Authority to Receive Payments. Any amount payable to or for the benefit of a minor, an incompetent person or other person incapable of receipting therefore shall be deemed paid when paid to the conservator of such person’s estate or to the party providing or reasonably appearing to provide for the care of such person, and such payment shall fully discharge the Company, members of the Committee and the Board with respect thereto.
Authority to Receive Payments. Any amount payable to or for the benefit of a minor, an incompetent person or other person incapable of receiving such payment shall be deemed paid when paid to the conservator of such person's estate or to the party providing or reasonably appearing to provide for the care of such person, and such payment shall fully discharge Cass and Members of the Committee and the Board with respect thereto. In Witness Whereof, the parties have caused this Agreement to be signed and delivered as of the day and year first above written. CASS INFORMATION SYSTEMS, INC. PARTICIPANT: ______________________________ ______________________________ Signature Signature ______________________________ ______________________________ By: Date: ______________________________ Title: ______________________________ Date: CASS INFORMATION SYSTEMS, INC. 2007 OMNIBUS INCENTIVE STOCK PLAN RESTRICTED STOCK AGREEMENT BENEFICIARY DESIGNATION To the Vice President - Human Resources of Cass Information Systems, Inc. ("Cass") Pursuant to the provisions of the Cass Information Systems, Inc. 2007 Omnibus Incentive Stock Plan ("Plan"), permitting the designation of a Beneficiary or Beneficiaries by a Participant, I hereby designate the following person, persons or trust as Primary and Secondary Designated Beneficiaries of my benefits under the Plan and the Cass Information Systems, Inc. 2007 Omnibus Incentive Stock Plan Restricted Stock Agreement ("Agreement") between Cass and me dated __________, 20____ payable by reason of my death: Primary Beneficiary [include address and relationship]:
