EXHIBIT 10.23.5
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 NONQUALIFIED STOCK OPTION AWARD AGREEMENT
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. If you
satisfy the conditions described in this Agreement (and the Plan), your Award
will mature into an opportunity to buy common shares of the Company.
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 what you must
do to earn your Award; 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 any amount 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 Nonqualified Stock Options ("NQSOs") which you may
exercise to purchase common shares of the Company but only if you satisfy the
conditions described in this Award Agreement and pay the Exercise Price
specified below. Federal income tax rules apply to NQSOs. These and other
conditions affecting your NQSOs 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.
GRANT DATE: Your NQSOs were issued on ____________.
This is the date you begin to earn the right to buy common shares of the Company
through your NQSOs.
NUMBER OF NQSOS: You have been granted ____________ NQSOs.
You may buy one common share of the Company for each NQSO granted but only if
you meet the conditions described in this Award Agreement and in the Plan.
WHEN YOU MAY EXERCISE YOUR AWARD AND WHEN IT WILL EXPIRE
NORMAL VESTING DATE: You may not exercise your NQSOs until they vest. Normally,
your NQSOs will vest (and may be exercised) if you are actively employed on
____________. This does not mean that you must exercise your NQSOs on
____________; this is merely the first date that you may do so. However, your
NQSOs will expire unless they are exercised before ____________, the Expiration
Date.
HOW YOUR NQSOS MIGHT VEST (AND BE EXERCISABLE) EARLIER THAN THE NORMAL VESTING
DATE: Regardless of the normal vesting schedule just given, your NQSOs will be
vested (and may be exercised) if, before the Normal Vesting Date:
- You die or become disabled (as defined in the Plan); or
- There is a Change in Control (as defined in the Plan).
HOW YOUR NQSOS MAY BE FORFEITED: You will forfeit your unvested NQSOs if:
- You materially fail to substantially perform your position or duties as
a consultant;
- You engage in illegal or grossly negligent conduct that is materially
injurious to the
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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 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.
EXERCISING YOUR AWARD
There are specific procedures you must follow to exercise an NQSO; if you do not
follow these procedures, your attempted exercise will be disregarded.
When you buy a common share of the Company by exercising an NQSO, the option
exercised is cancelled and no more shares may be bought through the cancelled
option.
EXPIRATION DATE: Your NQSOs will expire on (and may not be exercised after)
____________.
EXERCISE PRICE: You must pay $____________ for each common share of the Company
you buy when you exercise an NQSO.
MINIMUM NUMBER OF NQSOS THAT YOU MAY EXERCISE: The smallest number of NQSOs that
you may exercise at any one time is 100 or, if fewer, the total number of your
outstanding vested NQSOs.
Also, you may not exercise any NQSO to buy a fractional common share of the
Company; an NQSO to purchase a fractional share will be converted to an NQSO to
purchase a whole share.
PROCEDURES FOR EXERCISING YOUR NQSOS: To exercise an NQSO, you must:
- Complete a copy of the Nonqualified Stock Option Exercise Notice
attached to this Award Agreement (additional copies are available from
DSW's Vice President, Human Resources at (000) 000-0000 or at the
address given below); and
- Pay the Exercise Price (i.e., $____________) for each NQSO being
exercised.
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This must be done before ____________, when your NQSOs expire (see section
titled "When You May Exercise Your Award and When It Will Expire" above).
Unless otherwise authorized by the Company, you must pay the Exercise Price
by check in the amount of the Exercise Price ($____________) multiplied by the
number of NQSOs being exercised. This check must be made payable to "DSW Inc."
Upon payment, and as soon as administratively practicable, the Company will
issue you a number of shares equal to the number of NQSOs you are exercising.
OTHER RULES AFFECTING YOUR AWARD
RIGHTS BEFORE EXERCISE: Until you exercise your NQSOs, you may not exercise any
voting rights associated with the shares underlying your NQSOs. Nor will you be
entitled to receive any dividends with respect to those shares.
BENEFICIARY DESIGNATION: You may name a Beneficiary or Beneficiaries to exercise
any vested NQSOs that are unexercised when you die. This may be done only on the
attached Beneficiary Designation Form and by following the rules described in
that form. If you die without making an effective Beneficiary designation, your
Beneficiary will be your surviving spouse or, if you do not have a surviving
spouse, 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 exercise.
TRANSFERRING YOUR NQSOS: Normally, your NQSOs may not be transferred to another
person. However, you may complete a Beneficiary Designation Form to name the
person who may exercise your NQSOs if you die. Also, the Committee may allow you
to place your NQSOs into a trust established for your benefit or for the benefit
of your family. Contact DSW's Vice
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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 of the State of Ohio (other than
laws governing conflicts of laws).
OTHER AGREEMENTS: Also, your NQSOs will be subject to the terms of any other
written agreements between you and the Company.
ADJUSTMENTS TO NQSOS: Your Award will be adjusted, if appropriate, to reflect
any change to the Company's capital structure (e.g., the number of your NQSOs
and the Exercise Price will be adjusted to reflect a stock split).
OTHER RULES: Your NQSOs 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 terms and conditions of this Award.
TAX TREATMENT OF YOUR AWARD
The federal income tax treatment of your NQSOs 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 Awards and
understand what I must do to earn and exercise 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 conditions 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 any
amount 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 is retroactively revoked as of the Grant
Date because describe deficiency
DSW Inc. 2005 Equity Incentive Plan Administrator
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
NONQUALIFIED STOCK OPTION EXERCISE NOTICE
AFFECTING NONQUALIFIED STOCK OPTIONS ISSUED TO ____________ ON ____________
Additional copies of this Nonqualified Stock Option Exercise Notice are
available from DSW's Vice President, Human Resources at (000) 000-0000 or at the
address given below.
Also, DSW's Vice President, Human Resources can answer any questions you have
about completing this notice and exercising your NQSOs.
By completing this form and returning it to DSW's Vice President, Human
Resources at the address given below, I elect to exercise the NQSOs described
below:
NOTE: You must complete a separate Nonqualified Stock Option Exercise Notice
each time you exercise NQSOs granted under each Award Agreement (e.g., if you
are exercising 200 NQSOs granted January 1, 2006 and 100 NQSOs granted January
1, 2007 under a separate award agreement, you must complete two Nonqualified
Stock Option Exercise Notices, one for each set of NQSOs being exercised).
AFFECTED OPTIONS: This exercise relates to the following NQSOs (fill in the
blanks):
GRANT DATE: ____________
NUMBER OF NQSOS BEING EXERCISED WITH THIS NOTICE: _____________________
NOTE: You may not exercise fewer than 100 NQSOs at any one time unless you have
fewer than 100 NQSOs outstanding from this grant, in which case you may exercise
all of the outstanding NQSOs from this grant.
EXERCISE PRICE: The Exercise Price due is $__________________________________
NOTE: This amount must be the product of $____________ multiplied by the number
of NQSOs being exercised.
PAYMENT OF EXERCISE PRICE: I have decided to pay the Exercise Price by (check
one):
____ Personal check payable to "DSW Inc."
____ Through a cashless exercise.
____ Through the attestation process.
Note:
- If you select the cash method of exercise, you must include payment
with this notice.
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- If you select either the cashless or attestation form of paying the
Exercise Price, you should contact DSW's Vice President, Human
Resources at (000) 000-0000 or at the address given below to be sure
you understand how your choice of payment will affect the number of
common shares of the Company you will receive.
YOUR ACKNOWLEDGEMENT OF EFFECT OF EXERCISE
By signing below, I acknowledge and agree that:
- I fully understand the effect (including the investment effect) of
exercising my NQSOs and buying common shares of the Company and
understand that there is no guarantee that the value of these shares
will appreciate or will not depreciate;
- This election will have no effect if it is not returned to RVI's
Vice President Compensation, Benefits & HRIS at the address given
below before they expire (as described in the Award Agreement under
which these NQSOs were issued); and
- The common shares of the Company I am buying by filing this form
will be issued to me as soon as administratively practicable.
_______________
_____________________________________________
(signature)
Date signed: ________________________________
A signed copy of this Nonqualified Stock Option Exercise Notice must be sent to
the following address no later than ____________:
Vice President, Human Resources
DSW
0000 Xxxx Xxxxx Xxxxxx
Xxxxxxxx, Xxxx 00000
*****
ACKNOWLEDGEMENT OF RECEIPT
A signed copy of this Nonqualified Stock Option Exercise Notice was received on:
_______________________.
_______________:
____ Has effectively exercised the NQSOs described in this notice; or
____ Has not effectively exercised the NQSOs described in this notice
because
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__________________________________________________________________________
describe deficiency
DSW Inc. 2005 Equity Incentive Plan Administrator
By: __________________________________
Date: __________________________________
Note: Keep a copy of this form as part of the Plan's permanent records.
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DSW INC.
2005 EQUITY INCENTIVE PLAN
BENEFICIARY DESIGNATION FORM
RELATING TO STOCK OPTION AWARD ISSUED TO ____________ ON ____________
INSTRUCTIONS FOR COMPLETING THIS FORM
You may use this form [1] to name the person you want to receive any amount due
after your death under the terms of the Award described above or [2] to 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.
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 exercise any rights due after my death under the terms of
the Award Agreement described at the top of this form. These rights 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
rights available 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 allocated among the following Contingent Beneficiaries.
______% to _______________________________________________________________
(Name) (Relationship)
Address: _________________________________________________________________
______% to _______________________________________________________________
(Name) (Relationship)
Address: _________________________________________________________________
______% to _______________________________________________________________
(Name) (Relationship)
Address: _________________________________________________________________
______% to _______________________________________________________________
(Name) (Relationship)
Address: _________________________________________________________________
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.
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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: ______________________________________
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