HEINZ COMPANY. Xx: ------------------------------------ Accepted: --------------------------- Date: ------------------------------- BENEFICIARY DESIGNATION Upon my death, the vested Restricted Stock Units earned by me under all Restricted Stock Unit Agreements shall be paid to the beneficiary(ies) I designate below. This designation supercedes any prior beneficiary designation I have made regarding my Restricted Stock Unit account balance, and shall remain in effect unless and until I file a subsequent Beneficiary Designation Form with the Company. Primary Beneficiary Designation The vested Restricted Stock Units distributable to me shall be paid, in equal portions unless otherwise indicated, to the following Primary Beneficiary(ies) then surviving: Name Relationship Date of Birth Social Security Number ---- ------------ ------------- ---------------------- ------------- ------------ ------------- ---------------------- ------------- ------------ ------------- ---------------------- ------------- ------------ ------------- ---------------------- ------------- ------------ ------------- ---------------------- Contingent Beneficiary Designation If none of the above-named Primary Beneficiaries survives me, the vested Restricted Stock Units distributable to me shall be paid, in equal portions unless otherwise indicated, to the following Contingent Beneficiary(ies) then surviving: Name Relationship Date of Birth Social Security Number ---- ------------ ------------- ---------------------- ------------- ------------ ------------- ---------------------- ------------- ------------ ------------- ---------------------- ------------- ------------ ------------- ---------------------- ------------- ------------ ------------- ----------------------
Appears in 4 contracts
Samples: Award and Agreement (Heinz H J Co), Award and Agreement (Heinz H J Co), Award and Agreement (Heinz H J Co)
HEINZ COMPANY. XxBy: ------------------------------------ ______________________________ William R. Johnson Xxxxxxxx xx xxx Xxard, President and Chief Executive Officer Accepted: --------------------------- ________________________ Date: ------------------------------- ________________________ BENEFICIARY DESIGNATION Upon my death, the vested Restricted Stock Units earned by me under all Restricted Stock Unit Agreements shall be paid to the beneficiary(ies) I designate below. This designation supercedes any prior beneficiary designation I have made regarding my Restricted Stock Unit account balance, and shall remain in effect unless and until I file a subsequent Beneficiary Designation Form with the Company. Primary Beneficiary Designation The vested Restricted Stock Units distributable to me shall be paid, in equal portions unless otherwise indicated, to the following Primary Beneficiary(ies) then surviving: Name Relationship Date of Birth Social Security Number ---- ------------ ------------- ---------------------- ------------- ------------ ------------- ---------------------- ------------- ------------ ------------- ---------------------- ------------- ------------ ------------- ---------------------- ------------- ------------ ------------- ---------------------- ____________________ ____________________ ______________________ _______________________ ____________________ ____________________ ______________________ _______________________ ____________________ ____________________ ______________________ _______________________ ____________________ ____________________ ______________________ _______________________ Contingent Beneficiary Designation If none of the above-named Primary Beneficiaries survives me, the vested Restricted Stock Units distributable to me shall be paid, in equal portions unless otherwise indicated, to the following Contingent Beneficiary(ies) then surviving: Name Relationship Date of Birth Social Security Number ---- ------------ ------------- ---------------------- ------------- ------------ ------------- ---------------------- ------------- ------------ ------------- ---------------------- ------------- ------------ ------------- ---------------------- ------------- ------------ ------------- ----------------------____________________ ____________________ ______________________ _______________________ ____________________ ____________________ ______________________ _______________________ ____________________ ____________________ ______________________ _______________________ ____________________ ____________________ ______________________ _______________________ _______________________________________ ___________________________ Signature Date
Appears in 1 contract
Samples: Heinz H J Co