[ITT INDUSTRIES LOGO]
ITT INDUSTRIES, INC. 2003 EQUITY INCENTIVE PLAN
NOTICE OF AWARD DATE OF AWARD
NAME ITT ORGANIZATION
ITT INDUSTRIES, INC. RESTRICTED STOCK AWARD
(Under the ITT Industries, Inc. 2003 Equity Incentive Plan)
You have been granted an ITT Industries restricted stock award as follows:
# SHARES shares of ITT Industries common stock
This award of restricted stock will vest in installments of xxxx shares after xxxx years from the date of grant or
[DATE]; and xxxx shares after xxxx years from date of grant or [DATE]. During the restriction period, you will
enjoy the benefits of share ownership including dividend payments and voting rights. A legended certificate
evidencing your award will be held by the Company during the period of restriction.
Provided that you have been continuously and actively employed by the Company during the entire period of
restriction, you will be issued an unrestricted share certificate upon the satisfactory payment to the Company of
Please refer to the attached copy of the Plan for the additional information pertaining to your award.
Please indicate your acceptance of the above award, the terms and conditions as described herein the
attachments by executing both copies of this Notice and returning one copy to John O. Alfheim, ITT Industries,
Inc., 4 West Red Oak Lane, White Plains, NY 10604.
I hereby accept the terms and conditions (signed by Scott A. Crum)
of this Notice of Award: ITT INDUSTRIES, INC.
Signature of Awardee Date Mailing Address:
Social Security #: xxx-xx-xxxx