exv10wxoy



 






Exhibit 10(o)




EXECUTIVE CHANGE IN CONTROL AGREEMENT




          This Executive Severance Agreement made as of the 21st day of June, 2005, by and
between Teleflex Incorporated (the “Company”) and Laurence G. Miller (“Employee”).




          WHEREAS, Employee is an executive of the Company; and




          WHEREAS, the Board of Directors of the Company believes that appropriate steps should be taken
to reinforce and encourage the continued attention and dedication of Employee to the Company
without distraction, notwithstanding that the Company could be subject to a Change of Control, and
that such possibility, and the uncertainty and questions which it may raise among management, may
result in the departure or distraction of key management personnel to the detriment of the Company;
and




          WHEREAS, in consideration for Employee agreeing to continue in employment with the Company and
agreeing to keep Company information confidential, the Company agrees that Employee shall receive
the compensation set forth in this Agreement in the event Employee’s employment with the Company is
terminated without Cause or Employee terminates employment for Good Reason, upon or after a Change
of Control;




          NOW, THEREFORE, in consideration of the foregoing and the mutual covenants and agreements
hereinafter set forth and intending to be legally bound hereby, the parties hereto agree as
follows:




          1. Definitions.




          “Base Salary” shall mean the highest annualized base rate of salary being paid to
Employee in all capacities with the Company, together with any and all salary reduction authorized
amounts under any of the Company’s benefit plans or programs, at the time of the Change of Control
or any time thereafter.




          “Benefit Period” shall mean the period beginning on Employee’s Termination Date and
ending on the first to occur of (a) the second anniversary of the Commencement Date or (b) the
first date on which Employee is employed by another employer and is eligible to participate in a
health plan of Employee’s new employer.




          “Board” shall mean the board of directors of the Company.




          “Bonus Plan” shall mean a plan of the Company providing for the payment of a cash
bonus to Employee, including the Company’s Profit Participation Plan and the Company’s Long Term
Incentive Plan.




 









 





          “Cause” shall mean (a) misappropriation of funds, (b) conviction of a crime involving
moral turpitude, or (c) gross negligence in the performance of duties, which gross negligence has
had a material adverse effect on the business, operations, assets, properties or financial
condition of the Company and its subsidiaries taken as a whole.




          “Commencement Date” shall mean the first day of the seventh month beginning after
Employee’s Termination Date, unless earlier payment of compensation or benefits under this
Agreement is permissible under Section 409A of the Code, in which case Commencement Date shall mean
the earliest such permissible date.




          “Change of Control” shall mean one of the following shall have taken place after the
date of this Agreement:




          (a) any “person” (as such term is used in Sections 13(d) or 14(d) of the Exchange Act) (other
than the Company, any majority controlled subsidiary of the Company, or the fiduciaries of any
Company benefit plans) becomes the beneficial owner (as defined in Rules 13d-3 and 13d-5 under the
Exchange Act), directly or indirectly, of 20% or more of the total voting power of the voting
securities of the Company then outstanding and entitled to vote generally in the election of
directors of the Company; provided, however, that no Change of Control shall occur upon the
acquisition of securities directly from the Company;




          (b) individuals who, as of the beginning of any 24 month period, constitute the Board (as of
the date hereof the “Incumbent Board”) cease for any reason during such 24 month period to
constitute at least a majority of the Board, provided that any individual becoming a director
subsequent to the date hereof whose election, or nomination for election by the Company’s
shareholders, was approved by a vote of at least a majority of the directors then comprising the
Incumbent Board shall be considered as though such individual were a member of the Incumbent Board,
but excluding, for this purpose, any such individual whose initial assumption of office is in
connection with an actual or threatened election contest relating to the election of the directors
of the Company;




          (c) consummation of (i) a merger, consolidation or reorganization of the Company, in each
case, with respect to which all or substantially all of the individuals and entities who were the
respective beneficial owners of the voting securities of the Company immediately prior to such
merger, consolidation or reorganization do not, following such merger, consolidation or
reorganization, beneficially own, directly or indirectly, at least 65% of the combined voting power
of the then outstanding voting securities entitled to vote generally in the election of directors
of the entity or entities resulting from such merger, consolidation or reorganization, (ii) a
complete liquidation or dissolution of the Company or (iii) a sale or other disposition of all or
substantially all of the assets of the Company, unless at least 65% of the combined voting power of
the then outstanding voting securities entitled to vote generally in the election of directors of
the entity or entities that acquire such assets are beneficially owned by individuals or entities




2









 




who or that were beneficial owners of the voting securities of the Company immediately before
such sale or other disposition; or




          (d) consummation of any other transaction determined by resolution of the Board to constitute
a Change of Control.




          “Code” means the Internal Revenue Code of 1986, as amended.




          “Component Target Amount” shall have the meaning specified therefor in the definition
of “Target Bonus” in this Section 1.




          “Disability” shall mean Employee’s continuous illness, injury or incapacity for a
period of six consecutive months.




          “Exchange Act” shall mean the Securities Exchange Act of 1934, as amended.




          “Good Reason” means a Termination of Employment initiated by Employee by Notice of
Termination, in accordance with Section 2 hereof, upon one or more of the following occurrences;
provided that as soon as practicable after Employee becomes aware of such occurrence and before
such Notice of Termination is given, Employee shall have given notice of Good Reason to the Company
and the Company shall not have fully corrected the situation within 10 days after such notice of
Good Reason:




          (a) any failure of the Company to comply with and satisfy any of the material terms of this
Agreement;




          (b) any significant reduction by the Company of the title, duties, job responsibilities,
reporting relationship or position of Employee;




          (c) any reduction in Employee’s Base Salary; or




          (d) the moving of the principal office of the Company to which Employee is assigned to a
location more than 25 miles from its location on the date of the Change of Control.




          “Performance Period” applicable to any Target Amount under a Bonus Plan shall mean the
period of time in which the performance goals applicable to the determination of cash bonus awards
pursuant to such Bonus Plan are measured.




          “Target Amount” in respect of a bonus payable to Employee pursuant to any Bonus Plan
shall mean the amount specified in the Company’s records pertaining to such Bonus Plan as the
“target amount” of cash bonus which would be payable to Employee if specified conditions were
fulfilled.




          “Target Bonus” shall mean the sum of the Target Amounts (each a “Component Target
Amount”) which would be payable in the year immediately




3









 




following the Termination Year pursuant to all Bonus Plans if all of the conditions for the
payment of each Component Target Amount were fulfilled, without regard to whether such conditions
are actually fulfilled; provided that, if a Target Amount has not been determined for any such
Bonus Plan on or before the Termination Date, the Target Amount for such Bonus Plan which would
have been payable in the Termination Year shall be substituted for such undetermined Target Amount
in the foregoing calculation of the “Target Bonus.”




          “Termination Date” shall mean the date of receipt of the Notice of Termination
described in Section 2 hereof or any later date specified therein as the effective date of
Employee’s Termination of Employment, as the case may be.




          “Termination of Employment” shall mean the termination of Employee’s active employment
relationship with the Company.




          “Termination following a Change of Control” shall mean a Termination of Employment
upon or within two years after a Change of Control either:




          (a) initiated by the Company for any reason other than Disability or Cause; or




          (b) initiated by Employee for Good Reason.




          “Termination Year” shall mean the year in which Employee’s Termination Date occurs.




          2. Notice of Termination. Any Termination of Employment shall be communicated by a
Notice of Termination to the other party hereto given in accordance with Section 14 hereof. For
purposes of this Agreement, a “Notice of Termination” means a written notice which (a) indicates
the specific reasons for the termination, (b) briefly summarizes the facts and circumstances deemed
to provide a basis for termination of Employee’s employment, and (c) if the Termination Date is
other than the date of receipt of such notice, specifies the Termination Date (which date shall not
be more than 15 days after the giving of such notice).




          3. Compensation upon Termination following a Change of Control. Subject to the
provisions of subsection (d) below and Sections 5 and 6 hereof, in the event of Employee’s
Termination following a Change of Control, Employee shall be entitled to receive the following
payments and benefits from the Company:




          (a) Within 15 days after the Termination Date, Employee shall receive a lump sum cash payment
equal to Employee’s unpaid base salary earned through the Termination Date.




          (b) If a bonus awarded to Employee pursuant to any Bonus Plan for payment in the Termination
Year shall not have been paid to Employee, Employee shall receive the amount of such award within
15 days after the Termination Date. If no such bonus shall have been awarded to Employee under any
Bonus Plan, on the




4









 




Commencement Date Employee shall receive a lump sum cash payment in the amount
of the sum of the Target Amounts under each such Bonus Plan referred to in the immediately
preceding sentence which would have been payable to Employee in the Termination Year.




          (c) On the Commencement Date, Employee shall receive a lump sum cash payment equal to the sum
of (i) a pro-rated amount of the Target Bonus, (ii) the amount (if any) paid by Employee for health
care continuation coverage (COBRA) for the period from the Termination Date to the date of such
lump sum payment and (iii) the actuarial present value, determined on the basis of the applicable
actuarial assumptions under the Teleflex Incorporated Retirement Income Plan (the “TRIP”) as of the
Commencement Date, of the additional accruals with which Employee would have been credited under
each of the TRIP and the Teleflex Incorporated Supplemental Executive Retirement Plan in which
Employee participates as of the Termination Date, if Employee were credited with two additional
Years of Benefit Service (as defined in the TRIP), received Base Salary and Target Bonus throughout
such additional two Years of Benefit Service, but made no contributions to a 401(k) or cafeteria
plan. The pro-rated Target Bonus shall be computed by multiplying the Target Bonus by a fraction
(i) the numerator of which is the number of days in each year of the Performance Period applicable
to such Component Target Amount reduced by the number of days in the Termination Year following the
Termination Date and (ii) the denominator of which is the number of days in the Performance Period.




          (d) Beginning with the Commencement Date, Employee shall receive the following:





(i) Employee shall receive an amount equal to two times Employee’s Base Salary.
This amount shall be paid in 24 equal monthly installments over the 24-month period
following the Commencement Date.




(ii) Employee shall receive an amount equal to the Target Bonus on each of the
six-month and eighteen-month anniversaries of the Commencement Date.




(iii) The Company shall continue to provide health and dental benefits under the
Company’s then current health plan for Employee and Employee’s spouse and
dependents during the balance of the Benefit Period on the same basis as if
Employee had continued to be employed during that period, or the Company may pay
Employee cash in lieu of such coverage in an amount equal to Employee’s after-tax
cost of continuing such coverage, where such coverage may not be continued (or
where such continuation would result in adverse tax consequences to Employee). The
COBRA health care continuation coverage period under Section 4980B of the Code
shall run concurrently with this period.




(iv) During the Benefit Period, the Company shall reimburse Employee for the cost
of outplacement assistance services, up to a maximum of



5









 






$20,000, which shall be provided by an outplacement agency selected by Employee.
The Company shall reimburse Employee within 15 days following the date on which the
Company receives proof of payment of such expense.




(v) If Employee was provided with the use of an automobile or a cash allowance
therefor as of the Termination Date, such use of an automobile or cash allowance,
as the case may be, shall be provided to Employee during the balance of the Benefit
Period.



          (e) All Company stock options and restricted stock held by Employee as of Employee’s
Termination Date that have not previously become vested and exercisable shall immediately become
fully vested and exercisable as of the date immediately preceding the Termination Date, and any
stock option or restricted stock awards under which such stock options or restricted stock are
granted are hereby amended, effective the later of the date of this Agreement or the date of such
award, to so provide.




          (f) As a condition to receiving the payments and benefits under this Agreement, Employee must
execute, and not revoke, a written waiver and release of claims against the Company, substantially
in the form attached hereto as Exhibit A (but subject to any necessary adjustment
reasonably determined by the Company to be necessary to comply with applicable law and regulation
in effect as of Employee’s Termination Date) (the “Release”). If Employee fails to execute or
revokes the Release, no payments or benefits shall be provided under this Agreement.




          4. Increase in Payments Upon Termination Following a Change of Control.




          (a) Anything in this Agreement to the contrary notwithstanding, if a Change of Control occurs
and it is determined that any payment or distribution by the Company to or for the benefit of
Employee, whether paid or payable or distributed or distributable pursuant to the terms of this
Agreement or otherwise (a “Payment”), would constitute an “excess parachute payment” within the
meaning of Section 280G of the Code, the Company shall pay to Employee an additional amount (the
“Gross-Up Payment”) such that the net amount retained by Employee after deduction of any excise tax
imposed under Section 4999 of the Code, and any federal, state and local income tax, employment tax
and excise tax imposed upon the Gross-Up Payment, shall be equal to the Payment. For purposes of
determining the amount of the Gross-Up Payment, unless Employee specifies that other rates apply,
Employee shall be deemed to pay federal income tax and employment taxes at the highest marginal
rate of federal income and employment taxation in the calendar year in which the Gross-Up Payment
is to be made, and state and local income taxes at the highest marginal rate of taxation in the
state and locality of Employee’s residence on the Termination Date, net of the maximum reduction in
federal income taxes that may be obtained from the deduction of such state and local taxes.




6









 








          (b) All determinations to be made under this Section 4 shall be made by the Company’s
independent public accountants immediately prior to the Change of Control or by another independent
public accounting firm mutually selected by the Company and Employee before the date of the Change
of Control (the “Accounting Firm”), which firm shall provide its determinations and any supporting
calculations both to the Company and Employee within 20 days after Employee’s Termination Date.
Any such determination by the Accounting Firm shall be binding upon the Company and Employee. The
Company shall pay the Gross-Up Payment to Employee on the Commencement Date or, if later, within
ten days after the Accounting Firm’s determination.




          (c) All of the fees and expenses of the Accounting Firm in performing the determinations
referred to in this Section 4 shall be borne solely by the Company. The Company agrees to
indemnify and hold harmless the Accounting Firm from any and all claims, damages and expenses
resulting from or relating to its determinations pursuant to this Section 4, except for claims,
damages or expenses resulting from the gross negligence or willful misconduct of the Accounting
Firm.




          5. Confidential Information. Employee recognizes and acknowledges that, by reason of
Employee’s employment by and service to the Company, Employee has had and will continue to have
access to confidential information of the Company and its affiliates, including, without
limitation, information and knowledge pertaining to products and services offered, innovations,
designs, ideas, plans, trade secrets, proprietary information, distribution and sales methods and
systems, sales and profit figures, customer and client lists, and relationships between the Company
and its affiliates and other distributors, customers, clients, suppliers and others who have
business dealings with the Company and its affiliates (“Confidential Information”). Employee
acknowledges that such Confidential Information is a valuable and unique asset of the Company, and
Employee covenants that Employee will not, either during or after Employee’s employment by the
Company, disclose any such Confidential Information to any person for any reason whatsoever without
the prior written authorization of the Company, unless such information is in the public domain
through no fault of Employee or except as may be required by law or in a judicial or administrative
proceeding. Notwithstanding anything to the contrary herein, each of the parties hereto (and each
employee, representative, or other agent of such parties) may disclose to any person, without
limitation of any kind, the federal income tax treatment and federal income tax structure of the
transactions contemplated hereby and all materials (including opinions or other tax analyses) that
are provided to such party relating to such tax treatment and tax structure.




          6. Equitable Relief.




          (a) Employee acknowledges that the restrictions contained in Section 5 hereof are reasonable
and necessary to protect the legitimate interests of the Company and its affiliates, that the
Company would not have entered into this Agreement in the absence of such restrictions, and that
any violation of any provision of that Section will result in irreparable injury to the Company.
Employee represents and acknowledges




7









 




that (i) Employee has been advised by the Company to consult Employee’s own legal counsel in
respect of this Agreement, and (ii) Employee has had full opportunity, prior to execution of this
Agreement, to review thoroughly this Agreement with Employee’s counsel.




          (b) Employee agrees that the Company shall be entitled to preliminary and permanent injunctive
relief, without the necessity of proving actual damages, as well as an equitable accounting of all
earnings, profits and other benefits arising from any violation of Section 5 hereof, which rights
shall be cumulative and in addition to any other rights or remedies to which the Company may be
entitled. Without limiting the foregoing, Employee also agrees that payment of the compensation
and benefits payable under Section 3 of this Agreement may be automatically ceased in the event of
a material breach of the covenants of Section 5, provided the Company gives Employee written notice
of such breach, detailing the activity of Employee that constitutes a material breach, and Employee
fails to cease such activity within 15 days after Employee’s receipt of such written notice. In
the event that any of the provisions of Section 5 hereof should ever be adjudicated to exceed the
time, geographic, service, or other limitations permitted by applicable law in any jurisdiction,
then such provisions shall be deemed reformed in such jurisdiction to the maximum time, geographic,
service, or other limitations permitted by applicable law.




          (c) Employee irrevocably and unconditionally (i) agrees that any suit, action or other legal
proceeding arising out of Section 5 hereof, including without limitation, any action commenced by
the Company for preliminary and permanent injunctive relief or other equitable relief, may be
brought in a United States District Court in Pennsylvania, or if such court does not have
jurisdiction or will not accept jurisdiction, in any court of general jurisdiction in or around
Philadelphia, Pennsylvania, (ii) consents to the non-exclusive jurisdiction of any such court in
any such suit, action or proceeding, and (iii) waives any objection which Employee may have to the
laying of venue of any such suit, action or proceeding in any such court. Employee also
irrevocably and unconditionally consents to the service of any process, pleadings, notices or other
papers in a manner permitted by the notice provisions of Section 14 hereof.




          7. Other Payments and Indemnification. The payments due under Section 3 hereof shall
be in addition to and not in lieu of any payments or benefits due to Employee under any other plan,
policy or program of the Company except as provided under Section 16(a) and except that no cash
payments shall be paid to Employee under any severance plan of the Company that are due and payable
solely as a result of a Change of Control. In addition, Employee shall continue to be covered by
any policy of insurance providing indemnification rights for service as an officer and director of
the Company and to all other rights to indemnification provided by the Company, in each case at
least as favorable as applicable to Employee on the date of this Agreement.




          8. Enforcement. It is the intent of the parties that Employee not be required to
incur any expenses associated with the enforcement of Employee’s rights under this Agreement by
arbitration, litigation or other legal action, because the cost and expense thereof would
substantially detract from the benefits intended to be extended to




8









 




Employee hereunder. Accordingly, the Company shall pay Employee on demand the amount
necessary to reimburse Employee in full for all expenses (including all attorneys’ fees and legal
expenses) incurred by Employee in attempting to enforce any of the obligations of the Company under
this Agreement, without regard to outcome, unless the lawsuit brought by Employee is determined to
be frivolous by a court of final jurisdiction.




          9. No Mitigation. Employee shall not be required to mitigate the amount of any
payment or benefit provided for in this Agreement by seeking other employment or otherwise, nor
shall the amount of any payment or benefit provided for herein be reduced by any compensation
earned by other employment or otherwise.




          10. No Set-Off. The Company’s obligation to make the payments provided for in this
Agreement and otherwise to perform its obligations hereunder shall not be affected by any
circumstances, including, without limitation, any set-off, counterclaim, recoupment, defense or
other right which the Company may have against Employee or others.




          11. Taxes. Any payments required under this Agreement shall be subject to applicable
tax withholding.




          12. Term of Agreement. The term of this Agreement shall be for three years from the
date hereof and shall be automatically renewed for successive one-year periods unless the Company
notifies Employee in writing that this Agreement will not be renewed at least 60 days prior to the
end of the current term; provided, however, that (i) this Agreement shall remain in effect for at
least two years after a Change of Control occurring during the term of this Agreement and shall
remain in effect until all of the obligations of the parties hereunder are satisfied, and (ii) this
Agreement shall terminate if, prior to but not in contemplation of a Change of Control, the
employment of Employee with the Company and its affiliates shall terminate for any reason.




          13. Successor Company. The Company shall require any successor or successors (whether
direct or indirect, by purchase, merger, consolidation or otherwise) to all or substantially all of
the business or assets of the Company, by agreement in form and substance satisfactory to Employee,
to acknowledge expressly that this Agreement is binding upon and enforceable against the Company in
accordance with the terms hereof, and to become jointly and severally obligated with the Company to
perform this Agreement in the same manner and to the same extent that the Company would be required
to perform if no such succession or successions had taken place. Failure of the Company to obtain
such agreement prior to the effectiveness of any such succession shall be a breach of this
Agreement. As used in this Agreement, the Company shall mean the Company as herein before defined
and any such successor or successors to its business or assets, jointly and severally.




          14. Notice. All notices and other communications required or permitted hereunder or
necessary or convenient in connection herewith shall be in writing




9









 




and shall be delivered personally or mailed by registered or certified mail, return receipt
requested, or by overnight express courier service, as follows:




     If to the Company, to:


Teleflex Incorporated

155 South Limerick Road

Limerick, PA 19468




     If to Employee, to:












or to such other names or addresses as the Company or Employee, as the case may be, shall designate
by notice to the other party hereto in the manner specified in this Section; provided, however,
that if no such notice is given by the Company following a Change of Control, notice at the last
address of the Company or to any successor pursuant to Section 14 hereof shall be deemed sufficient
for the purposes hereof. Any such notice shall be deemed delivered and effective when received in
the case of personal delivery, five days after deposit, postage prepaid, with the U.S. Postal
Service in the case of registered or certified mail, or on the next business day in the case of
overnight express courier service.




          15. Governing Law. This Agreement shall be governed by and interpreted under the laws
of the Commonwealth of Pennsylvania without giving effect to any conflict of laws provisions.




          16. Contents of Agreement, Amendment and Assignment.




          (a) This Agreement supersedes all prior agreements, sets forth the entire understanding
between the parties hereto with respect to the subject matter hereof and cannot be changed,
modified, extended or terminated except upon written amendment executed by Employee and approved by
the Board and executed on the Company’s behalf by a duly authorized officer; provided, however,
that except as stated in Section 7 above, this Agreement is not intended to supersede or alter
Employee’s rights under any compensation, benefit plan or program, unless specifically modified
hereunder, in which Employee participated and under which Employee retains a right to benefits.
The provisions of this Agreement may provide for payments to Employee under certain compensation or
bonus plans under circumstances where such plans would not provide for payment thereof. It is the
specific intention of the parties that the provisions of this Agreement shall supersede any
provisions to the contrary in such plans, to the extent that the provisions of this Agreement are
more favorable to Employee than the terms of such plans, and such plans shall be deemed to have
been amended to correspond with this Agreement without further action by the Company or the Board.




10









 





          (b) Nothing in this Agreement shall be construed as giving Employee any right to be retained
in the employ of the Company.




          (c) All of the terms and provisions of this Agreement, including the covenants of Section 5,
shall be binding upon and inure to the benefit of and be enforceable by the respective heirs,
representatives, successors and assigns of the parties hereto.




          17. Severability. If any provision of this Agreement or application thereof to anyone
or under any circumstances shall be determined to be invalid or unenforceable, such invalidity or
unenforceability shall not affect any other provisions or applications of this Agreement which can
be given effect without the invalid or unenforceable provision or application.




          18. Remedies Cumulative; No Waiver. No right conferred upon Employee by this
Agreement is intended to be exclusive of any other right or remedy, and each and every such right
or remedy shall be cumulative and shall be in addition to any other right or remedy given hereunder
or now or hereafter existing at law or in equity. No delay or omission by Employee in exercising
any right, remedy or power hereunder or existing at law or in equity shall be construed as a waiver
thereof, including, without limitation, any delay by Employee in delivering a Notice of Termination
pursuant to Section 2 hereof after an event has occurred which would, if Employee had resigned,
have constituted a Termination following a Change of Control pursuant to Section 1 of this
Agreement.




          19. Miscellaneous. All section headings are for convenience only. This Agreement may
be executed in several counterparts, each of which is an original. It shall not be necessary in
making proof of this Agreement or any counterpart hereof to produce or account for any of the other
counterparts.




          20. Construction. The word “including” means “including without limitation.”




          IN WITNESS WHEREOF, the undersigned, intending to be legally bound, have executed this
Agreement as of the date first above written.




	 	 	 	 	 
	 	 	Teleflex Incorporated
	 
	 	 	 	 
	 

	 	By
	 	/s/ Clark D. Handy
	 

	 	 	 	 
	 
	 	 	 	 
	 

	 	 	 	/s/ Laurence G. Miller
	 	 	 
	 	 	Laurence G. Miller







11









 








EXHIBIT A




GENERAL RELEASE




     1. I,                                         , for and in consideration of certain payments to be made and the
benefits to be provided to me under the Executive Severance Agreement, dated as of                                         
(the “Agreement”) with Teleflex Incorporated (the “Company”) and conditioned upon such payments and
provisions, do hereby REMISE, RELEASE, AND FOREVER DISCHARGE the Company and each of its past or
present subsidiaries and affiliates, its and their past or present officers, directors,
stockholders, employees and agents, their respective successors and assigns, heirs, executors and
administrators, the pension and employee benefit plans of the Company, or of its past or present
subsidiaries or affiliates, and the past or present trustees, administrators, agents, or employees
of the pension and employee benefit plans (hereinafter collectively included within the term the
“Company”), acting in any capacity whatsoever, of and from any and all manner of actions and causes
of actions, suits, debts, claims and demands whatsoever in law or in equity, which I ever had, now
have, or hereafter may have, or which my heirs, executors or administrators hereafter may have, by
reason of any matter, cause or thing whatsoever from the beginning of my employment with the
Company to the date of these presents and particularly, but without limitation of the foregoing
general terms, any claims arising from or relating in any way to my employment relationship and the
termination of my employment relationship with the Company, including but not limited to, any
claims which have been asserted, could have been asserted, or could be asserted now or in the
future under any federal, state or local laws, including any claims under the Pennsylvania Human
Relations Act, 43 Pa. C.S.A. §§951 et. seq., the Rehabilitation Act of 1973, 29 USC §§ 701
et seq., Title VII of the Civil Rights Act of 1964, 42 USC §§ 2000e et seq., the
Civil Rights Act of 1991, 2 USC §§ 60 et seq., as applicable, the Age Discrimination in
Employment Act of 1967, 29 USC §§ 621 et seq., the Americans with Disabilities Act, 29 USC
§§ 706 et seq., and the Employee Retirement Income Security Act of 1974, 29 USC §§ 301
et seq., all as amended, any contracts between the Company and me and any common law claims
now or hereafter recognized and all claims for counsel fees and costs; provided, however, that this
Release shall not apply to any entitlements under the terms of the Agreement or under any other
plans or programs of the Company in which I participated and under which I have accrued and become
entitled to a benefit other than under any Company separation or severance plan or programs.



     2. Subject to the limitations of paragraph 1 above, I expressly waive all rights afforded by
any statute which expressly limits the effect of a release with respect to unknown claims. I
understand the significance of this release of unknown claims and the waiver of statutory
protection against a release of unknown claims.



     3. I hereby agree and recognize that my employment by the Company was permanently and
irrevocably severed on
                    , 20___and the Company has no obligation, contractual or
otherwise to me to hire, rehire or reemploy me in the future. I acknowledge that the terms of the
Agreement provide me with payments and benefits which are in addition to any amounts to which I
otherwise would have been entitled.



A-1









 





     4. I hereby agree and acknowledge that the payments and benefits provided by the Company are
to bring about an amicable resolution of my employment arrangements and are not to be construed as
an admission of any violation of any federal, state or local statute or regulation, or of any duty
owed by the Company and that the Agreement was, and this Release is, executed voluntarily to
provide an amicable resolution of my employment relationship with the Company.



     5. I hereby acknowledge that nothing in this Release shall prohibit or restrict me from: (i)
making any disclosure of information required by law; (ii) providing information to, or testifying
or otherwise assisting in any investigation or proceeding brought by, any federal regulatory or law
enforcement agency or legislative body, any self-regulatory organization, or the Company’s
designated legal, compliance or human resources officers; or (iii) filing, testifying,
participating in or otherwise assisting in a proceeding relating to an alleged violation of any
federal, state or municipal law relating to fraud, or any rule or regulation of the Securities and
Exchange Commission or any self-regulatory organization. In addition, I understand that each of
the parties hereto (and each employee, representative, or other agent of such parties) may disclose
to any person, without limitation of any kind, the federal income tax treatment and federal income
tax structure of the transactions contemplated hereby and all materials (including opinions or
other tax analyses) that are provided to such party relating to such tax treatment and tax
structure.



     6. I hereby certify that I have read the terms of this Release, that I have been advised by
the Company to discuss it with my attorney, that I have received the advice of counsel and that I
understand its terms and effects. I acknowledge, further, that I am executing this Release of my
own volition with a full understanding of its terms and effects and with the intention of releasing
all claims recited herein in exchange for the consideration described in the Agreement, which I
acknowledge is adequate and satisfactory to me. None of the above named parties, nor their agents,
representatives or attorneys have made any representations to me concerning the terms or effects of
this Release other than those contained herein.



     7. I hereby acknowledge that I have been informed that I have the right to consider this
Release for a period of 21 days prior to execution. I also understand that I have the right to
revoke this Release for a period of seven days following execution by giving written notice to the
Company at the address set forth in Section 14 of the Agreement.



     8. I hereby further acknowledge that the terms of Sections 5 and 6 of the Agreement shall
continue to apply for the balance of the time periods provided therein and that I will abide by and
fully perform such obligations.



[SIGNATURE PAGE FOLLOWS]





A-2









 







Intending to be legally bound hereby, I execute the foregoing Release this ___day of
                                        , 20 ___.



 



	 	 	 
	 

	 	 
	Witness
	 	 







A-3