PAYMENT ELECTION. In accordance with the terms of the Pinnacle West Capital Corporation 2007 Long-Term Incentive Plan and pursuant to Section 4(b) of the Award Agreement, I hereby elect to receive payment for the Restricted Stock Units and Dividend Equivalents that vest on the dates set forth below in the following form (place an “X” in the “Stock” column or in the “50% Cash/50% Stock” column for each of the years and types of Awards set forth below):
PAYMENT ELECTION. The Annuity Amount may be paid in annual, semi-annual, or quarterly installments. If the Annuity is funded with cash or assets having a fair market value of $25,000 or more, the donor may elect monthly annuity payments. More frequent installment payments will result in a slightly lower charitable income tax deduction. I elect Annual Semi-annual Quarterly Monthly Annuity Payments
PAYMENT ELECTION. In accordance with the terms of the Pinnacle West Capital Corporation 2007 Long-Term Incentive Plan and pursuant to Section 4(b) of the Award Agreement, I hereby elect to receive payment for the Restricted Stock Units that vest on the dates set forth below in the following form (place an “X” in the “Cash” column or in the “Stock” column for each of the years set forth below): ¨ ¨ ¨ ¨ ¨ ¨ ¨ ¨ Note: If you elected to receive payment in the form of Stock for any vested Restricted Stock Units, complete Section 2.
PAYMENT ELECTION. Payment to Self. A check will be mailed to you to the address on the previous page. Direct Rollover to an Eligible Plan: Check only one box below and complete the Rollover Information Section below.
PAYMENT ELECTION. The undersigned Holder hereby elects to purchase shares of Common Stock of SVI Solutions, Inc. (the "Warrant Stock"), pursuant to the terms of the attached Warrant, and tenders herewith payment of the purchase price for such shares in full.
PAYMENT ELECTION. I elect to receive payment of my shares of Stock pursuant to my ____________________ Restricted Stock Unit Agreement: ____ Paid in a lump-sum payment within 30 days following my Separation from Service. ____ Paid in ____ (maximum of 5) equal annual installments commencing within 30 days following my Separation from Service from the Corporation with each subsequent payment to be paid on the anniversary of my Separation from Service.
PAYMENT ELECTION. Upon the terms and subject to the conditions of this Agreement, and subject to Xx. Xxxxxxx’x continued service as described in the first recital above through each of the relevant payment dates, the Company agrees to grant to Xx. Xxxxxxx on each of 2008, June 30, 2008, September 30, 2008 and December 31, 2008 (and to the extent that any such day is not a business day, on the next business day succeeding; each such date, a “Payment Date”) that number of shares of Common Stock (the “Shares”) having a then-fair market value (as determined by the Board in good faith) equal to $25,000 (with any fraction thereof, rounded down to the nearest whole Share, and subject to appropriate adjustment as determined by the Company for any stock split, reverse stock split or similar transaction affecting the Common Stock, including any recapitalization) (each such grant, a “Share Grant”); provided, however, should Xx. Xxxxxxx notify the Company in writing not less than 30 days prior to the relevant Payment Date of her election to forego such Share Grant, the Company shall pay Xx. Xxxxxxx on the relevant Payment Date $25,000 in immediately available funds by wire transfer to an account designated by her not later than one business day prior to such Payment Date.
PAYMENT ELECTION. Override Payment of the remaining vested balance of the Participant’s Account will automatically occur at the time specified in Section 6.01(a) of the Adoption Agreement in the form indicated upon the earliest to occur of the following events [check each event that applies and for each event include only a single form of payment]: Separation from Service Separation from Service before Retirement X Death X Disability Not Applicable The following paragraph applies to deferrals on and after January 1, 2018. If a Participant experiences a Separation from Service before the occurrence of a Specified Date elected by the Participant, all amounts subject to such Specified Date election shall be paid in a lump sum at the time that the Participant would be entitled to receive his/her first distribution due to a Separation from Service pursuant to Sections 6.01(a)(i) and (ii) of the Adoption Agreement, without regard to the Participant’s Specified Date distribution elections or whether the Participant would have been entitled to receive his/her Specified Date distribution on an earlier date, but for this provision. For the avoidance of doubt, if a Participant experiences a Separation from Service before the occurrence of a Specified Date shall be subject to the mandatory six-month delay for Separation of Service distributions set forth in Section 6.01(a)(ii) of the Adoption Agreement. Notwithstanding the foregoing, in the event a Participant experiences a Separation from Service after a Specified Date but prior to the complete payment of amounts subject to such Specified Date election, all remaining amounts subject to such Specified Date election shall continue to be paid at the same time and in the same form elected by the Participant until paid in full (unless Participant dies prior to complete payment, in which case the payment election override in this Section 6.01(d) for death shall apply).
PAYMENT ELECTION. If your claim is approved for payment, you may elect to receive your payment either by check or as a digital payment (you could receive payment as an ACH direct deposit, Venmo, PayPal, or prepaid card using instructions emailed to you). Checks must be cashed within 180 days of receiving them. Which do you prefer? Check mailed to me Digital payment (instructions will be emailed to the email address I provided with my contact information) You may also choose to receive your payment in a single, lump sum payment or 2 payments over 2 years. Which do you prefer? I want to receive my award payment in a single, lump sum payment. I want to receive my award payment in two equal payments, with one payment per year. (Payment of the settlement funds to you may have an effect on your eligibility for certain benefits. For more information, please review the information at xxx.XXXxxxxxXxxxxxxxxXxxxxxxxxx.xxx.)
PAYMENT ELECTION. Direct Rollover to an Eligible Plan – Check only one box below and complete the Rollover Information Section below: Rollover Information: PART 5: SIGNATURE, CONSENT, AND SUBSTITUTE IRS FORM W-9
1. The Social Security number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
2. I am not subject to back up withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
3. I am a U.S. person (including a U.S. resident alien). M M D D Y Y Y Y Participant Signature Date Signed (Required) Note: If you are subject to backup withholding, you must cross out item 2 above. The IRS does not require your consent to any provision of this document other than this Form W-9 certification to avoid backup withholding. UNITED STATES DISTRICT COURT DISTRICT OF MASSACHUSETTS In re GE ERISA LITIGATION This Document Relates To: ALL ACTIONS.
