EXHIBIT 10.24.3
THIS FORM OF AWARD AGREEMENT IS PART OF A PROSPECTUS COVERING
SECURITIES THAT HAVE BEEN REGISTERED UNDER THE SECURITIES ACT OF
1933
DSW INC.
2005 EQUITY INCENTIVE PLAN
FORM OF STOCK UNITS
GRANTED TO ____________ ON ____________
DSW Inc. ("Company") and its shareholders believe that their business interests
are best served by extending to you an opportunity to earn additional
compensation based on the growth of the Company's business. To this end, the
Company and its shareholders adopted the DSW Inc. 2005 Equity Incentive Plan
("Plan") as a means through which you may share in the Company's success. This
is done by granting Awards to directors.
This Award Agreement describes many features of your Award and the conditions
you must meet before you may receive the value associated with your Award. To
ensure you fully understand these terms and conditions, you should:
- Read the Plan and the Plan's Prospectus carefully to ensure you
understand how the Plan works;
- Read this Award Agreement carefully to ensure you understand the nature
of your Award and what must happen if you are to earn it; and
- Contact DSW's Vice President, Human Resources at (000) 000-0000 if you
have any questions about your Award.
Also, no later than ____________, you must return a signed copy of the Award
Agreement to:
Vice President, Human Resources
DSW
0000 Xxxx Xxxxx Xxxxxx
Xxxxxxxx, Xxxx 00000
If you do not do this, your Award will be revoked automatically as of the Grant
Date and you will not be entitled to receive anything on account of the
retroactively revoked Award.
Section 409A of the Internal Revenue Code ("Section 409A") imposes substantial
penalties on persons who receive some forms of deferred compensation (see the
Plan's Prospectus for more information about these penalties). Your Award has
been designed to avoid these penalties. However, because the Internal Revenue
Service has not yet issued rules fully defining the effect of Section 409A, it
may be necessary to revise your Award Agreement if you are to avoid these
penalties. As a condition of accepting this Award, you must agree to accept
those revisions, without any further consideration, even if those revisions
change the terms of your Award and reduce its value or potential value.
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NATURE OF YOUR AWARD
You have been granted an Award consisting of Stock Units, which will be
converted to common shares of the Company if the conditions described in this
Award Agreement are met. Federal income tax rules apply to the payment of your
Award. These and other conditions affecting your Award are described in this
Award Agreement, the Plan and the Plan's Prospectus, all of which you should
read carefully.
No later than ____________, you must return a signed copy of this Award
Agreement to:
Vice President, Human Resources
DSW
0000 Xxxx Xxxxx Xxxxxx
Xxxxxxxx, Xxxx 00000
If you do not do this, your Award will be revoked automatically as of the Grant
Date and you will not be entitled to receive anything on account of the
retroactively revoked Award.
GRANT DATE: Your Stock Units were granted on ____________ and it also is the
date your Stock Units vested.
NUMBER OF STOCK UNITS: You have been granted ____________ Stock Units in payment
of a portion of your annual retainer. Although these Stock Units are not actual
shares of Company stock, they will be credited with "dividends" at the same rate
and at the same time dividends are paid on actual shares of Company Stock. These
dividends will be converted to additional Stock Units based on the amount of
dividends paid and the Fair Market Value (as defined in the Plan) of a share of
Company stock. These additional Stock Units will be distributed at the same time
and subject to the same terms and conditions that apply to other Stock Units
granted with this Award Agreement.
The conditions that must be met before the Award is converted into shares of
Company stock are discussed below in the Section titled "When Your Award Will Be
Settled."
WHEN YOUR AWARD WILL BE SETTLED
NORMAL SETTLEMENT: Your Stock Units normally will be settled and converted to an
equal number of shares of Company stock when you leave the Company's board of
directors.
HOW YOUR STOCK UNITS MIGHT BE SETTLED BEFORE THE NORMAL SETTLEMENT DATE: If
there is a Change in Control (as defined in the Plan) before the Normal
Settlement Date, your Stock Units will be settled as of the date of the Change
in Control.
HOW YOUR STOCK UNITS MAY BE FORFEITED: You will forfeit any Stock Units if,
before they are settled and before Change in Control, your board service ends
because:
- You materially fail to substantially perform your position or duties;
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- You engage in illegal or grossly negligent conduct that is materially
injurious to the Company or any Related Entity (as defined in the
Plan);
- You materially violate any law or regulation governing the Company or
any Related Entity;
- You commit a material act of fraud or dishonesty which has had or is
likely to have a material adverse effect upon the Company's (or any
Related Entity's) operations or financial conditions;
- You materially breach the terms of any other agreement with the Company
or any Related Entity; or
- You breach any term of the Plan or this Award Agreement.
Also, if you terminate your board service for any reason other than those just
listed and the Company subsequently discovers that you actively concealed an
act, event or failure that is within those just listed and the Company could not
have discovered that act, event or failure through reasonable diligence before
your termination, you will be required to repay to the Company the full value
you received under this Award.
SETTLING YOUR AWARD
Your Stock Units will be settled automatically soon after your board service
ends. At that time, you will receive one share of Company stock for each Stock
Unit.
OTHER RULES AFFECTING YOUR AWARD
RIGHTS BEFORE YOUR STOCK UNITS ARE SETTLED: Until your Stock Units are settled,
you may not exercise any voting rights associated with the shares underlying
your Stock Units. See Section titled "Nature of Your Award - Number of Stock
Units for a description of how dividends will be paid on your Stock Units.
BENEFICIARY DESIGNATION: You may name a Beneficiary or Beneficiaries to receive
any Stock Units to be settled after you die. This may be done only on the
attached Beneficiary Designation Form and by following the rules described in
that form and in the Plan. If you die without making an effective Beneficiary
designation with respect to this Award, the Stock Units subject to this Award
will be converted to shares and distributed to your surviving spouse or, if you
do not have a surviving spouse, to your estate.
TAX WITHHOLDING: You (and not the Company) are solely responsible for any income
and other taxes (including payment of estimated taxes) associated with this
Award or its conversion to shares of Company stock.
TRANSFERRING YOUR STOCK UNITS: Normally, your Stock Units may not be transferred
to another person. However, you may complete a Beneficiary Designation Form to
name the person to receive any Stock Units settled after you die. Also, the
Committee may allow you to place your Stock Units into a trust established for
your benefit or the benefit of your family. Contact
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DSW's Vice President, Human Resources at (000) 000-0000 or at the address given
below if you are interested in doing this.
GOVERNING LAW: This Award Agreement will be construed in accordance with and
governed by the laws of the United States and the laws of the State of Ohio
(other than laws governing conflicts of laws).
OTHER AGREEMENTS: Also, your Stock Units will be subject to the terms of any
other written agreements between you and the Company.
ADJUSTMENTS TO YOUR STOCK UNITS: Your Stock Units will be adjusted, if
appropriate, to reflect any change to the Company's capital structure (e.g., the
number of your Stock Units will be adjusted to reflect a stock split).
OTHER RULES: Your Stock Units also are subject to more rules described in the
Plan and in the Plan's Prospectus. You should read both these documents
carefully to ensure you fully understand all the conditions of this Award.
TAX TREATMENT OF YOUR AWARD
The federal income tax treatment of your Stock Units is discussed in the Plan's
Prospectus.
*****
You may contact DSW's Vice President, Human Resources at (000) 000-0000 or at
the address given below if you have any questions about your Award or this Award
Agreement.
*****
YOUR ACKNOWLEDGMENT OF AWARD CONDITIONS
NOTE: You must sign and return a copy of this Award Agreement to DSW's Vice
President, Human Resources at the address given below no later than
____________.
By signing below, I acknowledge and agree that:
- A copy of the Plan has been made available to me;
- I have received a copy of the Plan's Prospectus;
- I understand and accept the conditions placed on my Award and
understand what I must do to earn my Award;
- I will consent (in my own behalf and in behalf of my beneficiaries and
without any further consideration) to any change to my Award or this
Award Agreement to avoid paying penalties under Section 409A of the
Internal Revenue Code, even if those changes affect the terms of my
Award and reduce its value or potential value; and
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- If I do not return a signed copy of this Award Agreement to the address
shown below before ____________, my Award will be revoked automatically
as of the date it was granted and I will not be entitled to receive
anything on account of the retroactively revoked Award.
____________________
__________________________________________
(signature)
Date signed: _____________________________
A signed copy of this form must be sent to the following address no later than
____________:
Vice President, Human Resources
DSW
0000 Xxxx Xxxxx Xxxxxx
Xxxxxxxx, Xxxx 00000
*****
COMMITTEE'S ACKNOWLEDGMENT OF RECEIPT
A signed copy of this Award Agreement was received on ______________.
By: _________________________
___________________:
_____ Has complied with the conditions imposed on the grant and the Award
and the Award Agreement remains in effect; or
_____ Has not complied with the conditions imposed on the grant and the
Award and the Award Agreement are revoked as of the Grant Date because
describe deficiency
DSW Inc. 2005 Equity Incentive Plan Committee
By: _______________________________
Date: _____________________________
NOTE: Send a copy of this completed form to ____________ and keep a copy as part
of the Plan's permanent records.
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DSW INC.
2005 EQUITY INCENTIVE PLAN
BENEFICIARY DESIGNATION FORM
RELATING TO STOCK UNITS ISSUED TO ____________ ON ____________
INSTRUCTIONS FOR COMPLETING THIS FORM
You may use this form to [1] name the person you want to receive any amount due
under the DSW Inc. 2005 Equity Incentive Plan after your death or [2] change the
person who will receive these benefits.
There are several things you should know before you complete this form.
FIRST, if you do not elect another Beneficiary, any amount due to you under the
Plan when you die will be paid to your surviving spouse or, if you have no
surviving spouse, to your estate.
SECOND, your election will not be effective (and will not be implemented) unless
you sign this form.
THIRD, your election will be effective only if and when this form is completed
properly and returned to DSW's Vice President, Human Resources at the address
given below.
FOURTH, all elections will remain in effect until they are changed (or until all
death benefits are paid).
FIFTH, if you designate your spouse as your Beneficiary but are subsequently
divorced from that person (or your marriage is annulled), your Beneficiary
designation will be revoked automatically.
SIXTH, if you have any questions about this form or if you need additional
copies of this form, please contact DSW's Vice President, Human Resources at
(000) 000-0000 or at the address given below.
1.00 DESIGNATION OF BENEFICIARY
1.01 PRIMARY BENEFICIARY:
I designate the following persons as my Primary Beneficiary or Beneficiaries
to receive any shares of DSW stock due after my death under the terms of the
Award Agreement described at the top of this form. These shares will be
allocated, in the proportion specified to:
______% to _______________________________________________________________
(Name) (Relationship)
Address: _________________________________________________________________
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______% to _______________________________________________________________
(Name) (Relationship)
Address: _________________________________________________________________
______% to _______________________________________________________________
(Name) (Relationship)
Address: _________________________________________________________________
______% to _______________________________________________________________
(Name) (Relationship)
Address: _________________________________________________________________
1.02 CONTINGENT BENEFICIARY
IF ONE OR MORE OF MY PRIMARY BENEFICIARIES DIES BEFORE I DIE, I DIRECT THAT any
shares of DSW stock due after my death under the terms of the Award Agreement
described at the top of this form:
_____ Be allocated to my other named Primary Beneficiaries in proportion
to the allocation given above (ignoring the interest allocated to the
deceased Primary Beneficiary); or
_____ Be paid to my other named Primary Beneficiaries in proportion to the
allocation given above (ignoring the interest allocated to the deceased
Primary Beneficiary); or
_____ Be distributed among the following Contingent Beneficiaries.
______% to _______________________________________________________________
(Name) (Relationship)
Address: _________________________________________________________________
______% to _______________________________________________________________
(Name) (Relationship)
Address: _________________________________________________________________
______% to _______________________________________________________________
(Name) (Relationship)
Address: _________________________________________________________________
______% to _______________________________________________________________
(Name) (Relationship)
Address: _________________________________________________________________
****
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ELECTIONS MADE ON THIS FORM WILL BE EFFECTIVE ONLY AFTER THIS FORM IS RECEIVED
BY DSW'S VICE PRESIDENT, HUMAN RESOURCES AND ONLY IF IT IS FULLY AND PROPERLY
COMPLETED AND SIGNED.
Name: ____________
Soc. Sec. No.: _________________________________________________________________
Date of Birth: _________________________________________________________________
Address: _______________________________________________________________________
________________________________________________________________________________
Sign and return this form to DSW's Vice President, Human Resources at the
address given below.
___________________________ ___________________________
Date Signature
Return this signed form to DSW's Vice President, Human Resources at the
following address:
Vice President, Human Resources
DSW
0000 Xxxx Xxxxx Xxxxxx
Xxxxxxxx, Xxxx 00000
Received on: __________________
By: ______________________________________
06/22/2005 - 9703498
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