Exhibit (a)(1)(C)
ELECTION OF ELIGIBLE OPTIONS TO EXCHANGE
SOCKET MOBILE, INC.
OFFER TO EXCHANGE CERTAIN OUTSTANDING STOCK OPTIONS FOR
NEW STOCK OPTIONS
ELECTION FORM
THE OFFER EXPIRES AT 5 P.M., PACIFIC TIME, ON JULY 1, 2010, UNLESS THE OFFER IS
EXTENDED
Before signing this Election Form, please make sure you have received, read and understand the
documents that make up this Offer , including:
(1) the Offer to Exchange Certain Outstanding Stock Options for New Stock Options (referred to as the "Offer
to Exchange" or the "Offer");
(2) this Election Form;
(3) the Instructions Forming Part of the Terms and Conditions of the Offer (the "Instructions"), included as
Appendix 1 of this Election Form; and
(4) the Agreement to Terms of Election ("Election Agreement"), included as Appendix 2 of this Election Form
before completing and signing this form.
The Offer is subject to the terms of these documents. The Offer provides Eligible Participants who hold Eligible
Options the opportunity to exchange these options for New Options as set forth in the section "THE OFFER" in
the Offer to Exchange. All terms used but not defined herein have the meanings given to such terms in the Offer to
Exchange.
This Offer expires at 5:00 p.m., Pacific Time, on July 1, 2010, unless extended. PLEASE FOLLOW THE
INSTRUCTIONS ATTACHED TO THIS FORM . The New Options will be unvested as of the New
Option Grant Date and will be subject to a new vesting schedule based on the remaining vesting period of each of
your Exchanged Options, regardless of whether your Exchanged Options were wholly or partially vested. If an
Exchanged Option is fully vested on the Cancellation Date, the New Option will be subject to an additional
twenty-four (24) months of vesting. If an Exchanged Option is not fully vested as of the Cancellation Date, the
New Option will be subject to an additional number of months of vesting equal to the longer of (x) two (2) years
from the New Option Grant Date and (y)