Social Security No. The Holder understands that this designation operates to entitle the above-named beneficiary to the rights of a beneficiary conferred by the Option Agreement from the date this form is delivered to the Company until such date as this designation is revoked in writing by the Holder, including by delivery to the Company of a written designation of beneficiary executed by you on a later date. Date: By: Holder Sworn to before me this day of , 2012 Notary Public County of
Social Security No. This beneficiary designation relates to any and all of Recipient’s rights under the following Award or Awards: o any Award that Recipient has received under the Plan. o the Award that Recipient received pursuant to an award agreement dated ___ ___, ___between Recipient and the Company. The Recipient understands that this designation operates to entitle the above-named beneficiary to the rights conferred by an Award from the date this form is delivered to the Company until such date as this designation is revoked in writing by the Recipient, including by delivery to the Company of a written designation of beneficiary executed by the Recipient on a later date. Date: By: [Recipient Name] Sworn to before me this ___day of , 200_ Notary Public County of State of
Social Security No. This beneficiary designation relates to any and all of my rights under the following Award or Awards: o any Award that I have received or ever receive under the Plan. o the Award that I received pursuant to an award agreement dated , between myself and the Company. I understand that this designation operates to entitle the above-named beneficiary, in the event of my death, to any and all of my rights under the Award(s) designated above from the date this form is delivered to the Company until such date as this designation is revoked in writing by me, including by delivery to the Company of a written designation of beneficiary executed by me on a later date. Date: By: (Signature) Name of Participant: (Print Name) Sworn to before me this day of , 20 Notary Public County of State of
Examples of Social Security No in a sentence
Alphabetical list of all persons with a reportable financial interest in the project or activity(For individuals, give the last name first) Social Security No. or Employee ID No. Type of Participation CertificationWarning: If you knowingly make a false statement on this form, you may be subject to civil or criminal penalties under Section 1001 of Title 18 of the United States Code.
Print: Social Security No: XXX-XX- Last First Middle (last 4 only) Date: Signature: A copy of these requirements will be placed in your County-Wide Substitute file.
Taxpayer Identification Type (check appropriate box):Employer ID No. (EIN) Social Security No. (SSN) Individual Taxpayer ID No. (ITIN) N/A (Non-United States Business Entity)Part III: Address1.
Filer’s Full Social Security No. (Example: 123-45-6789)If a Joint Return, Spouse’s First NameM.I.Last Name3.
Give the following information on the individual or partners and establish whether they are Indian (I) or Non-Indian (NI).Name and I or % of Stock Social Security No. NI Address Ownership If a Joint Venture: a.
More Definitions of Social Security No
Social Security No. The Participant understands that this designation operates to entitle the above-named beneficiary to the rights conferred by the Award Agreement from the date this form is delivered to the Company until such date as this designation is revoked in writing by the Participant, including by delivery to the Company of a written designation of beneficiary executed by the Participant on a later date. Date: By: [Participant’s Name] Sworn to before me this ___day of , 20___ Notary Public County of State of
Social Security No. Taxpayer Identification No.:
Social Security No. Residence Address:
Social Security No. This beneficiary designation relates to any and all of Recipient’s rights under the following Award or Awards: o any Award that Recipient has received under the Plan. o the Award that Recipient received pursuant to an award agreement dated , between Recipient and the Company. The Recipient understands that this designation operates to entitle the above-named beneficiary to the rights conferred by an Award from the date this form is delivered to the Company until such date as this designation is revoked in writing by the Recipient, including by delivery to the Company of a written designation of beneficiary executed by the Recipient on a later date. Date: By: Sworn to before me this day of , 200 Notary Public County of State of Exhibit C SEPARATION AGREEMENT AND GENERAL RELEASE This Separation Agreement and General Release (this “Agreement”) is hereby entered into by and between Xxxxxxx X. Xxxxx, an individual (“Executive”), and Commerce Energy Group, Inc., a Delaware corporation, on behalf of itself and all of its subsidiaries (collectively, the “Company”).
Social Security No. This beneficiary designation relates to any and all of my rights under the following Award or Awards: ¨ any Award that I have received or ever receive under the Plan. ¨ the Award that I received pursuant to an award agreement dated , between myself and the Company. I understand that this designation operates to entitle the above named beneficiary, in the event of my death, to any and all of my rights under the Award(s) designated above from the date this form is delivered to the Company until such date as this designation is revoked in writing by me, including by delivery to the Company of a written designation of beneficiary executed by me on a later date. Date: By: Name of Participant Sworn to before me this day of , 20 Notary Public County of State of EXHIBIT F CAPITAL TRUST, INC. 2011 LONG-TERM INCENTIVE PLAN Long-Term Consideration and Company Recovery for Breach By signing and accepting your Award Agreement, you recognize and agree that the Company’s key consideration in granting this Award is securing your long-term commitment to serve as its [include job title or description] who will advance and promote the Company’s business interests and objectives. Accordingly, you agree that this Award shall be subject to the terms and conditions set forth in Section 14 of the Plan (relating to the termination, rescission, and recapture if you violate certain commitments made therein to the Company), as well as to the following terms and conditions as material and indivisible consideration for this Award:
Social Security No. GeoTel Communications Corporation Non-Qualified Stock Option Representation Letter The undersigned, ___________________ (the "Optionee"), in connection with the grant of an option to purchase _______ shares (the "Shares") of the Common Stock, $.01 par value per share, of GeoTel Communications Corporation (the "Company"), hereby represents and warrants to the Company that:
Social Security No. Employee's Clock No. "