Common use of Furnishing statement to employer Clause in Contracts

Furnishing statement to employer. A copy of this statement has been furnished to the Company. Dated: June __, 2003 _____________________________ Xxxxxx Xxxxxxxxxx This election must be filed with the Internal Revenue Service Center with which the Taxpayer files his or her Federal income tax returns and must be filed within thirty (30) days after the date of purchase. This filing should be made by registered or certified mail, return receipt requested. The taxpayer must retain two copies of the completed form for filing with his or her Federal and State tax returns for the current tax year and an additional copy for his or her records.

Furnishing statement to employer. A copy of this statement has been furnished to the Company. Dated: June March 11, 2004 __, 2003 __________________________________ Xxxxxx xxx Xxxxxxxxxx This election must be filed with the Internal Revenue Service Center with which the Taxpayer files his or her Federal income tax returns and must be filed within thirty (30) days after the date of purchase. This filing should be made by registered or certified mail, return receipt requested. The taxpayer must retain two copies of the completed form for filing with his or her Federal and State tax returns for the current tax year and an additional copy for his or her records.

Furnishing statement to employer. A copy of this statement has been furnished to the Company. DatedDate: June __, 2003 _____________________________ Xxxxxx Xxxxxxxxxx Signature Printed Name This election must be filed with the Internal Revenue Service Center with which the Taxpayer taxpayer files his or her Federal income tax returns and must be filed made within thirty (30) days after the execution date of purchasethe Restricted Stock Grant. This filing should be made by registered or certified mail, return receipt requested. The taxpayer must retain two (2) copies of the completed form for filing with his or her Federal and State state tax returns for the current tax year and an additional copy for his or her records.

Furnishing statement to employer. A copy of this statement has been furnished to the Company. DatedDate: June __, 2003 _____________________________ Xxxxxx Xxxxxxxxxx Signature _______________________ Printed Name This election must be filed with the Internal Revenue Service Center with which the Taxpayer taxpayer files his or her Federal income tax returns and must be filed made within thirty (30) days after the execution date of purchasethe Restricted Stock Grant. This filing should be made by registered or certified mail, return receipt requested. The taxpayer must retain two (2) copies of the completed form for filing with his or her Federal and State state tax returns for the current tax year and an additional copy for his or her records.

Furnishing statement to employer. A copy of this statement has been furnished to the Company. Dated: June February 20, 2004 __, 2003 ______________________________________ Xxxxx Xxxxxx Xxxxxxxxxx This election must be filed with the Internal Revenue Service Center with which the Taxpayer files his or her Federal income tax returns and must be filed within thirty (30) days after the date of purchase. This filing should be made by registered or certified mail, return receipt requested. The taxpayer must retain two copies of the completed form for filing with his or her Federal and State tax returns for the current tax year and an additional copy for his or her records.

Furnishing statement to employer. A copy of this statement has been furnished to the Company. DatedDate: June __, 2003 _____________________________ Xxxxxx Xxxxxxxxxx Signature ______________________ Printed Name This election must be filed with the Internal Revenue Service Center with which the Taxpayer taxpayer files his or her Federal income tax returns and must be filed made within thirty (30) days after the execution date of purchasethe Restricted Stock Grant. This filing should be made by registered or certified mail, return receipt requested. The taxpayer must retain two (2) copies of the completed form for filing with his or her Federal and State state tax returns for the current tax year and an additional copy for his or her records.

Furnishing statement to employer. A copy of this statement has been furnished to the Company. Dated: June __, 2003 _____________________________________ Xxxxx Xxxxxx Xxxxxxxxxx This election must be filed with the Internal Revenue Service Center with which the Taxpayer files his or her Federal income tax returns and must be filed within thirty (30) days after the date of purchase. This filing should be made by registered or certified mail, return receipt requested. The taxpayer must retain two copies of the completed form for filing with his or her Federal and State tax returns for the current tax year and an additional copy for his or her records.

Furnishing statement to employer. A copy of this statement has been furnished to the Company. Dated: June __, 2003 _____________________________ --------------------------- Xxxxxx xxx Xxxxxxxxxx This election must be filed with the Internal Revenue Service Center with which the Taxpayer files his or her Federal income tax returns and must be filed within thirty (30) days after the date of purchase. This filing should be made by registered or certified mail, return receipt requested. The taxpayer must retain two copies of the completed form for filing with his or her Federal and State tax returns for the current tax year and an additional copy for his or her records.