**Exhibit 10.11**

 

**Pulaski Financial Corp.**

**Stock-Based Deferred Compensation Plan**

**Distribution Election Form**

 

I,                                                , hereby acknowledge and agree that during the 200__, Pulaski Financial Corp. Stock-Based Deferred Compensation Plan Year, a percentage of the commission income I would otherwise receive in cashfrom Pulaski Financial Corp., as specified in my Deferral Compensation Agreement, shall be deferred as a non-elective Bank Contribution under the Pulaski Financial Corp. Stock-Based Deferred Compensation Plan (the “Plan”). Accordingly, Ielect my benefits under the Plan to be distributed as follows: 

 

**BenefitDistribution Election**

 

I understand that any amountscredited to my Account under the Plan will become payable (or commence to be paid) to me in (select one of the following): 

 

           in the form of a lump sum distribution; or 

 

           in theform of annual installments over a period of at least two (2) years but not to exceed ten (10) years which period shall be              years. 

 

           asspecified on the attached alternate schedule (alternate schedules must be pre-approved by the Committee) 

 

I understand that my Plan benefits will be distributed to me: (choose one): 

 

 

 

Notwithstanding the foregoing, I acknowledge that pursuant to the Plan, amounts credited to my Account will be distributed to me upon a Change in Control (as defined inthe Plan), upon my death or in the event my service is terminated due to Disability (as defined in the Internal Revenue Code). 

 

**Beneficiary Election**

 

I understand that in the event of my death any amount to which I am entitled under this Plan will be paid to the beneficiary designated by me or, if none,to my surviving spouse or, if none, to my estate. I further understand that the last beneficiary designation filed by during my lifetime revokes all prior beneficiary designations previously filed by me for purposes of the Plan. I hereby state(choose one): 

 

           that I do not wish to name a Beneficiary; or 

 

           that                                             (insert name) residing at 

 

                                                                                            

whose Social Security number is        -    -            , is designated as my primary beneficiary. 

 

                                                                                 (insert name) residing at 

 

                                                                                                                                        

 

whose Social Security number is        -    -            , is designated as my secondary beneficiary. 

 

If my secondary beneficiary(ies) are not living at the time of thisdistribution, 

 

then my contingent beneficiary shall be                                                                        

 

residingat                                                                                                                        

 

whose Social Security number is        -    -            . 

 
  
 

Date
   
 

Signature ofParticipant
  
 

Witness
   
 

Social SecurityNumber

 
**RECEIVED AND ACCEPTED:** **PULASKI FINANCIAL CORP.**
Date:
 
 
 By: