Instructions to Participant. Please do not fill in any blanks other than the signature line. The purpose of this document is to enable the Company and/or its assignee(s) to acquire the shares upon exercise of its “Forfeiture Right” set forth in the Agreement without requiring additional action by the Participant. US-DOCS\109527166.2 US-DOCS\109527166.2 The undersigned Taxpayer hereby elects, pursuant to Section 83(b) of the Internal Revenue Code of 1986, as amended, to include the excess, if any, of the fair market value of the property described below at the time of transfer over the amount paid for such property, as compensation for services in the calculation of regular gross income.
Instructions to Participant. Participant shall mail both copies of the Application Form, and executed Contribution Form and the initial contribution to U.S. Bank National Association, 0000 Xxxxxx Xxxxxx, Xxxxx, Xxxxxxxx 00000. Date: ____________________________. ___________________________________ Signature of Participant ACCEPTED for U.S. Bank National Association By: ____________________________ --------------------------------------------------------------------------------------------------------------------------------------------------------------------- NOTE: A prospective Participant should read and acknowledge receipt of this statement prior to executing his or her Application Agreement. As a prospective Participant under the Bridges Investment Fund, Inc., SIMPLE Individual Retirement Account Custodial Agreement, you are advised of the following:
Instructions to Participant. To defer Board retainers, select A; to defer Board meeting fees, select B (you may select both A and B if you wish). Choose C if you do not wish to defer Board meeting fees or quarterly retainers. (To make your selection(s), put an “X” in the brackets of your choice or choices below.)
Instructions to Participant. Please do not fill in any blanks other than the signature line. The purpose of this Stock Power and Assignment is to enable the Company to acquire the shares upon exercise of its “Call Right” set forth in Section 20 of the Agreement without requiring additional signatures on the part of Participant. EXHIBIT B ELECTION UNDER IRC SECTION 83(B) I hereby elect under IRC Section 83(b) to include in gross income any excess of fair market value over purchase price with respect to the transfer of the property described below:
Instructions to Participant. Please do not fill in any blanks other than the signature line. The purpose of this Stock Power and Assignment is to enable the Company and/or its assignee(s) to acquire the shares upon exercise of its "Repurchase Option" set forth in the Agreement without requiring additional signatures on the part of the Participant or Participant's Spouse, if any. The undersigned spouse of (the "Participant") has read, understands, and hereby approves the Restricted Stock Purchase Agreement between Participant and the Company (the "Agreement"). In consideration of the Company's granting my spouse the right to purchase the Shares as set forth in the Agreement, the undersigned hereby agrees to be irrevocably bound by the Agreement and further agrees that any community property interest shall similarly be bound by the Agreement. The undersigned hereby appoints Participant as my attorney-in-fact with respect to any amendment or exercise of any rights under the Agreement. Print Name of Participant's Spouse (Please print name) Signature of Participant's Spouse (Please print title) Address: The undersigned Taxpayer hereby elects, pursuant to Section 83(b) of the Internal Revenue Code, as amended, to include in gross income for the Taxpayer's current taxable year the excess, if any, of the fair market value of the property described below at the time of transfer over the amount paid for such property, as compensation for services.
Instructions to Participant. Please do not fill in any blanks other than the signature line. The purpose of this document is to enable the Company and/or its assignee(s) to acquire the shares upon exercise of its “Repurchase Right” set forth in the Agreement without requiring additional action by the Participant. SILICON IMAGE, INC. 2008 EQUITY INCENTIVE PLAN NOTICE OF STOCK BONUS AWARD Unless otherwise defined herein, the terms defined in the Company’s 2008 Equity Incentive Plan (the “Plan”) shall have the same meanings in this Notice of Stock Bonus Award (the “Notice”). Name: Address: You (“Participant”) have been granted an award of Shares under the Plan subject to the terms and conditions of the Plan, this Notice, and the attached Stock Bonus Award Agreement (the “Stock Bonus Agreement”) to the Plan. Date of Grant: Vesting Commencement Date:
Instructions to Participant. Please do not fill in any blanks other than the signature line. The purpose of this document is to enable the Company and/or its assignee(s) to acquire the shares upon exercise of its “Reacquisition Right” set forth in the Agreement without requiring additional action by the Participant.
