| Eligible Options | New Options | Election to tender Eligible Option in exchange for New Option(s) | |||||||||||||||||||||
| Grant Number | Grant Date | Grant Type | Exercise Price | Eligible Shares | Ratio | Shares | |||||||||||||||||
[ ] vested shares | [ ] shares* | ☐ Yes, exchange Eligible Option for New Option ☐ No, retain Eligible Option ☐ Yes, exchange _________ Partial Eligible Option for New Option | |||||||||||||||||||||
[ ] unvested shares | [ ] shares** | ☐ Yes, exchange Eligible Option for New Option ☐ No, retain Eligible Option ☐ Yes, exchange _________ Partial Eligible Option for New Option | |||||||||||||||||||||
[ ] vested shares | [ ] shares* | ☐ Yes, exchange Eligible Option for New Option ☐ No, retain Eligible Option ☐ Yes, exchange _________ Partial Eligible Option for New Option | |||||||||||||||||||||
[ ] unvested shares | [ ] shares** | ☐ Yes, exchange Eligible Option for New Option ☐ No, retain Eligible Option ☐ Yes, exchange _________ Partial Eligible Option for New Option | |||||||||||||||||||||
| * | New Options will fully vest on the one-year anniversary of the grant date of the New Option, as further described in the Agreement to Terms of Election below. | ||||
| ** | New Options will vest one-third on the one-year anniversary of the grant date of the New Option and followed by equal monthly amounts over the remaining two-year period, as further described in the Agreement to Terms of Election below. | ||||
| (Signature) | ||||||||
| (Print Name) | ||||||||
| (Date) | ||||||||
| To: | TRICIDA, INC. (“Tricida”) | |||||||
| 7000 Shoreline Court, Suite 201 | ||||||||
| South San Francisco, CA 94080 | ||||||||
Email: optionexchange@tricida.com | ||||||||
| 1. | I have received from Tricida the Offer to Exchange Eligible Options for New Options, including the Summary Term Sheet – Questions and Answers, dated July 16, 2021 (collectively, the “Offer Documents”), and upon making an election herein, I agree to all of the terms and conditions of the Offer Documents. | ||||
| 2. | I tender to Tricida for exchange the Eligible Options specified on this Election Form and understand that, upon acceptance by Tricida, this Election Form will constitute a binding agreement between Tricida and me. I have checked the box(es) corresponding to the Eligible Options that I elect to tender for exchange. I understand that any election that I make to tender an option for exchange that does not qualify as an Eligible Option will not be accepted, and such options will remain outstanding subject to their original terms following the expiration of the Exchange Offer. | ||||
| 3. | If I validly tender an Eligible Option for exchange and such Eligible Option is accepted by Tricida, such Eligible Option will automatically be cancelled by Tricida in exchange for the grant of one or more New Options with the applicable New Option terms described in the Offer Documents, including, without limitation: | ||||
| • | Each New Option will have an exercise price equal to the closing price of Tricida’s common stock reported on The Nasdaq Global Select Market on the date that the New Option is granted. | ||||||||||
| • | Each New Option will represent the right to purchase a reduced number of shares of our common stock based on the exchange ratio specified in the Offer Documents and referenced on the Election Form. | ||||||||||
| • | Each New Option will have a maximum term of seven (7) years following the grant date of the New Option. | ||||||||||
| • | The vesting schedule of my New Options will be as follows: | ||||||||||
| • | With respect to any New Option granted in exchange for shares underlying an Eligible Option that are vested as of the grant date of the New Option (the “Exchange Date”), such New Option will fully vest on the one-year anniversary of the grant date of the New Option. | ||||||||||
| • | With respect to any New Option granted in exchange for shares underlying an Eligible Option that are unvested as of the Exchange Date, such New Option vest one-third on the one-year anniversary of the grant date of the New Option and followed by equal monthly amounts over the remaining two-year period. | ||||||||||
| 4. | To remain eligible to tender Eligible Options for exchange pursuant to the Exchange Offer, I must remain an Eligible Holder on the date the New Option is granted, which will occur on or promptly following the Expiration Time, which is currently scheduled to be 6:00 p.m., Pacific Time, on Thursday, August 12, 2021, unless extended. I understand that if my employment with Tricida ceases prior to the date on which the New Option is granted, Tricida will not accept my Eligible Options for exchange and I or my estate or beneficiaries, as the case may be, will retain my Eligible Options subject to their original terms and conditions. If I cease providing services to Tricida for any reason before the shares underlying my New Options vest, I will forfeit any unvested portion of my New Options, subject to the terms of Tricida’s 2018 Equity Incentive Plan. | ||||
| 5. | Neither the ability to participate in the Exchange Offer nor actual participation in the Exchange Offer will be construed as a right to continued employment or service with Tricida. | ||||
| 6. | This election is entirely voluntary, and I am aware that I may change or withdraw my decision to tender my Eligible Options at any time until the Expiration Time, as described in the Instructions to Election Form. I understand that this decision to tender my Eligible Options will be irrevocable as of 6:00 p.m., Pacific Time, Thursday, August 12, 2021, unless the Exchange Offer is extended. Participation in the Exchange Offer is entirely my decision and should be made based on my personal circumstances. Tricida has not authorized any person to make any recommendation on its behalf as to whether or not I should participate in the Exchange Offer. | ||||
| 7. | I may receive certain future confirmation letters or other communications from Tricida in connection with the Exchange Offer, including a communication confirming that Tricida has received this Election Form and whether Tricida ultimately accepts or rejects this Election Form. | ||||
| 1. | DEFINED TERMS. All capitalized terms used in this Election Form but not defined herein have the meanings given in the Offer to Exchange Eligible Options for New Options, dated July 16, 2021, filed with the U.S. Securities and Exchange Commission and separately delivered to you by email from Tricida. The use of “Tricida,” “we,” “us” and “our” in this Election Form refers to TRICIDA, INC. | ||||
| 2. | EXPIRATION TIME. The Exchange Offer and any rights to tender or to withdraw a tender of Eligible Options expire at 6:00 p.m., Pacific Time, Thursday, August 12, 2021, unless the Exchange Offer is extended. | ||||
| 3. | DELIVERY OF ELECTION FORM. If you intend to tender Eligible Options under the Exchange Offer, a signed copy of this Election Form must be received by Tricida via DocuSign before 6:00 p.m., Pacific Time, on Thursday, August 12, 2021 (or such later date as may apply if the Exchange Offer is extended). | ||||
| 4. | WITHDRAWAL OF ELECTION. Tenders of Eligible Options made under the Exchange Offer may be withdrawn at any time before 6:00 p.m., Pacific Time, on Thursday, August 12, 2021, unless we extend the expiration date, in which case withdrawals must be received before such later expiration date and time. | ||||
| 5. | SIGNATURES. Please sign and date this Election Form via DocuSign. Except as described in the following sentence, this Election Form must be signed by the Eligible Holder who holds the Eligible Options to be tendered using the same name for such Eligible Holder as appears on the applicable stock option agreement. If the signature is by an attorney-in-fact or another person acting in a fiduciary or representative capacity, the signer’s full title and proper evidence of the authority of such person to act in such capacity must be identified on this Election Form. | ||||
| 6. | REQUESTS FOR ASSISTANCE OR ADDITIONAL COPIES. Any questions or requests for assistance regarding the Exchange Offer (including requests for additional or hard copies of the Offer Documents or this Election Form) should be directed via email to optionexchange@tricida.com. | ||||
| 7. | IRREGULARITIES. We will determine all questions as to the number of shares subject to Eligible Options tendered and the validity, form, eligibility (including time of receipt) and acceptance of any tender of Eligible Options for exchange. Subject to any order or decision by a court or arbitrator of competent jurisdiction, our determination of these matters will be final and binding on all parties. We may reject any or all tenders of Eligible Options for exchange that we determine are not in appropriate form or that we determine are unlawful to accept. We may waive any defect or irregularity in any tender with respect to any particular Eligible Options or any particular Eligible Holder before the Expiration Time. No Eligible Options will be accepted for exchange until the Eligible Holder exchanging the Eligible Options has cured all defects or irregularities to our satisfaction, or they have been waived by us, prior to the Expiration Time. Neither we nor any other person is obligated to give notice of any defects or irregularities involved in the exchange of any Eligible Options. | ||||
| 8. | ALTERNATIVE, CONDITIONAL OR CONTINGENT OFFERS. We will not accept any alternative, conditional or contingent tenders. | ||||
| 9. | IMPORTANT U.S. TAX INFORMATION. You should refer to Section 12 of the Offering Memorandum included in the Offer Documents, which contains important U.S. tax information. We encourage you to consult with your own financial and tax advisors if you have questions about your financial or tax situation. | ||||