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Orrick's Emerging Companies Group

Start-Up Forms Library


The attached document is part of the Start-Up Forms Library provided by Orrick's Emerging
Companies Group. By using/viewing the attached document, you agree to the Terms of Use
Agreement for the Start-Up Forms Library, which can be viewed at:
http://www.orrick.com/practices/corporate/emergingCompanies/startup/forms_disclaimer.asp.

OHS East:160454226.2
ACTION BY WRITTEN CONSENT

OF THE STOCKHOLDERS OF

[COMPANY NAME]

Pursuant to Section 228 of the Delaware General Corporation Law and the Bylaws of
[Company Name], a Delaware corporation (the “Company”), the undersigned stockholders of the
Company hereby take the following actions and adopt the following resolutions by written
consent. This written consent will be filed in the minute book of this Company and shall be
effective as of the date first written above:

1. Adoption of [Stock Plan Name]

RESOLVED: That the [Stock Plan Name] (the “Plan”), in substantially the form
attached hereto as Exhibit A, is hereby adopted and approved and __________ shares of
the Company’s Common Stock are hereby reserved for issuance thereunder.

2. Omnibus Resolution

RESOLVED: That each of the officers of the Company is authorized and directed, on
behalf of the Company, to execute and deliver any agreement, documents or instrument
pursuant to or necessary to be delivered in connection with the Plan, with such
modifications or amendments thereto as may be approved by the officer or officers
executing and delivering the same, such approval to be conclusively evidenced by the
execution and delivery thereof.

[Signature Page Follows]


This Action by Written Consent may be executed in counterparts, each of which shall be
deemed an original and all of which together shall constitute one instrument.

Dated: [STOCKHOLDER NAME]

(Signature)

-2-
EXHIBIT A

[STOCK PLAN NAME]

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