COVER
EXHIBIT A
PROFESSIONAL BRANCH MANAGER PHANTOM STOCK AGREEMENT
Compensation Deferral Election
Pursuant to the Agreement, I agree to the following deferral of amounts
that would otherwise be payable to me as current compensation (pick a., b.
or c.):
(a) Annual Bonus Whole
Dollar Deferral $_______ (not to exceed $12,000.00)
(b) Percentage of
Compensation Deferral: _______% of compensation (1% to 15%
and not to exceed $12,000.00
in the aggregate in
combination with the above
deferral)
or
(c) Monthly Whole Dollar Deferral $_______ ($250.00 to $1,000.00)
Having read and understood the Agreement and prospectus provided to me
by Xxxx, I understand and agree that:
1. My deferrals will be made from compensation payable to me in the
calendar year and all subsequent calendar years until I submit to
Xxxx a Compensation Deferral Amendment in accordance with the terms
of the Agreement and which is received by Xxxx prior to the first
day of the calendar year for which it is to be effective.
2. Elections may not be changed or revoked except at the end of a
calendar year (except in the event of severe financial hardship,
in which case, I may apply to Xxxx for its consent to a suspension
of deferrals).
3. Any deferral is subject to all of the terms and conditions of the
Agreement, including particularly that: (i) deferrals are
irrevocable until one year after vesting of Matched Share Units,
retirement, termination, disability, or death, whichever occurs
earliest, (ii) compensation which I defer is not invested directly
in common stock (therefore, I have no rights as a stockholder by
virtue of this Agreement), (iii) phantom stock may not be converted
to an alternative fixed income investment mode except as written in
the Agreement, and (iv) my only claim in the event of financial
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Professional Branch Manager Phantom Stock Agreement
Compensation Deferral Election
Page Two
difficulty of Xxxx is as an unsecured general creditor for the
benefits due to me under the Agreement.
Employee:
_____________________________
Signature Date
_____________________________
Print Full Name
Receipt Acknowledged:
XXXX XXXXX XXXX XXXXXX, INCORPORATED
By:_________________________________
Signature