ELECTION FORM AND COMPENSATION REDUCTION AGREEMENTFlexible Benefit Plan Election Form • November 9th, 2010
Contract Type FiledNovember 9th, 2010In accordance with my rights under the plan, I elect the following benefits and designate the following amount for the plan year 2011. The Employer and I agree that my cash compensation will be reduced by the amount set forth below for each pay period and plan year (Or during such portion of the year as remains after the date of this agreement).