AMENDMENT NUMBER FOUR TO EMPLOYMENT AGREEMENT
This Amendment between Louis P. Scheps ("Mr. Scheps") and CAS Medical Systems, Inc. ("CAS") amends an
Employment Agreement, dated as of September 1, 2000, between Mr. Scheps and CAS, as amended prior to
the date hereof (the "Agreement"). Except as otherwise specifically provided in this Amendment, the Employment
Agreement remains in full force and effect.
The first two sentences of Section I of the Agreement are deleted and the following is substituted in their place:
"Mr. Scheps is employed by CAS as President and Chief Executive Officer, and shall serve as a director of CAS
if so elected by CAS' stockholders, in each case through August 31, 2004.
Section 2 of the Agreement is modified to reflect an annual salary of $250,000.
The following replaces in its entirety that portion of Section 3 of the Agreement added by the September 1998
Amendment Number 1 of the Agreement:
"If a Change of Control (as hereinafter defined) occurs, and upon such Change of Control occurring, this
Agreement is not extended for a period of one year following the stated termination date of this Agreement, then
Mr. Scheps shall be paid a lump sum of $250,000 on such stated termination date."
If a Change of Control occurs and Mr. Scheps' employment terminates for any reason after such Change of
Control occurs, including termination by Mr. Scheps, Mr. Scheps will be paid a lump sum of $250,000 within ten
(10) days of such termination.
"Change of Control" means (i) a sale of all or substantially all of CAS' assets, (ii) a merger involving CAS in
which CAS is not the survivor and the CAS stockholders prior to the merger control less than fifty percent of the
voting stock of the surviving entity, (iii) a sale by the CAS stockholders to an acquirer or acquirers action in
concert of more than a majority of the then outstanding stock of CAS owned by the CAS stockholders, or (iv)
any event similar to any of the fore