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EXHIBIT B
PROFESSIONAL BRANCH MANAGER PHANTOM STOCK AGREEMENT
Compensation Deferral Amendment
The purpose of this form is to change a previously-filed election. I
understand that:
1. The election made in this Compensation Deferral
Amendment applies only to the portion of my Account under
the Agreement attributable to contributions credited after the
first day of the calendar year following receipt of this form by
Xxxx.
2. The election made in this Compensation Deferral
Amendment will remain in effect for all future calendar years
unless I file a new Compensation Deferral Amendment with
Xxxx prior to the first day of the calendar year for which it
is to be effective.
ELECTION CHANGE: (Check as applicable)
I elect to cease further deferrals of my compensation.
Having previously suspended deferrals of my compensation, I elect to
resume such deferrals, at the percentage set forth below.
I elect that further deferrals of my compensation shall be equal to:
(a) $_________ of my annual bonus (not to exceed $12,000.00);
(b) _________% of compensation (1% to 15% and not to exceed
$12,000.00 in combination with the above deferral); or
(c) $_________ per month ($250.00 to $1,000.00).
Employee:
____________________________
Signature Date
____________________________
Print Full Name
Receipt Acknowledged:
XXXX XXXXX XXXX XXXXXX, INCORPORATED
By:__________________________________
Signature
