year after the grant date and are exercisable for a period of ten years, issued on the first day of each fiscal year; and

●  ·Reimbursement of travel and related expenses for attending Board and Committee meetings, as incurred.

Beginning June 15, 2015, all of our non-employee directors were paid the following compensation for service on the Board and Board Committees:

·An annual director fee in each fiscal year of $45,000 ($55,000 for our board chairman), which was paid in equal quarterly installments on the first day of each fiscal quarter;

·An annual audit committee member fee in each fiscal year of $7,500 ($15,000 for our audit committee chairman), which was paid in equal quarterly installments on the first day of each fiscal quarter;

·An annual compensation committee member fee in each fiscal year of $5,000 ($10,000 for our compensation committee chairman), which was paid in equal quarterly installments on the first day of each fiscal quarter;

·An annual nominating and corporate governance committee member fee in each fiscal year of $3,500 ($7,000 for our nominating and corporate governance committee chairman), which was paid in equal quarterly installments on the first day of each fiscal quarter;

·An annual grant of 10,000 stock options, which vest one year after the grant date and are exercisable for a period of ten years, issued on the first day of each fiscal year; and

·Reimbursement of travel and related expenses for attending Board and Committee meetings, as incurred.

In addition to the compensation described above, Dr. Blanck and Mr. Chatfield werewas granted a 2,000 stock option award on theirhis initial nomination to the Board. The options may vestvested immediately, or up to one year later, and arewere exercisable for a period of three years. Mr. Proehl wasand Mr. Mitchum were each granted a 25,000 stock option award on histheir initial nomination to the Board. The options may vest one year after the grant date and are exercisable for a period of ten years. We shall maintain an appropriate director’s and officer’s insurance policy at all times for our non-employee directors.

Compensation Committee Interlocks and Insider Participation

The members of the Compensation Committee throughout Transition Period 2015 were Messrs. Pepin (Chair), DiTonno and Proehl. None of our executive officers serves as a member of the board of directors or compensation committee, or other committee serving an equivalent function, of any entity that has one or more executive officers who serve as a member of our Board or Compensation Committee.

Compensation Policies and Practices as They Relate to Risk Management

We have reviewed our compensation policies and practices for all employees and concluded that any risks arising from our policies and programs are not reasonably likely to have a material adverse effect on our company.
 
 
2129

 

Compensation Committee Report

The Compensation Committee has reviewed and discussed the Compensation Discussion and Analysis section of this Proxy Statement required by Item 402(b) of Regulation S-K with management. Based on the review and discussions, the Compensation Committee recommended to our Board, and the Board has approved, the inclusion of the Compensation Discussion and Analysis in this Proxy Statement.
COMPENSATION COMMITTEE
Anthony A. DiTonno (Chair)
Gregory Pepin
Gerald T. Proehl
OWNERSHIP OF SECURITIES

Principal Stockholders and Share Ownership by Management

The following table sets forth, as of August 17, 2015,April 11, 2016, the number and percentage of the outstanding shares of common stock and warrants and options that, according to the information supplied to us, were beneficially owned by (i) each person who is currently a director or a director nominee, (ii) our named executive officers, (iii) all current directors and executive officers as a group and (iv) each person who, to our knowledge, is the beneficial owner of more than five percent of the outstanding common stock. Except as otherwise indicated, the persons named in the table have sole voting and dispositive power with respect to all shares beneficially owned, subject to community property laws where applicable.

Beneficial Owner
Name and Address(1)
 Amount and Nature of Beneficial Ownership  Percent of Class 
Principal Stockholders      
RA Capital Management, LLC(3)
  2,670,300   9.50%
20 Park Plaza, Suite 1200
Boston, MA 02116
        
Sabby Healthcare Master Fund, Ltd.(4)
  2,354,567   8.37%
c/o Ogier Fiduciary Services (Cayman) Limited
89 Nexus Way, Camana Bay
Grand Cayman KY1-9007
Cayman Islands
        
JP SPC3 OXBT FUND(2)
  2,307,707   7.60%
Rue Du Mont-Blanc
Geneva, Switzerland 1201
        
Broadfin Capital, LLC(5)
  1,968,631   7.00%
300 Park Avenue, 25th Floor
New York, New York 10022
        
Doug Randall  1,613,121   5.65%
Douglas Hay  1,413,121   4.95%
Great Point Partners, LLC(6)
  1,108,593   3.94%
165 Mason Street, 3rd Floor
Greenwich, CT 06830
        
Officers and Directors        
Gregory Pepin(7)
  2,374,956   8.44%
John P. Kelley  1,613,121   5.65%
Michael B. Jebsen, CPA(8)
  516,044   1.81%
Ronald R. Blanck, DO(8)
  36,535   * 
Anthony DiTonno(8)
  27,252   * 
Chris A. Rallis(8)
  26,853   * 
William A. Chatfield(8)
  21,427   * 
Gerald T. Proehl(8)
  25,000   * 
James Mitchum     * 
All officers and directors as a group (9 persons)(8)
  4,641,188   15.93%

Beneficial Owner
Name and Address(1)
 Amount and Nature of Beneficial Ownership  Percent of Class 
Principal Stockholders      
Sabby Healthcare Master Fund, Ltd.(2)
  2,693,537   9.58%
c/o Ogier Fiduciary Services (Cayman) Limited
89 Nexus Way, Camana Bay
Grand Cayman KY1-9007
Cayman Islands
        
RA Capital Management, LLC(3)
  2,389,700   8.50%
20 Park Plaza, Suite 1200
Boston, MA 02116
        
JP SPC3 OXBT FUND(4)
  2,282,640   7.52%
Rue Du Mont-Blanc
Geneva, Switzerland 1201
        
Broadfin Capital, LLC(5)
  1,968,631   7.00%
300 Park Avenue, 25th Floor
New York, New York 10022
        
Doug Randall  1,613,121   5.65%
Douglas Hay  1,413,121   4.95%
Officers and Directors        
Gregory Pepin(6)
  2,317,474   8.24%
John P. Kelley(7)
  1,613,121   5.65%
Michael B. Jebsen, CPA(7)
  516,156   1.81%
Ronald R. Blanck, DO(7)
  52,235   * 
James Mitchum(7)
  44,000   * 
Anthony DiTonno(7)
  37,252   * 
Chris A. Rallis(7)
  36,853   * 
Gerald T. Proehl(7)
  35,000   * 
All officers and directors as a group (8 persons)(7)
  4,652,091   15.93%

* Less than 1%
 
 
2230

 
 
(1)
Unless otherwise noted, all addresses are in care of the CompanyTenax Therapeutics, Inc. at ONE Copley Parkway, Suite 490, Morrisville, North Carolina 27560.
(2)
Includes 55,965The number of shares beneficially owned and the description of such ownership contained herein are based solely on a Schedule 13G filed with the SEC on January 11, 2016 by Sabby Healthcare Master Fund, Ltd., Sabby Management, LLC and Mr. Hal Mintz, each of whom is deemed to have shared voting power and shared dispositive power with respect to 2,693,537 shares of common stock,stock. Sabby Management, LLC, a Delaware limited liability company, serves as the investment manager of Sabby Healthcare Master Fund, Ltd., and 2,251,742 sharesMr. Mintz serves as manager of common stock subject to warrants that are exercisable or convertible, as applicable within 60 days of August 17, 2015.Sabby Management, LLC.
(3)
The number of shares beneficially owned and the description of such ownership contained herein are based solely on a Schedule 13G filed with the SEC on February 17, 201516, 2016 by RA Capital Management, LLC, Mr. Peter Kolchinsky, and RA Capital Healthcare Fund, L.P.  RA Capital Management, LLC is the general partner of RA Capital Healthcare Fund, L.P. and serves as investment adviser for a separately managed account. Mr. Kolchinsky is the manager of RA Capital Management, LLC. Each of RA Capital Management, LLC and PeterMr. Kolchinsky is deemed to have shared voting power and shared dispositive power with respect to 2,670,3002,389,700 shares of common stock and RA Capital Healthcare Fund, L.P. is deemed to have shared voting power and shared dispositive power with respect to 2,199,5971,963,859 shares of common stock.
(4)The number of shares beneficially owned and the description of such ownership contained herein are based solely on a Schedule 13G filed with the SEC on February 4, 2015 by Sabby Healthcare Master Fund, Ltd., Sabby Management, LLC and Hal Mintz, each of whom is deemed to have shared voting power and shared dispositive power with respect to 2,354,567
Includes 30,898 shares of common stock.stock, and 2,251,742 shares of common stock subject to warrants that are exercisable or convertible, as applicable within 60 days of April 11, 2016.
(5)
The number of shares beneficially owned and the description of such ownership contained herein are based solely on a Schedule 13G filed with the SEC on February 17, 2015 by Broadfin Capital, LLC, Broadfin Healthcare Master Fund, Ltd. and Mr. Kevin Kotler, each of whom is deemed to have shared voting power and shared dispositive power with respect to 1,968,631 shares of common stock.
(6)The number of shares beneficially owned and the description of such ownership contained herein are based solely on a Schedule 13G filed with the SEC on February 17, 2015 by Great Point Partners, LLC, Dr. Jeffrey R. Jay, M.D. and Mr. David Kroin, each of whom is deemed to have shared voting power and shared dispositive power with respect to 1,108,593 shares of common stock.
(7)
Includes 42,415 shares of common stock held by Vatea Fund and the shares of common stock held by OXBT Fund.  Also includes 14,834 shares of restricted common stock and 10,00020,000 shares of common stock subject to options that are vested, vesting, exercisable or convertible, as applicable, within 60 days of April August11, 2016 17, 2015.. Mr. Pepin is a Managing Director for Vatea Fund, and consequently he may be deemed to be the beneficial owner of shares held by Vatea Fund. Mr. Pepin is also a co-founder of EOS, an investment company, which serves as the Investment Manager and Managing Director for OXBT Fund, and consequently he may be deemed to be the beneficial owner of shares held by OXBT Fund. Mr. Pepin disclaims beneficial ownership of the shares held by Vatea Fund and OXBT Fund except to the extent of his pecuniary interest therein.
(8)(7)
With respect to Dr. Blanck, includes 5,129 shares of common stock subject to warrants and 20,50730,507 shares of common stock subject to options that are vested, vesting, exercisable or convertible, as applicable, within 60 days of April August11, 2016 17, 2015;;
 
With respect to Mr. Chatfield, includes 19,656 shares of common stock subject to options vested, vesting, or exercisable, as applicable, within 60 days of August 17, 2015;
With respect to Mr. DiTonno, 2,565 shares of common stock subject to warrants and 21,48831,488 shares of common stock subject to options that are vested, vesting, exercisable or convertible, as applicable, within 60 days of AprilAugust 11, 2016 17, 2015;;
 
With respect to Mr. Rallis, 2,565 shares of common stock subject to warrants and 19,79829,798 shares of common stock subject to options that are vested, vesting, exercisable or convertible, as applicable, within 60 days of AprilAugust 11, 2016 17, 2015;;
 
With respect to Mr. Jebsen, 448,283 shares of common stock subject to options that are vested, vesting, exercisable or convertible, as applicable, within 60 days of AprilAugust 11, 2016 17, 2015;;
 
With respect to Mr. Kelley, 446,610 shares of common stock subject to options that are vested, vesting, exercisable or convertible, as applicable, within 60 days of AprilAugust 11, 2016 17, 2015;;
 
With respect to Mr. Proehl, includes 35,000 shares of common stock subject to options that are vested, vesting, exercisable or convertible, as applicable, within 60 days of April 11, 2016;
With respect to Mr. Mitchum, includes 25,000 shares of common stock subject to options that are vested, vesting, exercisable or convertible, as applicable, within 60 days of AprilAugus 11, 2016t 17, 2015;; and
 
With respect to all officers and directors as a group, includes 10,259 shares of common stock subject to warrants and 1,011,3421,066,686 shares of common stock subject to options that are vested, vesting, convertible, or exercisable, as applicable, within 60 days of AprilAugust 11, 2016 17, 2015..
  
 
 
2331

 
 
CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

Related Party Transactions
 
IssuanceReview and Approval of Convertible Note and Warrants to OXBT FundRelated Person Transactions
 
On June 16, 2011, we entered into a Convertible NoteOur Audit and Warrant Purchase Agreement (the “OXBT Fund Agreement”) with OXBT Fund, pursuantCompliance Committee is responsible for the review, approval and oversight of all related party transactions.  The Audit and Compliance Committee reviews all related party transactions for potential conflict of interest situations on an ongoing basis; provided, however, our Board may from time to time delegate to another independent body of the Board the authority to conduct appropriate review and oversight of related party transactions for potential conflict of interest situations. We are not authorized to engage in any related party transaction unless the Audit and Compliance Committee or another independent body of the Board delegated by the Board approves the transaction.

We have not engaged in any related party transaction since May 1, 2015 in which the we agreed to issueamount involved exceeds $120,000 and sell to OXBT Fund in a private placement (the “OXBT Fund Transaction”) a subordinated convertible promissory note (the “OXBT Fund Note”) with a principal amount of $4,600,000 and warrants (the “OXBT Fund Warrants”) to purchase an aggregate of 101,996 shareswhich any of our common stock.  Mr. Pepin is a co-founder of EOS, an investment company, which serves as the investment manager and managing director of OXBT Fund. The closing of the OXBT Fund Transaction occurred on July 1, 2011.
Interest on the OXBT Fund Note will accrue at a rate of 15% annually and will be paid in quarterly installments commencing on the third month anniversary of issuance. The OXBT Fund Note will mature 36 months from the date of issuance. The OXBT Fund Note may be converted into shares of common stock at a conversion price of $45.10 per share (subject to adjustment for stock splits, dividends and combinations, recapitalizations and the like) (the “Conversion Price”) at any time, in whole or in part, at any time at the option of the holder(s) of the OXBT Fund Note. The OXBT Fund Note also will automatically convert into shares of common stock at the Conversion Price at the election of a majority-in-interest of the holders of notes issued under the OXBT Fund Agreement or upon the acquisition or sale of all or substantially all of our assets. We may make each applicable interest payment or payment of principal in cash, shares of common stock at the Conversion Price,directors, executive officers or any combination thereof. We may elect to prepay all or any portionholder of the OXBT Fund Note without prepayment penalties only with the approval of a majority-in-interest of the note holder(s) under the OXBT Fund Agreement at the time of the election.   The OXBT Fund Note contains various events of default such as failing to timely make any payment under the OXBT Fund Note when due, which may result in all outstanding obligations under the OXBT Fund Note becoming immediately due and payable.
The OXBT Fund Warrants were issued in three approximately equal tranches, with exercise prices of $43, $52 and $57, respectively, per share of common stock (in each case subject to adjustment for stock splits, dividends and combinations, recapitalizations and the like). The OXBT Fund Warrants are exercisable on or after the date of issuance and expire on the earlier to occur of the five year anniversary of the date of issuance or an acquisition or sale of all or substantially all of our assets. The exercise prices of shares of common stock underlying the OXBT Fund Warrants are subject to adjustment in the event of future issuances of common stock or equivalents by us at a price lessmore than the applicable exercise price, but in no event shall a OXBT Fund Warrant exercise price be adjusted to less than $45.10 per share (subject to adjustment for stock splits, dividends and combinations, recapitalizations and the like) of common stock.
On August 22, 2013, the outstanding balance of the OXBT Fund Note was cancelled in connection with our issuance of Series D Preferred Stock and Series D Warrants (each as defined and described below).
Issuance of Series C 8% Convertible Preferred Stock and Warrants
On July 21, 2013, we closed a public offering of an aggregate of approximately $5.4 million of shares of our Series C 8% convertible preferred stock (the “Series C Preferred Stock”), which are convertible into a combined total of 2,753,348 shares of common stock.  In connection with the purchase of shares of Preferred Stock in the Offering, each Investor received a warrant to purchase a number of shares of common stock equal to 100% of the number of Conversion Shares at an exercise price equal to $2.60 (the “Series C Warrants”).  The initial closing of the sale of these securities occurred on July 23, 2013.  The following directors or their affiliates (collectively, the “Related Series C Investors”) purchased an aggregate of 170 shares of Series C Preferred Stock and related Series C Warrants for a total of $170,000 in connection with the offering: Ronald Blanck, D.O. ($10,000 investment), Anthony DiTonno ($5,000 investment), Chris Rallis ($5,000 investment), and JP SPC 3 obo FGP Private Equity, SP ($150,000 investment), an entity affiliated with Gregory Pepin.
24

The Series C Preferred Stock accrues dividends at 8% per annum until July 23, 2016, payable quarterly in cash, or provided certain conditions are met, in common stock at 90% of a calculated market price. If the Series C Preferred Stock is converted into common stock prior to July 23, 2016, the holder is entitled to a three-year dividend make-whole payment at the time of conversion. Shares of Series C Preferred Stock have a liquidation preference equal to $1,000 per share and, subject to certain ownership limitations as described below, are convertible at any time at the option of the holder into shares5% of our common stock, at a conversion priceor any member of $1.95 per share.  The conversion price is subject to adjustment in the caseimmediate family of stock splits, stock dividends, combinationsany of shares and similar recapitalization transactions.   In addition, the Series C Preferred Stock will be subject to anti-dilution provisions until such time that for at least 25 trading days duringthese persons or entities controlled by any 30 consecutive trading days, the VWAP of our common stock exceeds $4.88 and the daily dollar trading volume exceeds $350,000 per trading day.  If, for at least 20 consecutive trading days, the VWAP of our common stock exceeds $4.88 and the daily dollar trading volume exceeds $350,000 per trading day, wethem, had or will have a direct or indirect material interest, other than the right to require conversion of any or all of the outstanding shares of Series C Preferred Stock into common stock at the then-current conversion price.
Each Series C Warrant is exercisable beginning July 23, 2013compensation arrangements described in “Executive and expires on July 23, 2019.  The exercise price and the number of shares issuable upon exercise of the Series C Warrants are subject to appropriate adjustment in the event of recapitalization events, stock dividends, stock splits, stock combinations, reclassifications, reorganizations or similar events affecting our common stock, and also upon any distributions of assets, including cash, stock or other property to our stockholders.  In addition, the Series C Warrants held by the Related Series C Investors will be subject to anti-dilution provisions until such time that for 25 trading days during any 30 consecutive trading day period, the volume weighted average price of our common stock exceeds $6.50 and the daily dollar trading volume exceeds $350,000 per trading day.
Issuance of Series D 8% Convertible Preferred Stock and Warrants
On August 7, 2013, we entered into a Securities Purchase Agreement with OXBT Fund providing for the private placement (the “Series D Offering”) by the Company of an aggregate of $4.6 million of shares of the Company’s Series D 8% convertible preferred stock (the “Series D Preferred Stock”), which are convertible into a combined total of 2,358,974 shares of common stock.  On August 22, 2013, the Series D Offering closed.  In connection with the purchase of shares of Series D Preferred Stock, OXBT Fund received a warrant to purchase 2,358,975 shares of common stock at an exercise price equal to $2.60 (the “Series D Warrants”). As consideration for the sale of the Series D Preferred Stock and Series D Warrant, $4.6 million in outstanding principal amount of the OXBT Fund Note was cancelled. Pursuant to the terms of a lock-up agreement executed prior to the closing, OXBT Fund and its affiliates are prohibited from engaging in certain transactions with respect to shares of our common stock and common stock equivalents until such time as the lead investor our offering of Series C Preferred Stock ceases to own at least 25% of the shares of Series C Preferred Stock originally issued to such investor.

The rights, preferences and privileges of the Series D Preferred Stock are set forth in a Certificate of Designation of Series D 8% Convertible Preferred Stock (the “Series D Certificate of Designations”) that we filed with the Secretary of State of the State of Delaware on August 22, 2013. The Series D Preferred Stock accrues dividends at 8% per annum until August 22, 2016, payable quarterly in cash, or provided certain conditions are met, in common stock at the conversion price of $1.95 per share. If the Series D Preferred Stock is converted into common stock prior to August 22, 2016, and provided that shareholder approval of the transaction is obtained, the holder is entitled to a three-year dividend make-whole payment at the time of conversion (the “Make-Whole Payment”). Shares of the Series D Preferred Stock have a liquidation preference equal to $1,000 per share and are convertible at any time at the option of the holder into shares of our common stock at a conversion price of $1.95 per share.  The conversion price is subject to adjustment in the case of stock splits, stock dividends, combinations of shares and similar recapitalization transactions.   In addition, the Series D Preferred Stock will be subject to anti-dilution provisions until such time that for at least 25 trading days during any 30 consecutive trading days, the VWAP of the Company’s common stock exceeds $4.88 and the daily dollar trading volume exceeds $350,000 per trading day; provided that unless shareholder approval for the transaction is obtained, the conversion price of the Preferred Stock shall not be reduced below $1.635.  If, for at least 20 consecutive trading days, the volume weighted average price of our common stock exceeds $4.88 and the daily dollar trading volume exceeds $350,000 per trading day, we will have the right to require conversion of any or all of the outstanding shares of Series D Preferred Stock into common stock at the then-current conversion price.
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Pursuant to the terms of the Series D Certificates of Designations, in the event of our liquidation, dissolution, or winding up, after payment of the liquidation preference to holders of Series C Preferred Stock, holders of the Series D Preferred Stock will be paid before any proceeds are distributed to the holders of our common stock.  Shares of Series D Preferred Stock will generally have no voting rights, except as required by law and except that the consent of holders of a majority of the outstanding Series D Preferred Stock will be required to amend the terms of the Series D Preferred Stock.

The Series D Warrant is exercisable beginning on the date of issuance and expires on August 22, 2019.  The exercise price and the number of shares issuable upon exercise of the Series D Warrant are subject to appropriate adjustment in the event of recapitalization events, stock dividends, stock splits, stock combinations, reclassifications, reorganizations or similar events affecting our common stock, and also upon any distributions of assets, including cash, stock or other property to our stockholders.  In addition, if shareholder approval for the transaction is obtained, the Series D Warrant will be subject to anti-dilution provisions until such time that for 25 trading days during any 30 consecutive trading day period, the volume weighted average price of our common stock exceeds $6.50 and the daily dollar trading volume exceeds $350,000 per trading day
Acquisition of Phyxius Pharma, Inc.
On October 21, 2013, our company, Life Newco, Inc., our wholly owned subsidiary (“Acquisition Sub”), Phyxius, and the stockholders of Phyxius (the “Phyxius Stockholders”), entered into an Asset Purchase Agreement (the “Purchase Agreement”), whereby the Acquisition Sub agreed to acquire (the “Acquisition”) certain assets (the “Purchased Assets”) relating to Phyxius’ license to certain levosimendan product rights in North America, in consideration for shares of our common stock and shares of our Series E convertible preferred stock (“Series E Preferred Stock”).  On November 13, 2013, the Acquisition closed, and we, through our wholly owned subsidiary, Acquisition Sub, acquired the Purchased Assets pursuant to the Purchase Agreement.

In connection with the closing of the Acquisition, the Phyxius Stockholders received 1,366,844 shares of our common stock that had a total fair value of approximately $8.7 million based on the closing market price on November 13, 2013, the acquisition date, and 32,992 shares of our Series E Preferred Stock, which was convertible into an aggregate of 3,299,200 shares of common stock that had a total fair value of approximately $15.3 million.

The rights, preferences and privileges of the Series E Preferred Stock are set forth in the Certificate of Designation of Series E Convertible Preferred Stock (the “Series E Certificate of Designations”) that we filed with the Secretary of State of the State of Delaware on November 13, 2013.  Each share of Series E Preferred Stock automatically converted into 100 shares of common stock following receipt of stockholder approval for the transaction at the special meeting of stockholders held on March 13, 2014.  Approximately 11% of the shares of converted common stock vested immediately upon receipt of stockholder approval for the transaction, while the remainder vested upon the closing of our underwritten offering of 9,285,714 shares of common stock on March 21, 2014, which resulted in net proceeds of approximately $55 million.

In connection with the closing of the Acquisition, Phyxius’ co-founder, Chief Executive Officer and stockholder, John Kelley, became our Chief Executive Officer and two other Phyxius Stockholders, Doug Randall and Douglas Hay, PhD became employees of our company as Vice President, Business and Commercial Operations and Vice President, Regulatory Affairs, respectively.  In addition, Mr. Kelley was subsequently appointed to our Board of Directors, and Gerald T. Proehl, a designee of the Phyxius Stockholders, was appointed to the Board of Directors on April 3, 2014 following receipt of stockholder approval for the transaction.  Pursuant to the Purchase Agreement, we also agreed to propose that our stockholders approve an amendment to our 1999 Amended Stock Plan to increase the amount of stock options authorized for issuance under the 1999 Amended Stock Plan to not less than 4,000,000 shares of common stock. On March 13, 2014, we received stockholder approval to increase the option plan. In accordance with terms of the Acquisition, we issued an aggregate of 3,572,880 stock options with a grant date fair value of $15,818,512, to Mr. Kelley, Mr. Jebsen, Mr. Randall and Mr. Hay.

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Director Compensation.”

SECTION 16(A) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE
 
The members of our Board of Directors, our executive officers, and persons who hold more than 10% of our outstanding common stock are subject to the reporting requirements of Section 16(a) of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), which requires them to file reports with respect to their ownership of our common stock and their transactions in such common stock.
 
Based solely upon our review of the Section 16(a) reports in our records for fiscalTransition Period 2015 transactions in our common stock, we believe that during the fiscal yeareight months ended April 30,December 31, 2015 the Company’sour officers, directors and greater than 10% owners timely filed all reports they were required to file under Section 16(a), except that: 3 reports, covering a total of 3 transactions, were filed late by Mr. Jebsen.
Jebsen, 1 report, covering a total of 1 transaction was filed late by Mr. Mitchum and Mr. Mitchum did not timely file his Form 3.
 
 
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PROPOSAL 2:   APPROVAL OF AMENDMENT NO. 3 TO THE 1999 AMENDEDTENAX THERAPEUTICS, INC. 2016 STOCK INCENTIVE PLAN
 
On August 10, 2015,April 21, 2016, our Board of Directors approved the Tenax Therapeutics, Inc. 2016 Stock Incentive Plan, subject to stockholder approval, Amendment No. 3 to the 1999 Amended Stock Plan, to increase the number of shares of common stock authorized for issuance to a total of 5,000,000 shares, representing an increase of 1,187,192 shares.  The additional requested shares represent approximately 3.97% of our total outstanding shares as of August 7, 2015.  Based upon our assessment of our anticipated grants under the 1999 Amended Stock Plan, as amended, we believe that the proposed increase in the number of shares will be sufficient to meet our equity compensation requirements for approximately three years from the date of the Annual Meeting.

approval.  The purpose of the 1999 Amended Stock2016 Plan is to enable us to provide an incentive toadvance the interests of our company and our stockholders through awards that give eligible employees, consultants, directors and officers whose presentthird party service providers a personal stake in our growth, development and potential contributionsfinancial success.  Awards under the 2016 Plan are importantalso intended to the continued success of the Company,motivate eligible employees, directors and third party service providers to afford those individuals the opportunitydevote their best efforts to acquire a proprietary interest in the Company,our business and to enable the Company to enlisthelp us attract and retain the services of eligible employees, directors and third party service providers who are in its employment the best available talent for the successful conduct of its business.a position to make significant contributions to our future success and align them with stockholder interests.

We are requesting that stockholders approve Amendment No. 3 to the 1999 Amended Stock2016 Plan to satisfy NASDAQ rules relating to equity compensation.  In addition, approval would allow us to qualify additional options for treatment as incentive stock options for purposes of Section 422 of the Internal Revenue CodeIRC and to qualify compensation under the 1999 Amended Stock2016 Plan as performance-based for purposes of Section 162(m). If stockholder approval is not received, the Compensation Committee will reconsider Amendment No. 3 to the 1999 Amended Stock Plan, and the present 1999 Amended Stock Plan, as amended, would remain in effect without such additional amendment.2016 Plan.  In addition, if stockholder approval is not received, we may seek to hold additional stockholder meetings until stockholder approval is obtained, which could have a material adverse effect on our liquidity position.

THE BOARD OF DIRECTORS RECOMMENDS THAT YOU VOTE FOR THE APPROVAL OF AMENDMENT NO. 3 TO THE 1999 AMENDEDTENAX THERAPEUTICS, INC. 2016 STOCK INCENTIVE PLAN.

Shares Available

The total number of shares of common stock available for issuance under the 2016 Plan is 3,000,000, subject to adjustment for future stock splits, stock dividends and similar changes in the capitalization of our company.

Any shares related to Awards (as defined below) which terminate by expiration, forfeiture, cancellation, or otherwise without the issuance of such shares, are settled in cash in lieu of shares, or are exchanged with the Compensation Committee’s permission, prior to the issuance of shares, for Awards not involving shares, shall be available again for grant under the 2016 Plan.

Shares of common stock covered by an Award will be reserved for that Award while it remains outstanding but shall only be counted as used to the extent they are actually issued; provided, however, that the full number of stock appreciation rights granted that are to be settled by the issuance of shares shall be counted against the number of shares available for award under the 2016 Plan, regardless of the number of shares actually issued upon settlement of such stock appreciation rights.  Further, any shares of common stock withheld to satisfy tax withholding obligations on Awards issued under the 2016 Plan and shares tendered to pay the exercise price of Awards under the 2016 Plan will not be eligible to be returned as available shares under the 2016 Plan.

Summary of the 1999 Amended Stock2016 Plan Features

The following is a brief summary of the 1999 Amended Stock2016 Plan, as amended by Amendment No. 1, Amendment No. 2 and Amendment No. 3, and is qualified in its entirety by reference to a copy of the 1999 Amended Stock2016 Plan Amendment No. 1, Amendment No. 2 and Amendment No. 3 attached to this proxy statement as Appendix A.

Description of Awards

The 1999 Amended Stock2016 Plan provides for the grant of stock options, stock purchase rights, stock appreciation rights, and long-termrestricted stock, restricted stock units, performance shares, performance units, cash-based awards, or other stock-based awards (collectively “Awards”).

Stock Options.  Optionees receive the right to purchase a specified number of shares of our common stock at a specified option price and subject to such other terms and conditions as are specified in connection with the option grant.  Options may notThe option price for each grant of an option under the 2016 Plan will be granteddetermined by the Compensation Committee in its sole discretion and shall be specified in the Award agreement; provided, however, the option price on the date of grant must be at an exercise price less thanleast equal to 100% of the fair market value of the common stock on the date of grant. Optionsgrant; provided, further, however, that the option price must be at least equal to 110% of the fair market value of the common stock on the date of grant with respect to any incentive stock option issued to a participant who, on the date of such grant, owns stock possessing more than 10% of the total combined voting power of all classes of stock of our company or of any subsidiary corporation (a “10% Shareholder”).  The term of an option and the period or periods during which, and conditions pursuant to which, an option may vest and be exercised will be determined by the Compensation Committee, although the option term may not beexceed 10 years (or five years with respect to incentive options granted forto an employee who is a term in excess10% Shareholder). Any option not exercised before expiration of ten years.the option period will terminate. Options generally are subject to certain restrictions on exercise if the participant terminates employment or service.  The 1999 Amended Stock2016 Plan permits the Board of DirectorsCompensation Committee to determine the manner of payment of the exercise price of options, including through payment by cash check or its equivalent, in connection with a “cashless exercise” through a broker, by surrender to the Companyus of shares of common stock, by delivery of a promissory note, or by any other lawful means.

Stock Purchase Rights.  Stock Purchase Rights entitle recipients to acquire shares of common stock that they may not transfer unless and until the restrictions on the shares of common stock lapse.  Stock Purchase Rights are accepted by the execution of a restricted stock purchase agreement.
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Stock Appreciation Rights.  Stock Appreciation Rights (“SARs”) entitle recipients to profit from increaseincreases in the value of our common stock, without buying shares.  Like options, SARs benefit the holder when our common stock price increases.  The primary difference is that the recipient is not required to pay an exercise price, but instead just receives the amount of the increase in the form of cash or stock.  Upon the exercise of a SAR, the holder of a SAR is entitled to receive payment from our company in an amount determined by multiplying (i) the difference between the fair market value of a share of common stock on the date of exercise over the grant price per share of such SAR by (ii) the number of shares of common stock with respect to which the SAR is being exercised. The grant price may be no less than 100% of the fair market value per share of the common stock on the date the SAR is granted.  SARs vest and become exercisable according to the terms established by the Compensation Committee.  No SAR may be exercised more than 10 years after it was granted, or such shorter period as may apply with respect to a particular SAR. SARs generally are subject to certain restrictions on exercise if the participant terminates employment or service.

Restricted Stock and Restricted Stock Units.  Subject to the limitations of the 2016 Plan, the Compensation Committee may grant shares of restricted stock and/or restricted stock units to participants in such amounts as the Compensation Committee determines. Restricted stock units are similar to restricted stock except that no shares of common stock are actually awarded to the participant on the date of grant.  Restricted stock and restricted stock units will be subject to certain conditions which must be met in order for the restricted stock or restricted stock units to vest and/or be earned (in whole or in part) and no longer subject to forfeiture. Restricted stock awards may be payable in shares of common stock, and restricted stock units may be payable in cash or whole shares of common stock, or partly in cash and partly in whole shares of common stock, in accordance with the Compensation Committee’s discretion.  The Compensation Committee has authority to determine the restriction period for each grant of restricted stock and/or restricted stock units and will determine the conditions that must be met in order for such Award to be granted or to vest or be earned (in whole or in part). These conditions may include (but are not limited to) payment of a stipulated purchase price, restrictions based upon the achievement of specific performance goals, time-based restrictions on vesting following the attainment of the performance goals, time-based restrictions, and/or restrictions under applicable laws or under the requirements of any stock exchange or market upon which such shares are listed or traded, or holding requirements or sale restrictions placed on the shares by us upon vesting of such restricted stock or restricted stock units.  Restricted stock and/or restricted stock units generally are subject to certain restrictions on vesting if the participant terminates employment or service.

Performance Shares and Performance Units.  Subject to the limitations of the 2016 Plan, the Compensation Committee may grant performance units and/or performance shares to participants in such amounts and upon such terms as the Compensation Committee determines.  An award of a performance share is a grant of a right to receive shares of common stock or the cash value thereof, or a combination thereof (as determined in the Compensation Committee’s discretion), which is contingent upon the achievement of performance goals during a specified period and which has a value equal to the fair market value of a share of common stock on the grant date. An award of a performance unit is a grant of a right to receive shares of common stock, a designated dollar value amount of common stock, or a combination thereof (as determined in the Compensation Committee’s discretion) which is contingent upon the achievement of performance goals during a specified period, and which has an initial value established by the Compensation Committee at the time of grant.  The Compensation Committee will set performance goals in its discretion which, depending on the extent to which they are met, will determine the value and/or number of performance units and/or performance shares that will be paid out to a participant.  Performance units and/or performance shares generally are subject to certain restrictions on vesting if the participant terminates employment or service.
 
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Cash-Based Awards and Other Stock-Based Awards.  Subject to the limitations of the 2016 Plan, the Compensation Committee may grant cash-based awards to participants in such amounts and upon such terms as the Compensation Committee may determine.  The Compensation Committee may also grant other types of equity-based or equity-related Awards not otherwise described by the terms of the 2016 Plan in such amounts and subject to such terms and conditions as the Compensation Committee may determine. Such Awards may involve the transfer of actual shares of common stock to participants, or payment in cash or otherwise of amounts based on the value of shares, and may include, without limitation, Awards designed to comply with or take advantage of the applicable local laws of jurisdictions other than the United States.  Each cash-based award will specify a payment amount or payment range as determined by the Compensation Committee.  Each other stock-based award will be expressed in terms of shares of common stock or units based on shares of common stock, as determined by the Compensation Committee.  If the Compensation Committee exercises its discretion to establish performance goals, the number and/or value of cash-based awards or other stock-based awards that will be paid out to a participant will depend on the extent to which the performance goals are met.  Cash-based awards or other stock-based awards may be payable in cash or shares of common stock, in accordance with the Compensation Committee’s discretion.  Cash-based awards or other stock-based awards generally are subject to certain restrictions on vesting if the participant terminates employment or service.

Dividend and Dividend Equivalents.  The Compensation Committee may grant dividends or dividend equivalents based on the dividends declared on shares that are subject to any Award, to be credited as of dividend payment dates, during the period between the date the Award is granted and the date the Award is exercised, vests, or expires, as determined by the Compensation Committee; provided, however, that dividends or dividend equivalents credited with respect to performance-based Awards will be subject to the same underlying performance-based vesting conditions as the Awards and will not be subject to discretion.  The dividends or dividend equivalents may be subject to any limitations and/or restrictions determined by the Compensation Committee.

Limitations on Awards

The maximum number of shares that may be issued pursuant to awards granted under the 2016 Plan may not exceed 3,000,000 shares. In addition, under the 2016 Plan, unless and until the Compensation Committee determines that an Award to a Covered Employee (as defined in section 162(m) of the IRC) shall not be designed to qualify as performance-based compensation under section 162(m) of the IRC, the following annual award limits shall apply to grants of such Awards under the 2016 Plan:

·
Options: The maximum aggregate number of shares of common stock subject to options granted in any one year to any one participant will be 1,000,000 shares, as adjusted pursuant to the 2016 Plan;

·
SARs: The maximum aggregate number of shares of common stock subject to SARs granted in any one year to any one participant will be 1,000,000 shares, as adjusted pursuant to the 2016 Plan;

·
Restricted Stock or Restricted Stock Units: The maximum aggregate Awards of restricted stock or restricted stock units in any one year to any one participant will be 500,000 shares, as adjusted pursuant to the 2016 Plan;

·
Performance Units or Performance Shares: The maximum aggregate Awards of performance units or performance shares that a participant may receive in any one year will be 500,000 shares, as adjusted pursuant to the 2016 Plan, or equal to the value of 500,000 shares, as adjusted pursuant to the 2016 Plan, determined as of the date of vesting or payout, as applicable;

·
Cash-Based Awards: The maximum aggregate amount awarded or credited with respect to cash-based awards to any one participant in any one year may not exceed the greater of the value of $4,000,000 or 1,000,000 shares, as adjusted pursuant to the 2016 Plan, determined as of the date of vesting or payout, as applicable; and

·
Other Stock-Based Awards: The maximum aggregate grants with respect to other stock-based awards in any one year to any one participant will be 1,000,000 shares, as adjusted pursuant to the 2016 Plan.
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Long-term PerformanceChange in Control

Unless otherwise expressly provided in an Award agreement, with respect to each outstanding Award that is assumed or substituted in connection with a change in control (as defined in the 2016 Plan), in the event that (i) a change in control occurs and (ii) the participant’s employment or service is involuntarily terminated by us, our successor or affiliate thereof without cause (as defined in the 2016 Plan) on or after the effective time of the change in control but prior to eighteen (18) months following such change in control, then Awards.  Long-term Performance Awards are will be treated as follows:

●  
Options and SARs: Any and all options and SARs granted under the 2016 Plan will become exercisable, and will remain exercisable in accordance with their terms;

●  
Restricted Stock, Restricted Stock Units or Other Stock-Based Awards: Any restriction periods and restrictions imposed on all outstanding Awards of restricted stock, restricted stock units or other stock-based awards will lapse and be settled as soon as reasonably practicable, but in no event later than ten (10) days following such termination of employment; and

●  
Performance Units, Performance Shares or other Performance-Based Awards: For each performance unit, performance share or other performance-based Awards, all performance goals or similar performance-based vesting criteria will be deemed achieved at 100% of target levels and all other terms and conditions will be deemed met as of the date of the participant’s termination of employment or service and the Award shall be settled as soon as reasonably practicable but in no event later than ten (10) days following termination of employment.

For purposes of the 2016 Plan, an Award will be considered assumed if, following the change in control, the Award confers the right to purchase or receive, for each share subject to the Award immediately prior to the change in control, the consideration received in the change in control by holders of common stock for each share held on the effective date of the transaction; provided, however, that pay out if the recipient meetsconsideration received in the change in control is not solely common stock of the successor corporation or satisfies the performance objectives established byits parent, the Compensation Committee for a particular performance period.

Shares Available for Issuance undermay, with the 1999 Amended Stock Plan.  The 1999 Amended Stock Plan, as amended by Amendment No. 1, Amendment No. 2 and Amendment No. 3, willconsent of the successor corporation, provide for the awardconsideration to eligible recipientsbe received upon the exercise of upan option or SAR, for each share subject to 5,000,000 shares of ourthe Award, to be solely common stock of the successor corporation or its parent equal in fair market value to be granted through options, stock purchase rights, stock appreciation rights and long-term performance awards. If any Award expires or is terminated, surrendered, canceled or forfeited, the unused sharesper share consideration received by holders of common stock coveredin the change in control.

For purposes of the 2016 Plan, an Award will be considered assumed or substituted if, upon the occurrence of a change in control after which there will be a generally recognized U.S. public market for (i) our stock, (ii) common stock for which our stock is exchanged, or (ii) the common stock of a successor or acquirer entity (such publicly traded stock, “Public Shares”), the then outstanding Awards are assumed, exchanged or substituted for by a successor or acquirer entity such that following the change in control, the Awards relate to the Public Shares and, except as otherwise provided by the 2016 Plan, remain subject to the terms and conditions that were applicable to the Awards prior to the change in control.

Unless otherwise expressly provided in an Award agreement, with respect to each outstanding Award that is not assumed or substituted in connection with a change in control, then prior to the occurrence of the change in control Awards will be treated as follows:

●  
Options and SARs: Any and all options and SARs granted under the 2016 Plan will vest in full and become immediately exercisable in accordance with their terms and the Compensation Committee will notify the participant in writing that the options or SARs will be exercisable for a period of time determined by the Compensation Committee in its sole discretion and the option or SAR will terminate upon the expiration of the stated period; and

●  
Restricted Stock, Restricted Stock Units, Performance Units, Performance Shares or Other Stock-Based Awards: Any restriction periods and restrictions imposed on all outstanding Awards of restricted stock, restricted stock units, performance units, performance shares or other stock-based awards will lapse and be settled as soon as reasonably practicable, but in no event later than ten (10) days following the change in control.

Notwithstanding any other provisions of the 2016 Plan, in the event that each outstanding Award is not assumed or substituted in connection with a change in control and except as would otherwise result in adverse tax consequences under section 409A of the IRC, the Compensation Committee may, in its discretion, provide that each Award shall, immediately upon the occurrence of a change in control, be cancelled in exchange for a payment in cash or securities in an amount equal to (i) the excess if any of the consideration paid per share in the change in control over the exercise or purchase price per share subject to the Award multiplied by (ii) the number of shares granted under the Award.  Without limiting the generality of the foregoing, in the event that the consideration paid per share in the change in control is less than or equal to the exercise price or purchase price per share subject to the Award, the Compensation Committee may, in its discretion, cancel such Award without any consideration upon the occurrence of a change in control.

Transferability

Except as otherwise provided in the 2016 Plan, during a participant’s lifetime, his or her Awards will be exercisable only by such Awardparticipant or such participant’s legal representative.  Awards will againnot be availabletransferable other than by will or the laws of descent and distribution; no Awards will be subject, in whole or in part, to attachment, execution, or levy of any kind; and any purported transfer in violation of these restrictions will be null and void.   The Compensation Committee may establish procedures as it deems appropriate for grant undera participant to designate a beneficiary to whom any amounts payable or shares deliverable in the 1999 Amended Stock Plan.event of, or following, such participant’s death, may be provided.

Eligibility of Recipients

Employees, consultants, directors and officersthird party service providers of Tenax Therapeutics are eligible to be granted Awards under the 1999 Amended Stock2016 Plan.  As of August 17, 2015,April 11, 2016, approximately 1211 employees, including 2 executive officers, and 6 non-employee directors werewould be eligible to receive Awards under the 1999 Amended Stock Plan.  In fiscal 2015, we made option grants to our executive officers under the 1999 Amended Stock2016 Plan, and we expect that we will grant additional Awards to them under the 1999 Amended Stock Plan in the future.

For additional information regarding awards made to our named executive officers and directors under the 1999 Amended Stock Plan in fiscal 2015 please see the information described above in the section entitled “Executive and Director Compensation.”if approved.  

On August 7, 2015,April 11, 2016, the last reported sale price of our common stock on the NASDAQ Capital Market was $3.55.$2.52.

Federal Income Tax Consequences

The following generally summarizesdescribes the United Statesprincipal federal (but not state and local) income tax consequences that arise with respect to Awards granted under 1999 Amended Stock Plan. This summary is based on the tax laws in effect as of the date of this proxy statement. This summary assumes that all Awardsawards granted under the 1999 Amended Stock2016 Plan are exempt from,as of this time. The summary is general in nature and is not intended to cover all tax consequences that may apply to a particular participant or comply with, the rules under Section 409Ato our company. The provisions of the IRC and related to nonqualified deferred compensation. Changes to these laws could alterregulations are complicated and their impact in any one case may depend upon the tax consequences described below.particular circumstances.
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Incentive Stock Options

Options.  A participant will not have income upon the grant of an incentive stock option. Also, except as described below, a participant will not have income upon exercise of an incentive stock option if the participant has been employed by us or a 50% or more owned corporate subsidiary at all times beginning with the option grant date and ending three months before the date the participant exercises the option. If the participant has not been so employed during that time, then the participant will be taxed as described below under “Nonstatutory“Nonqualified Stock Options.” The exercise of an incentive stock option may subject the participant to the alternative minimum tax.

A participant will have income upon the sale of the stock acquired under an incentive stock option at a profit (if sales proceeds exceed the exercise price). The type of income will depend on when the participant sells the stock. If a participant sells the stock more than two years after the option was granted and more than one year after the option was exercised, then all of the profit will be long-term capital gain. If a participant sells the stock prior to satisfying these waiting periods, then the participant will have engaged in a disqualifying disposition and a portion of the profit will be ordinary income and a portion may be capital gain. This capital gain will be long-term if the participant has held the stock for more than one year and otherwise will be short-term. If a participant sells the stock at a loss (sales proceeds are less than the exercise price), then the loss will be a capital loss. This capital loss will be long-term if the participant held the stock for more than one year and otherwise will be short-term.

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Nonqualified Stock Options ( Nonstatutory Stock Options

Options).  A participant will not have income upon the grant of a nonstatutorynonqualified stock option. A participant will have compensation income upon the exercise of a nonstatutorynonqualified stock option equal to the value of the stock on the day the participant exercised the option less the exercise price. Upon sale of the stock, the participant will have capital gain or loss equal to the difference between the sales proceeds and the value of the stock on the day the option was exercised. This capital gain or loss will be long-term if the participant has held the stock for more than one year and otherwise will be short-term.

SARS

Stock Appreciate Rights.  A participant will not have income upon the grant of a SAR.  However, a participant will have compensation taxed at ordinary income tax rates when a SAR is exercised, to the extent of the difference between the grant price and the value of the stock on the date of exercise.

Restricted Stock

.  A participant will not have income upon the grant of restricted stock unless an election under Sectionsection 83(b) of the Internal Revenue CodeIRC is made within 30 days of the date of grant. If a timely 83(b) election is made, then a participant will have compensation income on each share equal to the value of the stock at date of grant less the purchase price.price paid, if any. When the stock is sold, the participant will have capital gain or loss equal to the difference between the sales proceeds and the value of the stock on the date of grant. If the participant does not make an 83(b) election, then when the stock vests the participant will have compensation taxed at ordinary income equal totax rates on the value of the stock on the vesting date less the purchase price.price, if any. When the stock is later sold, the participant will also incur capital gain or loss equal to the sales proceeds less the value of the stock on the vesting date. Any capital gain or loss will be long-term if the participant held the stock for more than one year and otherwise will be short-term.

Restricted Stock Units, Performance Share Awards, Performance Unit Awards, Dividends and Dividend Equivalents.  The federal income tax consequences of the award of restricted stock units, performance share awards, performance unit awards or dividend equivalents will depend on the conditions of the particular award. Generally, the grant of one of these Awards does not result in taxable income to the participant. However, the participant will recognize ordinary compensation income (taxable at ordinary income tax rates) at settlement of the Award in an amount equal to any cash and/or the fair market value of any common stock received (determined as of the date that the award is not subject to a substantial risk of forfeiture or freely transferable).

Cash-Based Awards and Other Stock-Based Awards.  A participant will not have income upon the grant of a cash-based award or other stock-based award.  However, a participant will have ordinary compensation income (taxed at ordinary income tax rates) for cash payments and/or the fair market value of any shares or other property received in connection with cash-based awards or other stock-based awards in the year such payments or shares are received or made available to the participant without substantial limitations or restrictions.  When any shares received in connection with cash-based awards or other stock-based awards is sold, the participant will have capital gain or loss equal to the sales proceeds less the value of the stock on the vesting date. Any capital gain or loss will be long-term if the participant held the stock for more than one year and otherwise will be short-term.
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Long-term Performance Awards

A participant will not have income upon the grant of a long-term performance award.  A participant will recognize ordinary income upon payment of cash or delivery of stock when the conditions of the award are satisfied.  The amount of the ordinary income will be equal to the amount of the cash or the fair market value of the stock.  Any gain or loss recognized upon the sale or exchange of stock generally will be treated as a capital gain or loss.  This capital gain will be long-term if the participant has held the stock for more than one year and otherwise will be short-term.

Tax Consequences to Tenax Therapeutics

.  There will be no tax consequences to Tenax Therapeutics except that we will be entitled to a deduction when a participant has compensation income. Any such deduction will be subject to the limitations of section 162(m) of the IRC.

Performance-Based Compensation—Code Section 162(m) Requirements

The 2016 Plan is structured to comply with the requirements imposed by section 162(m) of the IRC in order to preserve, to the extent practicable, our tax deduction for awards made under the 2016 Plan to “covered employees” (as defined under section 162(m) of the IRC).  Section 162(m) of the Internal Revenue Code.IRC generally denies an employer a deduction for compensation paid to covered employees of a publicly held corporation in excess of $1,000,000 unless the compensation is exempt from the $1,000,000 limitation because it is performance-based compensation.

In order to qualify as performance-based compensation, the compensation paid under the 2016 Plan to covered employees must be paid under pre-established objective performance goals determined and certified by a committee comprised of outside directors.  In addition to other requirements for the performance-based exception, stockholders must be advised of, and must approve, the material terms (or changes in material terms) of the performance goal(s) under which compensation is to be paid every five years. Material terms include the individuals eligible to receive compensation (see “Eligibility of Recipients” above), the business criteria on which the performance goal is based, and either the maximum amount of compensation to be paid or the formula used to calculate the amount of compensation.

The 2016 Plan limits the maximum amount of awards that may be granted to any participant. The 2016 Plan provides that (subject to anti-dilution adjustments) no participant may be (i) granted options and SARs for more than 1,000,000 shares of common stock in any year, (ii) granted restricted stock, restricted stock units, performance units or performance shares for more than 500,000 shares of common stock during any year, or (iii) paid more than the greater of the value of $4,000,000 or 1,000,000 shares with respect to any cash-based award which were granted during any single year or (iv) granted other stock-based Awards for more than 1,000,000 shares of common stock in any year. See “Summary of the 2016 Plan Features—Limitations on Awards” above.

In addition, for any awards intended to meet the requirements of section 162(m) of the IRC, the 2016 Plan limits performance goals to one or more of the following: (i) net earnings or net income (before or after taxes); (ii) earnings per share; (iii) net new business; (iv) net sales or revenue growth; (v) net operating profit (including, but not limited to, operating income and operating surplus); (vi) return measures (including, but not limited to, return on assets, capital, invested capital, equity, sales, or revenue); (vii) cash flow (including, but not limited to, operating cash flow, free cash flow, cash generation, cash flow return on equity, and cash flow return on investment); (viii) earnings before or after taxes, interest, depreciation, and/or amortization; (ix) gross, contribution, or operating margins; (x) share price (including, but not limited to, growth measures and total shareholder return); (xi) expense targets; (xii) operating efficiency (including, but not limited to, productivity measurements); (xiii) market share; (xiv) working capital targets and change in working capital; (xv) economic value added or EVA® (net operating profit after tax minus the sum of capital multiplied by the cost of capital); (xvi) segment income from operations and income from operations; (xvii) commercial milestones; (xviii) clinical development milestones; and (xix) regulatory development milestones.  Such performance factors may be adjusted or modified due to extraordinary items or similar events, as set forth in the 2016 Plan.

Section 409A of the IRC

Section 409A of the IRC imposes certain requirements on nonqualified deferred compensation.  Certain awards provided under the 2016 Plan could be viewed as deferring income for participants and may, therefore, be subject to section 409A of the IRC.  While it is our intent to have the 2016 Plan and all awards under the 2016 Plan be exempt from or comply with the requirements of section 409A of the IRC, including related regulations and guidance, there can be no assurance that awards made under the 2016 Plan will satisfy those requirements.  In the event an award is subject to section 409A of the IRC but does not satisfy the requirements of section 409A of the IRC, the participant may be subject to immediate income tax inclusion of the deferred amounts, an additional 20% excise tax on amounts includible in income, and interest and penalty charges on such amounts from the date the amounts became vested.  We undertake no responsibility to take, or to refrain from taking, any actions in order to achieve a certain tax result for any participant.
 
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New Plan AwardsBenefits

The following table sets forth with respectNo benefits or amounts have been granted, awarded or received under the 2016 Plan that were subject to each individual and group listed below (i)stockholder approval. In addition, the Compensation Committee will determine the number and types of shares of common stock issued or issuable pursuant to stock optionsawards that will be granted under the 1999 Amended Stock Plan and (ii)2016 Plan. Thus, it is not possible to determine the number of shares underlying restricted stock awards granted under the 1999 Amended Stock Plan, in each case since the 1999 Amended Stock Plan’s inception in September 2009 through August 17, 2015. Any future awards tobenefits that will be received by eligible participants underif the 1999 Amended Stock2016 Plan are discretionary and therefore are not determinable at this time. The table does not include grants made under any other compensation plan, and excludes 6,000 options that have expired or been forfeited as of August 17, 2015. Amounts reported are the gross number of shares underlying grants.

Cumulative Grants since Plan Inception
Name and PositionNumber of Shares Underlying Options
John P. Kelley
Chief Executive Officer
893,220
Michael B. Jebsen, CPA
Chief Financial Officer
962,914
Executive Group1,856,134
Non-Executive Director Group181,309
Non-Executive Officer Employee Group1,801,120
is approved by our stockholders.

PROPOSAL 3:   RATIFICATION OF SELECTION OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
 

Independent Registered Public Accounting Firm

The Audit and Compliance Committee has selected Cherry Bekaert LLP as our independent registered public accounting firm for fiscal 2016.  Cherry Bekaert LLP served as our independent registered public accounting firm for fiscalTransition Period 2015.  Representatives of Cherry Bekaert LLP are expected to be present at the Annual Meeting and will have the opportunity to make a statement, if they desire to do so, and will be available to respond to appropriate questions from our stockholders.

Cherry Bekaert LLP has served as our independent auditor since January 2009. In determining whether to reappoint Cherry Bekaert LLP, our Audit and Compliance Committee reviewed the quality of the committee’s discussions with the lead audit partner, the performance of the audit team assigned to our account, Cherry Bekaert LLP’s technical expertise and industry knowledge, Cherry Bekaert LLP’s tenure as our independent auditor and the potential impact of changing auditors. Our Audit and Compliance Committee believes that these factors, in particular Cherry Bekaert LLP’s long-term knowledge of our Company, enable it to perform its audits with effectiveness and efficiency.

Our organizational documents do not require that the stockholders ratify the selection of Cherry Bekaert LLP as our independent registered public accounting firm.  We request such ratification as a matter of good corporate practice.  If the stockholders do not ratify the selection, the Audit and Compliance Committee will reconsider whether to retain Cherry Bekaert LLP, but still may retain them.  Even if the selection is ratified, the Audit and Compliance Committee, in its discretion, may change the appointment at any time during the year if it determines that such a change would be in the best interests of us and our stockholders.

The aggregate fees billed for professional services by professional accounting firms in Transition Period 2015, fiscal 2015 and fiscal 2014 were as follows:

 2015  2014  Transition Period 2015  Fiscal 2015  Fiscal 2014 
Audit fees(1) $125,973  $180,450  $123,900  $125,973  $180,450 
Tax fees(1)
  13,600   7,400 
Audit-Related Fees(2)
         
Tax fees(3)
  3,550   13,600   7,400 
All Other Fees(4)
         
Total fees $139,573  $187,850  $127,450  $139,573  $187,850 

(1)Tax returnThis category includes fees billed for the fiscal years shown for professional services for the audit of our annual financial statements, review of financial statements included in our quarterly reports on Form 10-Q, and services that are normally provided by the independent auditor in connection with statutory and regulatory filings or engagements for the relevant fiscal years.
(2)This category includes fees billed in the fiscal years shown for assurance and related services that are reasonably related to the performance of the audit or review of our financial statements and are not reported under the category “Audit Fees.” There were no audit-related fees billed to us in Transition Period 2015, fiscal 2015 or fiscal 2014.

 
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(3)This category includes fees billed in the fiscal years shown for professional services for tax compliance, tax advice, and tax planning.
(4)This category includes fees billed in the fiscal years shown for products and services provided by the principal accountant that are not reported in any other category. There were no other fees billed to us in Transition Period 2015, fiscal 2015 or fiscal 2014.

It is our Audit and Compliance Committee’s policy and procedure to approve in advance all audit engagement fees and terms and all permitted non-audit services provided by our independent registered public accounting firm. We believe that all audit engagement fees and terms and permitted non-audit services provided by our independent registered public accounting firm as described in the above table were approved in advance by our Audit and Compliance Committee.

THE BOARD OF DIRECTORS RECOMMENDS THAT YOU VOTE FOR THE RATIFICATION OF THE SELECTION OF CHERRY BEKAERT LLP, AS OUR INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM.

 
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PROPOSAL 4:   ADVISORY (NONBINDING) APPROVAL OF NAMED EXECUTIVE OFFICER COMPENSATION

Our executive compensation program is designed to attract and retain the executive talent essential to the achievement of our strategic and operational goals and to create and maintain stockholder value. We believe that our compensation policies and procedures reward our named executive officers for both their performance and our company’s performance, and we believe such compensation policies and procedures create interests for our named executive officers that are strongly aligned with the short- and long-term interests of our stockholders.

As required by Section 14A of the Exchange Act, we are providing our stockholders with an advisory (nonbinding) vote to approve the compensation of our executive officer. This proposal, commonly known as a “Say-on-Pay” proposal, is designed to give you as a stockholder the opportunity to endorse or not endorse our executive compensation program through the following resolution:

RESOLVED, that the stockholders approve, on an advisory basis, the compensation of our named executive officers, as disclosed in this proxy statement pursuant to the compensation disclosure rules of the Securities and Exchange Commission, including the compensation tables and the related narrative disclosure.”

When you cast your vote, we urge you to consider the description of our executive compensation program contained in this proxy statement, including in the compensation tables and narrative disclosure, as well as the following factors:

●  Compensation decisions for our named executive officers are made by a committee of independent directors.

●  Our named executive officers’ base salaries did not increase between fiscal 2013 and fiscal 2015.

Because your vote is advisory, it will not be binding upon the Board, it will not overrule any decision by the Board, and it will not create or imply any additional fiduciary duties on the Board or any of its members. However, the Compensation Committee will take into account the outcome of the vote when considering future executive compensation arrangements.

THE BOARD OF DIRECTORS RECOMMENDS THAT YOU VOTE FOR THE ADVISORY (NONBINDING) APPROVAL OF NAMED EXECUTIVE OFFICER COMPENSATION.

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OTHER MATTERS
 
Other Business

As of the date of this proxy statement, the Board knows of no other matters that may come before the Annual Meeting. However, if any matters other than those referred to herein should be presented properly for consideration and action at the Annual Meeting, or any adjournment or postponement thereof, the proxies will be voted with respect thereto in accordance with the best judgment and in the discretion of the proxy holders.

Stockholder Proposals
 
Under certain conditions, stockholders may request us to include a proposal for action at a forthcoming meeting of our stockholders in the proxy materials for such meeting. All stockholder proposals intended to be presented at our 20162017 Annual Meeting of Stockholders must be received by us no later than April 19,December 27, 2016 for inclusion in the proxy statement and proxy card relating to such meeting.  However, if the date of the 20162017 Annual Meeting is changed by more than 30 days from the date of the first anniversary of the 20152016 Annual Meeting, then the deadline is a reasonable time before we begin to print and mail our proxy statement for the 20162017 Annual Meeting.
 
In addition, our bylaws require that we be given advance notice of stockholder nominations for election to the Board of Directors and of other matters that stockholders wish to present for action at an annual meeting of stockholders, other than matters included in our proxy statement. The required notice must be in writing, include the information set forth in the bylaws and be received by our corporate secretary at our principal offices not less than 120 days nor more than 150 days prior to the one-year anniversary of the preceding year’s annual meeting, provided, however, that if the date of the annual meeting is more than 30 days before or more than 60 days after the one-year anniversary of the preceding year’s annual meeting, a stockholder’s notice must be received not later than the 90th day prior to such annual meeting, or if later, the 10th day following the day on which public disclosure of the date of the annual meeting was first made.  The date of our 20162017 Annual Meeting of Stockholders has not yet been established, but assuming it is held on September 15, 2016,June 16, 2017, in order to comply with the time periods set forth in our bylaws, appropriate notice for the 2016 Annual Meeting would need to be provided to our corporate secretary no earlier than April 18, 2016January 17, 2017, and no later than May 18, 2016.February 16, 2107.

Costs of Soliciting Proxies
 
We will bear the cost of this solicitation, including the preparation, printing, and mailing of the proxy statement, proxy card, and any additional soliciting materials sent by us to stockholders. Our directors, officers, and employees may solicit proxies personally or by telephone without additional compensation. We will also reimburse brokerage firms and other persons representing beneficial owners of shares for reasonable expenses incurred in forwarding proxy soliciting materials to the beneficial owners.
 
Availability of Report on Form 10-K
 
Copies of our AnnualTransition Report on Form 10-K10-KT for the year ended April 30,eight month transition period from May 1, 2015 to December 31, 2015, including financial statements and schedules, are available on our website at http://www.tenaxthera.com and will be provided upon written request, without charge, to any person whose proxy is being solicited. Written requests should be made to Tenax Therapeutics, Inc., Attn: Investor Relations, ONE Copley Parkway, Suite 490, Morrisville, North Carolina 27560.

Stockholders Sharing the Same Last Name and Address

Only one annual report or proxy statement, as applicable, may be delivered to multiple stockholders sharing an address unless we have received contrary instructions from one or more of the stockholders. We will deliver promptly upon written or oral request a separate copy of the annual report or proxy statement, as applicable, to a stockholder at a shared address to which a single copy was delivered. Requests for additional copies should be directed to Investor Relations by e-mail addressed to n.hecox@tenaxthera.com, by mail addressed to Tenax Therapeutics, Inc., Attn: Investor Relations, ONE Copley Parkway, Suite 490, Morrisville, North Carolina 27560, or by telephone at (919) 855-2100. Stockholders sharing an address and currently receiving a single copy may contact Investor Relations as described above to request that multiple copies be delivered in future years. Stockholders sharing an address and currently receiving multiple copies may request delivery of a single copy in future years by contacting Investor Relations as described above.
 
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REQUESTS FOR DIRECTIONS TO OUR COMPANY’S ANNUAL MEETING
 
The 20152016 Annual Meeting of Stockholders will be held at the offices of Tenax Therapeutics, Inc. located at ONE Copley Parkway, Suite 490, Morrisville, North Carolina 27560 at 9:00 a.m., Eastern Daylight Time. Requests for directions to the meeting location may be directed to Tenax Therapeutics, Inc., Attn: Investor Relations, ONE Copley Parkway, Suite 490, Morrisville, North Carolina 27560.
 
 
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Appendix A

Tenax Therapeutics, Inc.
OXYGEN BIOTHERAPEUTICS, INC.2016 Stock Incentive Plan
(Formerly Synthetic Blood International,
Article 1.                      Establishment, Purpose, and Duration

1.1           Establishment. Tenax Therapeutics, Inc. (the “Company”) hereby establishes an incentive compensation plan to be known as the Tenax Therapeutics, Inc. 2016 Stock Incentive Plan (the “Plan”), as set forth in this document.   The Plan permits the grant of Nonqualified Stock Options, Incentive Stock Options, Stock Appreciation Rights, Restricted Stock, Restricted Stock Units, Performance Shares, Performance Units, Cash-Based Awards, and Other Stock-Based Awards.  The Plan shall become effective on the date that it is approved by the Company’s shareholders (the “Effective Date”) and remain in effect as provided in Section 1.3 hereof.

1999 AMENDED STOCK PLAN
(as Amended and Restated on June 17, 2008)
1.1.2           Purpose of the Plan.Plan. The purpose of the Oxygen Biotherapeutics, Inc. 1999 Stock Plan as amended and restated on June 17, 2008 (the “Plan”) is to enable Oxygen Biotherapeutics, Inc., to provide an incentive to eligible employees, consultants, directors and officers whose present and potential contributions are important toadvance the continued successinterests of the Company and its shareholders through Awards that give Employees, Directors and Third Party Service Providers a personal stake in the Company’s growth, development and financial success.  Awards under the Plan will motivate Employees, Directors and Third Party Service Providers to afford those individualsdevote their best efforts to the opportunitybusiness of the Company.  They will also help the Company attract and retain the services of Employees, Directors and Third Party Service Providers who are in a position to acquiremake significant contributions to the Company’s future success and align them with shareholder interests.

1.3           Duration of the Plan. Unless sooner terminated as provided herein, the Plan shall terminate ten (10) years from the Effective Date.  After the Plan’s termination, no new Awards may be granted, but Awards previously granted shall remain outstanding in accordance with their applicable terms and conditions, including the terms and conditions of the Plan. Notwithstanding the foregoing, no Incentive Stock Options may be granted more than ten (10) years after the earlier of: (a) the date the Plan is adopted by the Board, or (b) the Effective Date.

Article 2.                      Definitions

Whenever used in this Plan, the following terms shall have the meanings set forth below, and when the meaning is intended, the initial letter of the word shall be capitalized:

2.1“Affiliate” shall mean any corporation or other entity (including, but not limited to, a proprietary interestpartnership or a limited liability company) that is affiliated with the Company through stock or equity ownership or otherwise, and is designated as an Affiliate for purposes of this Plan by the Committee.
2.2“Annual Award Limit” or “Annual Award Limits” have the meaning set forth in Section 4.3.
2.3“Award” means, individually or collectively, a grant under this Plan of Nonqualified Stock Options, Incentive Stock Options, Stock Appreciation Rights, Restricted Stock, Restricted Stock Units, Performance Shares, Performance Units, Cash-Based Awards, or Other Stock-Based Awards, in each case subject to the terms of this Plan.
2.4“Award Agreement” means either: (a) a written agreement entered into by the Company and a Participant setting forth the terms and provisions applicable to enablean Award granted under this Plan, or (b) a written or electronic statement issued by the Company to enlista Participant describing the terms and retain in its employment the best available talentprovisions of such Award, including any amendment or modification thereof. The Committee may provide for the successful conductuse of its business. It is intended that this purpose will be effected throughelectronic, Internet, or other nonpaper Award Agreements, and the grantinguse of (a) stock options, (b) stock purchase rights, (c) stock appreciation rights,electronic, Internet, or other nonpaper means for the acceptance thereof and (d) long-term performance awards.actions thereunder by a Participant.
 
2. Definitions. As used herein,2.5“Beneficial Owner” or “Beneficial Ownership” shall have the following definitions shall apply.meaning ascribed to such terms in Rule 13d-3 promulgated under the Exchange Act.
 
(a) “Administrator” means the 2.6“Board” or Board or such of its Committees as shall be administering the Plan, in accordance with Section 5 of the Plan.
(b) “Applicable Laws” means the legal requirements relating to the administration of stock option plans under applicable securities laws and the Code.
(c) “Board”Directors” means the Board of Directors of the Company.
 
(d) “Code”2.7“Cash-Based Award” means the Internal Revenue Code of 1986,an Award, denominated in cash, granted to a Participant as amended, and any applicable regulations promulgated thereunder.described in Article 10.
 
(e) “Committee” means a Committee appointed by2.8“Cause” shall have the Boardmeaning ascribed thereto in accordance with Section 5 of the Plan.
(f) “Common Stock” means the Common Stock of the Company.
(g) “Company” means Oxygen Biotherapeutics, Inc., a Delaware corporation, or any successor corporation thereto.
(h) “Consultant” means any person who is engaged byemployment agreement between the Company or a Parentany of its subsidiaries and the Participant, or, Subsidiary to render consultingif there is no employment agreement or advisory services to such entity (other than as an Employee or a Director).
(i) “Continuous Status as an Employee or Consultant” means that the employment or consulting relationship is not interrupted or terminated by the Company, any Parent or Subsidiary. Continuous Status as an Employee or Consultant shall not be considered interrupted in the case of: (i) any leave of absence approved by the Company, including sick leave, military leave, or other bona fide leave of absence approved by the Company, provided, however that if any such leave exceeds ninety (90) days, onemployment agreement does not contain a definition of “cause”, then Cause shall mean a finding by the one hundred and eighty-first (181st) day followingCommittee that the commencementParticipant has (i) been charged with a felony or a crime involving moral turpitude, (ii) committed an act of such leavefraud or embezzlement against the Company or its subsidiaries, (iii) materially violated any Incentive Stock Option by an eligible Optionee shall be treated as a Non-statutory Stock Option unless reemployment upon the expiration of such leave is guaranteed by statute or contract; or (ii) transfers between locationspolicy of the Company or betweenits subsidiaries, (iv) failed, refused or neglected to substantially perform their duties (other than by reason of a physical or mental impairment) or to implement the Company, its parent, its subsidiary or its successor. Notwithstanding the foregoing, unless otherwise designated bydirectives of the Company, or required by law, a leave of absence shall not be treated as service(v) willfully engaged in conduct that is materially injurious to the Company, monetarily or otherwise.
2.9Change in Control for purposes of determining vesting underthis Plan means the Option Agreement or Stock Purchase Agreement.happening of any of the following:
 
(j) “Director” means a member of the Board.
(i)  When any “person” as such term is used in Section 13(d) and 14(d) of the Exchange Act (other than the Company, a Subsidiary or a Company benefit plan, including any trustee of such plan acting as a trustee) is or becomes the “beneficial owner” (as defined in Rule 13d-3 under the Exchange Act), directly or indirectly, of securities of the Company representing fifty percent (50%) or more of the combined voting power of the Company’s then outstanding securities entitled to vote generally in the election of directors;
 
(k) “Disability” means total and permanent disability as defined in Section 22(c)(3) of the Code.
(ii)  A merger or consolidation of the Company with any other corporation, other than a merger or consolidation which would result in the voting securities of the Company outstanding immediately prior thereto continuing to represent (either by remaining outstanding or by being converted into voting securities of the surviving entity) at least fifty percent (50%) of the total voting power represented by the voting securities of the Company or such surviving entity outstanding immediately after such merger or consolidation, or the shareholders of the Company approve an agreement for the sale or disposition by the Company of all or substantially all the Company’s assets; or
 
(1) “Employee” means any person, including Officers and Directors, employed by the Company or any Parent or Subsidiary of the Company. Neither service as a Director nor payment of a director’s fee by the Company shall be sufficient to constitute “employment” by the Company.
(iii)  A change in the composition of the Board of Directors of the Company occurring within a two-year period, as a result of which fewer than a majority of the directors are Incumbent Directors.  “Incumbent Directors” for such purposes shall mean non-executive Directors who either (A) are Directors of the Company as of the date the Plan is approved by shareholders, or (B) are elected, or nominated for election to the Board with the affirmative votes of at least a majority of the Incumbent Directors at the time of such election or nomination (but shall not include an individual whose election or nomination is in connection with an actual or threatened proxy contest relating to the election of Directors to the Company).
 
 
A-1

 
 
(m) “ExchangeNotwithstanding the foregoing, an Award that is subject to Code Section 409A will not be paid or settled upon a Change in Control unless the Change in Control constitutes a “change in control event” under Code Section 409A and Treasury Regulation Section 1.409A-3(i)(5).
2.10“Change in Control Price” means the price per Share paid in conjunction with any transaction resulting in a Change in Control (as determined in good faith by the Committee if any part of the offered price is payable other than in cash) or, in the case of a Change in Control occurring solely by reason of events not related to a transfer of Shares, the highest Fair Market Value of a Share on any of the thirty (30) consecutive trading days ending on the last trading day before the Change in Control occurs.
2.11“Code” means the U.S. Internal Revenue Code of 1986, as amended from time to time. For purposes of this Plan, references to sections of the Code shall be deemed to include references to any applicable regulations thereunder and any successor or similar provision.
2.12“Committee” means the Compensation Committee of the Board or a subcommittee thereof, or any other committee designated by the Board to administer this Plan. The members of the Committee shall be appointed from time to time by and shall serve at the discretion of the Board.  If the Committee does not exist or cannot function for any reason, the Board may take any action under the Plan that would otherwise be the responsibility of the Committee in which case references to the “Committee” shall be deemed references to the Board.
2.13“Company” means Tenax Therapeutics, Inc., a Delaware corporation, and any successor thereto as provided in Article 19 herein.
2.14Covered Employee” means any Employee who is or may become a “Covered Employee,” as defined in Code Section 162(m), and who is designated, either as an individual Employee or class of Employees, by the Committee within the shorter of: (a) ninety (90) days after the beginning of the Performance Period, or (b) twenty-five percent (25%) of the Performance Period having elapsed, as a “Covered Employee” under this Plan for such applicable Performance Period.
2.15“Director” means any individual who is a member of the Board of Directors of the Company.
2.16“Effective Date” has the meaning set forth in Section 1.1.
2.17“Employee” means any individual who is providing, or has agreed to provide, services to the Company, an Affiliate or a Subsidiary, as an employee.  An Employee shall not include any individual during any period he or she is classified or treated by the Company, Affiliate or Subsidiary as an independent contractor, a consultant, or any employee of an employment, consulting, or temporary agency or any other entity other than the Company, Affiliate or Subsidiary, without regard to whether such individual is subsequently determined to have been, or is subsequently retroactively reclassified as a common-law employee of the Company, Affiliate or Subsidiary during such period.
2.18“Exchange Act” means the Securities Exchange Act of 1934, as amended.
(n) “Family Member” means any child, stepchild, grandchild, parent, stepparent, grandparent, spouse, former spouse, sibling, niece, nephew, mother-in-law, father-in-law, son-in-law, daughter-in-law, brother-in-law, or sister-in-law, including adoptive relationships, any person sharing the Employee’s or Consultant’s household (other than a tenant or employee), a trust in which these persons have more than fifty percent of the beneficial interest, a foundation in which these persons (or the Employee or Consultant) control the management of assets, and any other entity in which these persons (or the Employee or Consultant) own more than fifty percent of the voting interests, including any changes as may be madeamended from time to time, to the definition of “Family Member” as promulgated by the Securities and Exchange Commission in connection with the general instructions for Form S-8 promulgated under the Securities Act of 1933, as amended, or any successor form.act thereto.
 
(o) “Fair2.19Fair Market Value”Value” or “FMV means as of any date, the valueclosing price of a share of Common Stock determined as follows:
(i) If the Common Stock is listedShare reported on anyan established stock exchange on the applicable date, the preceding trading day, the next succeeding trading day, or a national market system, including without limitation the Nasdaq Stock Market, the Fair Market Value of a Share of Common Stock shall be the closing sales price for such stock (or the closing bid, if no sales were reported) as quoted on such exchange (or the exchange with the greatest volumean average of trading days, as determined by the Committee in Common Stock) onits discretion.  In the last market trading day prior to the day of determination, as reported on the exchange;
(ii) If the Common Stock is quoted on the OTC Bulletin Board, or is regularly quoted by a recognized securities dealer but selling pricesevent Shares are not reported,publicly traded at the Fair Market Valuetime a determination of a Sharetheir value is required to be made hereunder, the determination of Common Stock shall be the mean between the high bid and low asked prices for the Common Stock on the last market trading day prior to the day of determination, as reported by Bloomberg; or
(iii) In the absence of an established market for the Common Stock, thetheir Fair Market Value shall be determinedmade in good faith by the Administrator, without regard to any restrictionCommittee, taking into account such factors as the Committee deems appropriate.
2.20“Full-Value Award” means an Award other than a restrictionin the form of an ISO, NQSO, or SAR, and which is settled by its terms, will never lapse, and subjectthe issuance of Shares.
2.21“Grant Price” means the price established at the time of grant of an SAR pursuant to compliance with Section 409AArticle 7, used to determine whether there is any payment due upon exercise of the Code.SAR.
 
(p) “Incentive2.22“Incentive Stock Option” or “ISO” means an Option to purchase Shares granted under Article 6 to an Employee and that is designated as an Incentive Stock Option and that is intended to qualify as an incentive stock option withinmeet the meaningrequirements of Code Section 422 of the Code and the regulations promulgated thereunder.or any successor provision.
 
(q) “Long-Term Performance Award” means2.23“Insider” shall mean an award underindividual who is, on the relevant date, an officer or Director of the Company, or a more than ten percent (10%) Beneficial Owner of any class of the Company’s equity securities that is registered pursuant to Section 9 below. A Long-Term Performance Award shall permit12 of the recipient to receive a cash or stock bonus (asExchange Act, as determined by the Administrator) upon satisfaction of such performance factors as are set outBoard or Committee in the recipient’s individual grant. Long-Term Performance Awards will be based upon the achievement of Company, Subsidiary and individual performance factors or upon such other criteria as the Administrator may deem appropriate. Notwithstanding the foregoing, a Long-Term Performance award shall not be based on a level of performance that is substantially certain to be met at the time the criteria is established.
(r) “Long-Term Performance Award Agreement” means a written agreement between the Company and an Optionee evidencing the terms and conditions of an individual Long-Term Performance Award grant. The Long-Term Performance Award Agreement is subject to the terms and conditions of the Plan.
(s) “Nonstatutory Stock Option” means any Option that is not an Incentive Stock Option.
(t) “Notice of Grant” means a written notice evidencing certain terms and conditions of an individual Option, Stock Purchase Right, SAR or Long-Term Performance Award grant. The Notice of Grant is part of the Option Agreement, the SAR Agreement and the Long-Term Performance Award Agreement.
(u) “Officer” means a person who is an officer of the Company within the meaning ofaccordance with Section 16 of the Exchange Act and the rules and regulations promulgated thereunder.Act.
 
(v) “Option”2.24“Nonemployee Director” means a stock optionDirector who is not an Employee.
2.25“Nonemployee Director Award” means any NQSO, SAR, or Full-Value Award granted, whether singly, in combination, or in tandem, to a Participant who is a Nonemployee Director pursuant to such applicable terms, conditions, and limitations as the Board or Committee may establish in accordance with this Plan.
 
(w) “Option Agreement”2.26“Nonqualified Stock Option” or “NQSO” means a written agreement betweenan Option that is not intended to meet the Company and an Optionee evidencing the terms and conditionsrequirements of an individual Option grant. The Option Agreement is subject to the terms and conditions of the Plan.Code Section 422, or that otherwise does not meet such requirements.
 
 
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(x) “Option Exchange Program”2.27“Option” means an Incentive Stock Option or a program whereby outstanding options are surrenderedNonqualified Stock Option, as described in exchange for options with a lower exercise price.Article 6.
 
(y) “Optioned Stock”2.28“Option Price” means the Common Stockprice at which a Share may be purchased by a Participant pursuant to an Option.
2.29“Other Stock-Based Award” means an equity-based or equity-related Award not otherwise described by the terms of this Plan, granted pursuant to Article 10.
2.30“Participant” means any eligible individual as set forth in Article 5 to whom an Award is granted.
2.31“Performance-Based Compensation” means compensation under an Award that is intended to satisfy the requirements of Code Section 162(m) for certain performance-based compensation paid to Covered Employees. Notwithstanding the foregoing, nothing in this Plan shall be construed to mean that an Award which does not satisfy the requirements for performance-based compensation under Code Section 162(m) does not constitute performance-based compensation for other purposes, including Code Section 409A.
2.32“Performance Measures” means measures as described in Article 12 on which the performance goals are based and which are approved by the Company’s shareholders pursuant to this Plan in order to qualify Awards as Performance-Based Compensation.
2.33“Performance Period” means the period of time during which the performance goals must be met in order to determine the degree of payout and/or vesting with respect to an Award.
2.34“Performance Share” means an Award under Article 9 herein and subject to an Optionthe terms of this Plan, denominated in Shares, the value of which at the time it is payable is determined as a function of the extent to which corresponding performance criteria or Right.Performance Measure(s), as applicable, have been achieved.
 
(z) “Optionee”2.35“Performance Unit” means an EmployeeAward under Article 9 herein and subject to the terms of this Plan, denominated in units, the value of which at the time it is payable is determined as a function of the extent to which corresponding performance criteria or Consultant who holds an outstanding Option or Right.Performance Measure(s), as applicable, have been achieved.
 
(aa) “Outside Director”2.36“Period of Restriction” means the period when Restricted Stock or Restricted Stock Units are subject to a Directorsubstantial risk of forfeiture (based on the passage of time, the achievement of performance goals, or the occurrence of other events as determined by the Committee, in its discretion), as provided in Article 8.
2.37“Person” shall have the meaning ascribed to such term in Section 3(a)(9) of the Company who either (i) is notExchange Act and used in Sections 13(d) and 14(d) thereof, including a current employee of the Company or an “affiliated corporation” (within the meaning of Treasury Regulations promulgated under Section 152(m) of the Code), is not a former employee of the Company or an “affiliated corporation” receiving compensation for prior services (other than benefits under a tax qualified pension plan), was not an officer of the Company or an “affiliated corporation” at any time, and is not currently receiving direct or indirect remuneration from the Company or an “affiliated corporation” for services in any capacity other than as a Director or (ii) is otherwise considered an “outside director” for purposes of Section 162(m) of the Code.
(bb) “Parent” means a “parent corporation,” whether now or hereafter existing,“group” as defined in Section 424(c) of the Code.13(d) thereof.
 
(cc) “Plan”2.38“Plan” means this 1999Tenax Therapeutics, Inc. 2016 Stock Plan, as amended.Incentive Plan.
 
(dd) “Restricted Stock” 2.39“Plan Year” means sharesthe calendar year.
2.40“Restricted Stock” means an Award of Common Stock subjectShares granted to a Restricted Stock Purchase Agreement acquiredParticipant pursuant to a grant of Stock Purchase Rights under Section 8 below.Article 8.
 
(ee) “Restricted Stock Purchase Agreement” means a written agreement between the Company and the Optionee evidencing the terms and restrictions applying to stock purchased under a Stock Purchase Right. The 2.41Restricted Stock Purchase Agreement is subjectUnit” means an Award granted to a Participant pursuant to Article 8, except no Shares are actually awarded to the terms and conditionsParticipant on the date of the Plan and the Notice of Grant.grant.
 
(ff) “Right” means and includes SARs, Long-Term Performance Awards and Stock Purchase Rights granted pursuant to the Plan.
(gg) “Rule 16b-3” means Rule 16b-3 of the Exchange Act or any successor rule thereto, as in effect when discretion is being exercised with respect to the Plan.
(hh) “SAR” means a stock appreciation right granted pursuant to Section 7 of the Plan.
(ii) “SAR Agreement” means a written agreement between the Company and an Optionee evidencing the terms and conditions of an individual SAR grant. The SAR Agreement is subject to the terms and conditions of the Plan.
(jj) “Share”2.42“Share” means a share of the Common Stock, as adjusted in accordance with Section 11common stock of the Plan.Company, par value $0.0001 per share.
 
(kk) “Stock Purchase2.43“Stock Appreciation Right” or “SAR means the right to purchase Common Stockan Award, designated as an SAR, pursuant to Section 8the terms of Article 7 herein.
2.44“Subsidiary” means any corporation or other entity, whether domestic or foreign, in which the Company has or obtains, directly or indirectly, a proprietary interest of more than fifty percent (50%) by reason of stock ownership or otherwise.
2.45“Termination” or “Terminate” means: (a) if a Participant is an Employee, cessation of the Plan,employee-employer relationship between a Participant and the Company and all Affiliates and Subsidiaries for any reason; (b) if a Participant is a Nonemployee Director, termination of the Nonemployee Director’s service on the Board for any reason; and (c) if a Participant is a Third Party Service Provider, termination of the Third Party Service Provider’s service relationship with the Company and all Affiliates and Subsidiaries for any reason.  Notwithstanding the foregoing, with respect to any Award subject to Code Section 409A, any such cessation or termination also must constitute a “separation from service” as evidenced by a Notice of Grant.defined under Treasury Regulation Section 1.409A-1(h).
 
(ll) “Subsidiary” 2.46“Third Party Service Provider” means a “subsidiary corporation,” whether nowany consultant, agent, advisor, or hereafter existing, as defined in Section 424(f) of the Code.
3. Eligibility. Nonstatutory Stock Options and Rights may be granted to Employees and Consultants. Incentive Stock Options may be granted only to Employees. If otherwise eligible, an Employee or Consultantindependent contractor who has been granted an Option or Right may be granted additional Options or Rights. However, eligibility in accordance with this Section shall not entitle any person to be granted an Option or Right, or, having been granted an Option or Right, to be granted additional Options of Rights.
4. Shares Subjectrenders services to the Plan
Company, a Subsidiary, or an Affiliate that (a) Issuable Shares. Stock Subject to the Plan. Subject to the provisions of Section 11 of the Plan, the total number of shares reserved and available for distribution under the Plan is 12,000,000 shares. Subject to Section 11 of the Plan, if any shares that have been optioned under an Option cease to be subject to such Option (other than through exercise of the Option), or if any Option or Right granted hereunder is forfeited or any such award otherwise terminates prior to the issuance of Common Stock to the participant, the shares that were subject to such Option or Right shall again be available for distributionare not in connection with future Optionthe offer or Rights grants undersale of the Plan; provided, however, that Shares that have actually been issued underCompany’s securities in a capital market raising transaction, and (b) do not directly or indirectly promote or maintain a market for the Company’s securities.  
Article 3.                      Administration
3.1           General. The Committee shall be responsible for administering the Plan, whethersubject to this Article 3 and the other provisions of this Plan. The Committee may employ attorneys, consultants, accountants, agents, and other advisors, any of whom may be an Employee, and the Committee, the Company, and its officers and Directors shall be entitled to rely upon exercisethe advice, opinions, or valuations of an Option or Right,any such advisors.  All actions taken and all interpretations and determinations made by the Committee shall not in any event be returned tofinal and binding upon the PlanParticipants, the Company, and shall not become available for future distribution under the Plan.all other interested individuals.
 
 
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(b) Adjustments for Changes in Capital Structure.3.2           Authority of the Committee. Subject to any required actionexpress provisions set forth in the Plan, the Committee shall have full  and exclusive discretionary power to (i) designate Employees, Directors and Third Party Service Providers to be recipients of Awards; (ii) determine the type and size of Awards; (iii) determine the terms and conditions of Awards; (iv) certify satisfaction of performance goals for purposes of satisfying the requirements of Code Section 162(m), if applicable; (v) construe and interpret the terms and the intent of the Plan and any Award Agreement or other instrument entered into under the Plan; (vi) establish, amend, or waive rules and regulations for the Plan’s administration; (vii) subject to the provisions of Section 4.4., authorize conversion or substitution under the Plan of any or all outstanding option or other awards held by service providers of an entity acquired by the stockholdersCompany on terms determined by the Committee (without regard to limitations set forth in Section 6.3 and 7.5); (viii) subject to the provisions of Articles 15 and 17, amend the terms and conditions of any outstanding Award; (ix) grant Awards as an alternative to, or as the form of payment for, grants or rights earned or due under compensation plans or similar arrangements of the Company; and (x) make any other determination and take any other action that it deems necessary or desirable for the administration of the Plan.
3.3           Delegation. To the extent permitted by law and any applicable rules of a stock exchange, the Committee may, by resolution, authorize one or more officers of the Company to do one or both of the following on the same basis as can the Committee: (a) designate Employees and Third Party Service Providers to be recipients of Awards; and (b) determine the type and size of any such Awards; provided, however: (i) the authority to make Awards to any Nonemployee Director or to any Employee who is considered an Insider may not be delegated; (ii) the resolution providing such authorization shall set forth the total number of Shares and Awards such officer(s) may grant to any one Participant and in the eventaggregate; and (iii) the officer(s) shall report periodically to the Committee regarding the nature and scope of the Awards granted pursuant to the authority delegated.
Article 4.                      Shares Subject to This Plan and Maximum Awards
4.1           Number of Shares Available for Awards.  Subject to adjustment as provided in Section 4.4 herein, the maximum number of Shares currently available for issuance under this Plan (the “Share Authorization”) shall be three million (3,000,000) Shares.   All such Shares shall be available for issuance in the form of any changeof the Awards authorized under the Plan, including, but not limited to, Full Value Awards or ISOs, as determined by the Committee in its discretion.  An individual Nonemployee Director shall not be granted Awards in any Plan Year that would result in the CommonCompany recognizing an aggregate compensation expense for such Awards in excess of five hundred thousand dollars ($500,000). 
4.2           Share Usage. Shares covered by an Award shall be reserved for that award while the reward remains outstanding but shall only be counted as used to the extent they are actually issued; provided, however, that the full number of Stock effected without receipt of considerationAppreciation Rights granted that are to be settled by the Company, whether throughissuance of Shares shall be counted against the number of Shares available for award under the Plan, regardless of the number of Shares actually issued upon settlement of such Stock Appreciation Rights.  Further, any Shares withheld to satisfy tax withholding obligations on Awards issued under the Plan and Shares tendered to pay the exercise price of Awards under the Plan will not be eligible to be returned as available Shares under the Plan. Any Shares related to Awards which terminate by expiration, forfeiture, cancellation, or otherwise without the issuance of such Shares, are settled in cash in lieu of Shares, or are exchanged with the Committee’s permission, prior to the issuance of Shares, for Awards not involving Shares, shall be available again for grant under this Plan.
4.3           Annual Award Limits.  Unless and until the Committee determines that an Award to a Covered Employee shall not be designed to qualify as Performance-Based Compensation, the following limits (each an “Annual Award Limit” and, collectively, “Annual Award Limits”) shall apply to grants of such Awards under this Plan:

(a)Options: The maximum aggregate number of Shares subject to Options granted in any one Plan Year to any one Participant shall be one million (1,000,000), as adjusted pursuant to Sections 4.4 and/or 17.2.

(b)SARs: The maximum aggregate number of Shares subject to Stock Appreciation Rights granted in any one Plan Year to any one Participant shall be one million (1,000,000), as adjusted pursuant to Sections 4.4 and/or 17.2.

(c)Restricted Stock or Restricted Stock Units: The maximum aggregate Awards of Restricted Stock or Restricted Stock Units in any one Plan Year to any one Participant shall be five hundred thousand (500,000) Shares, as adjusted pursuant to Sections 4.4 and/or 17.2.

(d)Performance Units or Performance Shares: The maximum aggregate Awards of Performance Units or Performance Shares that a Participant may receive in any one Plan Year shall be five hundred thousand (500,000) Shares], as adjusted pursuant to Sections 4.4 and/or 17.2, or equal to the value of five hundred thousand (500,000) Shares, as adjusted pursuant to Sections 4.4 and/or 17.2, determined as of the date of vesting or payout, as applicable.

(e)Cash-Based Awards: The maximum aggregate amount awarded or credited with respect to Cash-Based Awards to any one Participant in any one Plan Year may not exceed the greater of the value of four million dollars ($4,000,000) or one million (1,000,000) Shares, as adjusted pursuant to Sections 4.4 and/or 17.2, determined as of the date of vesting or payout, as applicable.

(f)Other Stock-Based Awards: The maximum aggregate grants with respect to Other Stock-Based Awards pursuant to Section 10.2 in any one Plan Year to any one Participant shall be one million (1,000,000) Shares, as adjusted pursuant to Sections 4.4 and/or 17.2.
4.4           Adjustments in Authorized Shares. In the event any recapitalization, forward or reverse split, reorganization, merger, consolidation, reorganization, reincorporation, recapitalization, reclassification, stock dividend, stock split, reverse stock split, split-up, split-off,incorporation, spin-off, combination, of shares,repurchase, exchange of shares,Shares or similar change in the capital structure of the Company, or in the event of payment of aother securities, dividend or distribution to the stockholders of the Company in a formShares or other special and nonrecurring dividend or distribution (other than Common Stock (excepting normal cash dividends) that has a material effect on the Fair Market Value of shares of Common Stock, appropriate and proportionate adjustments shall be made in the number and class of shares subject to the Plan and to any outstanding awards and in the exercisedividends or distributions), liquidation, dissolution, sale or purchase price per share of any outstanding Awardsassets or other similar transactions or events, affects the Shares such that an adjustment is determined by the Committee to be appropriate in order to prevent dilution or enlargement of the rights of Grantees under the Plan. For purposesPlan, then the Committee shall equitably adjust any or all of (i) the number and kind of securities deemed to be available thereafter for grants of Awards under this Plan or under particular forms of Awards, (ii) the number and kind of securities subject to outstanding Awards, (iii) the Option Price or Grant Price applicable to outstanding Awards, (iv) the Annual Award Limits or (v) other value determinations applicable to outstanding Awards.
In addition, the Committee is authorized to make adjustments in the terms and conditions of, and the criteria included in, outstanding Awards (including, without limitation, acceleration of the foregoing, conversionexpiration date of any convertible securitiessuch Awards, cancellation of such Awards in exchange for the Company shall not be treated as “effected without receipt of consideration by the Company.” Any fractional share resulting from an adjustment pursuant to this Section 4(b) shall be rounded down to the nearest whole number, and in no event may the exercise price of any Option or Right be decreased to an amount less than the parintrinsic (i.e., in-the-money) value, if any, of the stock subjectvested portion thereof, substitution of outstanding Awards using securities or other obligations of a successor or other entity, modifications of performance goals, changes in the length of Performance Periods, or payment of a bonus or dividend equivalent) in recognition of unusual or nonrecurring events (including, without limitation, a Change in Control of the Company, an event described in the preceding sentence, or a cash dividend or distribution) affecting the Company or any subsidiary of the Company or the financial statements of the Company or any subsidiary of the Company, or in response to changes in applicable laws, regulations, or accounting principles.
Notwithstanding anything to the contrary in this Section 4.4, an adjustment to an Option or Right. Such adjustmentsSAR shall be determined by the Board, and its determination shall be final, binding and conclusive.
5. Administration.
(a) Composition of Administrator.
(i) Multiple Administrative Bodies. In the discretion of the Board, different Committees may administer the Plan with respect to Employees, Directors and Consultants.
(ii) Section 162(m). To the extent that the Administrator determines it to be desirable to qualify Options granted hereunder as “performance-based compensation” within the meaning of Section 162(m) of the Code, the Plan shall be administered by a Committee of two or more “Outside Directors” within the meaning of Section 162(m) of the Code.
(iii) Rule 16b-3. To the extent desirable to qualify transactions hereunder as exempt under Rule 16b-3, the transactions contemplated hereunder shall be structured to satisfy the requirements for exemption under Rule 16b-3.
(iv) Other Administration. Other than as provided above, the Plan shall be administered by (A) the Board or (B) a Committee, which committee shall be constituted to satisfy Applicable Laws.
(v) General. Once a Committee has been appointed pursuant to subsection (ii) or (iii) of this Section 5(a), such Committee shall continue to serve in its designated capacity until otherwise directed by the Board. From time to time the Board may increase the size of any Committee and appoint additional members, remove members (with or without cause) and appoint new members in substitution, fill vacancies (however caused) and remove all members of a Committee and thereafter directly administer the Plan, allmade only to the extent permitted bysuch adjustment complies with the Applicable Laws and in the caserequirements of a Committee appointed under subsection (iii), to the extent permitted by Rule 16b-3 as it applies to a plan intended to qualify thereunder as a discretionary grant or award plan.Code Section 409A.
 
(b) Powers of the Administrator. Subject to the provisions of Article 17 and notwithstanding anything else herein to the contrary, without affecting the number of Shares reserved or available hereunder, the Committee may authorize the issuance or assumption of benefits under this Plan in connection with any merger, consolidation, acquisition of property or stock, or reorganization upon such terms and conditions as it may deem appropriate (including, but not limited to, a conversion of equity awards into Awards under this Plan in the case of a Committee,manner consistent with applicable accounting standards, subject to compliance with the specific duties delegated by the Board to such Committee, the Administrator shall have the authority, in its discretion:
(i) to determine the Fair Market Value of the Common Stock, in accordance with Section 2(o) of the Plan;
(ii) to select the Consultantsrules under Code Sections, 422 and Employees to whom Options424, as and Rights may be granted hereunder;
(iii) to determine whether and to what extent Options and Rights or any combination thereof, are granted hereunder;where applicable.
 
 
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Article 5.                      Eligibility and Participation
(iv)
5.1           Eligibility. Individuals eligible to determineparticipate in this Plan include all Employees, Directors and Third Party Service Providers.  An Employee on “leave of absence” (as such term is defined in the Company’s employee handbook, or, if no such definition exists, as otherwise defined by the Committee in its direction) may be considered as still in the employ of the Company, an Affiliate or Subsidiary for purposes of eligibility for participation in the Plan, as well as continued vesting of Awards under the Plan, if so determined by the Committee in its discretion.
5.2             Actual Participation. Subject to the provisions of this Plan, the Committee may, from time to time in its sole discretion, select from the individuals eligible to participate, those to whom Awards shall be granted.   
Article 6.                      Stock Options
6.1           Grant of Options. Subject to the terms and provisions of this Plan, Options may be granted to Participants in such number, and upon such terms, and at any time and from time to time as shall be determined by the Committee, in its sole discretion, provided that ISOs may be granted only to eligible Employees of the Company or of any parent or subsidiary corporation (as permitted under Code Sections 422 and 424).  An Employee who is employed by an Affiliate and/or Subsidiary and is subject to Code Section 409A may only be granted Options to the extent the Affiliate and/or Subsidiary is part of the Company’s consolidated group for United States federal tax purposes.

6.2           Award Agreement. Each Option grant shall be evidenced by an Award Agreement that shall specify the Option Price, the maximum duration of the Option, the number of shares of Common StockShares to be covered by eachwhich the Option pertains, the conditions upon which an Option shall become vested and Right granted hereunder;
(v) to approve forms of agreement for use underexercisable, and such other provisions as the Plan;
(vi) toCommittee shall determine the terms and conditions,which are not inconsistent with the terms of this Plan. The Award Agreement also shall specify whether the Plan, of any award granted hereunder. Such terms and conditions include, but are not limitedOption is intended to the exercise price, the timebe an ISO or times when Options or Rights may be exercised (which may be based on performance criteria), any vesting, acceleration or waiver of forfeiture restrictions, and any restriction or limitation regarding anyan NQSO.

6.3           Option or Rights or the shares of Common Stock relating thereto, based inPrice. The Option Price for each case on such factors as the Administrator, in its sole discretion, shall determine;
(vii) to construe and interpret the terms of the Plan;
(viii) to prescribe, amend and rescind rules and regulations relating to the Plan;
(ix) to determine whether and under what circumstances an Option or Right may be settled in cash instead of Common Stock or Common Stock instead of cash;
(x) to modify or amend each Option or Right (subject to Section 13 of the Plan);
(xi) to authorize any person to execute on behalf of the Company any instrument required to effect the grant of an Option or Right previously granted by the Administrator;
(xii) to institute an Option Exchange Program;
(xiii) to determine the terms and restrictions applicable to Options and Rights and any Restricted Stock; and
(xiv) to make all other determinations deemed necessary or advisable for administering the Plan.
(c) Effect of Administrator’s Decision. The Administrator’s decisions, determinations and interpretations shall be final and binding on all optionees and any other holders of Options or Rights.
(d) Limitations on Grants. No Employee, Director or Consultant will be granted Options or SARs under thethis Plan to purchase more than 5,000,000 shares over the term of the Plan, provided that, if the number of shares available for issuance under Paragraph 4 of the Plan is increased, the maximum number of options or SARs that any Employee, Director or Consultant may be granted also automatically will increase by an amount equal to 100,000 shares for each additional fiscal year in which shares are allocated for issuance under the Plan.
6. Term of the Plan. The Plan shall continue in effect until the earlier of its termination by the Board or the date on which all of the shares of Stock available for issuance under the Plan have been issued and all restrictions on such shares under the terms of the Plan and the agreements evidencing Options and/or Rights granted under the Plan have lapsed. However, to the extent required by applicable law, all Options and Rights shall be granted, if at all, within ten (10) years from the earlier of the date the Plan is adopted by the Board or the date the Plan is duly approved by the stockholders of the Company.
7. Options and SARs.
(a) Options. The Administrator, in its discretion, may grant Options to eligible participants and shall determine whether such Options shall be Incentive Stock Options or Non-statutory Stock Options. Each Option shall be evidenced by a Notice of Grant/Option Agreement which shall expressly identify the Options as Incentive Stock Options or as Non-statutory Stock Options, and be in such form and contain such provisions as the Administrator shall from time to time deem appropriate. The Notice of Grant/Option Agreement shall govern each Optionee’s rights and obligations with respect to each such particular Option. Without limiting the foregoing, the Administrator may at any time authorize the Company, with the consent of the respective recipients, to issue new Options or Rights in exchange for the surrender and cancellation of outstanding Options or Rights. Option agreements shall contain the following terms and conditions:
(i) Exercise Price; Number of Shares. The per Share exercise price for the Shares issuable pursuant to an Option shall be such price as is determined by the Administrator; provided, however, that in the case of an Incentive Stock Option, the price shall be no less than 100% of the Fair Market Value of the Common Stock on the date the Option is granted, subject to any additional conditions set out in Section 7(a)(iv) below. The notice of Grant shall specify the number of Shares to which it pertains.
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(ii) Waiting Period and Exercise Dates. At the time an Option is granted, the Administrator will determine the terms and conditions to be satisfied before Shares may be purchased, including the dates on which Shares subject to the Option may first be purchased. The Administrator may specify that an Option may not be exercised until the completion of the service period specified at the time of grant. (Any such period is referred to herein as the “waiting period.”) At the time an Option is granted, the Administrator shall fix the period within which the Option may be exercised, which shall not be earlier than the end of the waiting period, if any, nor, in the case of an Incentive Stock Option, later than ten (10) years, from the date of grant.
(iii) Form of Payment. The consideration to be paid for the Shares to be issued upon exercise of an Option, including the method of payment, shall be determined by the Administrator (and,Committee in its sole discretion and shall be specified in the case of an Incentive Stock Option, shall be determined at the time of grant) and may consist entirely of
(1) cash;
(2) check;
(3) promissory note;
(4) other Shares with (1) in the case of Shares acquired upon exercise of an option, have been owned by the Optionee for more than six months on the date of surrender, and (2) a Fair Market Value on the date of surrender equal to the aggregate exercise price of the Shares as to which such Option shall be exercised;
(5) delivery of a properly executed exercise notice together with such other documentation as the Administrator and the broker, if applicable, shall require to effect an exercise ofAward Agreement; provided, however, the Option and delivery to the Company of the sale or loan proceeds required to pay the exercise price, or such consideration received by the Company under a cashless exercise program implemented by the Company in connection with the Plan;
(6) any combination of the foregoing methods of payment; or
(7) such other consideration and method of payment for the issuance of Shares to the extent permitted by Applicable Laws.
(iv) Special Incentive Stock Option Provisions. In addition to the foregoing, Options granted under the Plan which are intended to be Incentive Stock Options under Section 422 of the Code shall be subject to the following terms and conditions:
(1) Dollar Limitation. To the extent that the aggregate Fair Market Value of (a) the Shares with respect to which Options designated as Incentive Stock Options plus (b) the shares of stock of the Company, Parent and any Subsidiary with respect to which other incentive stock options are exercisable for the first time by an Optionee during any calendar year under all plans of the Company and any Parent and subsidiary exceeds $100,000, such Options shall be treated as Nonstatutory Stock Options. For purposes of the preceding sentence, (a) Options shall be taken into account in the order in which they were granted, and (b) the Fair Market Value of the Shares shall be determined as of the time the Option or other incentive stock option is granted.
(2) 10% Shareholder. If any optionee to whom an Incentive Stock Option is to be granted pursuant to the provisions of the Plan is,Price on the date of grant the owner of Common Stock (as determined under Section 424 (d)must be at least equal to one hundred percent (100%) of the Code)FMV of the Shares as determined on the date of grant; provided, further, however, that the Option Price must be at least equal to one hundred and ten percent (110%) of the FMV of a Share on the date of grant with respect to any ISO issued to a Participant who, on the date of grant, owns (as defined in Code Section 424(d)) stock possessing more than 10%ten percent (10%) of the total combined voting power of all classes of stock of the Company or of its subsidiary corporation (as defined in Code Section 424(f)) (a “10% Shareholder”).

6.4           Term of Options. Each Option granted to a Participant shall expire at such time as the Committee shall determine at the time of grant; provided, however, no Option shall be exercisable later than the tenth (10th) anniversary date of its grant; provided, further, however, that no ISO granted to a 10% Shareholder shall be exercisable later than the day before the fifth (5th) anniversary of its date of grant.”)

6.5           Exercise of Options. Options granted under this Article 6 shall be exercisable at such times and be subject to such restrictions and conditions as the Committee shall in each instance approve, which terms and restrictions need not be the same for each grant or for each Participant.  Notwithstanding anything in this Plan to the contrary, to the extent that the aggregate FMV of the Shares (determined as of the date of grant of the applicable ISO) with respect to which ISOs are exercisable for the first time by a Participant during any Parent or Subsidiarycalendar year (under all plans of the Company and its subsidiary corporations (as defined in Code Section 424(f)) exceeds $100,000, such Options shall be treated as NQSOs.

Options granted under this Article 6 shall be exercised by the delivery of a notice of exercise to the Company or an agent designated by the Company in a form specified or accepted by the Committee setting forth the number of Shares with respect to which the Option is to be exercised, accompanied by full payment for the Shares, or by complying with any alternative exercise procedures the Committee may authorize.

6.6           Payment. A condition of the issuance of the Shares as to which an Option shall be exercised shall be the payment of the Option Price. The Option Price of any Option shall be payable to the Company in full either: (a) in cash or its equivalent; (b) by tendering (either by actual delivery or attestation) previously acquired Shares having an aggregate Fair Market Value at the time of exercise equal to the Option Price (provided that the Committee may in its discretion require the Shares that are tendered have been held by the Participant for at certain period of time prior to their tender to satisfy the Option Price if acquired under this Plan or any other compensation plan maintained by the Company or purchased on the open market); (c) by a cashless (broker-assisted) exercise; (d) by a combination of (a), (b), and/or (c); or (e) any other method approved or accepted by the Committee in its sole discretion.
Unless otherwise determined by the Committee, all payments under all of the methods indicated above shall be paid in United States dollars.
6.7           Restrictions on Shares.  The Committee may impose such restrictions on any Shares acquired pursuant to the exercise of an Option granted under this Article 6 as it deems advisable, including, without limitation, minimum holding period requirements, restrictions under applicable federal securities laws, under the requirements of any stock exchange or market upon which such Shares are then listed and/or traded, or under any blue sky or state securities laws as may be applicable to such Shares.
6.8           Termination of Employment/Service. Each Participant’s Award Agreement shall set forth the extent to which the Participant shall have the right to exercise the Option following specialthe Participant’s Termination.  Such provisions shall be applicabledetermined in the sole discretion of the Committee, shall be included in the Award Agreement entered into with each Participant, need not be uniform among all Options issued pursuant to this Article 6, and may reflect distinctions based on the reasons for Termination.

6.9           Notification of Disqualifying Disposition.   If any Participant shall make any disposition of Shares issued pursuant to the Optionexercise of an ISO under the circumstances described in Code Section 421(b) (relating to certain disqualifying dispositions), such Participant shall notify the Company of such disposition within ten (10) calendar days thereof.
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Article 7.                      Stock Appreciation Rights
7.1           Grant of SARs. Subject to the terms and conditions of this Plan, SARs may be granted to such individual:Participants at any time and from time to time as shall be determined by the per Share Option price of SharesCommittee.  However, an Employee who is employed by an Affiliate and/or Subsidiary and is subject to such Incentive Stock Option shall notCode Section 409A may only be less than 110%granted SARs to the extent the Affiliate and/or the Subsidiary is part of the Fair Market ValueCompany’s consolidated group for United States federal tax purposes.
Subject to the terms and conditions of Common stockthis Plan, the Committee shall have complete discretion in determining the number of SARs granted to each Participant and, consistent with the provisions of this Plan, in determining the terms and conditions pertaining to such SARs.
The Grant Price for each grant of a SAR shall be determined by the Committee and shall be specified in the Award Agreement; provided, however, the Grant Price on the date of grant; andgrant must be at least equal to one hundred percent (100%) of the Option shall not have a term in excessFMV of five (5) years fromthe Shares as determined on the date of grant.
 
Except7.2           SAR Agreement. Each SAR Award shall be evidenced by an Award Agreement that shall specify the Grant Price, the term of the SAR, and such other provisions as modifiedthe Committee shall determine.
7.3           Term of SAR. The term of an SAR granted under this Plan shall be determined by the preceding provisions of this subsection 7(a)(iv)Committee, in its sole discretion, and except as determined otherwise limited by Section 422 of the Code, all ofCommittee and specified in the provisions of the PlanSAR Award Agreement, no SAR shall be applicable toexercisable later than the Incentive Stock Options granted hereunder.tenth (10th) anniversary date of its grant.
 
(v) Non-statutory Option Price. The7.4           Exercise of SARs. SARs may be exercised upon whatever terms and conditions the Committee, in its sole discretion, imposes.
7.5           Settlement of SAR. Upon the exercise price per share forof an SAR, a Nonstatutory Stock OptionParticipant shall be not less than eighty-five percent (85%)entitled to receive payment from the Company in an amount determined by multiplying:
(a)The excess of the Fair Market Value of a share of StockShare on the effective date of exercise over the Grant Price; by
(b)The number of Shares with respect to which the SAR is exercised.
At the discretion of the Committee, the payment upon SAR exercise may be in cash, Shares, or any combination thereof, or in any other manner approved by the Committee in its sole discretion. The Committee’s determination regarding the form of SAR payout shall be set forth in the Award Agreement pertaining to the grant of the Option.SAR.
7.6           Termination of Employment/Service. Each Award Agreement shall set forth the extent to which the Participant shall have the right to exercise the SAR following the Participant’s Termination. Such provisions shall be determined in the sole discretion of the Committee, shall be included in the Award Agreement entered into with Participants, need not be uniform among all SARs issued pursuant to this Plan, and may reflect distinctions based on the reasons for Termination.
7.7           Other Restrictions.  The Committee may impose such restrictions on Shares received upon exercise of a SAR granted pursuant to this Plan as it deems advisable.  These restrictions may include, but shall not be limited to, a requirement that the Participant hold the Shares received upon exercise of an SAR for a specified period of time.
Article 8.                      Restricted Stock and Restricted Stock Units
8.1           Grant of Restricted Stock or Restricted Stock Units. Subject to the terms and provisions of this Plan, the Committee, at any time and from time to time, may grant Shares of Restricted Stock and/or Restricted Stock Units to Participants in such amounts as the Committee shall determine. Restricted Stock Units shall be similar to Restricted Stock except that no Shares are actually awarded to the Participant on the date of grant.
8.2           Restricted Stock or Restricted Stock Unit Agreement. Each Restricted Stock and/or Restricted Stock Unit grant shall be evidenced by an Award Agreement that shall specify the Period(s) of Restriction, the number of Shares of Restricted Stock or the number of Restricted Stock Units granted, and such other provisions as the Committee shall determine.
8.3           Other Restrictions. The Committee may impose such conditions and/or restrictions on Shares of Restricted Stock granted pursuant to this Plan and Shares received upon settlement of a Restricted Stock Unit as it deems advisable including, without limitation, a requirement that Participants pay a stipulated purchase price for each Share of Restricted Stock or each Restricted Stock Unit, restrictions based upon the achievement of specific performance goals, time-based restrictions on vesting following the attainment of the performance goals, time-based restrictions, and/or restrictions under applicable laws or under the requirements of any stock exchange or market upon which such Shares are listed or traded, or holding requirements or sale restrictions placed on the Shares by the Company upon vesting of such Restricted Stock or Restricted Stock Units.
To the extent deemed appropriate by the Committee, the Company may retain the certificates representing Shares of Restricted Stock in the Company’s possession until such time as all conditions and/or restrictions applicable to such Shares have been satisfied or lapse.
Except as otherwise provided in this Article 8, Shares of Restricted Stock covered by each Restricted Stock Award shall become freely transferable by the Participant after all conditions and restrictions applicable to such Shares have been satisfied or lapse (including satisfaction of any applicable tax withholding obligations), and Restricted Stock Units shall be paid in cash, Shares, or a combination of cash and Shares as the Committee, in its sole discretion, shall determine.
 
 
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(vii) Other Provisions. Each Option8.4           Certificate Legend. In addition to any legends placed on certificates pursuant to Section 8.3, each certificate representing Shares of Restricted Stock granted under thepursuant to this Plan may containbear a legend such other terms, provisions, and conditions not inconsistent withas the Planfollowing or as may beotherwise determined by the Administrator.Committee in its sole discretion:
 
(viii) Buyout Provisions. The Administratortransferability of this certificate and the shares of stock represented hereby are subject to the terms and conditions (including forfeiture) of the Tenax Therapeutics, Inc. 2016 Stock Incentive Plan and a Restricted Stock Agreement.  Copies of such Plan and Agreement are on file at the offices of Tenax Therapeutics, Inc., One Copley Parkway, Suite 490, Morrisville, North Carolina 27560.”
8.5           Voting Rights. Unless otherwise determined by the Committee and set forth in a Participant’s Award Agreement, to the extent permitted or required by law, as determined by the Committee, Participants holding Shares of Restricted Stock granted hereunder may be granted the right to exercise full voting rights with respect to those Shares during the Period of Restriction.  A Participant shall have no voting rights with respect to any Restricted Stock Units granted hereunder.
8.6           Termination of Employment/Service. Each Award Agreement shall set forth the extent to which the Participant shall have the right to retain Restricted Stock and/or Restricted Stock Units following the Participant’s Termination. Such provisions shall be determined in the sole discretion of the Committee, shall be included in the Award Agreement entered into with each Participant, need not be uniform among all Shares of Restricted Stock or Restricted Stock Units issued pursuant to this Plan, and may reflect distinctions based on the reasons for Termination.
8.7           Section 83(b) Election. The Committee may provide in an Award Agreement that the Award of Restricted Stock is conditioned upon the Participant making or refraining from making an election with respect to the Award under Code Section 83(b). If a Participant makes an election pursuant to Code Section 83(b) concerning a Restricted Stock Award, the Participant shall be required to file promptly a copy of such election with the Company.
Article 9.                      Performance Units / Performance Shares
9.1           Grant of Performance Units / Performance Shares. Subject to the terms and provisions of this Plan, the Committee, at any time offerand from time to buytime, may grant Performance Units and/or Performance Shares to Participants in such amounts and upon such terms as the Committee shall determine.
9.2           Value of Performance Units / Performance Shares. Each Performance Unit shall have an initial value that is established by the Committee at the time of grant. Each Performance Share shall have an initial value equal to the Fair Market Value of a Share on the date of grant. The Committee shall set performance goals in its discretion which, depending on the extent to which they are met, will determine the value and/or number of Performance Units/Performance Shares that will be paid out forto the Participant.
9.3           Earning of Performance Units / Performance Shares. Subject to the terms of this Plan, after the applicable Performance Period has ended, the holder of Performance Units/Performance Shares shall be entitled to receive payout on the value and number of Performance Units/Performance Shares earned by the Participant over the Performance Period, to be determined as a paymentfunction of the extent to which the corresponding performance goals have been achieved.
9.4           Form and Timing of Payment of Performance Units / Performance Shares. Payment of earned Performance Units/Performance Shares shall be as determined by the Committee and as evidenced in the Award Agreement. Subject to the terms of this Plan, the Committee, in its sole discretion, may pay earned Performance Units/Performance Shares in the form of cash or in Shares an Option previously(or in a combination thereof) equal to the value of the earned Performance Units/Performance Shares at the close of the applicable Performance Period, or as soon as practicable after the end of the Performance Period. Any Shares may be granted subject to any restrictions deemed appropriate by the Committee. The determination of the Committee with respect to the form of payout of such Awards shall be set forth in the Award Agreement pertaining to the grant of the Award.
9.5           Termination of Employment / Service. Each Award Agreement shall set forth the extent to which the Participant shall have the right to retain Performance Units and/or Performance Shares following the Participant’s Termination. Such provisions shall be determined in the sole discretion of the Committee, shall be included in the Award Agreement entered into with each Participant, need not be uniform among all Awards of Performance Units or Performance Shares issued pursuant to this Plan, and may reflect distinctions based on the reasons for Termination.
Article 10.                      Cash-Based Awards and Other Stock-Based Awards
10.1           Grant of Cash-Based Awards. Subject to the terms and provisions of the Plan, the Committee, at any time and from time to time, may grant Cash-Based Awards to Participants in such amounts and upon such terms as the Committee may determine.
10.2           Other Stock-Based Awards. The Committee may grant other types of equity-based or equity-related Awards not otherwise described by the terms of this Plan (including the grant or offer for sale of unrestricted Shares) in such amounts and subject to such terms and conditions as the AdministratorCommittee shall establish and communicatedetermine. Such Awards may involve the transfer of actual Shares to the Optionee at the time that such offer is made.
(b) SARs.
(i) In Connection with Options. At the sole discretion of the Administrator, SARs may be granted in connection with allParticipants, or any part of an Option, either concurrently with the grant of the Option or at any time thereafter during the term of the Option. The following provisions apply to SARs that are granted in connection with Options:
(1) The SAR shall entitle the Optionee to exercise the SAR by surrendering to the Company unexercised a portion of the related Option. The Optionee shall receive in exchange from the Company an amount equal to the excess of (1) the Fair Market Value on the date of exercise of the SAR of the Common Stock covered by the surrendered portion of the related Option over (2) the exercise price of the Common Stock covered by the surrendered portion of the related Option; provided that a SAR that is granted subsequent to the grant date of a related Option must have a SAR exercise price that is no less than the Fair Market Value of one share of Common Stock on the date of grant of the SAR. Notwithstanding the foregoing, the Administrator may place limits on the amount that may be paid upon exercise of an SAR; provided, however, that such limit shall not restrict the exercisability of the related Option.
(2) When an SAR is exercised, the related Option, to the extent surrendered, shall cease to be exercisable.
(3) An SAR shall be exercisable only when and to the extent that the related Option is exercisable and shall expire no later than the date on which the related Option expires.
(4) A SAR may only be exercised at a time when the Fair Market Value of the Common Stock covered by the related Option exceeds the exercise price of the Common Stock covered by the related Option.
(ii) Independent of Options. At the sole discretion of the Administrator, SARs may be granted without related Options. The following provisions apply to SARs that are not granted in connection with Options:
(1) The SAR shall entitle the Optionee, by exercising the SAR, to receive from the Company an amount equal to the excess of (1) the Fair Market Value of the Common Stock covered by the exercised portion of the SAR, as of the date of such exercise, over (2) the Fair Market Value of the Common Stock covered by the exercised portion of the SAR, as of the last market trading date prior to the date on which the SAR was granted; provided, however, that the Administrator may place limits on the aggregate amount that may be paid upon exercise of an SAR. In no event shall the exercise price of a SAR be less than 100% of the Fair Market Value per share of Common Stock on the date of grant.
(2) SARs shall be exercisable, in whole or in part, at such times as the Administrator shall specify in the Optionee’s SAR agreement.
(iii) Form of Payment. The Company’s obligations arising upon the exercise of an SAR may be paid in Common Stock orpayment in cash or in any combinationotherwise of Common Stockamounts based on the value of Shares, and cash, as the Administrator, in its sole discretion, may determine. Shares issued upon the exercise of an SAR shall be valued at their Fair Market Value asinclude, without limitation, Awards designed to comply with or take advantage of the dateapplicable local laws of exercise.jurisdictions other than the United States.
 
(c) Method10.3           Value of Exercise.
(i) Procedure for Exercise, Rights asCash-Based and Other Stock-Based Awards. Each Cash-Based Award shall specify a Shareholder. Any Optionpayment amount or SAR granted hereunder shall be exercisable at such times and under such conditionspayment range as determined by the Administrator and asCommittee. Each Other Stock-Based Award shall be permissible under theexpressed in terms of Shares or units based on Shares, as determined by the Plan. An OptionCommittee. The Committee may notestablish performance goals in its discretion. If the Committee exercises its discretion to establish performance goals, the number and/or value of Cash-Based Awards or Other Stock-Based Awards that will be exercised forpaid out to the Participant will depend on the extent to which the performance goals are met.
10.4           Payment of Cash-Based Awards and Other Stock-Based Awards; Restrictions on Shares. Payment, if any, with respect to a fraction of a Share. An OptionCash-Based Award or SARany Other Stock-Based Award shall be deemed to be exercised when written notice of such exercise has been given to the Companymade in accordance with the terms of the OptionAward, in cash or SAR byShares as the person entitledCommittee determines.  Any Shares issued pursuant to exercisethis Article 10 shall be subject to the Option or SAR and full payment for the Shares with respect to which the Option is exercised has been received by the Company. Full payment may, as authorized by the Administrator (and,restrictions set forth in the case of an Incentive Stock Option, determined at the time of grant) and permitted by the Option Agreement consist of any consideration and method of payment allowable under subsection 7(a)(iii) of the Plan. Until the issuance (as evidenced by the appropriate entry on the books of the Company or of a duly authorized transfer agent of the Company) of the stock certificate evidencing such Shares, no right to vote or receive dividends or any other rights as a shareholder shall exist with respect to the Optioned Stock, notwithstanding the exercise of the Option. No adjustment will be made for a dividend or other right for which the record date is prior to the date the stock certificate is issued, except as provided in Section 11 of the Plan.Award Agreement.
 
 
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Exercise10.5           Termination of an Option in any mannerEmployment / Service. The Committee shall result in a decreasedetermine the extent to which the Participant shall have the right to receive Cash-Based Awards or Other Stock-Based Awards following the Participant’s Termination. Such provisions shall be determined in the numbersole discretion of Shares which thereafter shallthe Committee, such provisions may be available, both for purposesincluded in an agreement entered into with each Participant, but need not be uniform among all Awards of Cash-Based Awards or Other Stock-Based Awards issued pursuant to the Plan, and may reflect distinctions based on the reasons for saleTermination.

Article 11.                      Transferability and Forfeiture of Awards
11.1           Transfer Restrictions. Except as provided in Section 11.2 below, during a Participant’s lifetime, his or her Awards shall be exercisable only by the Participant or the Participant’s legal representative.  Awards shall not be transferable other than by will or the laws of descent and distribution; no Awards shall be subject, in whole or in part, to attachment, execution, or levy of any kind; and any purported transfer in violation hereof shall be null and void.  The Committee may establish such procedures as it deems appropriate for a Participant to designate a beneficiary to whom any amounts payable or Shares deliverable in the event of, or following, the Participant’s death, may be provided.
11.2           Committee Action. The Committee may, in its discretion, determine that notwithstanding Section 11.1, any or all Awards (other than ISOs) shall be transferable to and exercisable by such transferees, and subject to such terms and conditions, as the Committee may deem appropriate; provided, however, no Award may be transferred for value (as defined in the General Instructions to Form S-8).
11.3           Forfeiture of Awards. Notwithstanding anything else to the contrary contained herein, the Committee in granting any Award shall have the full power and authority to determine whether, to what extent and under what circumstances such Award shall be forfeited, cancelled or suspended.  Unless an Award Agreement includes provisions expressly superseding the provisions of this Section 11.3, the provisions of this Section 11.3 shall apply to all Awards. Any such forfeiture shall be effected by the Company in such manner and to such degree as the Committee, in its sole discretion, determines, and will in all events (including as to the provisions of this Section 11.3) be subject to applicable laws.
In order to effect a forfeiture under this Section 11.3, the Committee may require that the Participant sell Shares received upon exercise or settlement of an Award to the Company or to such other person as the Company may designate at such price and on such other terms and conditions as the Committee in its sole discretion may require.  Further, as a condition of each Award, the Company shall have, and each Participant shall be deemed to have given the Company, a proxy on each Participant’s behalf, and each Participant shall be required and be deemed to have agreed to execute any other documents necessary or appropriate to carry out this Section 11.3.
Unless otherwise specified by the Committee, in addition to any vesting or other forfeiture or repurchase conditions that may apply to an Award and Shares issued pursuant to an Award, each Award granted under the Option,Plan will be subject to the following forfeiture conditions:

(a)Breach of a Restrictive Covenant. All outstanding Awards and Shares issued pursuant to an Award held by the numberan Participant will be forfeited in their entirety (including as to any portion of an Award or Shares subject thereto that are vested or as to which the Option is exercised. Exercise of an SARany repurchase or resale rights or forfeiture restrictions in any manner shall, to the extent the SAR is exercised, result in a decrease in the number of Shares which thereafter shall be available for purposesfavor of the Plan, and the SAR shall cease to be exercisable to the extent it has been exercised.
(ii) Rule 16b-3. Options and SARs granted to individuals subject to Section 16 of the Exchange Act (“Insiders”) may in the discretion of the Administrator, comply with the applicable provisions of Rule 16b-3 and may contain such additional conditionsCompany or restrictions as may be required thereunder to qualify for the maximum exemption from Section 16 of the Exchange Actits designee with respect to Plan transactions.
(iii) Termination of Employmentsuch Shares have previously lapsed) if the Participant breaches any noncompetition, confidentiality or Consulting Relationship. Subjectother restrictive covenant that may apply to Section 18 of the Plan relating to cancellation and rescission of Options and Rights, in the event an Optionee’s Continuous StatusParticipant, as an Employee or Consultant terminates (other than upon the Optionee’s death or Disability), the Optionee may exercise his or her Option or SAR, but only within such period of time as is determined by the Administrator at the timeCommittee in its sole discretion; provided, that if a Participant has sold Shares issued upon exercise or settlement of grant, notan Award within six (6) months prior to exceed three (3) months from the date ofon which the Participant would otherwise have been required to forfeit such termination (but in no event later than the expiration of the term of such OptionShares or SAR as set forth in the Option or SAR at the date of such termination, and to the extent that the Optionee does not exercise such Option or SAR (to the extent otherwise so entitled) within the time specified herein, the Option or SAR shall terminate.
(iv) Disability of Optionee. In the event an Optionee’s Continuous Status as an Employee or Consultant terminatesunder this subsection (a) as a result of the Optionee’s Disability,Participant’s breach, then the Optionee mayCompany will be entitled to recover any and all profits realized by the Participant in connection with such sale.
(b)Termination for Cause. All outstanding Awards and Shares issued pursuant to an Award held by a Participant will be forfeited in their entirety (including as to any portion of an Award or Shares subject thereto that are vested or as to which any repurchase or resale rights or forfeiture restrictions in favor of the Company or its designee have previously lapsed) if the Participant’s employment or service is terminated by the Company for Cause; provided, however, that if a Participant has sold Shares issued upon exercise his or her Optionsettlement of an Award within six (6) months prior to the date on which the Participant would otherwise have been required to forfeit such Shares under this subsection (b) as a result of termination of the Participant’s employment or SAR, but only within twelve (12) months fromservice for Cause, then the Company will be entitled to recover any and all profits realized by the Participant in connection with such sale; and provided further, that in the event the Committee determines that it is necessary to establish whether grounds exist for termination for Cause, the Award will be suspended during any period required to conduct such determination, meaning that the vesting, exercisability and/or lapse of restrictions otherwise applicable to the Award will be tolled and if grounds for such termination are determined to exist, the forfeiture specified by this subsection (b) will apply as of the date of suspension, and if no such termination, and onlygrounds are determined to exist, the extent that the Optionee was entitled to exercise it at the date of such termination (but in no event later than the expiration of the term of such Option or SAR as set forth in the Option or SAR Agreement). To the extent that Optionee was not entitled to exercise an Option or SAR at the date of such termination, and to the extent that the Optionee does not exercise such Option or SAR (to the extent otherwise so entitled) within the time specified herein, the Option or SAR shall terminate.Award will be reinstated on its original terms.
(v) Death of Optionee. In the event of an Optionee’s death, the Optionee’s estate or a person who acquired the right to exercise the deceased Optionee’s Option or SAR by bequest or inheritance may exercise the Option or SAR, but only within twelve (12) months following the date of death, and only to the extent that the Optionee was entitled to exercise it at the date of death (but in no event later than the expiration of the term of such Option or SAR as set forth in the Option or SAR Agreement). To the extent that Optionee was not entitled to exercise an Option or SAR at the date of death, and to the extent that the Optionee’s estate or a person who acquired the right to exercise such Option does not exercise such Option or SAR (to the extent otherwise so entitled) within the time specified herein, the Option or SAR shall terminate.
8. Stock Purchase Rights.
(a) Rights to Purchase. Stock Purchase Rights may be issued either alone, in addition to, or in tandem with other awards granted under the Plan and/or cash awards made outside of the Plan. After the Administrator determines that it will offer Stock Purchase Rights under the Plan it shall advise the offeree in writing of the terms, conditions and restrictions related to the offer, including the number of Shares that the offeree shall be entitled to purchase, the price to be paid, and the time within which the offeree must accept such offer, which shall in no event exceed thirty (30) days from the date upon which the Administrator made the determination to grant the Stock Purchase Right. The offer shall be accepted by execution of a Restricted Stock Purchase Agreement in the form determined by the Administrator.
(b) Repurchase Option. Unless the Administrator determines otherwise, the Restricted Stock Purchase Agreement shall grant the Company a repurchase option exercisable upon the voluntary or involuntary termination of the purchaser’s employment with the Company for any reason (including death or Disability). The purchase price for Shares repurchased pursuant to the Restricted Stock Purchase Agreement shall be the original price paid by the purchaser and may be paid by cancellation of any indebtedness of the purchaser to the Company. The repurchase option shall lapse at such rate as the Administrator may determine.

 
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(c) Other Provisions. Article 12.                      Performance Measures
12.1           Performance Measures. The Restricted Stock Purchase Agreementperformance goals upon which the payment or vesting of an Award to a Covered Employee that is intended to qualify as Performance-Based Compensation shall contain such other terms, provisions and conditions not inconsistent withbe limited to the Plan asfollowing Performance Measures:
(a)  Net earnings or net income (before or after taxes);
(b)  Earnings per share;
(c)  Net new business;
(d)  Net sales or revenue growth;
(e)  Net operating profit (including, but not limited to, operating income and operating surplus);
(f)  Return measures (including, but not limited to, return on assets, capital, invested capital, equity, sales, or revenue);
(g)  Cash flow (including, but not limited to, operating cash flow, free cash flow, cash generation, cash flow return on equity, and cash flow return on investment);
(h)  Earnings before or after taxes, interest, depreciation, and/or amortization;
(i)  Gross, contribution, or operating margins;
(j)  Share price (including, but not limited to, growth measures and total shareholder return);
(k)  Expense targets;
(l)  Operating efficiency (including, but not limited to, productivity measurements);
(m)  Market share;
(n)  Working capital targets and change in working capital;
(o)  
Economic value added or EVA® (net operating profit after tax minus the sum of capital multiplied by the cost of capital); and
(p)  Segment income from operations and income from operations.
(q)  Commercial milestones
(r)  Clinical development milestones
(s)  Regulatory development milestones

Any Performance Measure(s) may be determined byused to measure the Administratorperformance of the Company, Subsidiary, and/or Affiliate as a whole or any business unit of the Company, Subsidiary, and/or Affiliate or any combination thereof, as the Committee may deem appropriate, or any of the above Performance Measures as compared to the performance of a group of comparator companies, or published or special index that the Committee, in its sole discretion. In addition,discretion, deems appropriate, or the provisionsCompany may select Performance Measure (j) above as compared to various stock market indices.  The Committee also has the authority to provide for accelerated vesting of Restricted Stock Purchase Agreements need not beany Award based on the same with respect to each purchaser.
(d) Rule 16b-3. Stock Purchase Rights granted to Insiders, and Shares purchased by Insiders in connection with Stock Purchase Rights may be, in the discretionachievement of the Administrator, subject to any restrictions applicable thereto in compliance with Rule 16b-3. An Insider may only purchase Sharesperformance goals pursuant to the grantPerformance Measures specified in this Article 12.
12.2           Evaluation of Performance. The Committee may provide in any such Award that any evaluation of achievement of Performance Measures may include or exclude any of the following events that occur during a Stock Purchase Right,Performance Period: (a) asset write-downs, (b) litigation or claim judgments or settlements, (c) the effect of changes in tax laws, accounting principles, or other laws or provisions affecting reported results, (d) any reorganization and may only sell Shares purchased pursuant to the grantrestructuring programs, (e) extraordinary nonrecurring items as described in Accounting Principles Board Opinion No. 30 and/or in management’s discussion and analysis of a Stock Purchase Right, during such time or times as are permitted by Rule 16b-3 unless waivedfinancial condition and results of operations appearing in the sole discretionCompany’s annual report to shareholders for the applicable  year, (f) acquisitions or divestitures, and (g) foreign exchange gains and losses; and (h) changes in material liability estimates.  To the extent such inclusions or exclusions affect Awards to Covered Employees, they shall be prescribed in a form that meets the requirements of the Administrator.Code Section 162(m) for deductibility.
 
(e) Rights as a Shareholder. Once the Stock Purchase Right is exercised, the purchaser shall have the rights equivalent to those12.3           Adjustment of a shareholder, and shall be a shareholder when he or her purchase is entered upon the records of the duly authorized transfer agent of the Company. No adjustment will be made for a dividend or other right for which the record date is prior to the date the Stock Purchase Right is exercised, except as provided in Section 11 of the Plan.
9. Long-Term Performance Awards.
(a) Administration. Long-Term Performance Awards are cash or stock bonus awards that may be granted either alone or in addition to other awards granted under the Plan. Such awards shall be granted for no cash consideration. The Administrator shall determine the nature, length and starting date of any performance period (the “Performance Period”) for each Long-Term Performance Award, and shall determine the performance or employment factors, if any, to be used in the determination of Long-Term Performance Awards and the extent to which such Long-Term Performance Awards are valued or have been earned. Long-Term Performance Awards may vary from participant to participant and between groups of participants and shall be based upon the achievement of Company, Subsidiary, Parent and/or individual performance factors or upon such other criteria as the Administrator may deem appropriate. Performance Periods may overlap and participants may participate simultaneously with respect to Long-Term PerformancePerformance-Based Compensation. Awards that are subjectintended to differentqualify as Performance-Based Compensation may not be adjusted upward. The Committee shall retain the discretion to adjust such Awards downward, either on a formula or discretionary basis, or any combination, based on market, performance or service conditions, as the Committee determines.
12.4           Committee Discretion. In the event that applicable tax and/or securities laws change to permit Committee discretion to alter the governing Performance Periods and different performance factors and criteria. Long Term Performance Awards shall be confirmed by, and be subject to the terms of a Long-Term Performance Award agreement. The termsMeasures without obtaining shareholder approval of such awards need not bechanges, the same with respect to each participant.
At the beginning of each Performance Period, the Administrator may determine for each Long-Term Performance Award subject to such Performance Period the range of dollar values or number of shares of Common Stock to be awarded to the participant at the end of the Performance Period if and to the extent that the relevant measures of performance for such Long Term Performance Award are met. Such dollar values or number of shares of common Stock may be fixed or may vary in accordance with such performance or other criteria as may be determined by the Administrator.
(b) Adjustment of Awards. The Administrator may adjust the performance factors applicable to the Long-Term Performance Awards to take into account changes in legal, accounting and tax rules andCommittee shall have sole discretion to make such adjustmentschanges without obtaining shareholder approval. In addition, in the event that the Committee determines that it is advisable to grant Awards that shall not qualify as Performance-Based Compensation, the Administrator deems necessary or appropriate to reflectCommittee may make such grants without satisfying the inclusion or exclusionrequirements of the impact of extraordinary or unusual items, events or circumstances in order to avoid windfalls or hardships.
10. Non-Transferability of Awards. OptionsCode Section 162(m) and Rights may not be sold, pledged, assigned, hypothecated, transferred or disposed of in any mannerbase vesting on Performance Measures other than by will or by the laws of descent or distribution and may be exercised, during the lifetime of the Optionee, only by the Optionee, provided, however, Nonstatutory Stock Options and Rights may be transferred: (i) by gift to a Family Member; (ii) under a domestic relations orderthose set forth in settlement of marital property rights; and (iii) to any entity in which more than fifty percent of the voting interests are owned by Family Members (or the Employee or Consultant) in exchange for an interest in that entity. Any attempted non-permitted transfer shall be void and shall immediately terminate the Non-statutory Stock Option or Right.Section 12.1.
 
 
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11. Adjustments Upon Changes in Capitalization, Dissolution, Merger, Asset Sale or Change of Control.Article 13.                      Nonemployee Director Awards
 
(a) Changes in Capitalization.The Board shall set the amount(s) and type(s) of equity awards that shall be granted to all Nonemployee Directors on a periodic, nondiscriminatory basis pursuant to the Plan, as well as any additional amount(s), if any, to be awarded, also on a periodic, nondiscriminatory basis.  Subject to any required actionthe foregoing, the Board shall grant such Awards to Nonemployee Directors, as it shall from time to time determine.
Article 14.                      Dividends and Dividend Equivalents

Any Participant selected by the shareholdersCommittee may be granted dividends or dividend equivalents based on the dividends declared on Shares that are subject to any Award, to be credited as of dividend payment dates, during the period between the date the Award is granted and the date the Award is exercised, vests, or expires, as determined by the Committee; provided, however, that dividends or dividend equivalents credited with respect to performance-based Awards will be subject to the same underlying performance-based vesting conditions as the Awards and will not be subject to Committee discretion. The dividends or dividend equivalents may be subject to any limitations and/or restrictions determined by the Committee. Such dividend equivalents shall be converted to cash or additional Shares by such formula and at such time and subject to such limitations as may be determined by the Committee.

Article 15.                      Change in Control of the Company

15.1              Awards Assumed or Substituted in Connection with a Change in Control.  Unless otherwise expressly provided in an Award Agreement, with respect to each outstanding Award that is assumed or substituted in connection with a Change in Control of the Company, the number of shares of Common Stock covered by each outstanding Option and Right, and the number of shares of Common Stock which have been authorized for issuance under the Plan as to which no Options or Rights have yet been granted or which have been returned to the Plan upon cancellation or expiration of an Option or Right, as well as the price per share of Common Stock covered by each such outstanding Option or Right, shall be proportionately adjusted for any increase or decrease in the number of issued shares of Common Stock,event that (1) a Change in Control occurs and (2) the Participant’s employment or any other increase or decrease in the number of issued shares of Common Stock effected without receipt of consideration by the Company; provided, however, that conversion of any convertible securities of the Company shall not be deemed to have been “effected without receipt of consideration.” Such adjustment shall be made by the Board, whose determination in that respect shall be final, binding and conclusive. Except as expressly provided herein, no issuanceservice is involuntarily terminated by the Company, its successor or affiliate thereof without Cause on or after the effective time of shares of stock of any class, or securities convertible into shares of stock of any class,the Change in Control but prior to eighteen (18) months following said Change in Control, then:

(a)Any and all Options and Stock Appreciation Rights granted hereunder shall effect,become exercisable, and no adjustment by reason thereof shall be maderemain exercisable in accordance with respect to, the number or price of shares of Common Stock subject to an Option or Right.their terms;
 
(b) Dissolution Any restriction periods and restrictions imposed on all outstanding Awards of Restricted Stock, Restricted Stock Units, or Liquidation. In theOther Stock-Based Awards shall lapse and be settled as soon as reasonably practicable, but in no event later than ten (10) days following such termination of the proposed dissolutionemployment.  For each Performance Share, Performance Unit or liquidationother performance-based Awards, all Performance Measures, performance goals or similar performance-based vesting criteria will be deemed achieved at one hundred percent (100%) of the Company, to the extent that an Option or Right has not been previously exercised, ittarget levels and all other terms and conditions will terminate immediately prior to the consummation of such proposed action. The Board may, in the exercise of its sole discretion in such instances, declare that any Option or Right shall terminatebe deemed met as of a date fixed by the Board and give each Optionee the right to exercise his or her Option or Right as to all or any part of the Optioned Stock, including Shares as to which the Option or Right would not otherwise be exercisable.
(c) Merger or Asset Sale. Subject to the provisions of paragraph (d) hereof, in the event of a merger of the Company with or into another corporation, or the sale of substantially all of the assets of the Company, each outstanding Option and Right shall be assumed or an equivalent Option or Right substituted by the successor corporation or a Parent or Subsidiary of the successor corporation. In the event that the successor corporation does not agree to assume the Option or to substitute an equivalent option, the Administrator shall, in lieu of such assumption or substitution, provide for the Optionee to have the right to exercise the Option or Right as to all or a portion of the Optioned Stock, including Shares as to which it would not otherwise be exercisable. If the Administrator makes an Option or Right exercisable in lieu of assumption or substitution in the event of a merger or sale of assets, the Administrator shall notify the Optionee that the Option or Right shall be exercisable for a period of fifteen (15) days from the date of such notice,the Participant’s termination of employment or service and the Option or RightAward shall be settled as soon as reasonably practicable but in no event later than ten (10) days following termination of employment.
(c)For Plan purposes, an Award will terminate upon the expiration of such period. For the purposes of this paragraph, the Option or Right shall be considered assumed if, immediately following the merger or sale of assets,Change in Control, the Option or RightAward confers the right to purchase or receive, for each Share of Optioned Stock subject to the Option or RightAward immediately prior to the merger or sale of assets,Change in Control, the consideration (whether stock, cash, or other securities or property) received in the merger or sale of assetsChange in Control by holders of Common Stock for each Share held on the effective date of the transaction (and if holders were offered a choice of consideration, the type of consideration chosen by the holders of a majority of the outstanding Shares); provided, however, that if such consideration received in the merger or sale of assets wasChange in Control is not solely common stock of the successor corporation or its Parent,parent, the AdministratorCommittee may, with the consent of the successor corporation, and the participant, provide for the consideration to be received upon the exercise of thean Option or Stock Appreciation Right, for each Share of Optioned Stock subject to the Option or Right,such Award, to be solely common stock of the successor corporation or its Parentparent equal in Fair Market Valuefair market value to the per share consideration received by holders of Common Stock in the merger or sale of assets.Change in Control.
 
(d)Awards shall be considered assumed or substituted if, upon the occurrence of a Change in Control. InControl after which there will be a generally recognized U.S. public market for (1) the eventCompany’s Stock, (2) common stock for which the Company’s Stock is exchanged, or (3) the common stock of a “Changesuccessor or acquirer entity (such publicly traded stock, “Public Shares”), the then outstanding Awards are assumed, exchanged or substituted for by a successor or acquirer entity such that following the Change in Control” ofControl, the Company, as defined in paragraph (e) below, then the following accelerationAwards relate to such Public Shares and, valuation provisions shall apply:
(i) Exceptexcept as otherwise determinedprovided by this Section 15.1, remain subject to such terms and conditions that were applicable to the Board,Awards prior to the Change in its discretion,Control.

15.2                          No Assumption or Substitution in Connection with Change in Control. Unless otherwise expressly provided in an Award Agreement, with respect to each outstanding Award that is not assumed or substituted in connection with a Change in Control, then prior to the occurrence of a Change in Control, anyControl:

(a)Any and all Options and Stock Appreciation Rights granted hereunder shall vest in full and become immediately exercisable in accordance with their terms and the Committee will notify the Participant in writing that the Options or Stock Appreciation Rights will be exercisable for a period of time determined by the Committee in the Committee’s sole discretion and the Option or Stock Appreciation Right will terminate upon the expiration of said period; and

(b)Any restriction periods and restrictions imposed on all outstanding onAwards of Restricted Stock, Restricted Stock Units, Performance Shares, Performance Units or Other Stock-Based Awards shall lapse and be settled as soon as reasonably practicable, but in no event later than ten (10) days following the date suchChange in Control.

15.3           Cashout and Cancellation of Awards.  Notwithstanding any other provisions of the Plan, in the event that each outstanding Award is not assumed or substituted in connection with a Change in Control is determined to have occurred that are not yet exercisable and vested on such date shall become fully exercisable and vested;
(ii) Exceptexcept as would otherwise determined byresult in adverse tax consequences under Section 409A of the Board,Code, the Committee may, in its discretion, prior toprovide that each Award shall, immediately upon the occurrence of a Change in Control, all outstanding Options and Rights, to the extent they are exercisable and vested (including Options and Rights that shall become exercisable and vested pursuant to subparagraph (i) above), shall be terminatedcancelled in exchange for a payment in cash paymentor securities in an amount equal to (x) the excess if any of the consideration paid per Share in the Change in Control Price, (reducedover the exercise or purchase price per Share subject to the Award multiplied by (y) the number of Shares granted under the Award.  Without limiting the generality of the foregoing, in the event that the consideration paid per Share in the Change in Control is lesser than or equal to the exercise price if any, applicable to such Options or Rights). These cash proceeds shall be paidpurchase price per Share subject to the Optionee or,Award, the Committee may, in its discretion, cancel such Award without any consideration upon the eventoccurrence of death of an Optionee prior to payment, to the estate of the Optionee or to a person who acquired the right to exercise the Option or Right by bequest or inheritance.Change in Control.
 
 
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(e) DefinitionArticle 16.                      Rights of “Change in Control”. For purposes of this Section 11, a “Change in Control” means the happening of any of the following:Participants
 
(i) When16.1           Employment / Service. Nothing in this Plan or an Award Agreement shall interfere with or limit in any “person,” as such term is used in Section 13(d) and 14 (d) ofway the Exchange Act (other than the Company, a Subsidiary or a Company employee benefit plan, including any trustee of such plan acting as trustee) is or becomes the “beneficial owner” (as defined in Rule 13d-3 under the Exchange Act), directly or indirectly, of securitiesright of the Company, representing fifty percent (50%) its Affiliates, and/or more of the combined voting power of the Company’s then outstanding securities entitledits Subsidiaries to vote generally in the election of directors;terminate any Participant’s employment or
(ii) A merger or consolidation of the Company with any other corporation, other than a merger or consolidation which would result in the voting securities of the Company outstanding immediately prior thereto continuing to represent (either by remaining outstanding or by being converted into voting securities of the surviving entity) at least fifty percent (50%) of the total voting power represented by the voting securities of the Company or such surviving entity outstanding immediately after such merger or consolidation, or the shareholders of the Company approve an agreement for the sale or disposition by the Company of all or substantially all the Company’s assets; or
(iii) A change in the composition of service on the Board of Directors of the Company occurring within a two-year period, as a result of which fewer than a majority of the directors are Incumbent Directors.
“Incumbent Directors” shall mean directors who either (A) are directors of the Company as of the date the Plan is approved by the shareholders, or (B) are elected, or nominated for election, to the Board of Directors of the Company with the affirmative votes of at least a majority of the Incumbent Directors at the time of such election or nomination (but shall not include an individual whose election or nomination is in connection with an actual or threatened proxy contest relating to the election of directors to the Company).
(f) Change in Control Price. For purposes of this Section 11, “Change in Control Price” shall be, as determined by the Board, (i) the highest Fair Market Value of a Share within the 60-day period immediately preceding the date of determination of the Change in Control Price by the Board (the “60-Day Period”), or (ii) the highest price paid or offered per Share, as determined by the Board, in any bona fide transaction or bona fide offer related to the Change in Control of the Company at any time withinor for any reason not prohibited by law, nor confer upon any Participant any right to continue his employment or service as a Director or Third Party Service Provider for any specified period of time.
Neither an Award nor any benefits arising under this Plan shall constitute an employment contract with the 60-Day Period, Company, its Affiliates, and/or (iii) such lower price asits Subsidiaries and, accordingly, subject to Articles 3 and 17, this Plan and the Board,benefits hereunder may be terminated at any time in the sole and exclusive discretion of the Committee without giving rise to any liability on the part of the Company, its discretion, determinesAffiliates, and/or its Subsidiaries.
16.2           Participation. No individual shall have the right to be selected to receive an Award under this Plan or, having been so selected, to be selected to receive a reasonable estimatefuture Award.
16.3           Rights as a Shareholder. Except as otherwise provided herein or in any Award Agreement, a Participant shall have none of the fair market valuerights of a Share.
12. Date of Grant. The date of grant of an Option or Right shall be, for all purposes,shareholder with respect to Shares covered by any Award until the date on whichParticipant becomes the Administrator makes the determination granting such Option or Right, or such other later date as is determined by the Administrator. Notice of the determination shall be provided to each Optionee within a reasonable time after the daterecord holder of such grant.Shares.

13.Article 17.                      Amendment, Modification, Suspension, and Termination of

17.1           Amendment, Modification, Suspension, and Termination. Subject to Section 17.3, the Plan.
(a) Amendment and Termination. The BoardCommittee may, at any time and from time to time, alter, amend, alter,modify, suspend, or terminate this Plan and any Award Agreement in whole or in part; provided, however, that, without the prior approval of the Company’s shareholders and except as provided in Section 4.4, (a) Options or SARs issued under this Plan will not be repriced, replaced, or regranted through cancellation, or by lowering the Option Price of a previously granted Option or the Grant Price of a previously granted SAR, and (b) no payment shall be made to cancel an Option or SAR when the Option Price or Grant Price, as the case may be, exceeds the Fair Market Value.  No material amendment of this Plan shall be made without shareholder approval if shareholder approval is required by law, regulation, or stock exchange rule.

17.2           Adjustment of Awards Upon the Occurrence of Certain Unusual or Nonrecurring Events.  The Committee may make adjustments in the terms and conditions of, and the criteria included in, Awards in recognition of unusual or nonrecurring events (including, without limitation, the events described in Section 4.4 hereof) affecting the Company or the financial statements of the Company or of changes in applicable laws, regulations, or accounting principles, whenever the Committee determines that such adjustments are appropriate in order to prevent unintended dilution or enlargement of the benefits or potential benefits intended to be made available under this Plan.  The determination of the Committee as to the foregoing adjustments, if any, shall be conclusive and binding on Participants under this Plan.

17.3           Awards Previously Granted. Notwithstanding any other provision of this Plan to the contrary (other than Section 17.4), no termination, amendment, suspension, or modification of this Plan or an Award Agreement shall adversely affect in any material way any Award previously granted under this Plan, without the written consent of the Participant holding such Award.

17.4           Amendment to Conform to Law. Notwithstanding any other provision of this Plan to the contrary, the Board may amend the Plan or an Award Agreement, to take effect retroactively or otherwise, as deemed necessary or advisable for the purpose of conforming the Plan or an Award Agreement to any present or future law relating to plans of this or similar nature (including, but not limited to, Code Section 409A), and to the administrative regulations and rulings promulgated thereunder.  By accepting an Award under this Plan, each Participant agrees to any amendment made pursuant to this Section 17.4 to any Award granted under the Plan without further consideration or action.
 
(b) Shareholder Approval.Article 18.                      Withholding
18.1           Tax Withholding. The Company shall obtain shareholderhave the power and the right to deduct or withhold, or require a Participant to remit to the Company, the minimum statutory amount to satisfy federal, state, and local taxes, domestic or foreign, required by law or regulation to be withheld with respect to any taxable event arising as a result of this Plan.
18.2           Share Withholding. With respect to withholding required upon the exercise of Options or SARs, upon the lapse of restrictions on Restricted Stock and Restricted Stock Units, or upon the achievement of performance goals related to Performance Shares, or any other taxable event arising as a result of an Award granted hereunder, a Participant may elect, subject to the approval of any Plan amendmentthe Committee, to satisfy the withholding requirement, in whole or in part, by having the Company withhold Shares having a Fair Market Value on the date the tax is to be determined equal to the extent necessary and desirable to comply with Rule 16b-3 or with Section 422 ofminimum statutory total tax that could be imposed on the Code (or any successor rule or statute or other applicable law, rule or regulation, including the requirements of any exchange or quotation system on which the Common Stock is listed or quoted). Such shareholder approval, if required,transaction. All such elections shall be obtained in such a manner and to such a degree as is required by the applicable law, rule or regulation.
(c) Effect of Amendment or Termination. No amendment, alteration, suspension or termination of the Plan shall impair the rights of any Optionee, unless mutually agreed otherwise between the Optionee and the Administrator, which agreement must beirrevocable, made in writing, and signed by the Optionee and the Company.
14. Conditions Upon Issuance of Shares.
(a) Legal Compliance. Shares shall not be issued pursuant to the exercise of an Option or Right unless the exercise of such Option or Right and the issuance and delivery of such Shares shall comply with all relevant provisions of law, including, without limitation, the Securities Act of 1933, as amended, the Exchange Act, the securities laws of applicable states, the rules and regulations promulgated thereunder, Applicable Laws, and the requirements of any stock exchange or quotation system upon which the Shares may then be listed or quoted,Participant, and shall be further subject to any restrictions or limitations that the approvalCommittee, in its sole discretion, deems appropriate.
Article 19.                      Successors
All obligations of counsel for the Company under this Plan with respect to Awards granted hereunder shall be binding on any successor to the Company, whether the existence of such compliance.successor is the result of a direct or indirect purchase, merger, consolidation, or otherwise, of all or substantially all of the business and/or assets of the Company.
 
 
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Article 20.                      General Provisions
(b) Investment Representations. As a condition
20.1           Legend. The certificates for Shares may include any legend that the Committee deems appropriate to reflect any restrictions on transfer of such Shares.
20.2           Gender and Number. Except where otherwise indicated by the exercisecontext, any masculine term used herein also shall include the feminine, the plural shall include the singular, and the singular shall include the plural.
20.3           Severability. In the event any provision of an Optionthis Plan shall be held illegal or Right,invalid for any reason, the illegality or invalidity shall not affect the remaining parts of this Plan, and this Plan shall be construed and enforced as if the illegal or invalid provision had not been included.
20.4           Requirements of Law. The granting of Awards and the issuance of Shares under this Plan shall be subject to all applicable laws, rules, and regulations, and to such approvals by any governmental agencies or stock exchange as may be required.
20.5           Delivery of Title. The Company shall have no obligation to issue or deliver evidence of title for Shares issued under this Plan prior to:
(a)Obtaining any approvals from governmental agencies that the Company may require the person exercising such Optiondetermines are necessary or Right to representadvisable; and warrant at the time
(b)Completion of any such exerciseregistration or other qualification of the Shares under any applicable national or foreign law or ruling of any governmental body that the Shares are being purchased only for investment and without any present intentionCompany determines to sellbe necessary or distribute such Shares and to provide such other representations and warranties as are necessary to comply with Federal and applicable state securities laws, or with covenants or representations made by the Company in connection with any offering of its Common Stock, if in the opinion of counsel for the Company, such representations are required.advisable.
 
15. Liability of Company.
(a)20.6           Inability to Obtain Authority.Authority. The inability of the Company to obtain authority from any regulatory body having jurisdiction, which authority is deemed by the Company’s counsel to be necessary to the lawful issuance and sale of any Shares hereunder, shall relieve the Company of any liability in respect of the failure to issue or sell such Shares as to which such requisite authority shall not have been obtained.
 
(b) Grants Exceeding Allotted20.7           Investment Representations. The Committee may require any individual receiving Shares pursuant to an Award under this Plan to represent and warrant in writing that the individual is acquiring the Shares for investment and without any present intention to sell or distribute such Shares. If the Optioned Stock covered by an Option or Right exceeds, as
20.8           Employees Based Outside of the date of grant, the number of Shares which may be issued under the Plan without additional shareholder approval, such Option or Right shall be void with respect to such excess Optioned Stock, unless shareholder approval of an amendment sufficiently increasing the number of Shares subject to the Plan is timely obtained in accordance with Section 13 (b) of the Plan.
16. Reservation of Shares. The Company, during the termUnited States. Notwithstanding any provision of this Plan will at all times reserveto the contrary, in order to comply with the laws in other countries in which the Company, its Affiliates, and/or its Subsidiaries operate or have Employees, Directors or Third Party Service Providers, the Committee, in its sole discretion, shall have the power and keep availableauthority to:
(a)Determine which Affiliates and Subsidiaries shall be covered by this Plan.
(b)Determine which Employees, Directors or Third Party Service Providers outside the United States are eligible to participate in this Plan.
(c)Modify the terms and conditions of any Award granted to Employees, Directors or Third Party Service Providers outside the United States to comply with applicable foreign laws.
(d)           Establish subplans and modify exercise procedures and other terms and procedures, to the extent such numberactions may be necessary or advisable. Any subplans and modifications to Plan terms and procedures established under this Section 20.8 by the Committee shall be attached to this Plan document as appendices.
(e)           Take any action, before or after an Award is made, that it deems advisable to obtain approval or comply with any necessary local government regulatory exemptions or approvals.
Notwithstanding the above, the Committee may not take any actions hereunder, and no Awards shall be granted that would violate applicable law.
20.9           State Securities Laws.  Notwithstanding any provision of this Plan to the contrary, the Committee, in its sole discretion, shall have the power and authority to modify the terms and conditions of any Award granted to Employees, Directors or Third Party Service Providers who reside in one or more individual states to the extent necessary or desirable under applicable state securities laws.  Any modifications to Plan terms and procedures established under this Section 20.9 by the Committee shall be attached to this Plan document as appendices.
20.10           Uncertificated Shares. To the extent that this Plan provides for issuance of certificates to reflect the transfer of Shares asand the Shares are Publicly Traded, the transfer of such Shares may be effected on a noncertificated basis, to the extent not prohibited by applicable law or the rules of any stock exchange.
20.11           Unfunded Plan. Participants shall have no right, title, or interest whatsoever in or to any investments that the Company and/or its Subsidiaries and/or its Affiliates may make to aid it in meeting its obligations under this Plan. Nothing contained in this Plan, and no action taken pursuant to its provisions, shall create or be construed to create a trust of any kind, or a fiduciary relationship between the Company and any Participant, beneficiary, legal representative, or any other individual. To the extent that any individual acquires a right to receive payments from the Company, its Subsidiaries, and/or its Affiliates under this Plan, such right shall be sufficient to satisfyno greater than the requirementsright of the Plan.
17. Shareholder Approval. Continuance of the Plan shall be subject to approval by the shareholdersan unsecured general creditor of the Company, within twelve (12) months aftera Subsidiary, or an Affiliate, as the date the Plan is adopted. Such shareholder approvalcase may be. All payments to be made hereunder shall be obtained in the manner and to the degree required under applicable federal and state law.
18. Cancellation and Rescission of Options and Rights.
(a) Conditions for Cancellation and Rescission of Options and Rights. Unless the Option Agreement, SAR Agreement, Long-Term Performance Award Agreement or Restricted Stock Purchase Agreement (collectively the “Stock Award Agreement”) specifies otherwise, the Board may cancel, rescind, suspend, withhold or otherwise limit or restrict any unexpired, unpaid, or deferred Option or Right at any time if the participant is not in compliance with all applicable provisions of the Stock Award Agreement and the Plan, or if the participant engages in any “Detrimental Activity.” For purposes of this subsection 18(a), “Detrimental Activity” shall include: (i) the rendering of services for any organization or engaging directly or indirectly in any business which is or becomes competitive with the Company, or which organization or business, or the rendering of services to such organization or business, is or becomes otherwise prejudicial to or in conflict with the interests of the Company; (ii) the disclosure to anyone outside the Company, or the use in other than the Company’s business, without prior written authorizationpaid from the Company, of any confidential information or material, as defined in the Company’s confidential information or similar agreement, relating to the businessgeneral funds of the Company, acquired bya Subsidiary, or an Affiliate, as the participant either duringcase may be, and no special or after employment with the Company; (iii) the failure or refusalseparate fund shall be established and no segregation of assets shall be made to disclose promptly and to assign to the Company, pursuant to the Company’s confidential information or similar agreement, all right, title and interestassure payment of such amounts except as expressly set forth in any invention or idea, patentable or not, made or conceived by the participant during employment by the Company, relating in any manner to the actual or anticipated business, research or development work of the Company or the failure or refusal to do anything reasonably necessary to enable the Company to secure a patent where appropriate in the United States and in other countries; (iv) activity that results in termination of the participant’s employment for cause; (v) a violation of any rules, policies, procedures or guidelines of the Company, including but not limited to the Company’s business conduct or similar guidelines; (vi) any attempt directly or indirectly to induce any employee of the Company to be employed or perform services elsewhere or any attempt directly or indirectly to solicit the trade or business of any current or prospective customer, supplier or partner of the Company; (vii) the participant being convicted of, or entering a guilty plea with respect to, a crime, whether or not connected with the Company; or (viii) any other conduct or act determined to be injurious, detrimental or prejudicial to any interest of the Company.this Plan.
 
 
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20.12           No Fractional Shares. No fractional Shares shall be issued or delivered pursuant to this Plan or any Award. The Committee shall determine whether cash, Awards, or other property shall be issued or paid in lieu of fractional Shares or whether such fractional Shares or any rights thereto shall be forfeited or otherwise eliminated.
(b) Remedies
20.13           Retirement and Welfare Plans. Neither Awards made under this Plan nor Shares or cash paid pursuant to such Awards may be included as “compensation” for purposes of computing the benefits payable to any Participant under the Company’s or any Subsidiary’s or Affiliate’s retirement plans (both qualified and nonqualified) or welfare benefit plans unless such other plan expressly provides that such compensation shall be taken into account in computing a Participant’s benefit.
20.14           Deferred Compensation. Except for any deferral feature build into an Award of Restricted Stock Units, no deferral of compensation (as defined under Code Section 409A or guidance thereto) is intended under this Plan. Notwithstanding this intent, if any Award would be considered deferred compensation as defined under Code Section 409A, and if this Plan fails to meet the requirements of Code Section 409A with respect to such Award, then such Award shall be null and void. However, the Committee may permit deferrals of compensation pursuant to the terms of a Participant’s Award Agreement, a separate plan, or a subplan which meets the requirements of Code Section 409A and any related guidance. Additionally, to the extent any Award is subject to Code Section 409A, notwithstanding any provision herein to the contrary, the Plan does not permit the acceleration of the Company. Intime or schedule of any distribution related to such Award, except as permitted by Code Section 409A, the regulations thereunder, and/or the Secretary of the United States Treasury.
20.15           Nonexclusivity of This Plan. The adoption of this Plan shall not be construed as creating any limitations on the power of the Board or Committee to adopt such other compensation arrangements as it may deem desirable for any Participant.
20.16           No Constraint on Corporate Action. Nothing in this Plan shall be construed to: (a) limit, impair, or otherwise affect the Company’s or a Subsidiary’s or an Affiliate’s right or power to make adjustments, reclassifications, reorganizations, or changes of its capital or business structure, or to merge or consolidate, or dissolve, liquidate, sell, or transfer all or any part of its business or assets; or, (b) limit the right or power of the Company or a Subsidiary or an Affiliate to take any action which such entity deems to be necessary or appropriate.
20.17           Governing Law. The Plan and each Award Agreement shall be governed by the laws of the State of Delaware, excluding any conflicts or choice of law rule or principle that might otherwise refer construction or interpretation of this Plan to the substantive law of another jurisdiction. Unless otherwise provided in the Award Agreement, recipients of an Award under this Plan are deemed to submit to the exclusive jurisdiction and venue of the federal or state courts of Delaware to resolve any and all issues that may arise out of or relate to this Plan or any related Award Agreement.
20.18           Indemnification. Subject to requirements of Delaware law, each individual who is or shall have been a member of the Board, or a committee appointed by the Board, or an officer of the Company to whom authority was delegated in accordance with Article 3, shall be indemnified and held harmless by the Company against and from any loss, cost, liability, or expense that may be imposed upon or reasonably incurred by the Participant in connection with subsection 18(a) herein, upon exercise, payment or delivery pursuantresulting from any claim, action, suit, or proceeding to an Optionwhich the Participant may be a party or Right,in which the participantParticipant may be involved by reason of any action taken or failure to act under this Plan and against and from any and all amounts paid by the Participant in settlement thereof, with the Company’s approval, or paid by the Participant in satisfaction of any judgment in any such action, suit, or proceeding against the Participant, provided the Participant shall certify in a manner acceptable togive the Company that hean opportunity, at its own expense, to handle and defend the same before the Participant undertakes to handle and defend it on the Participant’s own behalf, unless such loss, cost, liability, or sheexpense is in compliance with the terms and conditions of the Plan. In the event a participant engages in a Detrimental Activity prior to, or during the six months after, any exercise, payment or delivery pursuant to an Option or Right, such exercise, payment or delivery may be rescinded within two years thereafter. In the event of any such rescission, the participant shall pay to the Company the amount of any gain realized or payment received as a result of the rescinded exercise, paymentParticipant’s own willful misconduct or delivery,except as expressly provided by statute.
The foregoing right of indemnification shall not be exclusive of any other rights of indemnification to which such individuals may be entitled under the Company’s Articles of Incorporation or Bylaws, as a matter of law, or otherwise, or any power that the Company may have to indemnify them or hold them harmless.
20.19           Recoupment.  A Participant will be obligated to return to the Company payments received with respect to Awards in the event of an overpayment to the Participant of incentive compensation due to inaccurate financial data, in accordance with any applicable Company clawback or recoupment policy, as such policy may be amended and in effect from time to time, or as otherwise required by law or applicable stock exchange listing standards, including, without limitation Section 10D of the Securities Exchange Act of 1934, as amended.  Each Participant, by accepting an Award pursuant to the Plan, agrees to return the full amount required under this Section 20.19 at such time and in such manner as the Committee shall determine in its sole discretion and on such terms and conditions as may be required, and the Company shall be entitled to set-off against the amount of any such gain any amount owed to the participant by the Company.consistent with applicable law.
 
Adopted by the Board of Directors on October 9, 1999, amended effective June 17, 2008.
 
 
A-13

 
AMENDMENT TO
OXYGEN BIOTHERAPEUTICS, INC.
1999 AMENDED STOCK PLAN

This Amendment to the Oxygen Biotherapeutics, Inc. 1999 Amended Stock Plan (the “Amendment”) is made on August 18, 2011, effective as of the time provided below.

WHEREAS, Oxygen Biotherapeutics, Inc. (the “Company”) has heretofore adopted the Oxygen Biotherapeutics, Inc. 1999 Amended Stock Plan (the “Plan”); and

WHEREAS, the Board of Directors of the Company has approved the Amendment contingent upon the approval of the Amendment by the stockholders of the Company.

NOW, THEREFORE, BE IT RESOLVED, that, pursuant to Section 13(a) of the Plan, the Plan is hereby amended as follows, effective as of such time as the Amendment is approved by the stockholders of the Company:

Section 4(a) of the Plan is amended by deleting “12,000,000 shares” in the first sentence thereof and replacing it with “6,000,000 shares (after giving effect to the Company’s 1-for-15 reverse stock split of its Common Stock on November 9, 2009)”

Except as expressly amended hereby, all provisions of the Plan shall remain unamended and shall continue to be, and shall remain, in full force and effect in accordance with their respective terms.

The Amendment shall have no effect until such time as it is approved by the stockholders of the Company.

The provisions of the Amendment shall be governed by and interpreted in accordance with the laws of the State of Delaware.


A-14

AMENDMENT NO. 2 TO
OXYGEN BIOTHERAPEUTICS, INC.
1999 AMENDED STOCK PLAN

This Amendment No. 2 to the Oxygen Biotherapeutics, Inc. 1999 Amended Stock Plan (the “Amendment”) is made on November 13, 2013, effective as of the time provided below.

WHEREAS, Oxygen Biotherapeutics, Inc. (the “Company”) has heretofore adopted the Oxygen Biotherapeutics, Inc. 1999 Amended Stock Plan, as subsequently amended (the “Plan”); and

WHEREAS, the Board of Directors of the Company has approved the Amendment contingent upon the approval of the Amendment by the stockholders of the Company.

NOW, THEREFORE, BE IT RESOLVED, that, pursuant to Section 13(a) of the Plan, the Plan is hereby amended as follows, effective as of such time as the Amendment is approved by the stockholders of the Company:

Section 4(a) of the Plan is amended by deleting “6,000,000 shares (after giving effect to the Company’s 1-for-15 reverse stock split of its Common Stock on November 9, 2009)” in the first sentence thereof and replacing it with “4,000,000 (after giving effect to the Company’s 1-for-20 reverse stock split of its Common Stock on May 10, 2013).”

Except as expressly amended hereby, all provisions of the Plan shall remain unamended and shall continue to be, and shall remain, in full force and effect in accordance with their respective terms.

The Amendment shall have no effect until such time as it is approved by the stockholders of the Company.

The provisions of the Amendment shall be governed by and interpreted in accordance with the laws of the State of Delaware.

A-15

 
AMENDMENT NO. 3 TO
TENAX THERAPEUTICS, INC.
1999 AMENDED STOCK PLAN

This Amendment No. 3 (the “Amendment”) to the Tenax Therapeutics, Inc. (formerly Oxygen Biotherapeutics, Inc.) 1999 Amended Stock Plan is made on August 10, 2015, effective as of the time provided below.

WHEREAS, Tenax Therapeutics, Inc. (the “Company”) has heretofore adopted the Tenax Therapeutics, Inc. 1999 Amended Stock Plan, as subsequently amended (the “Plan”);

WHEREAS, the Company has previously changed its name to Tenax Therapeutics, Inc. from Oxygen Biotherapeutics, Inc.; and

WHEREAS, the Board of Directors of the Company has approved the Amendment contingent upon the approval of the Amendment by the stockholders of the Company.

NOW, THEREFORE, BE IT RESOLVED, that, pursuant to Section 13(a) of the Plan, the Plan is hereby amended as follows, effective as of such time as the Amendment is approved by the stockholders of the Company:

Section 4(a) of the Plan is amended by deleting “4,000,000 (after giving effect to the Company’s 1-for-20 reverse stock split of its Common Stock on May 10, 2013)” in the first sentence thereof and replacing it with “5,000,000.”

All references in the Plan to Oxygen Biotherapeutics, Inc. 1999 Amended Stock Plan are hereby deleted and replaced with Tenax Therapeutics, Inc. 1999 Amended Stock Plan and henceforward, the Plan shall be referred to as the Tenax Therapeutics, Inc. 1999 Amended Stock Plan.

Except as expressly amended hereby, all provisions of the Plan shall remain unamended and shall continue to be, and shall remain, in full force and effect in accordance with their respective terms.

The Amendment shall have no effect until such time as it is approved by the stockholders of the Company.

The provisions of the Amendment shall be governed by and interpreted in accordance with the laws of the State of Delaware.

A-16

TENAX THERAPEUTICS, INC.
ONE COPLEY PARKWAY, SUITE 490THIS PROXY IS SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS
MORRISVILLE, NC 27560
ANNUAL MEETING OF STOCKHOLDERS – JUNE 16, 2016 AT 9:00 AM ET
VOTE BY INTERNET - www.proxyvote.com
Use the Internet to transmit your voting instructions and for electronic delivery of information up until 11:59 P.M. Eastern Time the day before the cut-off date or meeting date. Have your proxy card in hand when you access the web site and follow the instructions to obtain your records and to create an electronic voting instruction form.
ELECTRONIC DELIVERY OF FUTURE PROXY MATERIALS
If you would like to reduce the costs incurred by our company in mailing proxy materials, you can consent to receiving all future proxy statements, proxy cards and annual reports electronically via e-mail or the Internet. To sign up for electronic delivery, please follow the instructions above to vote using the Internet and, when prompted, indicate that you agree to receive or access proxy materials electronically in future years.
VOTE BY PHONE - 1-800-690-6903
Use any touch-tone telephone to transmit your voting instructions up until 11:59
P.M. Eastern Time the day before the cut-off date or meeting date. Have your proxy card in hand when you call and then follow the instructions.
VOTE BY MAIL
Mark, sign and date your proxy card and return it in the postage-paid envelope we have provided or return it to Vote Processing, c/o Broadridge, 51 Mercedes Way, Edgewood, NY 11717.
TO VOTE, MARK BLOCKS BELOW IN  BLUE OR BLACK INK AS FOLLOWS:
KEEP THIS  PORTION FOR YOUR RECORDS
DETACH AND RETURN  THIS  PORTION ONLY
THIS    PROXY CARD    IS  VALID   ONLY    WHEN   SIGNED   AND    DATED.
For AllWithhold AllFor All ExceptTo    withhold authority   to  vote  for   any individual   nominee(s),  mark     “For  All Except” and write  the  number(s) of  the nominee(s) on the  line   below.
The Board of Directors recommends you vote FOR the following:    
1.Election of DirectorsCONTROL ID:       
NomineesREQUEST ID: 
01  Ronald R. Blanck, DO02  Anthony DiTonno03  John P. Kelley04  Gregory Pepin05  Gerald T. Proehl
06  Chris A. Rallis07  James Mitchum
The Board of Directors recommends you vote FOR proposals 2, 3 and 4.
ForAgainstAbstain
2.To approve Amendment No. 3 to our 1999 Amended Stock Plan to increase the number of shares authorized for issuance thereunder      
        
3.The ratification of the appointment of Cherry Bekaert LLP as our independent registered public accounting firm for the fiscal year ending April 30, 2016 
The undersigned stockholder of Tenax Therapeutics, Inc. hereby appoints John P. Kelly and Michael B. Jebsen or either of them, as proxies, each with full powers of substitution, to represent and to vote as proxy, as designated, all shares of common stock of Tenax Therapeutics, Inc. held of record by the undersigned on April 18, 2016, at the Annual Meeting of Stockholders (the “Annual Meeting”) to be held on Thursday, June 16, 2016 at 9:00 a.m., local time, at the offices of Tenax Therapeutics, Inc. located at ONE Copley Parkway, Suite 490, Morrisville, North Carolina, 27560, or at any adjournment or postponement thereof.  The undersigned hereby revokes all prior proxies.
(CONTINUED AND TO BE SIGNED ON REVERSE SIDE.)
VOTING INSTRUCTIONS
If you vote by phone, fax or internet, please DO NOT mail your proxy card.
MAIL:Please mark, sign, date, and return this Proxy Card promptly using the enclosed envelope.
INTERNET:https://www.iproxydirect.com/TENX
PHONE:1-866-752-VOTE (8683)     
        
4.The advisory (nonbinding) approval

ANNUAL MEETING OF THE STOCKHOLDERS OF
TENAX THERAPEUTICS, INC.
PLEASE COMPLETE, DATE, SIGN AND RETURN PROMPTLY IN THE ENCLOSED ENVELOPE.
PLEASE MARK YOUR VOTE IN BLUE OR BLACK INK AS SHOWN HERE: ý
PROXY SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS
Proposal 1à
FOR
ALL
WITHHOLD
ALL
FOR ALL
EXCEPT
Election of named executive officer compensationDirectors:¨¨
Ronald R. Blanck, DO¨
Anthony A. DiTonno¨CONTROL ID:
John P. Kelley¨REQUEST ID:
James Mitchum¨
Gregory Pepin¨
Gerald T. Proehl¨
Chris A. Rallis¨
Proposal 2àFORAGAINSTABSTAIN
Approval of the Tenax Therapeutics, Inc. 2016 Stock Incentive Plan.¨¨¨
Proposal 3àFORAGAINSTABSTAIN
Ratification of the appointment of Cherry Bekaert LLP as our independent registered public accounting firm for the fiscal year ending December 31, 2016.¨¨¨
      
     
MARK “X” HERE IF YOU PLAN TO ATTEND THE MEETING: ¨
NOTE: At the Annual Meeting we may transact such other business as may properly come before the meeting or any adjournment thereof.
Please sign exactly as your name(s) appear(s) hereon. When signing as attorney, executor, administrator, or
other fiduciary, please give full title as such. Joint owners should each sign personally. All holders must sign.
If a corporation or partnership, please sign in full corporate or partnership name, by authorized officer.
THE BOARD OF DIRECTORS RECOMMENDS A VOTE “FOR” THE ELECTION OF EACH OF THE DIRECTOR NOMINEES. THE BOARD OF DIRECTORS RECOMMENDS THAT YOU VOTE FOR THE APPROVAL OF THE TENAX THERAPEUTICS, INC. 2016 STOCK INCENTIVE PLAN. THE BOARD OF DIRECTORS RECOMMENDS THAT YOU VOTE FOR THE RATIFICATION OF THE SELECTION OF CHERRY BEKAERT LLP, AS OUR INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM.
 
   
MARK HERE FOR ADDRESS CHANGE   ¨ New Address (if applicable):
____________________________
____________________________
____________________________
IMPORTANT: Please sign exactly as your name or names appear on this Proxy. When shares are held jointly, each holder should sign. When signing as executor, administrator, attorney, trustee or guardian, please give full title as such. If the signer is a corporation, please sign full corporate name by duly authorized officer, giving full title as such. If signer is a partnership, please sign in partnership name by authorized person.
Dated: ________________________, 2016
 
THIS PROXY, WHEN PROPERLY EXECUTED, WILL BE VOTED IN THE MANNER SPECIFIED HEREIN BY THE UNDERSIGNED STOCKHOLDER. THIS PROXY, IF DULY EXECUTED AND RETURNED, WILL BE VOTED “FOR” THE ELECTION OF EACH OF THE DIRECTOR NOMINEES AND “FOR” EACH OF PROPOSALS 2 AND 3 IF NO INSTRUCTION TO THE CONTRARY IS INDICATED.  THE PROXIES ARE AUTHORIZED TO VOTE UPON SUCH OTHER MATTERS AS MAY PROPERLY COME BEFORE THE ANNUAL MEETING OF STOCKHOLDERS IN ACCORDANCE WITH THEIR JUDGMENT.
 (Print Name of Stockholder and/or Joint Tenant)
 
(Signature [PLEASE  SIGN WITHIN BOX]of Stockholder)Date
 
(Second Signature (Joint  Owners)Dateif held jointly)
 
 
 

Important Notice Regarding the Availability of Proxy Materials for the Annual Meeting: The Notice & Proxy Statement, Form 10-K is/are available at  www.proxyvote.com .
TENAX THERAPEUTICS, INC. Annual
Meeting of Stockholders September
15, 2015 9:00 AM EDT
This proxy is solicited by the Board of Directors
The stockholder(s) hereby appoint(s) John Kelley and Michael Jebsen, or either of them, as proxies, each with the power to appoint his substitute, and hereby authorizes them to represent and to vote, as designated on the reverse side of this ballot, all of the shares of Common stock of TENAX THERAPEUTICS, INC. that the stockholder(s) is/are entitled to vote at the Annual Meeting of Stockholders to be held at 09:00 AM, EDT on 9/15/2015, at the offices of Tenax Therapeutics, Inc., One Copley Parkway, Suite 490, Morrisville, NC 27560, and any adjournment or postponement thereof.
This proxy, when properly executed, will be voted in the manner directed herein. If no such direction is made, this proxy will be voted in accordance with the Board of Directors' recommendations.
Continued and to be signed on reverse side