Shutterfly 2011 Annual Report Download - page 109

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STOCK POWER AND ASSIGNMENT
SEPARATE FROM STOCK CERTIFICATE
FOR VALUE RECEIVED and pursuant to that certain Restricted Share Agreement dated as of __________________, ____,
[ COMPLETE AT THE TIME OF PURCHASE ] (the “ Agreement ”),
the undersigned Participant hereby sells, assigns and transfers unto
___________________________, __________ shares of the Common Stock $0.001, par value per share, of Shutterfly, Inc.
,
a Delaware
corporation (the “ Company ”),
standing in the undersigned's name on the books of the Company represented by Certificate No(s). ______
[ COMPLETE AT THE TIME OF PURCHASE ]
delivered herewith, and does hereby irrevocably constitute and appoint the Secretary of the
Company as the undersigned's attorney-in-
fact, with full power of substitution, to transfer said stock on the books of the Company. THIS
ASSIGNMENT MAY ONLY BE USED AS AUTHORIZED BY THE AGREEMENT AND ANY EXHIBITS THERETO.
Instructions to Participant :
Please do not fill in any blanks other than the signature line. The purpose of this document is to enable the
Company and/or its assignee(s) to acquire the shares upon exercise of its “Repurchase Right”
set forth in the Agreement without requiring
additional action by the Participant.
Dated:
,
PARTICIPANT
(Signature)
(Please Print Name)