Form of Split-Dollar and Deferred Compensation Termination Agreement



 Exhibit 10.34 
  
 SPLIT-DOLLAR AND DEFERRED COMPENSATION TERMINATION AGREEMENT 
  
 THIS SPLIT-DOLLAR AND DEFERRED COMPENSATION TERMINATION AGREEMENT (the
“Agreement”) is made and entered into as of the 5th day of December, 2003, and shall be effective as of the 27th day of December, 2003 (the “Effective Date”), by and between COCA-COLA BOTTLING CO. CONSOLIDATED, a Delaware
corporation (the “Corporation”), and                              (the “Executive”
and together with the Corporation, the “Parties”). 
  
 Statement of Purpose 
  
 The Corporation and
Executive are parties to one or more Split-Dollar Life Insurance Agreements (each a “Split-Dollar Agreement”), relating to the insurance policy(ies) listed on Schedule A attached hereto insuring the life of Executive (each a
“Policy”), one or more Assignments of Life Insurance Policy as Collateral by Executive in favor of the Corporation (each a “Collateral Assignment”), and a Deferred Compensation Agreement (the “Deferred Compensation
Agreement”), each of which is more particularly described on Schedule A attached hereto. The Corporation and Executive now desire to terminate the Split-Dollar Agreement, the Collateral Assignment, and the Deferred Compensation
Agreement and that Executive assign the Policy to the Corporation, all in accordance with the terms and conditions set forth herein. 
  
 NOW, THEREFORE, in consideration of the mutual promises and agreements set forth herein and for other good and valuable consideration, the receipt and
sufficiency of which are hereby expressly acknowledged, the Parties hereby agree as follows: 
  
 1. Termination of Agreements; Assignment of Policy. Each Split-Dollar Agreement, each Collateral Assignment and the Deferred Compensation Agreement are hereby terminated and all obligations of the Parties
thereunder are hereby extinguished, notwithstanding any provisions to the contrary contained therein effective as of the Effective Date. Executive shall transfer and assign ownership of each Policy to the Corporation effective as of the Effective
Date and shall execute and deliver such assignments and other documents and take all such other actions as the Corporation may request to effect such transfer. The Parties agree that the termination of the foregoing agreements and the assignment of
each Policy shall occur contemporaneously. 
  
 2. Payment of
Excess Cash Surrender Value. By the Effective Date, the Corporation shall determine the cash surrender value of the Policy and the Corporation’s Interest (as defined in each Split-Dollar Agreement) in each Policy as of the Effective Date.
If the cash surrender value of a Policy exceeds the Corporation’s Interest in such Policy, then promptly following such determination the Corporation shall pay to Executive the amount of such excess and make a tax gross-up payment on behalf of
Executive, which such tax gross-up amount shall be determined by the Corporation in its sole discretion. 
  









 3. Mutual Release. Each Party for itself and its heirs, beneficiaries, legal representatives,
successors and assigns, as applicable (the “Releasing Party”), does hereby release, acquit and forever discharge the other Party and its heirs, beneficiaries, legal representatives, officers, directors, agents, successors and assigns, as
applicable (the “Released Party”), from any and all claims, demands, actions, causes of action, suits, liabilities and disputes of any nature whatsoever, at law, in equity, or otherwise that the Releasing Party ever had, now has or
hereafter may have against the Released Party arising out of each Split-Dollar Agreement, each Collateral Assignment and the Deferred Compensation Agreement, except that this provision shall not relieve either Party of any of its obligations under
this Agreement. With respect to this release, Executive represents to the Corporation that Executive is aware, understands and agrees that (i) Executive voluntarily entered into this Agreement, (ii) Executive had and has the right to consult with an
attorney regarding this Agreement before signing it, and (iii) Executive has carefully read this Agreement and fully understands each and every term herein. 
  
 4. Miscellaneous. 
  
 (a) Each of the Parties hereto agrees to execute and deliver such other documents or agreements and to take such other action as may be
reasonably necessary or desirable for the implementation of this Agreement and the consummation of the transactions contemplated hereby. 
  
 (b) This Agreement shall be binding upon and shall inure to the benefit of the Parties and their respective legal representatives, heirs,
successors and assigns. 
  
 (c) This Agreement
shall be governed by and construed in accordance with the laws of the State of North Carolina, without regard to the conflicts of laws provisions thereof. 
  
 (d) Headings in this Agreement are provided for purposes of convenience only and shall not affect the interpretation of the terms hereof.

  
 (e) This Agreement may not be amended,
altered, modified or terminated except by a written instrument signed by the Parties or their respective successors or assigns. 
  
 [Signature page follows on next page] 
  

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 IN WITNESS WHEREOF, the Parties hereto have executed this Agreement as of the 5th day of December, 2003
to be effective as of the Effective Date, as defined above. 
  

			
	 “Executive”

	
	 
	

		
	 Address:
	 	 
	 
	

	 
	



  

			
	
	 “Corporation”

	
	 COCA-COLA BOTTLING CO. CONSOLIDATED

		
	 By:
	 	 
	 	 	

	 Name:
	 	 
	 	 	

	 Title:
	 	 
	 	 	



  

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 Schedule A 
  
 Insurance Policy(ies) 
  

					
	 Insurer

	 	 Policy Number

	 	 Policy Date



  
 [Intentionally
Omitted] 
  
  
 Split-Dollar Agreement(s) 
  
 [Intentionally Omitted] 
  
  
 Collateral Assignment Agreement(s) 
  
 [Intentionally Omitted] 
  
  
 Deferred Compensation Agreement 
  
 [Intentionally Omitted] 
  
  









 Annex A         
 Exhibit 10.34 
  
 Schedule to Form of Split-Dollar and 
 Deferred Compensation Termination
Agreement 
  
 The Company has entered into Split-Dollar Deferred Compensation
Termination Agreements (the “Termination Agreements”) with each of the officers named below. Each of the Termination Agreements is identical in all material respects. 
  
 Name and Position 
  
 William B. Elmore 
 President and Chief Operating Officer 
  
 Robert D. Pettus, Jr. 
 Executive Vice President and Assistant to the Chairman 
  
 David V. Singer 
 Executive Vice President and Chief Financial Officer 
  
 C. Ray Mayhall, Jr. 
 Senior Vice President, Sales 
  
 Clifford M. Deal, III 
 Vice President, Treasurer 
  
 Norman C. George 
 Senior Vice President, Chief Marketing and Customer Officer 

 
 Ronald J. Hammond 
 Vice President, Supply Chain 
  
 Kevin A. Henry 
 Vice President, Human Resources 
  
 Umesh M. Kasbekar 
 Vice President, Planning and Administration 
  
 Lauren C. Steele 
 Vice President, Corporate Affairs 
  
 Steven D. Westphal 
 Vice President, Controller 
  
 Jolanta
T. Zwirek 
 Vice President, Chief Information Officer