Form of Award Notice
Exhibit 10.5
Form of Award Notice
[The information set forth in this Award Notice will be contained on the related pages on Xxxxxxx
Xxxxx Benefits Website (or the website of any successor company to Xxxxxxx Xxxxx Bank & Trust Co.,
FSB). This Award Notice shall be replaced by the equivalent pages on such website. References to
Award Notice in this Agreement shall then refer to the equivalent pages on such website ]
This notice of Award (the “Award Notice”) sets forth certain details relating to the grant
by the Company to you of the Award identified below, pursuant to the Plan. The terms of this Award
Notice are incorporated into the Agreement that accompanies this Award Notice and made of part of
the Agreement. Capitalized terms used in this Award Notice that are not otherwise defined in this
Award Notice have the meanings given to such terms in the Agreement.
Employee: |
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Employee ID: |
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Address: |
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Award Type: |
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Grant ID: |
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Plan:
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Amgen Inc. 2009 Equity Incentive Plan | |
Program
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Amgen Inc. 2009 Performance Award Program | |
Grant Date: |
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Number of Shares |
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Number of Performance Units | ||
Resolutions:
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The Resolutions of the Compensation and Management Development Committee of the Board of Directors of Amgen Inc., adopted on ____________, regarding the Amgen Inc. 2009 Performance Award Program | |
Performance Period:
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The Performance Period beginning on ______, 200___and ending on _______, 200___ | |
Expiration Date:
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The [______ (___th)] anniversary of the date of this Award | |
Vesting Date:
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Means the vesting date indicated in the Vesting Schedule | |
Vesting Schedule:
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Means the schedule of vesting set forth under Vesting Details | |
Vesting Details:
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Means the presentation (tabular or otherwise) of the Vesting Date and the quantity of Shares vesting. |
PERFORMANCE UNIT AGREEMENT
THE SPECIFIC TERMS OF YOUR GRANT OF PERFORMANCE UNITS ARE FOUND IN THE PAGES RELATING TO THE GRANT
OF PERFORMANCE UNITS FOUND ON XXXXXXX XXXXX BENEFITS WEBSITE (OR THE WEBSITE OF ANY SUCCESSOR
COMPANY TO XXXXXXX XXXXX BANK & TRUST CO., FSB) (THE “AWARD NOTICE”) WHICH ACCOMPANIES THIS
DOCUMENT. THE TERMS OF THE AWARD NOTICE ARE INCORPORATED INTO THIS PERFORMANCE UNIT AGREEMENT.
On the Grant Date specified in the Award Notice, Amgen Inc., a Delaware corporation (the
“Company”), has granted to you, the grantee named in the Award Notice, under the plan
specified in the Award Notice (the “Plan”), the Number of Performance Units (the
“Performance Units”) specified in the Award Notice on the terms and conditions set forth in
this Performance Unit Agreement (and any applicable special terms and conditions for your country
set forth in the attached Appendix A (as described in greater detail in Section XIII
below)) (collectively, this “Agreement”), the Plan, the Amgen Inc. 2009 Performance Award
Program (the “Program”) and the Resolutions (as defined below). Capitalized terms not defined
herein shall have the meanings assigned to such terms in the Program.
I. Performance Period. The Performance Period shall have the meaning set forth in the
Award Notice.
II. Value of Performance Units. The value of each Performance Unit is equal to a
share of Common Stock.
III. Performance Goals. An amount of the Performance Units up to the maximum amount
specified in the Resolutions shall be earned, depending on the extent to which the Company achieves
objectively determinable Performance Goals established by the Committee pursuant to the
Resolutions. The Performance Units earned shall be calculated in accordance with the Resolutions
and the Program.
IV. Form and Timing of Payment. Subject to Section XII and except as set forth in the
Program, for any Performance Units earned pursuant to Section III above, the specified payment date
applicable to such Performance Units shall be the year immediately following the end of the
Performance Period. Shares of Common Stock issued in respect of a Performance Unit shall be deemed
to be issued in consideration of past services actually rendered by you to the Company or an
Affiliate or for its benefit for which you have not previously been compensated or for future
services to be rendered, as the case may be, which the Company deems to have a value at least equal
to the aggregate par value thereof.
V. Issuance of Certificates; Tax Withholding. Regardless of any action the Company or
your actual employer (the “Employer”) takes with respect to any or all income tax (including
federal, state and local taxes), social insurance, payroll tax, payment on account or other
tax-related items related to your participation in the Plan and the Program and legally applicable
to you (the “Tax Obligations”), you acknowledge that the ultimate liability for all Tax
Obligations is and remains your responsibility and may exceed the amount actually withheld by the
Company and/or your Employer. You further acknowledge that the Company and/or your Employer make
no representations or undertakings regarding the treatment of any Tax Obligations in connection
with any aspect of the Performance Units, including the grant of the Performance Units, the vesting
of the Performance Units, the conversion of the Performance Units into shares or the receipt of an
equivalent cash payment, the subsequent sale of any shares acquired at settlement and the receipt
of any dividends; and (ii) do not commit to and are under no obligation to structure the terms of
the grant or any aspect of the Performance Units to reduce or eliminate your liability for Tax
Obligations or to achieve any particular tax result. Furthermore, if you become subject to tax in
more than one jurisdiction between the Grant Date and the date of any relevant taxable event, you
acknowledge that the Company and/or your Employer (or former employer, as applicable) may be
required to withhold or account for Tax Obligations in more than one jurisdiction.
Prior to any relevant taxable or tax withholding event, as applicable, you shall pay or make
adequate arrangements satisfactory to the Company or to your Employer (in their sole discretion) to
satisfy all Tax Obligations. In this regard, you authorize the Company and/or your Employer, or
their respective agents, at their discretion, to satisfy all applicable Tax Obligations by one or a
combination of the following:
(a) withholding from your wages or other cash compensation paid to you by the Company and/or
your Employer; or
(b) withholding from proceeds of the sale of shares of Common Stock issued upon settlement of
the Performance Units, either through a voluntary sale or through a mandatory sale arranged by the
Company (on your behalf pursuant to this authorization); or
(c) withholding in shares of Common Stock to be issued upon settlement of the Performance
Units provided that the Company and your Employer shall only withhold an amount of shares of Common
Stock with a fair market value equal to the Tax Obligations.
To avoid adverse accounting treatment, the Company may withhold or account for Tax Obligations
not to exceed the applicable minimum statutory withholding rates or other applicable withholding
rates. If the Tax Obligations are satisfied by withholding in shares of Common Stock, for tax
purposes, you are deemed to have been issued the full number of shares subject to the earned
Performance Units, notwithstanding that a number of shares of Common Stock is held back solely for
the purpose of paying the Tax Obligations due as a result of any aspect of your participation in
the Plan (any shares of Common Stock withheld by the Company hereunder shall not be deemed to have
been issued by the Company for any purpose under the Plan and shall remain available for issuance
thereunder).
Finally, you shall pay to the Company or your Employer any amount of Tax Obligations that the
Company or your Employer may be required to withhold or account for as a result of your
participation in the Plan and the Program that cannot be satisfied by the means previously
described. You agree to take any further actions and to execute any additional documents as may be
necessary to effectuate the provisions of this Section V. Notwithstanding Section IV above, the
Company may refuse to issue or deliver the shares of Common Stock or
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the proceeds of the sale of shares of Common Stock if you fail to comply with your obligations
in connection with the Tax Obligations.
VI. Nontransferability. No benefit payable under, or interest in, this Agreement or
in the shares of Common Stock that may become issuable to you hereunder shall be subject in any
manner to anticipation, alienation, sale, transfer, assignment, pledge, encumbrance or charge and
any such attempted action shall be void and no such benefit or interest shall be, in any manner,
liable for, or subject to, your or your beneficiary’s debts, contracts, liabilities or torts;
provided, however, nothing in this Section VI shall prevent transfer (i) by will or (ii) by
applicable laws of descent and distribution.
VII. No Contract for Employment. This Agreement is not an employment or service
contract with the Company or an Affiliate and nothing in this Agreement shall be deemed to create
in any way whatsoever any obligation on your part to continue in the employ or service of the
Company or an Affiliate, or of the Company or an Affiliate to continue your employment or service
with the Company or an Affiliate.
VIII. Nature of Grant. In accepting the grant of Performance Units, you acknowledge
that:
(a) the Plan and the Program are established voluntarily by the Company, are discretionary in
nature and may be modified, amended, suspended or terminated by the Company at any time, as
provided in the Plan and in the Program;
(b) the grant of the Performance Units is voluntary and occasional and does not create any
contractual or other right to receive future awards of Performance Units, or benefits in lieu of
Performance Units, even if Performance Units have been awarded repeatedly in the past;
(c) all decisions with respect to future awards, if any, will be at the sole discretion of the
Company;
(d) your participation in the Plan and the Program shall not create a right to further
employment with the Employer and shall not interfere with the ability of the Employer to terminate
your employment or service relationship (if any) at any time;
(e) your participation in the Plan and the Program is voluntary;
(f) for labor law purposes outside the United States, Performance Units are an extraordinary
item that does not constitute compensation of any kind for services of any kind rendered to the
Company or to the Employer, and the grant of Performance Units is outside the scope of your
employment contract, if any;
(g) for labor law purposes outside the United States, the grant of Performance Units and the
shares of Common Stock subject to the Performance Units are not part of normal or expected
compensation or salary for any purposes, including, but not limited to, calculation of
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any severance, resignation, termination, redundancy, dismissal, end-of-service payments,
bonuses, holiday pay, long-service awards, pension or retirement benefits or similar payments;
(h) the grant of Performance Units and the shares of Common Stock subject to the Performance
Units are not intended to replace any pension rights or compensation;
(i) neither the grant of Performance Units nor any provision of this Agreement, the Plan, the
Program or the policies adopted pursuant to the Plan or Program confer upon you any right with
respect to employment or continuation of current employment and shall not be interpreted to form an
employment contract or relationship with the Company or any Affiliate of the Company;
(j) the future value of the shares of Common Stock that may be earned upon the end of the
Performance Period is unknown and cannot be predicted with certainty;
(k) in consideration of the grant of Performance Units hereunder, no claim or entitlement to
compensation or damages shall arise from forfeiture of the Performance Units resulting from
termination of your employment by the Company or an Affiliate of the Company (for any reason
whatsoever and whether or not in breach of local labor laws) and you irrevocably release the
Company and your Employer from any such claim that may arise; if, notwithstanding the foregoing,
any such claim is found by a court of competent jurisdiction to have arisen, you shall be deemed
irrevocably to have waived your entitlement to pursue such claim;
(l) in the event of termination of your employment (whether or not in breach of local labor
laws), your right to receive Performance Units and receive shares under the Plan and the Program,
if any, will terminate effective as of the date that you are no longer actively employed and will
not be extended by any notice period mandated under local law (e.g., active employment would not
include a period of “garden leave” or similar period pursuant to local law); and
(m) the Performance Units and the benefits under the Plan and the Program, if any, will not
automatically transfer to another company in case of a merger, takeover or transfer of liability.
IX. No Advice Regarding Grant. The Company is not providing any tax, legal or
financial advice, nor is the Company making any recommendations regarding your participation in the
Plan and the Program, or your acquisition or sale of the underlying shares of Common Stock. You
are hereby advised to consult with your personal tax, legal and financial advisors regarding your
participation in the Plan and the Program before taking any action related thereto.
X. Notices. Any notices provided for in this Agreement, the Plan or the Program shall
be given in writing or electronically and shall be deemed effectively given upon receipt or, in the
case of notices delivered by the Company to you, five (5) days after deposit in the United States
mail, postage prepaid, addressed to you at such address as is currently maintained in the Company’s
records or at such other address as you hereafter designate by
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written notice to the Company Stock Administrator. Such notices may be given using any
automated system for the documentation, granting or exercise of Awards, such as a system using an
internet website or interactive voice response, as approved by the Company.
XI. Resolutions, Plan and Program. This Agreement is subject to all the provisions of
the Resolutions, the Plan and the Program and their provisions are hereby made a part of this
Agreement and incorporated herein by reference, including, without limitation, the provisions of
Articles 5 and 9 of the Plan (relating to Performance-Based Compensation and Performance Awards,
respectively) and Section 13.2 of the Plan (relating to adjustments upon changes in the Common
Stock), and is further subject to all interpretations, amendments, rules and regulations which may
from time to time be promulgated and adopted pursuant to the Plan. In the event of any conflict
between the provisions of this Agreement and those of the Resolutions, the Plan and the Program,
the provisions of the Plan shall control. Notwithstanding any provision of this Agreement or the
Program to the contrary, any earned Performance Units paid in cash rather than shares of Common
Stock shall not be deemed to have been issued by the Company for any purpose under the Plan.
XII. No Compensation Deferral. The Performance Units are not intended to constitute
“nonqualified deferred compensation” within the meaning of Section 409A of the U.S. Internal
Revenue Code of 1986, as amended from time to time (together with the regulations and official
guidance promulgated thereunder, the “Code”). However, if at any time the Committee
determines that the Performance Units may be subject to Section 409A of the Code, the Committee
shall have the right, in its sole discretion, and without your prior consent to amend the Program
as it may determine is necessary or desirable either for the Performance Units to be exempt from
the application of Section 409A of the Code or to satisfy the requirements of Section 409A of the
Code, including by adding conditions with respect to the vesting and/or the payment of the
Performance Units, provided that no such amendment may change the Program’s “performance goals,”
within the meaning of Section 162(m) of the Code, with respect to any person who is a “covered
employee,” within the meaning of Section 162(m) of the Code. Any such amendment to the Program may
in the Committee’s sole discretion apply retroactively to this award of Performance Units.
XIII. Provisions Applicable to Participants in Foreign Jurisdictions. Notwithstanding
any provision of this Agreement or the Program to the contrary, if you are employed by the Company
or an Affiliate in any of the countries identified in the attached Appendix A (which
constitutes a part of this Agreement), are subject to the laws of any foreign jurisdiction, or
relocate to one of the countries included in the attached Appendix A, your award of
Performance Units shall be subject to any special terms and conditions for such country set forth
in Appendix A and to the following additional terms and conditions:
(a) the terms and conditions of this Agreement, including Appendix A, are deemed
modified to the extent necessary or advisable to comply with applicable foreign laws or facilitate
the administration of the Plan and the Program;
(b) if applicable, the effectiveness of your Award is conditioned upon its compliance with any
applicable foreign laws, regulations, rules or local governmental regulatory exemption and subject
to receipt of any required foreign regulatory approvals;
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(c) to the extent necessary to comply with applicable foreign laws, the payment of any earned
Performance Units shall be made in cash or Common Stock, at the Company’s election; and
(d) the Committee may take any other action, before or after an award of Performance Units is
made, that it deems necessary or advisable to obtain approval or comply with any necessary local
governmental regulatory exemptions or approvals.
Notwithstanding the foregoing, the Committee may not take any actions hereunder, and no award of
Performance Units shall be granted, that would violate the Securities Act, the Exchange Act, the
Code, or any other securities or tax or other applicable law or regulation. Notwithstanding
anything to the contrary contained herein, the shares issuable upon vesting of the Performance
Units shall not be issued unless such shares are then registered under the Securities Act, or, if
such shares are not then so registered, the Company has determined that such exercise and issuance
would be exempt from the registration requirements of the Securities Act.
XIV. Data Privacy and Notice of Consent. You hereby explicitly and unambiguously
consent to the collection, use and transfer, in electronic or other form, of your personal data as
described in this Agreement by and among, as applicable, the Employer, the Company, or Affiliates
of the Company for the exclusive purpose of implementing, administering and managing your
participation in the Plan and the Program.
You understand that the Company and the Employer may hold certain personal information about
you, including, but not limited to, your name, home address and telephone number, date of birth,
social insurance number (to the extent permitted under applicable local law) or other
identification number, salary, nationality, job title, residency status, any shares of stock or
directorships held in the Company, details of all equity compensation or any other entitlement to
shares awarded, canceled, vested, unvested or outstanding in your favor, for the purpose of
implementing, administering and managing the Plan and the Program (“Data”). You understand that
Data may be transferred to Xxxxxxx Xxxxx Bank & Trust Co., FSB (or any successor thereto), any
third parties assisting in the implementation, administration and management of the Plan and the
Program, that these recipients may be located in your country, or elsewhere, including outside the
European Economic Area and that the recipient’s country (e.g., the United States) may have
different data privacy laws and protections than your country. You understand that you may request
a list with the names and addresses of any potential recipients of the Data by contacting your
local human resources representative. You authorize the Employer, the Company, Affiliates of the
Company Xxxxxxx Xxxxx Bank & Trust Co., FSB (or any successor thereto), and any other possible
recipients which may assist the Company (presently or in the future) with implementing,
administering and managing your participation in the Plan and the Program to receive, possess, use,
retain and transfer the Data, in electronic or other form, for the purposes of implementing,
administering and managing your participation in the Plan and the Program, including any requisite
transfer of such Data as may be required to a broker, escrow agent or other third party with whom
the shares received upon vesting of the Performance Units may be deposited. You understand that
Data will be held only as long as is necessary to implement, administer and manage your
participation in the Plan and the Program. You understand that you may, at any time, view
6
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 your local human resources representative. You understand that refusal or
withdrawal of consent may affect your ability to participate in the Plan and the Program. For more
information on the consequences of your refusal to consent or withdrawal of consent, you understand
that you may contact your local human resources representative.
XV. Language. If you have received this Agreement or any other document related to
the Plan and/or the Program translated into a language other than English and if the meaning of the
translated version is different than the English version, the English version will control.
XVI. Governing Law. The terms of this Agreement shall be governed by the laws of the
State of Delaware without giving effect to principles of conflicts of laws. For purposes of
litigating any dispute that arises hereunder, the parties hereby submit to and consent to the
jurisdiction of the State of Delaware, and agree that such litigation shall be conducted in the
courts of the State of Delaware, or the federal courts for the United States for the federal
district located in the State of Delaware, and no other courts, where this Agreement is made and/or
to be performed.
XVII. Severability. If one or more of the provisions of this Agreement shall be held
invalid, illegal or unenforceable in any respect, the validity, legality and enforceability of the
remaining provisions shall not in any way be affected or impaired thereby and the invalid, illegal
or unenforceable provisions shall be deemed null and void; however, to the extent permissible by
law, any provisions which could be deemed null and void shall first be construed, interpreted or
revised retroactively to permit this Agreement to be construed so as to xxxxxx the intent of this
Agreement and the Plan.
XVIII. Electronic Delivery. The Company may, in its sole discretion, decide to
deliver any documents related to current or future participation in the Plan and/or the Program by
electronic means. You hereby consent to receive such documents by electronic delivery and agree to
participate in the Plan through an on-line or electronic system established and maintained by the
Company or another third party designated by the Company.
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XIX. Imposition of Other Requirements. The Company reserves the right to impose other
requirements on your participation in the Plan and the Program, on the Performance Units and on any
shares of Common Stock acquired under the Plan and the Program, to the extent the Company
determines it is necessary or advisable in order to comply with local law or facilitate the
administration of the Plan, and to require you to sign any additional agreements or undertakings
that may be necessary to accomplish the foregoing.
Very truly yours, AMGEN INC. |
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By: | ||||
Name: | ||||
Title: | ||||
Accepted and Agreed, this ___ day of __________________, 20_. |
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By: | ||||
Name: | ||||
APPENDIX A
ADDITIONAL TERMS AND CONDITIONS OF THE
AMGEN INC. 2009 EQUITY INCENTIVE PLAN
AMGEN INC. 2009 EQUITY INCENTIVE PLAN
AWARD OF PERFORMANCE UNITS
(BY COUNTRY)
(BY COUNTRY)
TERMS AND CONDITIONS
This Appendix includes additional terms and conditions that govern any Performance Units granted
under the Plan if, under applicable law, you are a resident of, or are deemed to be a resident
of one of the countries listed below. Furthermore, the additional terms and conditions that govern
the Performance Units granted hereunder may apply to you if you relocate to one of the countries
listed below and the Company shall, in its discretion, determine to what extent the terms and
conditions contained herein shall apply to you. Certain capitalized terms used but not defined
in this Appendix A shall have the meanings set forth in the Plan and/or the Agreement to which this
Appendix is attached.
NOTIFICATIONS
This Appendix also includes notifications relating to exchange control and other issues of which
you should be aware with respect to your participation in the Plan. The information is based on
the exchange control, securities and other laws in effect in the countries to which this Appendix
refers as of February 2011. Such laws are often complex and change frequently. As a result, the
Company strongly recommends that you not rely on the notifications herein as the only source of
information relating to the consequences of your participation in the Plan because the information
may be outdated when you acquire shares of Common Stock under the Plan, or when you subsequently
sell shares of Common Stock acquired under the Plan.
In addition, the notifications are general in nature and may not apply to your particular
situation, and the Company is not in a position to assure you of any particular result.
Accordingly, you are advised to seek appropriate professional advice as to how the relevant laws in
your country may apply to your situation. Finally, if you are a citizen or resident of a country
other than the one in which you are currently working or are considered a resident of another
country for local law purposes, the information contained herein may not be applicable to you or
you may be subject to the provisions of one or more jurisdictions.
Appendix- 1
AUSTRALIA
NOTIFICATIONS
Exchange Control Information. Exchange control reporting is required for cash transactions
exceeding AUD10,000 and for international fund transfers. If an Australian bank is assisting with
the transaction, the bank will file the report on your behalf.
Securities Law Information. If you acquire shares of Common Stock under the Plan and offer the
shares of Common Stock for sale to a person or entity resident in Australia, the offer may be
subject to disclosure requirements under Australian law. You should consult with your own legal
advisor before making any such offer in Australia.
AUSTRIA
NOTIFICATIONS
Consumer Protection Notification. You may be entitled to revoke acceptance of the Award on the
basis of the Austrian Consumer Protection Act (the “Act”) under the conditions listed below, if the
Act is considered to be applicable to the Award, the Plan and the Program:
(i) | If you accept the Award outside the business premises of the Company, you may be entitled to revoke your acceptance of the Award, provided the revocation is made within one (1) week after such acceptance of an Award. |
(ii) | The revocation must be in written form to be valid. It is sufficient if you return the applicable Agreement to the Company or the Company’s representative with language which can be understood as a refusal to conclude or honor the applicable Agreement, provided the revocation is sent within the period discussed above. |
Exchange Control Notification. If you hold shares of Common Stock acquired under the Plan outside
of Austria, you must submit a report to the Austrian National Bank. An exemption applies if the
value of the shares as of any given quarter does not exceed €30,000,000 or as of December 31 does
not exceed €5,000,000. If the former threshold is exceeded, quarterly obligations are imposed,
whereas if the latter threshold is exceeded, annual reports must be given. The annual reporting
date is December 31 and the deadline for filing the annual report is March 31 of the following
year.
A separate reporting requirement applies when you sell shares of Common Stock acquired under
the Plan. In that case, there may be exchange control obligations if the cash proceeds are held
outside of Austria. If the transaction volume of all accounts abroad exceeds €3,000,000, the
movements and balances of all accounts must be reported monthly, as of the last day of the month,
on or before the 15th day of the following month, on the prescribed form (Meldungen SI-Forderungen
und/oder SI-Verpflichtungen).
BELGIUM
Appendix- 2
NOTIFICATIONS
Tax Reporting Notification. You are required to report any taxable income attributable to the
Award granted hereunder on your annual tax return. You are also required to report any bank
accounts opened and maintained outside Belgium on your annual tax return.
BRAZIL
TERMS AND CONDITIONS
Compliance with Law. By accepting the Performance Units, you acknowledge that you agree to comply
with applicable Brazilian laws and pay any and all applicable taxes associated with the vesting of
the Performance Units and the sale of shares of Common Stock acquired under the Plan.
NOTIFICATIONS
Exchange Control Information. If you are resident or domiciled in Brazil, you will be required to
submit annually a declaration of assets and rights held outside of Brazil to the Central Bank of
Brazil if the aggregate value of such assets and rights equals or exceeds US$100,000. Assets and
rights that must be reported include the shares of Common Stock.
BULGARIA
There are no country-specific provisions.
CANADA
TERMS AND CONDITIONS
Termination of Service. This provision supplements Section VIII(k) of the Agreement:
In the event of involuntary termination of your employment (whether or not in breach of local labor
laws), your right to receive an Award and vest in such Award under the Plan and the Program, if
any, will terminate effective as of the date that is the earlier of: (1) the date you receive
notice of termination of employment from the Company or your Employer, or (2) the date you are no
longer actively employed by the Company or your Employer regardless of any notice period or period
of pay in lieu of such notice required under local law (including, but not limited to statutory
law, regulatory law and/or common law). Your right, if any, to acquire shares of Common Stock
pursuant to an Award after termination of employment will be measured by the date of termination of
your active employment and will not be extended by any notice period mandated under local law.
Appendix- 3
The following provisions will apply to you if you are a resident of Quebec:
Language Consent. The parties acknowledge that it is their express wish that this Agreement, as
well as all documents, notices, and legal proceedings entered into, given or instituted pursuant
hereto or relating directly or indirectly hereto, be drawn up in English.
Les parties reconnaissent avoir exigé la rédaction en anglais de cette convention ("Agreement"),
ainsi que de tous documents exécutés, xxxx xxxxxx et procédures judiciaries intentées, directement
ou indirectement, relativement à ou suite à la présente convention.
Data Privacy Notice and Consent. This provision supplements Section XIV of the Agreement:
You hereby authorize the Company and the Company’s representative to discuss with and obtain all
relevant information from all personnel (professional or not) involved in the administration and
operation of the Plan and the Program. You further authorize the Company and your Employer to
disclose and discuss your participation in the Plan with their advisors. You also authorize the
Company and your Employer to record such information and keep it in your employee file.
CZECH REPUBLIC
NOTIFICATIONS
Exchange Control Notification. Proceeds from the sale of shares of Common Stock may be held in a
cash account abroad and you are no longer required to report the opening and maintenance of a
foreign account to the Czech National Bank (the “CNB”), unless the CNB notifies you specifically
that such reporting is required. Upon request of the CNB, you may need to file a notification
within 15 days of the end of the calendar quarter in which you acquire shares of Common Stock.
DENMARK
NOTIFICATIONS
Exchange Control Information. If you establish an account holding shares or an account holding
cash outside Denmark, you must report the account to the Danish Tax Administration. The form which
should be used in this respect can be obtained from a local bank. (These obligations are separate
from and in addition to the obligations described below.)
Securities/Tax Reporting Information. If you hold shares of Common Stock acquired under the Plan
in a brokerage account with a broker or bank outside Denmark, you are required to inform the Danish
Tax Administration about the account. For this purpose, you must file a Form V (Erklaering V) with
the Danish Tax Administration. The Form V must be signed both by you and by the applicable broker
or bank where the account is held. By signing the Form V, the broker or bank undertakes to forward
information to the Danish Tax Administration concerning the shares in the account without further
request each year. By signing the Form V, you
authorize the Danish Tax Administration to examine the account.
Appendix- 4
In addition, if you open a brokerage account (or a deposit account with a U.S. bank) for the
purpose of holding cash outside Denmark, you are also required to inform the Danish Tax
Administration about this account. To do so, you must file a Form K (Erklaering K) with the Danish
Tax Administration. The Form K must be signed both by you and by the applicable broker or bank
where the account is held. By signing the Form K, the broker/bank undertakes an obligation,
without further request each year, to forward information to the Danish Tax Administration
concerning the content of the account. By signing the Form K, you authorize the Danish Tax
Administration to examine the account.
FINLAND
There are no country-specific provisions.
GERMANY
NOTIFICATIONS
Exchange Control Information. Cross-border payments in excess of €12,500 must be reported monthly
to the German Federal Bank. If you use a German bank to effect a cross-border payment in excess of
€12,500 in connection with the sale of shares of Common Stock acquired under the Plan, the bank
will make the report for you. In addition, you must report any receivables or payables or debts in
foreign currency exceeding an amount of €5,000,000 on a monthly basis. Finally, you must report on
an annual basis if you hold shares of Common Stock that exceed 10% of the total voting capital of
the Company.
GREECE
There are no country-specific provisions.
HONG KONG
TERMS AND CONDITIONS
SECURITIES WARNING: The Performance Units and any shares of Common Stock issued in respect of
Performance Units do not constitute a public offering of securities under Hong Kong law and are
available only to Participants under the Program. The Agreement, including this Appendix, the
Program, the Plan and other incidental communication materials have not been prepared in accordance
with and are not intended to constitute a “prospectus” for a public offering of securities under
the applicable securities legislation in Hong Kong, nor have the documents been reviewed by any
regulatory authority in Hong Kong. The Performance Units and any documentation related thereto are
intended solely for the personal use of each Participant under the Program and may not be
distributed to any other person. If you are in doubt about any of the contents of the Agreement,
including this Appendix, the Program or the Plan, you should obtain independent professional
advice.
Appendix- 5
Performance Units Payable Only in Shares. Notwithstanding any discretion in the Plan or the
Program or anything to the contrary in the Agreement, the Award does not provide any right for you
to receive a cash payment and shall be paid in shares of Common Stock only.
Sale of Shares of Common Stock. In the event that shares of Common Stock are issued in respect of
Performance Units within six (6) months of the Grant Date, you agree that you will not dispose of
such shares prior to the six-month anniversary of the Grant Date.
HUNGARY
There are no country-specific provisions.
INDIA
NOTIFICATIONS
Exchange Control Notification. You must repatriate the proceeds from the sale of shares of Common
Stock acquired under the Plan and the Program and any dividends received in relation to the shares
of Common Stock to India within 90 days after receipt. You must maintain the foreign inward
remittance certificate received from the bank where the foreign currency is deposited in the event
that the Reserve Bank of India or your Employer requests proof of repatriation. It is your
responsibility to comply with these requirements.
IRELAND
TERMS AND CONDITIONS
Nature of Grant. This provision supplements Section VIII of the Agreement:
In accepting the Award granted hereunder, you acknowledge your understanding and agreement that the
benefits received under the Plan will not be taken into account for any redundancy or unfair
dismissal claim.
NOTIFICATIONS
Director Notification Requirements. If you are a director, shadow director or secretary of an
Irish Affiliate, you must notify the Irish Affiliate in writing within five (5) business days of
receiving or disposing of an interest in the Company (e.g., an Award or shares of Common Stock) in
the Company, or within five (5) business days of becoming aware of the event giving rise to the
notification requirement, or within five (5) business days of becoming a director or secretary if
such an interest exists at the time. This notification requirement also applies with respect to
the interests of a spouse or minor children (whose interests, if any, will be attributed to the
director, shadow director or secretary).
Appendix- 6
ITALY
TERMS AND CONDITIONS
Data Privacy Consent. The following provision replaces Section XIV of the Agreement:
You hereby explicitly and unambiguously consent to the collection, use, processing and transfer, in
electronic or other form, of your personal data as described herein by and among, as applicable,
your Employer, the Company and any Affiliate for the exclusive purpose of implementing,
administering, and managing your participation in the Plan and the Program.
You understand that your Employer, the Company and any Affiliate may hold certain personal
information about you, including, but not limited to, your name, home address and telephone number,
date of birth, social insurance (to the extent permitted under Italian law) or other identification
number, salary, nationality, job title, any shares or directorships held in the Company or any
Affiliate, details of all Awards granted, or any other entitlement to shares of Common Stock
awarded, canceled, exercised, vested, unvested or outstanding in your favor, for the exclusive
purpose of implementing, managing and administering the Plan and the Program (“Data”).
You also understand that providing the Company with Data is necessary for the performance of the
Plan and the Program and that your refusal to provide such Data would make it impossible for the
Company to perform its contractual obligations and may affect your ability to participate in the
Plan and the Program. The Controller of personal data processing is Amgen Inc., with registered
offices at Xxx Xxxxx Xxxxxx Xxxxx, Xxxxxxxx Xxxx, Xxxxxxxxxx 00000, X.X.X., and, pursuant to
Legislative Decree no. 196/2003, its Representative in Italy for privacy purposes is Amgen Dompe
S.p.A., with registered offices at Xxx Xxxxxxx, 0 — 00000 Xxxxx, Xxxxx.
You understand that Data will not be publicized, but it may be transferred to banks, other
financial institutions, or brokers involved in the management and administration of the Plan and
the Program. You understand that Data may also be transferred to the independent registered public
accounting firm engaged by the Company. You further understand that the Company and/or any
Affiliate will transfer Data among themselves as necessary for the purposes of implementing,
administering and managing your participation in the Plan and the Program, and that the Company
and/or any Affiliate may each further transfer Data to third parties assisting the Company in the
implementation, administration, and management of the Plan and the Program, including any requisite
transfer of Data to a broker or other third party with whom you may elect to deposit any shares of
Common Stock issued in respect of the Award. Such recipients may receive, possess, use, retain,
and transfer Data in electronic or other form, for the purposes of implementing, administering, and
managing your participation in the Plan and the Program. You understand that these recipients may
be located in or outside the European Economic Area, such as in the United States or elsewhere.
Should the Company exercise its discretion in suspending all necessary legal obligations connected
with the management and administration of the Plan and the Program, it will delete Data as soon
Appendix- 7
as it has completed all the necessary legal obligations connected with the management and
administration of the Plan and the Program.
You understand that Data processing related to the purposes specified above shall take place under
automated or non-automated conditions, anonymously when possible, that comply with the purposes for
which Data is collected and with confidentiality and security provisions, as set forth by
applicable laws and regulations, with specific reference to Legislative Decree no. 196/2003.
The processing activity, including communication, the transfer of Data abroad, including outside of
the European Economic Area, as herein specified and pursuant to applicable laws and regulations,
does not require your consent thereto, as the processing is necessary to performance of contractual
obligations related to implementation, administration, and management of the Plan. You understand
that, pursuant to Section 7 of the Legislative Decree no. 196/2003, you have the right to,
including but not limited to, access, delete, update, correct, or terminate, for legitimate reason,
the Data processing.
Furthermore, you are aware that Data will not be used for direct-marketing purposes. In addition,
Data provided can be reviewed and questions or complaints can be addressed by contacting your local
human resources representative.
Acknowledgement of Nature of Grant. By accepting the Award granted hereunder, you acknowledge that
(1) you have received a copy of the Plan, the Program, the Agreement and this Appendix; (2) you
have reviewed the applicable documents in their entirety and fully understand the contents thereof;
and (3) you accept all provisions of the Plan, the Program, the Agreement and this Appendix.
You further acknowledge that you have read and specifically and explicitly approve, without
limitation, the following sections of the Agreement: Section III, Section IV, Section V, Section
VIII, Section III, Section XIV (as replaced by the above consent), Section XV and Section XIX.
JAPAN
There are no country-specific provisions.
LITHUANIA
There are no country-specific provisions.
MEXICO
TERMS AND CONDITIONS
Acknowledgement of the Grant. In accepting the Award granted hereunder, you acknowledge that you
have received a copy of the Plan and the Program, have reviewed the Plan and the Program and the
Agreement, including this Appendix, in their entirety and fully understand and
Appendix- 8
accept all provisions of the Plan, the Program and the Agreement, including this Appendix. You
further acknowledge that you have read and specifically and expressly approve the terms and
conditions of Section VIII of the Agreement, in which the following is clearly described and
established:
(1) | Your participation in the Plan and the Program do not constitute an acquired right. |
(2) | The Plan and your participation in the Plan and the Program are offered by Amgen Inc. on a wholly discretionary basis. | ||
(3) | Your participation in the Plan and the Program is voluntary. |
(4) | Amgen Inc. and its Affiliates are not responsible for any decrease in the value of any shares of Common Stock issued with respect to the Award. |
Labor Law Acknowledgement and Policy Statement. In accepting any Award granted hereunder, you
expressly recognize that Amgen Inc., with registered offices at Xxx Xxxxx Xxxxxx Xxxxx, Xxxxxxxx
Xxxx, Xxxxxxxxxx 00000, X.X.X., is solely responsible for the administration of the Plan and that
your participation in the Plan and acquisition of shares of Common Stock do not constitute an
employment relationship between you and Amgen Inc. since you are participating in the Plan on a
wholly commercial basis and your sole employer is Amgen Latin America Services, S.A. de C.V.
(“Amgen-Mexico”). Based on the foregoing, you expressly recognize that the Plan and the Program
and the benefits that you may derive from participation in the Plan and the Program do not
establish any rights between you and your Employer, Amgen-Mexico, and do not form part of the
employment conditions and/or benefits provided by Amgen-Mexico and any modification of the Plan or
its termination shall not constitute a change or impairment of the terms and conditions of your
employment.
You further understand that your participation in the Plan and the Program is as a result of a
unilateral and discretionary decision of Amgen Inc.; therefore, Amgen Inc. reserves the absolute
right to amend and/or discontinue your participation in the Plan at any time without any liability
to you.
Finally, you hereby declare that you do not reserve to yourself any action or right to bring any
claim against Amgen Inc. for any compensation or damages regarding any provision of the Plan or the
benefits derived under the Plan, and you therefore grant a full and broad release to Amgen Inc.,
its Affiliates, shareholders, officers, agents or legal representatives with respect to any claim
that may arise.
Spanish Translation
Reconocimiento del Otorgamiento. Al aceptar cualquier Otorgamiento de Acciones bajo el presente
documento, usted reconoce que ha recibido una copia del Plan y del Programa, que ha revisado el
Plan y el Programa, así como también el Apéndice en su totalidad, además que comprende y está de
acuerdo con todas las disposiciones tanto del Plan, del Programa y del Otorgamiento, incluyendo
este Apéndice. Asimismo, usted reconoce que ha leído y manifiesta
Appendix- 9
específicamente y expresamente la conformidad con los términos y condiciones establecidos en la
Sección VIII del Acuerdo del Otorgamiento, en los que se establece y describe claramente que:
(1) | Su participación en el Plan y en el Programa de ninguna manera constituye un derecho adquirido. |
(2) | Su participación en Plan y en el Programa son ofrecidos por Amgen Inc. de forma completamente discrecional. | ||
(3) | Su participación en el Plan y en el Programa es voluntaria. |
(4) | Amgen Inc. y sus Afiliados no son responsables de ninguna disminución en el valor de las Acciones Comunes emitidas mediante el Plan. |
Reconocimiento de xx Xxx Laboral y Declaración de Política. Al aceptar cualquier Otorgamiento bajo
el presente, usted reconoce expresamente que Amgen Inc., con oficinas registradas localizadas en
One Xxxxx Xxxxxx Xxxxx, Xxxxxxxx Xxxx, Xxxxxxxxxx 00000, U.S.A., es la única responsable de la
administración del Plan y que su participación en el mismo y la adquisición de Acciones Comunes no
constituyen de ninguna manera una relación laboral entre usted y Amgen Inc., debido a que su
participación en el Plan es únicamente una relación comercial y que su único empleador es Amgen
Latin America Services, S.A. de C.V. (“Amgen-Mexico”). Derivado de lo anterior, usted reconoce
expresamente que el Plan y el Programa y los beneficios a su favor que pudieran derivar de la
participación en el mismo, no establecen ningún derecho entre usted y su empleador, Amgen —
México, y no xxxxxx parte de las condiciones laborales y/o los beneficios otorgados por Amgen —
México, y cualquier modificación del Plan o la terminación del mismo no constituirá un cambio o
desmejora de los términos y condiciones de su trabajo.
Asimismo, usted entiende que su participación en el Plan y en el Programa es resultado de la
decisión unilateral y discrecional de Amgen Inc., por lo tanto, Amgen Inc. se reserva el derecho
absoluto de modificar y/o descontinuar su participación en el Plan en cualquier momento y sin
ninguna responsabilidad para usted.
Finalmente, usted manifiesta que no se reserva ninguna acción o derecho que origine una demanda en
contra de Amgen Inc., por cualquier compensación x xxxxx y perjuicios, en relación con cualquier
disposición del Plan o de los beneficios derivados del mismo, y en consecuencia usted exime amplia
y completamente a Amgen Inc. de toda responsabilidad, como así también a sus Afiliadas,
accionistas, directores, agentes o representantes legales con respecto a cualquier demanda que
pudiera surgir.
Appendix- 10
NETHERLANDS
NOTIFICATIONS
Securities Law Notification. You should be aware of Dutch insider-trading rules, which may impact
the sale of shares of Common Stock issued in respect of the Award. In particular, you may be
prohibited from effectuating certain transactions if you have insider information regarding the
Company.
By accepting the Award granted hereunder and participating in the Plan and the Program, you
acknowledge having read and understood this Securities Law Notification and further acknowledge
that it is your responsibility to comply with the following Dutch insider-trading rules:
Under Article 46 of the Act on the Supervision of the Securities Trade 1995, anyone who has “inside
information” related to the Company is prohibited from effectuating a transaction in securities in
or from the Netherlands. “Inside information” is knowledge of a detail concerning the issuer to
which the securities relate that is not public and which, if published, would reasonably be
expected to affect the stock price, regardless of the development of the price.
Given the broad scope of the definition of inside information, certain employees of the Company
working at an Affiliate in the Netherlands (including persons eligible to participate in the Plan
and the Program) may have inside information and, thus, would be prohibited from effectuating a
transaction in securities in the Netherlands at a time when in possession of such inside
information.
NEW ZEALAND
There are no country-specific provisions.
NORWAY
There are no country-specific provisions.
POLAND
NOTIFICATIONS
Exchange Control Notification. Polish residents holding foreign securities (including shares of
Common Stock) and maintaining accounts abroad must report information to the National Bank of
Poland on transactions and balances of the securities and cash deposited in such accounts if the
value of such transactions or balances exceeds €15,000. If required, the reports are due on a
quarterly basis by the 20th day following the end of each quarter. The reports are filed on
special forms available on the website of the National Bank of Poland.
Appendix- 11
PORTUGAL
NOTIFICATIONS
Exchange Control Notification. If you do not hold the shares of Common Stock issued in respect of
the Award with a Portuguese financial intermediary, you may need to file a report with the
Portuguese Central Bank. If the shares are held by a Portuguese financial intermediary, it will
file the report for you.
PUERTO RICO
There are no country-specific provisions.
ROMANIA
NOTIFICATIONS
Exchange Control Notification. If you deposit proceeds from the sale of shares of Common Stock in
a bank account in Romania, you may be required to provide the Romanian bank assisting with the
transaction with appropriate documentation explaining the source of the income. You should consult
with a legal advisor to determine whether you will be required to submit such documentation to the
Romanian bank.
RUSSIA
TERMS AND CONDITIONS
Settlement of Award. Depending on developments in Russian securities regulations, the Company
reserves the right, in its sole discretion, to force the immediate sale of any shares of Common
Stock to be issued upon vesting of the Award granted hereunder. You agree that, if applicable, the
Company is authorized to instruct Xxxxxxx Xxxxx Bank & Trust Co., FSB (or such other broker as may
be designated by the Company) to assist with the mandatory sale of such shares of Common Stock (on
your behalf pursuant to this authorization) and you expressly authorize Xxxxxxx Xxxxx Bank & Trust
Co., FSB (or such other broker as may be designated by the Company) to complete the sale of such
shares. You acknowledge that Xxxxxxx Xxxxx Bank & Trust Co., FSB (or such other broker as may be
designated by the Company) is under no obligation to arrange for the sale of the shares of Common
Stock at any particular trading price. Upon the sale of shares of Common Stock, you will receive
the cash proceeds from the sale of such shares, less any brokerage fees or commissions and subject
to your obligations in connection with the Tax Obligations.
Securities Law Requirements. The Award granted hereunder, the Agreement, including this Appendix,
the Program, the Plan and all other materials you may receive regarding your participation in the
Plan and the Program or the Award granted hereunder do not constitute advertising or an offering of
securities in Russia. The issuance of shares of Common Stock in
Appendix- 12
respect of the Award has not and will not be registered in Russia; therefore, such shares may not
be offered or placed in public circulation in Russia.
In no event will shares of Common Stock acquired under the Plan be delivered to you in Russia; all
shares of Common Stock will be maintained on your behalf in the United States.
You are not permitted to sell any shares acquired under the Plan directly to a Russian legal entity
or resident.
NOTIFICATIONS
Exchange Control Notification. You must repatriate the proceeds from the sale of shares acquired
under the Plan (and any dividends received in relation to such shares) to Russia within a
reasonably short period after receipt. The sale proceeds and any dividends received must be
initially credited to you through a foreign currency account opened in your name at an authorized
bank in Russia. After the funds are initially received in Russia, they may be further remitted to
a foreign bank subject to the following limitations: (i) the foreign account may be opened only for
individuals; (ii) the foreign account may not be used for business activities; (iii) the Russian
tax authorities must be given notice about the opening/closing of each foreign account within one
month of the account opening/closing; and (iv) the Russian tax authorities must be given notice of
the account balances of such foreign accounts as of the beginning of each calendar year.
SLOVAK REPUBLIC
There are no country-specific provisions.
SLOVENIA
There are no country-specific provisions.
SPAIN
TERMS AND CONDITIONS
Labor Law Acknowledgement. The following provision supplements Section VIII of the Agreement:
By accepting the Award granted hereunder, you consent to participation in the Plan and the Program
and acknowledge that you have received a copy of the Plan and the Program.
You understand that the Company has unilaterally, gratuitously and in its sole discretion decided
to grant the Award under the Plan and the Program to individuals who may be employees of the
Company or its Affiliates throughout the world. The decision is a limited decision that is entered
into upon the express assumption and condition that the Awards granted will not economically or
otherwise bind the Company or any of its Affiliates on an ongoing basis, other than as expressly
set forth in the applicable Agreement, including this Appendix. Consequently, you understand
Appendix- 13
that the Award granted hereunder is given on the assumption and condition that it shall not become
a part of any employment contract (either with the Company or any of its Affiliates) and shall not
be considered a mandatory benefit, salary for any purposes (including severance compensation) or
any other right whatsoever. Further, you understand and freely accept that there is no guarantee
that any benefit whatsoever shall arise from any gratuitous and discretionary grant of the Award
since the future value of the Award and any shares of Common Stock that may be issued in respect of
such Award is unknown and unpredictable. In addition, you understand that the Award granted
hereunder would not be made but for the assumptions and conditions referred to above; thus, you
understand, acknowledge and freely accept that, should any or all of the assumptions be mistaken or
should any of the conditions not be met for any reason, then the grant of the Award or right to the
Award shall be null and void.
Further, the vesting of the Performance Units is expressly conditioned your continued and active
rendering of service, such that if your employment terminates for any reason whatsoever, the
Performance Units may cease vesting immediately, in whole or in part, effective on the date of your
termination of employment (unless otherwise specifically provided in Section I of the Agreement).
This will be the case, for example, even if (1) you are considered to be unfairly dismissed without
good cause; (2) you are dismissed for disciplinary or objective reasons or due to a collective
dismissal; (3) you terminate service due to a change of work location, duties or any other
employment or contractual condition; (4) you terminate service due to a unilateral breach of
contract by the Company or a Subsidiary; or (5) your employment terminates for any other reason
whatsoever. Consequently, upon termination of your employment for any of the above reasons, you
may automatically lose any rights to Performance Units that were not vested on the date of your
termination of employment, as described in the Plan and the Agreement.
You acknowledge that you have read and specifically accepts the conditions referred to in Section I
of the Agreement.
NOTIFICATIONS
Securities Law Information. The Performance Units and the Shares described in the Agreement and
this Appendix do not qualify under Spanish regulations as securities. No “offer of securities to
the public,” as defined under Spanish law, has taken place or will take place in the Spanish
territory. The Agreement (including this Appendix) have not been nor will they be registered with
the Comisión Nacional del Xxxxxxx de Valores, and do not constitute a public offering prospectus.
Exchange Control Notification. When receiving foreign currency payments derived from the ownership
of Shares acquired under the Plan (i.e., dividends or sale proceeds), you must inform the financial
institution receiving the payment of the basis upon which such payment is made. You will need to
provide the institution with the following information: (i) your name, address, and fiscal
identification number; (ii) the name and corporate domicile of the Company; (iii) the amount of the
payment and the currency used; (iv) the country of origin; (v) the reasons for the payment; and
(vi) further information that may be required.
Appendix- 14
If you acquire Shares under the Plan and wish to import the ownership title of such shares (i.e.,
share certificates) into Spain, you must declare the importation of such securities to the
Direccion General de Política Comercial y de Inversiones Extranjeras (“DGPCIE”) by filing a
declaration on the ownership of the securities (D-6 form) each January while the Shares are owned.
SWEDEN
There are no country-specific provisions.
SWITZERLAND
NOTIFICATIONS
Securities Law Notification. The Award offered hereunder is considered a private offering in
Switzerland and is, therefore, not subject to registration in Switzerland.
TURKEY
NOTIFICATIONS
Securities Law Information. Under Turkish law, you are not permitted to sell Shares acquired under
the Plan in Turkey. You must sell the Shares acquired under the Plan outside of Turkey. The
Shares are currently traded on the NASDAQ in the U.S. under the ticker symbol “AMGN” and Shares may
be sold on this exchange, which is located outside of Turkey.
UNITED ARAB EMIRATES
There are no country-specific provisions.
UNITED KINGDOM
TERMS AND CONDITIONS
Tax Withholding. This provision supplements Section V of the Agreement:
You agree that if you do not pay or your Employer or the Company does not withhold from you the
full amount of Tax Obligations that you owe due at issuance of shares of Common Stock in respect of
the Performance Units, or the release or assignment of the Performance Units for consideration, or
the receipt of any other benefit in connection with the Performance Units (the “Taxable Event”)
within 90 days after the Taxable Event, or such other period specified in Section 222(1)(c) of the
U.K. Income Tax (Earnings and Pensions) Act 2003, then the amount that should have been withheld
shall constitute a loan owed by you to your Employer, effective 90 days after the Taxable Event.
You agree that the loan will bear interest at the official rate of HM Revenue and Customs (“HMRC”)
and will be immediately due and repayable by you, and the Company and/or your Employer may recover
it at any time thereafter by withholding (subject to Section V of the Agreement) the funds from
salary, bonus or any other funds due to you by
Appendix- 15
your Employer, by withholding in shares of Common Stock issued in respect of the Performance Units
or from the cash proceeds from the sale of shares of Common Stock or by demanding cash or a check
from you. You also authorize the Company to delay the issuance of any shares of Common Stock to
you unless and until the loan is repaid in full.
Notwithstanding the foregoing, if you are an officer or executive director (as within the meaning
of Section 13(k) of the U.S. Securities Exchange Act of 1934, as amended), the terms of the
immediately foregoing provision will not apply. In the event that you are an officer or executive
director and Tax Obligations are not collected from or paid by you within 90 days of the Taxable
Event, the amount of any uncollected Tax Obligations may constitute a benefit to you on which
additional income tax and national insurance contributions may be payable. You acknowledge that
the Company or your Employer may recover any such additional income tax and national insurance
contributions at any time thereafter by any of the means referred to in Section V of the Agreement.
Joint Election. As a condition of the Award, you agree to accept any liability for secondary Class
1 National Insurance Contributions (the “Employer NICs”) which may be payable by the Company or
your Employer with respect to the earning and/or payment of the Performance Units and issuance of
shares of Common Stock in respect of the Performance Units, the assignment or release of the
Performance Units for consideration or the receipt of any other benefit in connection with the
Performance Units.
Without limitation to the foregoing, you agree to make an election (the “Election”), in the form
specified and/or approved for such election by HMRC, that the liability for the Secondary Class 1
National Insurance Contribution payments on any such gains shall be transferred to you to the
fullest extent permitted by law. You further agree to execute such other elections as may be
required between you and any successor to the Company and/or your Employer. You hereby authorizes
the Company and your Employer to withhold such Secondary Class 1 National Insurance Contributions
by any of the means set forth in Section V of the Agreement.
Failure by you to enter into an Election, withdrawal of approval of the Election by HMRC or a joint
revocation of the Election by you and the Company or your Employer, as applicable, shall be grounds
for the forfeiture and cancellation of the Performance Units, without any liability to the Company
or your Employer.
UNITED STATES
TERMS AND CONDITIONS
Nature of Grant. The following provision replaces Section VIII(k) of the Award Agreement:
(k) in the event of termination of your employment (whether or not in breach of local labor laws),
your right to receive Performance Units and receive shares under the Plan and the Program, if any,
will terminate effective as of the date that you are no longer actively employed; provided,
however, that such right will be extended by any notice period mandated by law (e.g. the Worker
Adjustment and Retraining Notification Act (“WARN Act”) notice period or similar
periods pursuant to local law) and any paid administrative leave (as applicable), unless the
Company shall provide you with written notice otherwise before the commencement of such notice
period or leave. In such event, payment of the Performance Units shall be made in accordance with
Section IV.
Appendix- 16