Name
Street Address
City, State and Zip Code
Date:
Re: Stock Award
Dear ___________:
In consideration for your past and future advice, services and work as the ___________ of RemoteMDx, Inc., the Board of Directors of the Company has agreed to grant to you, as of the date of this letter, an award of _____________ shares of Common stock of the Company. We will promptly instruct our counsel to make the necessary filing s to have the shares issued as soon as possible.
Thank you again for your valuable services to the Company.
Sincerely,
RemoteMDx, Inc.
By:_______________
Title:______________
Accepted and Agreed:
____________________________
____________________________