Common use of Authorization to Release Necessary Personal Information Clause in Contracts

Authorization to Release Necessary Personal Information. The Participant hereby explicitly and unambiguously consents to the collection, use and transfer, in electronic or other form, of the Participant’s personal data as described in this Award Agreement, the Appendix and any other Award grant materials (“Data”) by and among, as applicable, the Employer, the Company and its Subsidiaries and Affiliates for the exclusive purpose of implementing, administering and managing the Participant’s participation in the Plan. The Participant understands that the Company and the Employer may hold certain personal information about the Participant, including, but not limited to, the Participant’s name, home address and telephone number, date of birth, social insurance number or other identification number, salary, nationality, job title, any Shares or directorships held in the Company, details of all Units or any other entitlement to Shares awarded, canceled, exercised, vested, unvested or outstanding in the Participant’s favor, for the exclusive purpose of implementing, administering and managing the Plan. The Company’s equity compensation plan recordkeeper is Fidelity Stock Plan Services, LLC (the “Recordkeeper”). The Participant understands that Data will be transferred to the Recordkeeper or such other stock plan service provider as may be selected by the Company in the future, which is assisting the Company with the implementation, administration and management of the Plan. The Participant understands that the recipients of the Data may be located in the United States or elsewhere, and that the recipients’ country (e.g., the United States) may have different data privacy laws and protections than the Participant’s country. The Participant understands that if he or she resides outside the United States, he or she may request a list with the names and addresses of any potential recipients of the Data by contacting the Company’s stock administration department. The Participant authorizes the Company, the Recordkeeper and any other possible recipients which may assist the Company (presently or in the future) with implementing, administering and managing the Plan to receive, possess, use, retain and transfer the Data, in electronic or other form, for the sole purpose of implementing, administering and managing his or her participation in the Plan. The Participant understands that Data will be held only as long as is necessary to implement, administer and manage the Participant’s participation in the Plan. The Participant understands if he or she resides outside the United States, he or she may, at any time, view Data, request additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or withdraw the consents herein, in any case without cost, by contacting in writing the Company’s stock administration department. Further, the Participant understands that he or she is providing the consents herein on a purely voluntary basis. If the Participant does not consent, or if the Participant later seeks to revoke his or her consent, his or her employment status or service and career with the Employer will not be adversely affected; the only adverse consequence of refusing or withdrawing the Participant’s consent is that the Company would not be able to grant the Participant Units or other equity awards or administer or maintain such awards. Therefore, the Participant understands that refusing or withdrawing his or her consent may affect the Participant’s ability to participate in the Plan. For more information on the consequences of the Participant’s refusal to consent or withdrawal of consent, the Participant understands that he or she may contact the Company’s stock administration department.

Appears in 7 contracts

Samples: Global Psu Award Agreement (Silicon Laboratories Inc.), Global Psu Award Agreement (Silicon Laboratories Inc.), Award Agreement (Silicon Laboratories Inc)

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Authorization to Release Necessary Personal Information. The Participant hereby explicitly and unambiguously consents to the collection, use and transfer, in electronic or other form, of the Participant’s personal data as described in this Award Agreement, the Appendix and any other Award grant materials (“Data”) by and among, as applicable, the Employer, the Company and its Subsidiaries and Affiliates for the exclusive purpose of implementing, administering and managing the Participant’s participation in the Plan. The Participant understands that the Company and the Employer may hold certain personal information about the Participant, including, but not limited to, the Participant’s name, home address and telephone number, date of birth, social insurance number or other identification number, salary, nationality, job title, any Shares or directorships held in the Company, details of all Restricted Stock Units or any other entitlement to Shares awarded, canceled, exercised, vested, unvested or outstanding in the Participant’s favor, for the exclusive purpose of implementing, administering and managing the Plan. The Company’s equity compensation plan recordkeeper is Fidelity Stock Plan Services, LLC (the “Recordkeeper”). The Participant understands that Data will be transferred to the Recordkeeper or such other stock plan service provider as may be selected by the Company in the future, which is assisting the Company with the implementation, administration and management of the Plan. The Participant understands that the recipients of the Data may be located in the United States or elsewhere, and that the recipients’ country (e.g., the United States) may have different data privacy laws and protections than the Participant’s country. The Participant understands that if he or she resides outside the United States, he or she may request a list with the names and addresses of any potential recipients of the Data by contacting the Company’s stock administration department. The Participant authorizes the Company, the Recordkeeper and any other possible recipients which may assist the Company (presently or in the future) with implementing, administering and managing the Plan to receive, possess, use, retain and transfer the Data, in electronic or other form, for the sole purpose of implementing, administering and managing his or her participation in the Plan. The Participant understands that Data will be held only as long as is necessary to implement, administer and manage the Participant’s participation in the Plan. The Participant understands if he or she resides outside the United States, he or she may, at any time, view Data, request additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or withdraw the consents herein, in any case without cost, by contacting in writing the Company’s stock administration department. Further, the Participant understands that he or she is providing the consents herein on a purely voluntary basis. If the Participant does not consent, or if the Participant later seeks to revoke his or her consent, his or her employment status or service and career with the Employer will not be adversely affected; the only adverse consequence of refusing or withdrawing the Participant’s consent is that the Company would not be able to grant the Participant Restricted Stock Units or other equity awards or administer or maintain such awards. Therefore, the Participant understands that refusing or withdrawing his or her consent may affect the Participant’s ability to participate in the Plan. For more information on the consequences of the Participant’s refusal to consent or withdrawal of consent, the Participant understands that he or she may contact the Company’s stock administration department.

Appears in 3 contracts

Samples: Stock Units Award Agreement, Award Agreement (Silicon Laboratories Inc), Award Agreement (Silicon Laboratories Inc)

Authorization to Release Necessary Personal Information. The Participant Grantee hereby explicitly authorizes and unambiguously consents directs his or her employer to the collectioncollect, use and transfer, transfer in electronic or other form, of any personal information (the Participant’s personal data as described in this Award Agreement, the Appendix and any other Award grant materials (“Data”) by and among, as applicableregarding the Grantee’s employment, the Employernature and amount of his or her compensation and the fact and conditions of the Grantee’s participation in the Plan (including, but not limited to, the Company Grantee’s name, home address, telephone number, date of birth, social security number (or any other social or national identification number), salary, nationality, race, job title, number of shares of Common Stock held and its Subsidiaries and Affiliates the details of all awards, options or any other entitlement to shares of Common Stock awarded, cancelled, exercised, vested, unvested or outstanding for the exclusive purpose of implementing, administering and managing the ParticipantGrantee’s participation in the Plan. The Participant Grantee understands that the Company and the Employer Data may hold certain personal information about the Participant, including, but not limited to, the Participant’s name, home address and telephone number, date of birth, social insurance number or other identification number, salary, nationality, job title, any Shares or directorships held in the Company, details of all Units or any other entitlement to Shares awarded, canceled, exercised, vested, unvested or outstanding in the Participant’s favor, for the exclusive purpose of implementing, administering and managing the Plan. The Company’s equity compensation plan recordkeeper is Fidelity Stock Plan Services, LLC (the “Recordkeeper”). The Participant understands that Data will be transferred to the Recordkeeper Company or such other stock plan service provider as may be selected by the Company any of its Subsidiaries, or to any third parties assisting in the future, which is assisting the Company with the implementation, administration and management of the Plan, including any requisite transfer to a broker or other third party assisting with the awards under the Plan or with whom the Shares or cash from the sale of such Shares may be deposited. The Participant understands Grantee acknowledges that the recipients of the Data may be located in the United States or elsewheredifferent countries, and that the recipients’ country (e.g., the United States) those countries may have different data privacy laws and protections than different from those in the Participantcountry of the Grantee’s countryresidence. The Participant understands that if he or she resides outside the United States, he or she may request a list with the names and addresses of any potential recipients of the Data by contacting the Company’s stock administration department. The Participant Grantee authorizes the Company, the Recordkeeper and any other possible recipients which may assist the Company (presently or in the future) with implementing, administering and managing the Plan to receive, possess, use, retain and transfer the Data, in electronic or other form, for the sole purpose of implementing, administering and managing his or her the Grantee’s participation in the Plan. The Participant Furthermore, the Grantee acknowledges and understands that the transfer of the Data will be held only as long as to the Company or any of its subsidiaries, or to any third parties is necessary to implement, administer and manage for the ParticipantGrantee’s participation in the Plan. The Participant understands if he or she resides outside the United States, he or she may, Grantee may at any time, view Data, request additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or time withdraw the consents herein, in any case without costherein with respect to the Data, by contacting in writing the Company’s stock administration department. Further, the Participant understands that he or she is providing the consents herein on a purely voluntary basis. If the Participant does not consent, or if the Participant later seeks to revoke his or her consent, human resources representative in writing. The Grantee further acknowledges that withdrawal of consent may affect his or her employment status ability to vest in or service realize benefits from the Awarded Shares, and career with the Employer will not be adversely affected; the only adverse consequence of refusing or withdrawing the Participant’s consent is that the Company would not be able to grant the Participant Units or other equity awards or administer or maintain such awards. Therefore, the Participant understands that refusing or withdrawing his or her consent may affect the Participant’s ability to participate in the Plan. For more information on the consequences of the Participant’s refusal to consent or withdrawal of consent, the Participant understands that he or she may contact the Company’s stock administration department.

Appears in 3 contracts

Samples: Restricted Stock Unit Award Agreement (DFC Global Corp.), International Restricted Stock Unit Award Agreement (Dollar Financial Corp), Restricted Stock Unit Award Agreement (Dollar Financial Corp)

Authorization to Release Necessary Personal Information. The Participant hereby explicitly and unambiguously consents to the collection, use and transfer, in electronic or other form, of the Participant’s personal data as described in this Award Agreement, the Appendix and any other Award Option grant materials (“Data”) by and among, as applicable, the Employer, the Company and its Subsidiaries and Affiliates for the exclusive purpose of implementing, administering and managing the Participant’s participation in the Plan. The Participant understands that the Company and the Employer may hold certain personal information about the Participant, including, but not limited to, the Participant’s name, home address and telephone number, date of birth, social insurance number or other identification number, salary, nationality, job title, any Shares or directorships held in the Company, details of all Units Options or any other entitlement to Shares awarded, canceled, exercised, vested, unvested or outstanding in the Participant’s favor, for the exclusive purpose of implementing, administering and managing the Plan. The Company’s equity compensation plan recordkeeper is Fidelity Stock Plan Services, LLC (the “Recordkeeper”). The Participant understands that Data will be transferred to the Recordkeeper or such other stock plan service provider as may be selected by the Company in the future, which is assisting the Company with the implementation, administration and management of the Plan. The Participant understands that the recipients of the Data may be located in the United States or elsewhere, and that the recipients’ recipient’s country (e.g., the United States) may have different data privacy laws and protections than the Participant’s country. The Participant understands that if he or she resides outside the United States, he or she may request a list with the names and addresses of any potential recipients of the Data by contacting the Company’s stock administration department. The Participant authorizes the Company, the Recordkeeper and any other possible recipients which may assist the Company (presently or in the future) with implementing, administering and managing the Plan to receive, possess, use, retain and transfer the Data, in electronic or other form, for the sole purpose purposes of implementing, administering and managing his or her the Participant’s participation in the Plan. The Participant understands that Data will be held only as long as is necessary to implement, administer and manage the Participant’s participation in the Plan. The Participant understands that if he or she resides outside the United States, he or she may, at any time, view Data, request additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or withdraw the consents herein, in any case without cost, by contacting in writing the Company’s stock administration department. Further, the Participant understands that he or she is providing the consents herein on a purely voluntary basis. If the Participant does not consent, or if the Participant later seeks to revoke his or her consent, his or her employment status or service and career with the Employer will not be adversely affected; the only adverse consequence of refusing or withdrawing the Participant’s consent is that the Company would not be able to grant the Participant Units Options or other equity awards or administer or maintain such awards. Therefore, the Participant understands that refusing or withdrawing his or her consent may affect the Participant’s ability to participate in the Plan. For more information on the consequences of the Participant’s refusal to consent or withdrawal of consent, the Participant understands that he or she may contact the Company’s stock administration department.

Appears in 2 contracts

Samples: Award Agreement (Silicon Laboratories Inc), Award Agreement (Silicon Laboratories Inc)

Authorization to Release Necessary Personal Information. The Participant Recipient hereby explicitly authorizes and unambiguously consents directs Recipient’s employer to the collectioncollect, use and transfer, transfer in electronic or other form, of any personal information (the Participant’s personal data as described in this Award Agreement, the Appendix and any other Award grant materials (“Data”) by and among, as applicableregarding Recipient’s employment, the Employer, nature and amount of Recipient’s compensation and the Company facts and its Subsidiaries and Affiliates for the exclusive purpose conditions of implementing, administering and managing the ParticipantRecipient’s participation in the Plan. The Participant understands that the Company and the Employer may hold certain personal information about the Participant, Plan (including, but not limited to, the ParticipantRecipient’s name, home address and address, telephone number, date of birth, social insurance security number (or any other social or national identification number), salary, nationality, job title, any Shares or directorships number of shares held in and the Company, details of all Units Awards or any other entitlement to Shares shares awarded, canceledcancelled, exercised, vested, unvested or outstanding in the Participant’s favor, outstanding) for the exclusive purpose of implementing, administering and managing Recipient’s participation in the Plan. The Company’s equity compensation plan recordkeeper is Fidelity Stock Plan Services, LLC (the “Recordkeeper”). The Participant Recipient understands that the Data will may be transferred to the Recordkeeper Company or such other stock plan service provider as may be selected by the Company any of its Parent, Subsidiaries, or Affiliates, or to any third parties assisting in the future, which is assisting the Company with the implementation, administration and management of the Plan, including any requisite transfer to a broker or other third party assisting with the administration of this SAR under the Plan or with whom shares acquired pursuant to this SAR or cash from the sale of shares underlying this SAR may be deposited. The Participant understands Recipient acknowledges that the recipients of the Data may be located in the United States or elsewheredifferent countries, and that the recipients’ country (e.g., the United States) those countries may have different data privacy laws and protections than different from those in the Participantcountry of Recipient’s countryresidence. The Participant understands Furthermore, Recipient acknowledges and understand that if he or she resides outside the United States, he or she may request a list with the names and addresses of any potential recipients transfer of the Data by contacting the Company’s stock administration department. The Participant authorizes the Company, the Recordkeeper and any other possible recipients which may assist to the Company (presently or in the future) with implementingany of its Parent, administering and managing the Plan Subsidiaries, or Affiliates, or to receive, possess, use, retain and transfer the Data, in electronic or other form, for the sole purpose of implementing, administering and managing his or her participation in the Plan. The Participant understands that Data will be held only as long as any third parties is necessary to implement, administer and manage the Participantfor Recipient’s participation in the Plan. The Participant understands if he or she resides outside the United States, he or she may, Recipient may at any time, view Data, request additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or time withdraw the consents herein, in any case without cost, herein by contacting Recipient’s local human resources representative in writing the Company’s stock administration departmentwriting. Further, the Participant understands Recipient further acknowledges that he or she is providing the consents herein on a purely voluntary basis. If the Participant does not consent, or if the Participant later seeks to revoke his or her consent, his or her employment status or service and career with the Employer will not be adversely affected; the only adverse consequence withdrawal of refusing or withdrawing the Participant’s consent is that the Company would not be able to grant the Participant Units or other equity awards or administer or maintain such awards. Therefore, the Participant understands that refusing or withdrawing his or her consent may affect the ParticipantRecipient’s ability to exercise or realize benefits from this SAR, and Recipient’s ability to participate in the Plan. For more information on the consequences of the Participant’s refusal to consent or withdrawal of consent, the Participant understands that he or she may contact the Company’s stock administration department.

Appears in 1 contract

Samples: Stock Appreciation Right Agreement (Martha Stewart Living Omnimedia Inc)

Authorization to Release Necessary Personal Information. The Participant hereby explicitly and unambiguously consents to the collection, use and transfer, in electronic or other form, of the Participant’s personal data as described in this Award Agreement, the Appendix and any other Award grant materials (“Data”) by and among, as applicable, the Employer, the Company and its Subsidiaries and Affiliates for the exclusive purpose of implementing, administering and managing the Participant’s participation in the Plan. The Participant understands that the Company and the Employer may hold certain personal information about the Participant, including, but not limited to, the Participant’s name, home address and telephone number, date of birth, social insurance number or other identification number, salary, nationality, job title, any Shares or directorships held in the Company, details of all Units or any other entitlement to Shares awarded, canceled, exercised, vested, unvested or outstanding in the Participant’s favor, for the exclusive purpose of implementing, administering and managing the Plan. The Company’s equity compensation plan recordkeeper is Fidelity Stock Plan Services, LLC (the “Recordkeeper”). The Participant understands that Data will be transferred to the Recordkeeper or such other stock plan service provider as may be selected by the Company in the future, which is assisting the Company with the implementation, administration and management of the Plan. The Participant understands that the recipients of the Data may be located in the United States or elsewhere, and that the recipients’ country (e.g., the United States) may have different data privacy laws and protections than the Participant’s country. The Participant understands that if he or she resides outside the United States, he or she may request a list with the names and addresses of any potential recipients of the Data by contacting the Company’s stock administration department. The Participant authorizes the Company, the Recordkeeper and any other possible recipients which may assist the Company (presently or in the future) with implementing, administering and managing the Plan to receive, possess, use, retain and transfer the Data, in electronic or other form, for the sole purpose of implementing, administering and managing his or her participation in the Plan. The Participant understands that Data will be held only as long as is necessary to implement, administer and manage the Participant’s participation in the Plan. The Participant understands if he or she resides outside the United States, he or she may, at any time, view Data, request additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or withdraw the consents herein, in any case without cost, by contacting in writing the Company’s stock administration department. Further, the Participant understands that he or she is providing the consents herein on a purely voluntary basis. If the Participant does not consent, or if the Participant later seeks to revoke his or her consent, his or her employment status or service and career with the Employer will not be adversely affected; the only adverse consequence of refusing or withdrawing the Participant’s consent is that the Company would not be able to grant the Participant Units or other equity awards or administer or maintain such awards. Therefore, the Participant understands that refusing or withdrawing his or her consent may affect the Participant’s ability to participate in the Plan. For more information on the consequences of the Participant’s refusal to consent or withdrawal of consent, the Participant understands that he or she may contact the Company’s stock administration department.. ​ ​

Appears in 1 contract

Samples: Global Psu Award Agreement (Silicon Laboratories Inc.)

Authorization to Release Necessary Personal Information. The Participant hereby explicitly authorizes and unambiguously consents directs the Participant’s employer to the collectioncollect, use and transfer, transfer in electronic or other form, any personal information (the “Data”) regarding the Participant’s Service, the nature and amount of the Participant’s personal data as described compensation and the fact and conditions of the Participant’s participation in this Award Agreementthe Plan (including, but not limited to, the Appendix and Participant’s name, home address, telephone number, date of birth, social security number (or any other Award grant materials (“Data”social or national identification number), salary, nationality, job title, number of Shares held and the details of all options or any other entitlement to Shares awarded, cancelled, exercised, vested, unvested or outstanding) by and among, as applicable, the Employer, the Company and its Subsidiaries and Affiliates for the exclusive purpose of implementing, administering and managing the Participant’s participation in the Plan. The Participant understands that the Company and the Employer Data may hold certain personal information about the Participant, including, but not limited to, the Participant’s name, home address and telephone number, date of birth, social insurance number or other identification number, salary, nationality, job title, any Shares or directorships held in the Company, details of all Units or any other entitlement to Shares awarded, canceled, exercised, vested, unvested or outstanding in the Participant’s favor, for the exclusive purpose of implementing, administering and managing the Plan. The Company’s equity compensation plan recordkeeper is Fidelity Stock Plan Services, LLC (the “Recordkeeper”). The Participant understands that Data will be transferred to the Recordkeeper Company or such other stock plan service provider as may be selected by the Company any of its Subsidiaries or Affiliates, or to any third parties assisting in the future, which is assisting the Company with the implementation, administration and management of the Plan, including any requisite transfer to a brokerage firm or other third party assisting with the exercise of Options under the Plan or with whom Xxxxxx acquired upon exercise of this Option or cash from the sale of such Shares may be deposited. The Participant understands acknowledges that the recipients of the Data may be located in the United States or elsewheredifferent countries, and that the recipients’ country (e.g., the United States) those countries may have different data privacy laws and protections than different from those in the country of the Participant’s countryresidence. The Furthermore, the Participant acknowledges and understands that if he or she resides outside the United States, he or she may request a list with the names and addresses of any potential recipients transfer of the Data by contacting the Company’s stock administration department. The Participant authorizes the Company, the Recordkeeper and any other possible recipients which may assist to the Company (presently or in the future) with implementingany of its Subsidiaries or Affiliates, administering and managing the Plan or to receive, possess, use, retain and transfer the Data, in electronic or other form, for the sole purpose of implementing, administering and managing his or her participation in the Plan. The Participant understands that Data will be held only as long as any third parties is necessary to implement, administer and manage the for Participant’s participation in the Plan. The Participant understands if he or she resides outside the United States, he or she may, may at any time, view Data, request additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or time withdraw the consents herein, in any case without cost, by contacting in writing the Company’s stock administration departmentdepartment in writing. Further, the The Participant understands further acknowledges that he or she is providing the consents herein on a purely voluntary basis. If the Participant does not consent, or if the Participant later seeks to revoke his or her consent, his or her employment status or service and career with the Employer will not be adversely affected; the only adverse consequence withdrawal of refusing or withdrawing consent may affect the Participant’s consent is that ability to exercise or realize benefits from the Company would not be able to grant the Participant Units or other equity awards or administer or maintain such awards. ThereforeOption, the Participant understands that refusing or withdrawing his or her consent may affect and the Participant’s ability to participate in the Plan. For more information on the consequences of the Participant’s refusal to consent or withdrawal of consent, the Participant understands that he or she may contact the Company’s stock administration department.

Appears in 1 contract

Samples: Stock Option Award Agreement (Silicon Laboratories Inc)

Authorization to Release Necessary Personal Information. The Participant You hereby explicitly authorize and unambiguously consents direct your employer and, if different, the Company, to the collectioncollect, use and transfer, transfer in electronic or other form, of any personal information (the Participant’s personal data as described in this Award Agreement, the Appendix and any other Award grant materials (“Data”) by and among, as applicableregarding your employment, the Employer, nature and amount of your compensation and the Company facts and its Subsidiaries and Affiliates for the exclusive purpose conditions of implementing, administering and managing the Participant’s your participation in the Plan. The Participant understands that the Company Plan and the Employer may hold certain personal information about the Participant, Restricted Stock Sub Plan (including, but not limited to, the Participant’s your name, home address and address, telephone number, date of birth, social insurance security number (or any other social or national identification number), salary, nationality, job title, any number of Shares or directorships held in and the Company, details of all Units Awards or any other entitlement to Shares awarded, canceledcancelled, exercised, vested, unvested or outstanding in the Participant’s favor, outstanding) for the exclusive purpose of implementing, administering and managing your participation in the Plan and the Restricted Stock Sub Plan. The Company’s equity compensation plan recordkeeper is Fidelity Stock Plan Services, LLC (You understand that the “Recordkeeper”). The Participant understands that Data will may be transferred to the Recordkeeper Company or such other stock plan service provider as may be selected by the Company any of its Parent, Subsidiaries or Affiliates, or to any third parties assisting in the future, which is assisting the Company with the implementation, administration and management of the Plan and the Restricted Stock Sub Plan, including any requisite transfer to a broker or other third party assisting with the administration of this Stock Purchase Right under the Plan and the Restricted Stock Sub Plan or with whom Shares acquired pursuant to this Stock Purchase Right or cash from the sale of such Shares may be deposited. The Participant understands You acknowledge that the recipients of the Data may be located in the United States or elsewheredifferent countries, and that the recipients’ country (e.g., the United States) those countries may have different data privacy laws and protections than different from those in the Participant’s countrycountry of your residence. The Participant understands Furthermore, you acknowledge and understand that if he or she resides outside the United States, he or she may request a list with the names and addresses of any potential recipients transfer of the Data by contacting the Company’s stock administration department. The Participant authorizes the Company, the Recordkeeper and any other possible recipients which may assist to the Company (presently or in the future) with implementingany of its Parent, administering and managing the Plan Subsidiaries or Affiliates, or to receive, possess, use, retain and transfer the Data, in electronic or other form, any third parties is necessary for the sole purpose of implementing, administering and managing his or her your participation in the Plan and the Restricted Stock Sub Plan. The Participant understands that Data will be held only as long as is necessary to implement, administer and manage the Participant’s participation in the Plan. The Participant understands if he or she resides outside the United States, he or she may, You may at any time, view Data, request additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or time withdraw the consents herein, in any case without cost, herein by contacting your local human resources representative in writing the Company’s stock administration departmentwriting. Further, the Participant understands You further acknowledge that he or she is providing the consents herein on a purely voluntary basis. If the Participant does not consent, or if the Participant later seeks to revoke his or her consent, his or her employment status or service and career with the Employer will not be adversely affected; the only adverse consequence withdrawal of refusing or withdrawing the Participant’s consent is that the Company would not be able to grant the Participant Units or other equity awards or administer or maintain such awards. Therefore, the Participant understands that refusing or withdrawing his or her consent may affect the Participant’s your ability to realize benefits from this Stock Purchase Right, and your ability to participate in the Plan and the Restricted Stock Sub Plan. For more information on the consequences of the Participant’s refusal to consent or withdrawal of consent, the Participant understands that he or she may contact the Company’s stock administration department.

Appears in 1 contract

Samples: Restricted Stock Agreement (PDF Solutions Inc)

Authorization to Release Necessary Personal Information. The Participant hereby explicitly and unambiguously consents to the collection, use and transfer, in electronic or other form, of the Participant’s personal data as described in this Award Agreement, the Appendix Agreement and any other Award grant materials (“Data”) by and among, as applicable, the Employer, the Company and its Subsidiaries and Affiliates for the exclusive purpose of implementing, administering and managing the Participant’s participation in the Plan. The Participant understands that the Company and the Employer may hold certain personal information about the Participant, including, but not limited to, the Participant’s name, home address and telephone number, date of birth, social insurance number or other identification number, salarysalary or other compensation information, nationality, job title, any Shares or directorships held in the Company, details of all Restricted Stock Units or any other entitlement to Shares awarded, canceled, exercised, vested, unvested or outstanding in the Participant’s favor, for the exclusive purpose of implementing, administering and managing the Plan. The Company’s Company may retain the services of an equity compensation plan recordkeeper is Fidelity Stock Plan Services, LLC (the “Recordkeeper”)) to facilitate administration of the Plan. The In such event, the Participant understands that Data will be transferred to the Recordkeeper or such other stock plan service provider as may be selected by the Company in the future, which is assisting the Company with the implementation, administration and management of the Plan. The Participant understands that the recipients of the Data may be located in the United States or elsewhere, and that the recipients’ recipient’s country (e.g., the United States) may have different data privacy laws and protections than the Participant’s country. The Participant understands that if he or she resides outside the United States, he or she may request a list with the names and addresses of any potential recipients of the Data by contacting the Company’s stock administration department. The Participant authorizes the Company, the Recordkeeper and any other possible recipients which may assist the Company (presently or in the future) with implementing, administering and managing the Plan to receive, possess, use, retain and transfer the Data, in electronic or other form, for the sole purpose purposes of implementing, administering and managing his or her the Participant’s participation in the Plan. The Participant understands that Data will be held only as long as is necessary to implement, administer and manage the Participant’s participation in the Plan. The Participant understands that if he or she resides outside the United States, he or she may, at any time, view Data, request additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or withdraw the consents herein, in any case without cost, by contacting in writing the Company’s stock administration department. Further, the Participant understands that he or she is providing the consents herein on a purely voluntary basis. If the Participant does not consent, or if the Participant later seeks to revoke his or her consent, his or her employment e status or service and career with the Employer Company will not be adversely affected; the only adverse consequence of refusing or withdrawing the Participant’s consent is that the Company would not be able to grant the Participant Restricted Stock Units or other equity awards or administer or maintain such awards. Therefore, the Participant understands that refusing or withdrawing his or her consent may affect the Participant’s ability to participate in the Plan. For more information on the consequences of the Participant’s refusal to consent or withdrawal of consent, the Participant understands that he or she may contact the Company’s stock administration department.

Appears in 1 contract

Samples: Restricted Stock Units Award Agreement (Universal Health Services Inc)

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Authorization to Release Necessary Personal Information. The Participant hereby explicitly authorizes and unambiguously consents directs the Participant’s employer to the collectioncollect, use and transfer, transfer in electronic or other form, any personal information (the “Data”) regarding the Participant’s Service, the nature and amount of the Participant’s personal data as described compensation and the fact and conditions of the Participant’s participation in this Award Agreementthe Plan (including, but not limited to, the Appendix and Participant’s name, home address, telephone number, date of birth, social security number (or any other Award grant materials (“Data”social or national identification number), salary, nationality, job title, number of Shares held and the details of all restricted stock units or any other entitlement to Shares awarded, cancelled, exercised, vested, unvested or outstanding) by and among, as applicable, the Employer, the Company and its Subsidiaries and Affiliates for the exclusive purpose of implementing, administering and managing the Participant’s participation in the Plan. The Participant understands that the Company and the Employer Data may hold certain personal information about the Participant, including, but not limited to, the Participant’s name, home address and telephone number, date of birth, social insurance number or other identification number, salary, nationality, job title, any Shares or directorships held in the Company, details of all Units or any other entitlement to Shares awarded, canceled, exercised, vested, unvested or outstanding in the Participant’s favor, for the exclusive purpose of implementing, administering and managing the Plan. The Company’s equity compensation plan recordkeeper is Fidelity Stock Plan Services, LLC (the “Recordkeeper”). The Participant understands that Data will be transferred to the Recordkeeper Company or such other stock plan service provider as may be selected by the Company any of its Subsidiaries or Affiliates, or to any third parties assisting in the future, which is assisting the Company with the implementation, administration and management of the Plan, including any requisite transfer to a brokerage firm or other third party assisting with administration of the Award or with whom Shares acquired upon settlement of this Award or cash from the sale of such Shares may be deposited. The Participant understands acknowledges that the recipients of the Data may be located in the United States or elsewheredifferent countries, and that the recipients’ country (e.g., the United States) those countries may have different data privacy laws and protections than different from those in the country of the Participant’s countryresidence. The Furthermore, the Participant acknowledges and understands that if he or she resides outside the United States, he or she may request a list with the names and addresses of any potential recipients transfer of the Data by contacting the Company’s stock administration department. The Participant authorizes the Company, the Recordkeeper and any other possible recipients which may assist to the Company (presently or in the future) with implementingany of its Subsidiaries or Affiliates, administering and managing the Plan or to receive, possess, use, retain and transfer the Data, in electronic or other form, for the sole purpose of implementing, administering and managing his or her participation in the Plan. The Participant understands that Data will be held only as long as any third parties is necessary to implement, administer and manage the for Participant’s participation in the Plan. The Participant understands if he or she resides outside the United States, he or she may, may at any time, view Data, request additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or time withdraw the consents herein, in any case without cost, by contacting in writing the Company’s stock administration departmentdepartment in writing. Further, the The Participant understands further acknowledges that he or she is providing the consents herein on a purely voluntary basis. If the Participant does not consent, or if the Participant later seeks to revoke his or her consent, his or her employment status or service and career with the Employer will not be adversely affected; the only adverse consequence withdrawal of refusing or withdrawing consent may affect the Participant’s consent is that ability to realize benefits from the Company would not be able to grant the Participant Units or other equity awards or administer or maintain such awards. ThereforeAward, the Participant understands that refusing or withdrawing his or her consent may affect and the Participant’s ability to participate in the Plan. For more information on the consequences of the Participant’s refusal to consent or withdrawal of consent, the Participant understands that he or she may contact the Company’s stock administration department.

Appears in 1 contract

Samples: Award Agreement (Silicon Laboratories Inc)

Authorization to Release Necessary Personal Information. The Participant hereby explicitly and unambiguously consents to the collection, use and transfer, in electronic or other form, of the Participant’s personal data as described in this Award Agreement, the Appendix Agreement and any other Award grant materials (“Data”) by and among, as applicable, the Employer, the Company and its Subsidiaries and Affiliates for the exclusive purpose of implementing, administering and managing the Participant’s participation in the Plan. The Participant understands that the Company and the Employer may hold certain personal information about the Participant, including, but not limited to, the Participant’s name, home address and telephone number, date of birth, social insurance number or other identification number, salary, nationality, job title, any Shares or directorships held in the Company, details of all Units Restricted Shares or any other entitlement to Shares awarded, canceled, exercised, vested, unvested or outstanding in the Participant’s favor, for the exclusive purpose of implementing, administering and managing the Plan. The Company’s Company may retain the services of an equity compensation plan recordkeeper is Fidelity Stock Plan Services, LLC (the “Recordkeeper”)) to facilitate administration of the Plan. The In such event, the Participant understands that Data will be transferred to the Recordkeeper or such other stock plan service provider as may be selected by the Company in the future, which is assisting the Company with the implementation, administration and management of the Plan. The Participant understands that the recipients of the Data may be located in the United States or elsewhere, and that the recipients’ recipient’s country (e.g., the United States) may have different data privacy laws and protections than the Participant’s country. The Participant understands that if he or she resides outside the United States, he or she may request a list with the names and addresses of any potential recipients of the Data by contacting the Company’s stock administration department. The Participant authorizes the Company, the Recordkeeper and any other possible recipients which may assist the Company (presently or in the future) with implementing, administering and managing the Plan to receive, possess, use, retain and transfer the Data, in electronic or other form, for the sole purpose purposes of implementing, administering and managing his or her the Participant’s participation in the Plan. The Participant understands that Data will be held only as long as is necessary to implement, administer and manage the Participant’s participation in the Plan. The Participant understands that if he or she resides outside the United States, he or she may, at any time, view Data, request additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or withdraw the consents herein, in any case without cost, by contacting in writing the Company’s stock administration department. Further, the Participant understands that he or she is providing the consents herein on a purely voluntary basis. If the Participant does not consent, or if the Participant later seeks to revoke his or her consent, his or her employment status or service and career with the Employer will not be adversely affected; the only adverse consequence of refusing or withdrawing the Participant’s consent is that the Company would not be able to grant the Participant Units Restricted Shares or other equity awards or administer or maintain such awards. Therefore, the Participant understands that refusing or withdrawing his or her consent may affect the Participant’s ability to participate in the Plan. For more information on the consequences of the Participant’s refusal to consent or withdrawal of consent, the Participant understands that he or she may contact the Company’s stock administration department.

Appears in 1 contract

Samples: Restricted Stock Award Agreement (Universal Health Services Inc)

Authorization to Release Necessary Personal Information. The Participant Grantee hereby explicitly authorizes and unambiguously consents directs his or her employer to the collectioncollect, use and transfer, transfer in electronic or other form, of any personal information (the Participant’s personal data as described in this Award Agreement, the Appendix and any other Award grant materials (“Data”) by and among, as applicableregarding the Grantee’s employment, the Employernature and amount of his or her compensation and the fact and conditions of the Grantee’s participation in the Plan (including, but not limited to, the Company Grantee’s name, home address, telephone number, date of birth, social security number (or any other social or national identification number), salary, nationality, race, job title, number of shares of Common Stock held and its Subsidiaries and Affiliates the details of all awards, options or any other entitlement to shares of Common Stock awarded, cancelled, exercised, vested, unvested or outstanding for the exclusive purpose of implementing, administering and managing the ParticipantGrantee’s participation in the Plan. The Participant Grantee understands that the Company and the Employer Data may hold certain personal information about the Participant, including, but not limited to, the Participant’s name, home address and telephone number, date of birth, social insurance number or other identification number, salary, nationality, job title, any Shares or directorships held in the Company, details of all Units or any other entitlement to Shares awarded, canceled, exercised, vested, unvested or outstanding in the Participant’s favor, for the exclusive purpose of implementing, administering and managing the Plan. The Company’s equity compensation plan recordkeeper is Fidelity Stock Plan Services, LLC (the “Recordkeeper”). The Participant understands that Data will be transferred to the Recordkeeper Company or such other stock plan service provider as may be selected by the Company any of its Subsidiaries, or to any third parties assisting in the future, which is assisting the Company with the implementation, administration and management of the Plan, including any requisite transfer to a broker or other third party assisting with the awards under the Plan or with whom the Awarded Shares or cash from the sale of such shares may be deposited. The Participant understands Grantee acknowledges that the recipients of the Data may be located in the United States or elsewheredifferent countries, and that the recipients’ country (e.g., the United States) those countries may have different data privacy laws and protections than different from those in the Participantcountry of the Grantee’s countryresidence. The Participant understands that if he or she resides outside the United States, he or she may request a list with the names and addresses of any potential recipients of the Data by contacting the Company’s stock administration department. The Participant Grantee authorizes the Company, the Recordkeeper and any other possible recipients which may assist the Company (presently or in the future) with implementing, administering and managing the Plan to receive, possess, use, retain and transfer the Data, in electronic or other form, for the sole purpose of implementing, administering and managing his or her the Grantee’s participation in the Plan. The Participant Furthermore, the Grantee acknowledges and understands that the transfer of the Data will be held only as long as to the Company or any of its subsidiaries, or to any third parties is necessary to implement, administer and manage for the ParticipantGrantee’s participation in the Plan. The Participant understands if he or she resides outside the United States, he or she may, Grantee may at any time, view Data, request additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or time withdraw the consents herein, in any case without costherein with respect to the Data, by contacting in writing the Company’s stock administration department. Further, the Participant understands that he or she is providing the consents herein on a purely voluntary basis. If the Participant does not consent, or if the Participant later seeks to revoke his or her consent, human resources representative in writing. The Grantee further acknowledges that withdrawal of consent may affect his or her employment status ability to vest in or service realize benefits from the Awarded Shares, and career with the Employer will not be adversely affected; the only adverse consequence of refusing or withdrawing the Participant’s consent is that the Company would not be able to grant the Participant Units or other equity awards or administer or maintain such awards. Therefore, the Participant understands that refusing or withdrawing his or her consent may affect the Participant’s ability to participate in the Plan. For more information on the consequences of the Participant’s refusal to consent or withdrawal of consent, the Participant understands that he or she may contact the Company’s stock administration department.

Appears in 1 contract

Samples: Stock Award Agreement (Dollar Financial Corp)

Authorization to Release Necessary Personal Information. The Participant hereby explicitly and unambiguously consents to the collection, use and transfer, in electronic or other form, of the Participant’s personal data as described in this Award Agreement, the Appendix Agreement and any other Award grant materials (“Data”) by and among, as applicable, the Employer, the Company and its Subsidiaries and Affiliates for the exclusive purpose of implementing, administering and managing the Participant’s participation in the Plan. The Participant understands that the Company and the Employer may hold certain personal information about the Participant, including, but not limited to, the Participant’s name, home address and telephone number, date of birth, social insurance number or other identification number, salary, nationality, job title, any Shares or directorships held in the Company, details of all Restricted Stock Units or any other entitlement to Shares awarded, canceled, exercised, vested, unvested or outstanding in the Participant’s favor, for the exclusive purpose of implementing, administering and managing the Plan. The Company’s Company may retain the services of an equity compensation plan recordkeeper is Fidelity Stock Plan Services, LLC (the “Recordkeeper”)) to facilitate administration of the Plan. The In such event, the Participant understands that Data will be transferred to the Recordkeeper or such other stock plan service provider as may be selected by the Company in the future, which is assisting the Company with the implementation, administration and management of the Plan. The Participant understands that the recipients of the Data may be located in the United States or elsewhere, and that the recipients’ recipient’s country (e.g., the United States) may have different data privacy laws and protections than the Participant’s country. The Participant understands that if he or she resides outside the United States, he or she may request a list with the names and addresses of any potential recipients of the Data by contacting the Company’s stock administration department. The Participant authorizes the Company, the Recordkeeper and any other possible recipients which may assist the Company (presently or in the future) with implementing, administering and managing the Plan to receive, possess, use, retain and transfer the Data, in electronic or other form, for the sole purpose purposes of implementing, administering and managing his or her the Participant’s participation in the Plan. The Participant understands that Data will be held only as long as is necessary to implement, administer and manage the Participant’s participation in the Plan. The Participant understands that if he or she resides outside the United States, he or she may, at any time, view Data, request additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or withdraw the consents herein, in any case without cost, by contacting in writing the Company’s stock administration department. Further, the Participant understands that he or she is providing the consents herein on a purely voluntary basis. If the Participant does not consent, or if the Participant later seeks to revoke his or her consent, his or her employment status or service and career with the Employer will not be adversely affected; the only adverse consequence of refusing or withdrawing the Participant’s consent is that the Company would not be able to grant the Participant Restricted Stock Units or other equity awards or administer or maintain such awards. Therefore, the Participant understands that refusing or withdrawing his or her consent may affect the Participant’s ability to participate in the Plan. For more information on the consequences of the Participant’s refusal to consent or withdrawal of consent, the Participant understands that he or she may contact the Company’s stock administration department.

Appears in 1 contract

Samples: Restricted Stock Units Award Agreement (Universal Health Services Inc)

Authorization to Release Necessary Personal Information. The Participant hereby explicitly and unambiguously consents to the collection, use and transfer, in electronic or other form, of the Participant’s 's personal data as described in this Award Agreement, the Appendix and any other Award grant materials ("Data") by and among, as applicable, the Employer, the Company and its Subsidiaries and Affiliates for the exclusive purpose of implementing, administering and managing the Participant’s 's participation in the Plan. The Participant understands that the Company and the Employer may hold certain personal information about the Participant, including, but not limited to, the Participant’s 's name, home address and telephone number, date of birth, social insurance number or other identification number, salary, nationality, job title, any Shares or directorships held in the Company, details of all Units or any other entitlement to Shares awarded, canceled, exercised, vested, unvested or outstanding in the Participant’s 's favor, for the exclusive purpose of implementing, administering and managing the Plan. The Company’s 's equity compensation plan recordkeeper is Fidelity Stock Plan Services, LLC (the "Recordkeeper"). The Participant understands that Data will be transferred to the Recordkeeper or such other stock plan service provider as may be selected by the Company in the future, which is assisting the Company with the implementation, administration and management of the Plan. The Participant understands that the recipients of the Data may be located in the United States or elsewhere, and that the recipients' country (e.g., the United States) may have different data privacy laws and protections than the Participant’s 's country. The Participant understands that if he or she resides outside the United States, he or she may request a list with the names and addresses of any potential recipients of the Data by contacting the Company’s 's stock administration department. The Participant authorizes the Company, the Recordkeeper and any other possible recipients which may assist the Company (presently or in the future) with implementing, administering and managing the Plan to receive, possess, use, retain and transfer the Data, in electronic or other form, for the sole purpose of implementing, administering and managing his or her participation in the Plan. The Participant understands that Data will be held only as long as is necessary to implement, administer and manage the Participant’s 's participation in the Plan. The Participant understands if he or she resides outside the United States, he or she may, at any time, view Data, request additional information about the storage and processing of Data, require any necessary amendments to Data or refuse or withdraw the consents herein, in any case without cost, by contacting in writing the Company’s 's stock administration department. Further, the Participant understands that he or she is providing the consents herein on a purely voluntary basis. If the Participant does not consent, or if the Participant later seeks to revoke his or her consent, his or her employment status or service and career with the Employer will not be adversely affected; the only adverse consequence of refusing or withdrawing the Participant’s 's consent is that the Company would not be able to grant the Participant Units or other equity awards or administer or maintain such awards. Therefore, the Participant understands that refusing or withdrawing his or her consent may affect the Participant’s 's ability to participate in the Plan. For more information on the consequences of the Participant’s 's refusal to consent or withdrawal of consent, the Participant understands that he or she may contact the Company’s 's stock administration department.

Appears in 1 contract

Samples: Global Psu Award Agreement (Silicon Laboratories Inc)

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