Sixth Amended and Restated Supplemental Executive Retirement Plan



 Exhibit 10(q) 
 

 
 TENET HEALTHCARE CORPORATION 
 SIXTH AMENDED AND RESTATED 
 SUPPLEMENTAL EXECUTIVE 
 RETIREMENT PLAN 
 As Amended and
Restated Effective as December 31, 2008 







 TENET HEALTHCARE CORPORATION 
 SIXTH AMENDED AND RESTATED 
 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN

 TABLE OF CONTENTS 
  

					
	 	  	 	  	Page
	ARTICLE I PREAMBLE AND PURPOSE	  	1
	 1.1
	  	Preamble	  	1
	 1.2
	  	Purpose	  	1
		
	ARTICLE II DEFINITIONS	  	2
	 2.1
	  	Act	  	2
	 2.2
	  	Actuarial Equivalent	  	2
	 2.3
	  	Acquisition	  	2
	 2.4
	  	Agreement	  	2
	 2.5
	  	Alternate Payee	  	2
	 2.6
	  	AMI SERP	  	2
	 2.7
	  	Board	  	2
	 2.8
	  	Change of Control:	  	2
	 2.9
	  	Code	  	4
	 2.10
	  	Company	  	4
	 2.11
	  	Compensation Committee	  	4
	 2.12
	  	Controlled Group Member	  	4
	 2.13
	  	Date of Employment	  	4
	 2.14
	  	Date of Enrollment	  	5
	 2.15
	  	Deferred Vested Retirement Benefit	  	5
	 2.16
	  	Disability	  	5
	 2.17
	  	Disability Retirement Benefit	  	5
	 2.18
	  	DRO	  	5
	 2.19
	  	Early Retirement	  	5
	 2.20
	  	Early Retirement Age	  	5
	 2.21
	  	Early Retirement Benefit	  	6
	 2.22
	  	Earnings	  	6
	 2.23
	  	Effective Date	  	6
	 2.24
	  	Eligible Children	  	6
	 2.26
	  	Employee	  	6
	 2.27
	  	Employer	  	6
	 2.28
	  	Employment or Service	  	7
	 2.29
	  	ERA	  	7
	 2.30
	  	Existing Retirement Benefit Plans Adjustment Factor:	  	7
	 2.31
	  	Final Average Earnings	  	7
	 2.32
	  	Five Percent Owner	  	7
	 2.33
	  	Initial Election Period	  	7
	 2.34
	  	Key Employee:	  	8
	 2.35
	  	Normal Retirement	  	8
	 2.36
	  	Normal Retirement Age	  	8
	 2.37
	  	Normal Retirement Benefit	  	9
	 2.38
	  	Normal Retirement Date	  	9
	 2.39
	  	One Percent Owner	  	9
	 2.40
	  	PAC	  	9

  

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	 2.41
	    	Participant	  	9
	 2.42
	    	Plan Administrator	  	9
	 2.43
	    	Plan Year	  	9
	 2.44
	    	Prior Service Credit Percentage:	  	9
	 2.45
	    	Retirement Benefit	  	9
	 2.46
	    	Retirement Plans	  	10
	 2.47
	    	Severance Plan	  	10
	 2.48
	    	Subsidiary	  	10
	 2.49
	    	Surviving Spouse	  	10
	 2.50
	    	Termination of Employment	  	10
	 2.51
	    	Termination without Cause:	  	10
	 2.52
	    	Trust	  	11
	 2.53
	    	Trustee	  	11
	 2.54
	    	Year	  	11
	 2.55
	    	Year of Service	  	11
		
	ARTICLE III ELIGIBILITY AND PARTICIPATION	  	12
	 3.1
	    	Determination of Eligibility	  	12
	 3.2
	    	Early Retirement Election	  	12
	 3.3
	    	Loss of Eligibility Status	  	12
	 3.4
	    	Initial ERA Participation	  	12
	 3.5
	    	Subsequent ERA Participation	  	12
	 3.6
	    	Initial AMI SERP Participation	  	12
		
	ARTICLE IV RETIREMENT BENEFITS	  	13
	 4.1
	    	Normal Retirement Benefit	  	13
	 4.2
	    	Early Retirement Benefit	  	14
	 4.3
	    	Vesting of Retirement Benefit	  	15
	 4.4
	    	Deferred Vested Retirement Benefit	  	15
	 4.5
	    	Deferral of Distributions	  	16
	 4.6
	    	Duration of Benefit Payment	  	17
	 4.7
	    	Recipients of Benefit Payments	  	17
	 4.8
	    	Disability	  	18
	 4.9
	    	Change of Control	  	19
	 4.10
	    	Golden Parachute Cap	  	20
		
	ARTICLE V PAYMENT	  	21
	 5.1
	    	Commencement of Payments	  	21
	 5.2
	    	Withholding; Unemployment Taxes	  	21
	 5.3
	    	Recipients of Payments	  	21
	 5.4
	    	No Other Benefits	  	21
	 5.5
	    	No Lump Sum Form of Payment	  	21
		
	ARTICLE VI SPOUSAL CLAIMS	  	22
	 6.1
	    	Spousal Claims	  	22
	 6.2
	    	Legal Disability	  	22
	 6.3
	    	Assignment	  	22
		
	ARTICLE VII ADMINISTRATION OF THE PLAN	  	23
	 7.1
	    	The PAC	  	23
	 7.2
	    	Powers of the PAC	  	23

  

 - II - 









					
	 7.3
	    	Appointment of Plan Administrator	  	23
	 7.4
	    	Duties of Plan Administrator	  	23
	 7.5
	    	Indemnification of the PAC and Plan Administrator	  	24
	 7.6
	    	Claims for Benefits	  	25
	 7.7
	    	Arbitration	  	28
	 7.8
	    	Receipt and Release of Necessary Information	  	29
	 7.9
	    	Overpayment and Underpayment of Benefits	  	29
		
	ARTICLE VIII AMENDMENT AND TERMINATION OF THE PLAN	  	30
	 8.1
	    	Continuation	  	30
	 8.2
	    	Amendment of Plan	  	30
	 8.3
	    	Termination of Plan	  	30
	 8.4
	    	Termination of Affiliate’s Participation	  	31
		
	ARTICLE IX CONDITIONS RELATED TO BENEFITS	  	32
	 9.1
	    	No Right to Assets	  	32
	 9.2
	    	No Employment Rights	  	32
	 9.3
	    	Offset	  	32
	 9.4
	    	Conditions Precedent	  	32
		
	ARTICLE X MISCELLANEOUS	  	33
	 10.1
	    	Gender and Number	  	33
	 10.2
	    	Notice	  	33
	 10.3
	    	Validity	  	33
	 10.4
	    	Applicable Law	  	33
	 10.5
	    	Successors in Interest	  	33
	 10.6
	    	No Representation on Tax Matters	  	33
	 10.7
	    	Provisions Binding	  	33
		
	EXHIBIT A	  	A-1

  

 - III - 








 ARTICLE I 
 PREAMBLE AND PURPOSE 
  

	1.1	Preamble. Tenet Healthcare Corporation (the “Company”) adopted the Supplemental Executive Retirement Plan (the “Plan”) effective November 1,
1984 to attract, retain, motivate and provide financial security to highly compensated or management employees (the “Participants”) who render valuable services to the Company and its “Subsidiaries,” as defined in Article II. The
Plan was amended on various occasions and most recently amended and restated effective November 3, 2004. By this instrument, the Company desires to amend and restate the Plan effective December 31, 2008 to comply with final regulations
issued under section 409A of the Internal Revenue Code of 1986, as amended (the “Code”). This amended and restated Plan will be known as the Tenet Healthcare Corporation Sixth Amended and Restated Supplemental Executive Retirement Plan.


 The Company or its Subsidiaries may adopt one or more domestic trusts to serve as a possible source of funds for the payment
of benefit under this Plan. 
  

	1.2	Purpose. It is intended that this Plan will not constitute a “qualified plan” subject to the limitations of section 401(a) of the Code, nor will it
constitute a “funded plan,” for purposes of such requirements. It also is intended that this Plan will be exempt from the participation and vesting requirements of Part 2 of Title I of the Employee Retirement Income Security Act of 1974,
as amended (the “Act”), the funding requirements of Part 3 of Title I of the Act, and the fiduciary requirements of Part 4 of Title I of the Act by reason of the exclusions afforded plans that are unfunded and maintained by an employer
primarily for the purpose of providing deferred compensation for a select group of management or highly compensated employees. 

  
 End of Article I 







 ARTICLE II 
 DEFINITIONS 
 When a word or phrase appears in this Plan with the initial letter capitalized, and the word or phrase
does not commence a sentence, the word or phrase will generally be a term defined in this Article II. The following words and phrases with the initial letter capitalized will have the meaning set forth in this Article II, unless a different meaning
is required by the context in which the word or phrase is used. 
  

	2.1	Act means the Employee Retirement Income Security Act of 1974, as amended, and the regulations and rulings thereunder. 

  

	2.2	Actuarial Equivalent or Actuarial Equivalence means an amount equal in value to the aggregate amounts to be received under different forms of and/or times of payment, as
determined by the Plan actuary, calculated using factors based on six percent (6%) interest and a fifty/fifty (50/50) blend of the RP-2000 sex distinct mortality tables. Actuarial Equivalent factors will be used for calculating Retirement
Benefit amounts to be received under different times and/or forms of payment, for converting different forms and times of payment of Retirement Benefits and for determining the present value of Retirement Benefits. 

  

	2.3	Acquisition refers to a company of which substantially all of its assets or a majority of its capital stock are acquired by, or which is merged with or into, the Company or a
Subsidiary. 

  

	2.4	Agreement means a written agreement substantially in the form of Exhibit A between the Company and a Participant. Each Agreement will form a part of the Plan with respect to
the affected Participant. Once a Participant enters into an Agreement, such Agreement may be updated by the Company to reflect changes in the Plan made by the Company. Any such update will be attached to and form a part of the Participant’s
Agreement. 

  

	2.5	Alternate Payee means any spouse, former spouse, child, or other dependent of a Participant who is recognized by a DRO as having a right to receive all, or a portion
of, the benefits payable under the Plan with respect to such Participant. 

  

	2.6	AMI SERP means the American Medical International Inc. Supplemental Executive Retirement Plan or any successor or substitute for such plan. 

  

	2.7	Board means the Board of Directors of the Company. 

  

	2.8	Change of Control means the occurrence of one of the following: 

  

	 	(a)	 A “change in the ownership of the Company” which will occur on the date that any one person, or more than one person acting as a group within the meaning
of section 409A of the Code, acquires ownership of stock in the Company that, together with stock held by such person or group, constitutes more than fifty percent (50%) of the total fair market value or total voting power of the stock of the
Company. However, if any one person or more than one person acting as a group, is considered to own more than fifty percent (50%) of the total fair market 



  

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value or total voting power of the stock of the Company, the acquisition of additional stock by the same person or persons will not be considered a
“change in the ownership of the Company” (or to cause a “change in the effective control of the Company” within the meaning of Section 2.8(b) below). Further, an increase of the effective percentage of stock owned by any one
person, or persons acting as a group, as a result of a transaction in which the Company acquires its stock in exchange for property will be treated as an acquisition of stock for purposes of this paragraph; provided, that for purposes of this
Section 2.8(a), the following acquisitions of Company stock will not constitute a Change of Control: (i) any acquisition by any employee benefit plan (or related trust) sponsored or maintained by the Company or a Controlled Group Member,
(ii) any acquisition directly from the Company or (iii) any acquisition by the Company. This Section 2.8(a) applies only when there is a transfer of the stock of the Company (or issuance of stock) and stock in the Company remains
outstanding after the transaction. 


  

	 	(b)	A “change in the effective control of the Company” which will occur on the date that either: 

  

	 	(i)	any one person, or more than one person acting as a group within the meaning of section 409A of the Code, acquires (or has acquired during the twelve (12) month period ending
on the date of the most recent acquisition by such person or persons) ownership of stock of the Company possessing thirty five percent (35%) or more of the total voting power of the stock of the Company (not considering stock owned by such
person or group prior to such twelve (12) month period)(i.e., such person or group must acquire within a twelve (12) month period stock possessing thirty-five percent (35%) of the total voting power of the stock of the Company)
except for (A) any acquisition by any employee benefit plan (or related trust) sponsored or maintained by the Company or a Controlled Group Member, (B) any acquisition directly from the Company or (C) any acquisition by the Company;
or 

  

	 	(ii)	a majority of the members of the Board are replaced during any twelve (12) month period by directors whose appointment or election is not endorsed by a majority of the members
of the Board prior to the date of the appointment or election. 

 For purposes of a “change in the effective control of the
Company,” if any one person, or more than one person acting as a group, is considered to effectively control the Company within the meaning of this Section 2.8(b), the acquisition of additional control of the Company by the same person or
persons is not considered a “change in the effective control of the Company,” or to cause a “change in the ownership of the Company” within the meaning of Section 2.8(a) above. 
  

	 	(c)	 A “change in the ownership of a substantial portion of the Company’s assets” which will occur on the date that any one person, or more than one
person acting as a group, acquires (or has acquired during the twelve (12) month period ending on the date of the most recent acquisition by such person or persons) assets of the Company that have a total gross fair market value equal to or
more than forty 



  

 3 









	 	 
percent (40%) of the total gross fair market value of all the assets of the Company immediately prior to such acquisition or acquisitions. For this
purpose, gross fair market value means the value of the assets of the Company, or the value of the assets being disposed of, determined without regard to any liabilities associated with such assets. Any transfer of assets to an entity that is
controlled by the shareholders of the Company immediately after the transfer, as provided in guidance issued pursuant to section 409A of the Code, will not constitute a Change of Control. 


  

	 	(d)	A liquidation or dissolution of the Company that is approved by a majority of the Company’s stockholders. 

 For purposes of this Section 2.8, the provisions of section 318(a) of the Code regarding the constructive ownership of stock will apply to determine
stock ownership; provided, that, stock underlying unvested options (including options exercisable for stock that is not substantially vested) will not be treated as owned by the individual who holds the option. 
  

	2.9	Code means the Internal Revenue Code of 1986, as amended, and the regulations and rulings issued thereunder. 

  

	2.10 	Company means Tenet Healthcare Corporation. 

  

	2.11 	Compensation Committee means the Compensation Committee of the Board of Directors of the Company. 

  

	2.12 	Controlled Group Member means with respect to the Company or a Subsidiary, as applicable: 

  

	 	(a)	Any corporation or association that is a member of a controlled group of corporations with the Company or the Subsidiary (within the meaning of section 1563(a) of the Code,
determined without regard to section 1563(a)(4) and section 1563(e)(3)(C) of the Code); 

  

	 	(b)	Any trade or business (whether or not incorporated) that is under common control with the Company or the Subsidiary as determined in accordance with section 414(c) of the Code;


  

	 	(c)	Any service organization that is a member of an affiliated service group (within the meaning of section 414(m) of the Code) with respect to which the Company or a Subsidiary is a
member; and 

  

	 	(d)	Any other entity required to be aggregated with the Company or a Subsidiary pursuant to section 414(o) of the Code. 

 Depending on the ownership of the Company in a Subsidiary, or the relationship between the Company and such Subsidiary, the Subsidiary may be a Controlled
Group Member with respect to the Company. 
  

	2.13 	Date of Employment means the date on which a person began to perform services directly for the Employer as a result of an Acquisition or becoming an employee.


  

 4 









	2.14 	Date of Enrollment means the date on or after June 1, 1984 on which an Eligible Employee first becomes a Participant in the Plan, provided that any Eligible Employee who
becomes a Participant prior to June 1, 1985 will be deemed to have a Date of Enrollment of the later of the Participant’s Date of Employment or June 1, 1984. 

  

	2.15 	Deferred Vested Retirement Benefit means the benefit payable pursuant to Section 4.4. 

  

	2.16 	Disability means the inability of a Participant to engage in any substantial gainful activity by reason of a mental or physical impairment expected to result in death or last
for at least twelve (12) months, or the Participant, because of such a condition, is receiving income replacement benefits for at least three (3) months under an accident or health plan covering the Employer’s employees.


  

	2.17 	Disability Retirement Benefit means the benefit payable pursuant to Section 4.8. 

  

	2.18 	DRO means a domestic relations order that is a judgment, decree, or order (including one that approves a property settlement agreement) that relates to the provision of child
support, alimony payments or marital property rights to a spouse, former spouse, child or other dependent of a Participant and is rendered under a state (within the meaning of section 7701(a)(10) of the Code) domestic relations law (including a
community property law) and that: 

  

	 	(a)	Creates or recognizes the existence of an Alternate Payee’s right to, or assigns to an Alternate Payee the right to receive all or a portion of the benefits payable with
respect to a Participant under the Plan; 

  

	 	(b)	Does not require the Plan to provide any type or form of benefit, or any option, not otherwise provided under the Plan; 

  

	 	(c)	Does not require the Plan to provide increased benefits (determined on the basis of actuarial value); 

  

	 	(d)	Does not require the payment of benefits to an Alternate Payee that are required to be paid to another Alternate Payee under another order previously determined to be a DRO; and


  

	 	(e)	Clearly specifies: (i) the name and last known mailing address of the Participant and of each Alternate Payee covered by the DRO; (ii) the amount or percentage of the
Participant’s benefits to be paid by the Plan to each such Alternate Payee, or the manner in which such amount or percentage is to be determined; (iii) the number of payments or payment periods to which such order applies; and
(iv) that it is applicable with respect to this Plan. 

  

	2.19 	Early Retirement means any Termination of Employment during the life of a Participant prior to the attainment of Normal Retirement Age and after attaining Early Retirement
Age. 

  

	2.20 	 Early Retirement Age means the date the Participant attains age fifty-five (55) and has completed ten (10) Years of Service or attains age
sixty-two (62) with no minimum Years of Service. A Participant will be credited with age and Years of Service during his 



  

 5 









	 	 
severance period under the Severance Plan in effect as of the date in which the Participant commences participation in this Plan for purposes of determining
if he satisfies the age and service conditions for Early Retirement Age as of the date of his Termination of Employment; provided, however, that payment of Early Retirement Benefits under this Plan will not commence until the Participant has
actually attained the requisite age and service conditions (e.g., if the Participant who timely elected an Early Retirement Age of age fifty-five (55) and ten (10) Years of Service will satisfy such conditions during the Severance
Period, he will be deemed to have satisfied such conditions as of his Termination of Employment but his Early Retirement Benefits will not commence until he actually attains age fifty-five (55) and completed ten (10) Years of Service).
Furthermore, if after the date the Participant commences participation in this Plan, the applicable Severance Plan is amended to modify the severance period, such modification will not apply to the Participant for purposes of determining his Early
Retirement Age under this Plan. As provided in Sections 3.1(b) and 4.2(b), a Participant will elect during the Initial Election Period which definition of Early Retirement Age will apply to him under the Plan. If the Participant fails to make such
election, the Participant will be deemed to have elected age sixty-two (62) as his Early Retirement Age under the Plan. 


  

	2.21 	Early Retirement Benefit means the benefit payable pursuant to Section 4.2. 

  

	2.22 	Earnings means the base salary, any annual cash award paid under the Company’s annual incentive plan and any discretionary awards made under the Company’s deferred
compensation plans by the Employer to such Participant (referred to in Section 4.1 as “Bonus”), but will exclude car and other allowances and other cash and non-cash compensation. 

  

	2.23 	Effective Date means December 31, 2008, except as specifically provided otherwise herein. 

  

	2.24 	Eligible Children means all natural or adopted children of a Participant under the age of twenty-one (21), including any child conceived prior to the death of a Participant.


  

	2.25 	Eligible Employee means an Employee who is employed in the capacity of a Corporate Senior Vice President or above in a position designated as eligible to participate in this
Plan by the Compensation Committee and who is not a Participant in the ERA. 

  

	2.26 	Employee means each select member of management or highly compensated employee receiving remuneration, or who is entitled to remuneration, for services rendered to the
Employer, in the legal relationship of employer and employee. The term “Employee” will not include any person who is employed by the Employer in the capacity of an independent contractor, an agent or a leased employee even if such person
is determined by the Internal Revenue Service, the Department of Labor or a court of competent jurisdiction to be a common law employee of the Employer. 

  

	2.27 	Employer means the Company and its Subsidiaries who have adopted the Plan as participating employers. A Subsidiary may evidence its adoption of the Plan either by a formal
action of its governing body or by taking other administrative actions with respect to this Plan on behalf of its Eligible Employees. An entity will cease to be a participating employer as of the date such entity ceases to be a Subsidiary.


  

 6 









	2.28 	Employment or Service means any continuous period during which an Eligible Employee is actively engaged in performing services for the Employer plus the term of any leave of
absence approved by the Employer. 

  

	2.29 	ERA means the Tenet Executive Retirement Account. 

  

	2.30 	Existing Retirement Benefit Plans Adjustment Factor means the assumed benefit the Participant would be eligible for under Social Security and all Retirement Plans regardless
of whether the Participant participates in such plans. The Existing Retirement Benefits Plan Adjustment Factor will be applied only to the base salary component of Final Average Earnings and is a projection of the benefits payable under the Social
Security regulations in effect June 1, 1984, and Retirement Plans in effect on June 1, 1984, or the Participant’s Date of Enrollment in the Plan, if later. Once established for a Participant, the Existing Retirement Benefits Plan
Adjustment Factor will not thereafter be altered to reflect any reduction in benefits under Social Security. At the direction of the Compensation Committee, the Existing Retirement Benefits Plan Adjustment Factor may be adjusted from time to time to
reflect changes under the following conditions: 

  

	 	(a)	a Participant is transferred to different Retirement Plans; 

  

	 	(b)	the Employer’s contribution to a Retirement Plan is increased or decreased from the percentage used for the original calculation of the Participant’s Existing Retirement
Benefits Plan Adjustment Factor; or 

  

	 	(c)	the Participant becomes eligible for other Retirement Plans adopted by the Employer which would provide benefits greater or less than the Retirement Plan considered in calculating
the Participant’s original Existing Retirement Benefits Plan Adjustment Factor. 

  

	2.31 	Final Average Earnings means the Participant’s highest average monthly Earnings for any sixty (60) consecutive months during the ten (10) years, or actual
employment period if less, preceding Termination of Employment. 

  

	2.32 	Five Percent Owner means any person who owns (or is considered as owning within the meaning of section 318 of the Code (as modified by section 416(i)(1)(B)(iii) of the Code))
more than five percent (5%) of the outstanding stock of the Company, a Subsidiary or a Controlled Group Member or stock possessing more than five percent (5%) of the total combined voting power of all stock of the Company, Subsidiary or
Controlled Group Member. The rules of sections 414(b), (c) and (m) of the Code will not apply for purposes of applying these ownership rules. Thus, this ownership test will be applied separately with respect to the Company, each Subsidiary
and each Controlled Group Member. 

  

	2.33 	Initial Election Period means the thirty (30) day period immediately following the Participant’s Date of Enrollment during which a Participant may elect the time at
which to receive a distribution of Early Retirement Benefits pursuant to Section 4.2(b). 

  

 7 









	2.34 	Key Employee means any employee or former employee (including any deceased employee) who at any time during the Plan Year was: 

  

	 	(a)	an officer of the Company, a Subsidiary or a Controlled Group Member having compensation of greater than one hundred thirty thousand dollars ($130,000) (as adjusted under section
416(i)(1) of the Code for Plan Years beginning after December 31, 2002)(such limit is one hundred fifty thousand dollars ($150,000) for 2008); 

  

	 	(b)	a Five Percent Owner; or 

  

	 	(c)	a One Percent Owner having compensation of more than one hundred fifty thousand dollars ($150,000). 

 For purposes of the preceding paragraphs, the Company has elected to determine the compensation of an officer or One Percent Owner in accordance with
section 1.415(c)-2(d)(4) of the Treasury Regulations (i.e. W-2 wages plus amounts that would be includible in wages except for an election under section 125(a) of the Code (regarding cafeteria plan elections) under section 132(f) of the Code
(regarding qualified transportation fringe benefits) or section 402(e)(3) of the Code (regarding section 401(k) plan deferrals)) without regard to the special timing rules and special rules set forth, respectively, in sections 1.415(c)-2(e) and 2(g)
of the Treasury Regulations. 
 The determination of Key Employees will be based upon a twelve (12) month period ending on
December 31 of each year (i.e., the identification date). Employees that are Key Employees during such twelve (12) month period will be treated as Key Employees for the twelve (12) month period beginning on the first day of the
fourth month following the end of the twelve (12) month period (i.e., since the identification date is December 31, then the twelve (12) month period to which it applies begins on the next following April 1). 

The determination of who is a Key Employee will be made in accordance with section 416(i)(1) of the Code and other guidance of general applicability
issued thereunder. For purposes of determining whether an employee or former employee is an officer, a Five Percent Owner or a One Percent Owner, the Company and each Subsidiary and Controlled Group Member will be treated as a separate employer
(i.e., the controlled group rules of sections 414(b), (c), (m) and (o) of the Code will not apply). Conversely, for purposes of determining whether the one hundred thirty thousand dollar ($130,000) adjusted limit on compensation is
met under the officer test described in Section 2.34(a), compensation from the Company and all Subsidiaries and Controlled Group Members will be taken into account (i.e., the controlled group rules of sections 414(b), (c), (m) and
(o) of the Code will apply). Further, in determining who is an officer under the officer test described in Section 2.34(a), no more than fifty (50) employees of the Company or its Subsidiaries and Controlled Group Members
(i.e., the controlled group rules of sections 414(b), (c), (m) and (o) of the Code will apply) will be treated as officers. If the number of officers exceeds fifty (50), the determination of which employees or former employees are
officers will be determined based on who had the largest annual compensation from the Company and Subsidiaries and Controlled Group Members for the Plan Year. 
  

	2.35 	Normal Retirement means any Termination of Employment during the life of a Participant on or after attaining Normal Retirement Age. 

  

	2.36 	Normal Retirement Age means the date on which the Participant attains age sixty-five (65). 

  

 8 









	2.37 	Normal Retirement Benefit means the benefit payable pursuant to Section 4.1. 

  

	2.38 	Normal Retirement Date means the first day of the calendar month following the Participant’s attainment of Normal Retirement Age. 

  

	2.39 	One Percent Owner means any person who would be described in Section 2.28 if “one percent (1%)” were substituted for “five percent (5%)” each place
where it appears therein. 

  

	2.40 	PAC means the Pension Administration Committee of the Company established by the Compensation Committee, and whose members have been appointed by the Compensation Committee.
The PAC will have the responsibility to administer the Plan and make final determinations regarding claims for benefits, as described in Article VI. In addition, the PAC has limited amendment authority over the Plan as provided in Section 8.2.


  

	2.41 	Participant means any Eligible Employee selected to participate in this Plan by the Compensation Committee, in its sole and absolute discretion. 

  

	2.42 	Plan Administrator means the individual or entity appointed by the PAC to handle the day-to-day administration of the Plan, including but not limited to determining the
amount of a Participant’s benefits and complying with all applicable reporting and disclosure obligations imposed on the Plan. If the PAC does not appoint an individual or entity as Plan Administrator, the PAC will serve as the Plan
Administrator. 

  

	2.43 	Plan Year means the fiscal year of this Plan, which will commence on January 1 each year and end on December 31 of such year. 

  

	2.44 	Prior Service Credit Percentage means the percentage to be applied to a Participant’s Years of Service with the Employer prior to his Date of Enrollment in the Plan, in
accordance with the following formula: 

  

			
	 Years of Service
 After Date of Enrollment
	  	Prior Service Credit
Percentage
	 During 1st year
	  	25
	 During 2nd year
	  	35
	 During 3rd year
	  	45
	 During 4th year
	  	55
	 During 5th year
	  	75
	 After 5th year
	  	100

 In the event of the death or Disability of a Participant while an employee at any age or the
Normal Retirement or Early Retirement of a Participant after age sixty (60), the Participant’s Prior Service Credit Percentage will be one hundred (100). 
  

	2.45 	Retirement Benefit means an Early Retirement Benefit, Normal Retirement Benefit, Disability Retirement Benefit, or Deferred Vested Retirement Benefit payable pursuant to
Article IV. 

  

 9 









	2.46 	Retirement Plans means any qualified defined benefit pension plan or qualified defined contribution plan maintained by the Employer. 

  

	2.47 	Severance Plan means the Tenet Employee Severance Plan, the Tenet Executive Severance Protection Plan or any or any similar, successor or replacement plan to such plans.


  

	2.48 	Subsidiary means any corporation, partnership, venture or other entity in which the Company owns fifty percent (50%) of the capital stock or otherwise has a controlling
interest as determined by the Compensation Committee, in its sole and absolute discretion. Generally, a Subsidiary will only be a Controlled Group Member with respect to the Company if the Company owns at least eighty percent (80%) of the
capital stock of the Subsidiary. 

  

	2.49 	Surviving Spouse means the person legally married to a Participant for at least one (1) year prior to the earlier of the Participant’s death or Termination of
Employment. If the Participant is not married at the time he incurs a Termination of Employment and marries after that date, such spouse will not qualify as a Surviving Spouse for purposes of the Plan. Likewise, if the Participant is married at the
time he incurs a Termination of Employment, divorces after that date and remarries, his subsequent spouse will not qualify as a Surviving Spouse for purposes of the Plan. 

  

	2.50 	Termination of Employment means the ceasing of the Participant’s Employment for any reason whatsoever, whether voluntarily or involuntarily, including by reason of
Normal Retirement or Early Retirement, that qualifies as a separation from service under section 409A of the Code (i.e., the Participant must cease employment with the Employer and all Controlled Group Members and Subsidiaries). For this purpose a
Participant who is on a leave of absence that exceeds six (6) months and who does not have statutory or contractual reemployment rights with respect to such leave, will be deemed to have incurred a Termination of Employment on the first day of
the seventh (7th) month of such leave. A Participant who transfers employment from an Employer to a Controlled Group Member or a Subsidiary, regardless of whether such Controlled Group Member or a Subsidiary has adopted the Plan as a
participating employer, will not incur a Termination of Employment. A Participant who experiences a “qualifying termination” under the Severance Plan will incur a Termination of Employment under the Plan, subject to the special provisions
regarding Early Retirement under Section 2.20. 

  

	2.51 	Termination without Cause means, for purposes of Section 4.9, the termination of a Participant by the Employer without cause or a voluntary termination of employment by
the Participant within two (2) years of a Change in Control following: 

  

	 	(a)	a material downward change in job functions, duties, or responsibilities which reduce the rank or position of the Participant; 

  

	 	(b)	a reduction in the Participant’s annual base salary; 

  

	 	(c)	a material reduction in the Participant’s annual incentive plan bonus payment other than for financial performance as it broadly applies to all similarly situated active
Participants in the same plan; 

  

 10 









	 	(d)	a material reduction in the Participant’s retirement or supplemental retirement benefits that does not broadly apply to all active Participant’s in the same plan; or


  

	 	(e)	a transfer of a Participant’s office to a location that is more than fifty (50) miles from the Participant’s current principal office location.


  

	2.52 	Trust means the rabbi trust established with respect to the Plan the assets of which are to be used for the payment of Retirement Benefits under this Plan.


  

	2.53 	Trustee means the individual or entity appointed as trustee under the Trust. 

  

	2.54 	Year means a period of twelve (12) consecutive calendar months. 

  

	2.55 	Year of Service means each complete year (up to a maximum of twenty (20)) of continuous service (up to age sixty-five (65)) as an employee of the Employer beginning
with the Date of Employment with the Employer. Years of Service will be deemed to have begun as of the first day of the calendar month of Employment and to have ceased on the last day of the calendar month of Employment. In the event a Participant
incurs a Termination of Employment and is reemployed by the Employer, Service completed before such reemployment will be treated as Years of Service under the Plan to the extent provided in the Company’s rehire policy, the provisions of which
are incorporated herein by this reference. Years of Service prior to an employee’s Date of Enrollment in the Plan will be credited on a pro-rated basis pursuant to Section 2.45. 

  
 End of Article II 
  

 11 








 ARTICLE III 
 ELIGIBILITY AND PARTICIPATION 
  

	3.1	Determination of Eligibility. Each Eligible Employee who is selected to participate in the Plan by the Compensation Committee will become a Participant in the Plan as of the
date specified by the Compensation Committee. 

  

	3.2	Early Retirement Election. An Eligible Employee must elect during the Initial Election Period to commence the distribution of his Retirement Benefits on the first day of the
calendar month following his Early Retirement as provided pursuant to Section 4.2. In making this election the Participant must specify the Early Retirement Age that will apply to him under the Plan (i.e., age fifty-five (55) and
ten (10) Years of Service or age sixty-two (62)). If the Eligible Employee fails to make this election during the Initial Election Period, he will be deemed to have affirmatively elected to commence the distribution of his Retirement Benefits
on the first day of the calendar month following the date of his Retirement on or after attaining age sixty-two (62). Once made (or deemed made), this election cannot be revoked; however, the Participant may elect to defer payment of his Retirement
Benefits pursuant to Section 4.2. Payment of such Early Retirement Benefit will be subject to the six (6) month restriction applicable to Key Employees, described in Section 5.1 of this Plan. The provisions of this Section 3.2
will apply to Participants who are Employees as of the Effective Date. 

  

	3.3	Loss of Eligibility Status. A Participant under this Plan who incurs a Termination of Employment, who ceases to be an Eligible Employee, or whose participation is terminated
by the Compensation Committee will continue as an inactive Participant under this Plan until the Participant has received the complete payment of his Retirement Benefits under this Plan. 

  

	3.4	Initial ERA Participation. A Participant who participated in the ERA prior to becoming a Participant in the Plan will be given credit for his Years of Service while a
participant in the ERA for purposes of determining the amount of his Retirement Benefit under this Plan, but such Retirement Benefit will be reduced on an Actuarial Basis by his benefit under the ERA. The Participant’s benefit under the ERA
will be paid pursuant to the terms of the ERA and his Retirement Benefit under this Plan, if any, will be paid pursuant to the terms hereof. 

  

	3.5	Subsequent ERA Participation. A Participant’s participation in this Plan will be frozen upon being named to the ERA. The Participant’s Retirement Benefit under the
Plan accrued as of the date his participation was frozen will commence pursuant to the terms hereof. Distribution of the Participant’s ERA benefit will be made pursuant to the terms of the ERA. In the event such Participant subsequently resumes
participation in the Plan, he will be given credit for his Years of Service while a participant in the ERA for purposes of determining the amount of his Retirement Benefit under this Plan, but such Retirement Benefit will be reduced on an Actuarial
Equivalent basis by his benefit under the ERA. 

  

	3.6	Initial AMI SERP Participation. A Participant who participated in the AMI SERP prior to becoming a Participant in the Plan will be entitled to a benefit under this Plan, if
any, equal to the amount of his accrued benefit less his prior accrued benefit under the AMI SERP as determined using the Actuarial Equivalent factors set forth in Section 2.2 of this Plan and the actuarial equivalent factors set forth in the
AMI SERP. The Participant’s accrued benefit under the AMI SERP will be paid pursuant to the terms of the AMI SERP and his benefit under this Plan, if any, will be paid pursuant to the terms hereof. 

  
 End of Article III 
  

 12 








 ARTICLE IV 
 RETIREMENT BENEFITS 
  

	4.1	Normal Retirement Benefit. 

  

	 	(a)	Calculation of Normal Retirement Benefit. Upon a Participant’s Normal Retirement, the Participant will be entitled to receive a monthly Normal Retirement Benefit
for the Participant’s lifetime which is determined in accordance with the Benefit Formula set forth below, adjusted by the Vesting Percentage in Section 4.3. Payment of such Normal Retirement Benefit will commence as of the
Participant’s Normal Retirement Date, subject to the six (6) month restriction applicable to Key Employees, described in Section 5.1 of the Plan. Except as provided below, the amount of such monthly Normal Retirement Benefit will be
determined by using the following formula: 

 X = [Al x [B1 + [B2 x C]] x [2.7% - D] x E] + [A2 x [B1 +[B2 x C] x 2.7% x E]

 X = Normal Retirement Benefit 
 Al = Final Average Earnings (From Base Salary) 
 A2 = Final Average Earnings (From Bonus) 
 B1 = Years of Service After Date of Enrollment 
 B2 = Years of Service Prior to Date of Enrollment 
 C = Prior Service Credit Percentage 
 D = Existing Retirement Benefit Plans Adjustment Factor 
 E = Vesting Percentage 
 Note: B1 and B2 Years of Service combined cannot exceed twenty (20) years.

 To the extent that a Participant incurred a Termination of Employment prior to the Effective Date, such Participant’s Normal
Retirement Benefit, Early Retirement Benefit, Disability Retirement Benefit or Deferred Vested Retirement Benefit, as applicable, will be determined under the benefit formula as in effect at the time the Participant’s Termination of Employment.
However, the remaining provisions of this Plan, including but, not limited to, the distribution provisions of Article IV and the claims procedures set forth in Section 7.6, will apply to such Participant. 
  

	 	(b)	Death After Commencement of Normal Retirement Benefits. If a Participant who is receiving a Normal Retirement Benefit dies, his Surviving Spouse or Eligible Children will be
entitled to receive (in accordance with Sections 4.6 and 4.7) a benefit equal to fifty percent (50%) of the Participant’s Normal Retirement Benefit. 

  

	 	(c)	Death After Normal Retirement Age But Before Normal Retirement. If a Participant who is eligible for Normal Retirement dies while an employee after attaining age sixty-five
(65), his Surviving Spouse or Eligible Children will be entitled to receive (in accordance with Sections 4.6 and 4.7) the installments of the Normal Retirement Benefit which would have been payable to the Surviving Spouse or Eligible Children in
accordance with Section 4.1(b) as if the Participant had retired from the Employer on the day before he died. Distribution of such benefits will not be subject to the six (6) month restriction applicable to Key Employees.


  

 13 









	4.2	Early Retirement Benefit. 

  

	 	(a)	Calculation of Early Retirement Benefit. Upon a Participant’s Early Retirement, the Participant will be entitled to receive a monthly Early Retirement Benefit for the
Participant’s lifetime commencing on the Participant’s Normal Retirement Date, calculated in accordance with Section 4.1 and Section 4.3 with the following adjustments: 

  

	 	(i)	Only the Participant’s actual Years of Service, adjusted appropriately for the Prior Service Credit Percentage, as of the date of Early Retirement will be used.


  

	 	(ii)	For purposes of determining Final Average Earnings, only the Participant’s Earnings as of the date of Early Retirement will be used. 

  

	 	(iii)	To arrive at the payments to commence at Normal Retirement, the amount calculated under Section 4.2(a)(i) and Section 4.2(a)(ii) will be reduced by 0.25% for each month
Early Retirement occurs before age sixty-two (62). 

  

	 	(b)	Early Payment of Benefits. A Participant may elect during the Initial Election Period to receive a distribution of his Early Retirement Benefit on the first day of the
calendar month following the date of his Early Retirement rather than on his Normal Retirement Date as specified in Section 4.2(a). Payment of such Early Retirement Benefit will be subject to the six (6) month restriction applicable to Key
Employees, described in Section 5.1 of the Plan. A Participant who makes this election, will have the amount calculated under Section 4.2(a) further reduced by 0.25% for each month that the date of commencement of payment precedes the date
on which the Participant will attain age sixty-two (62). 

  

	 	(c)	Death After Early Retirement Benefits Commence. If a Participant dies after commencement of the payment of his Early Retirement Benefit, his Surviving Spouse or Eligible
Children will be entitled to receive (in accordance with Sections 4.6 and 4.7) a benefit equal to fifty percent (50%) of the Participant’s Early Retirement Benefit. 

  

	 	(d)	Death After Early Retirement But Before Benefit Commencement. If a Participant dies after his Early Retirement but before benefits have commenced his Surviving Spouse or
Eligible Children will be entitled to receive (in accordance with Sections 4.6 and 4.7) a benefit equal to fifty percent (50%) of the benefit that would have been payable on the date of the Participant’s death had he elected to have
benefits commence on that date. Distribution of such benefits will not be subject to the six (6) month restriction applicable to Key Employees. 

  

 14 









	 	(e)	Death of Employee After Attainment of Early Retirement Age but Before Early Retirement. If a Participant dies after attaining Early Retirement Age but before taking Early
Retirement, his Surviving Spouse or Eligible Children will be entitled to receive (in accordance with Sections 4.6 and 4.7) a benefit equal to fifty percent (50%) of the Participant’s Early Retirement Benefit determined as if the
Participant had retired on the day prior to his death with payments commencing on the first of the month following the Participant’s death. The benefits payable to a Surviving Spouse or Eligible Children under this Section 4.2(e) will be
no less than the benefits payable to a Surviving Spouse or Eligible Children under Section 4.4 (regarding the Deferred Vested Retirement Benefit) as if the Participant had died immediately prior to age fifty-five (55). 


 

	4.3	Vesting of Retirement Benefit. A Participant’s interest in his Retirement Benefit will, subject to Section 9.4 (regarding Conditions Precedent), vest in accordance
with the following schedule: 

  

			
	 Years of Service
	  	Vesting Percentage
	 Less than 5
	  	0
	 5 but less than 6
	  	25
	 6 but less than 7
	  	30
	 7 but less than 8
	  	35
	 8 but less than 9
	  	40
	 9 but less than 10
	  	45
	 10 but less than 11
	  	50
	 11 but less than 12
	  	55
	 12 but less than 13
	  	60
	 13 but less than 14
	  	65
	 14 but less than 15
	  	70
	 15 but less than 16
	  	75
	 16 but less than 17
	  	80
	 17 but less than 18
	  	85
	 18 but less than 19
	  	90
	 19 but less than 20
	  	95
	 20 or more
	  	100

 Notwithstanding the foregoing, a Participant who is at least sixty (60) years old and who has
completed at least five (5) Years of Service will be fully vested, subject to Section 9.4 (regarding Conditions Precedent), in his Retirement Benefit. Except as required otherwise by applicable law, no Years of Service will be credited for
Service after age sixty-five (65) or for more than twenty (20) years. 
  

	4.4	Deferred Vested Retirement Benefit. Upon any Termination of Employment of the Participant before Normal Retirement or Early Retirement for reasons other than death or
Disability such Participant will be entitled to a Deferred Vested Retirement Benefit, commencing on the Participant’s Normal Retirement Date, calculated under Section 4.1 and 4.3 but with the following adjustments:


  

	 	(a)	Calculation of Years of Service. Only the Participant’s actual Years of Service, adjusted appropriately for the Prior Service Credit Percentage, as of the date of his
Termination of Employment will be used. 

  

 15 









	 	(b)	Calculation of Earnings. For purposes of determining Final Average Earnings, as used in Section 4.1, only the Participant’s Earnings prior to the date of his
Termination of Employment will be used. 

  

	 	(c)	Early Termination Reduction. To arrive at the payments to commence at the Participant’s Normal Retirement Date, the amount calculated under Section 4.1(a) and
Section 4.3 will be reduced by 0.25% for each month the Participant’s Termination of Employment occurs before age sixty-two (62). 

  

	 	(d)	Death After Commencement of Payments. If a Participant dies after commencement of the payment of his Deferred Vested Retirement Benefit under this Section 4.4, his
Surviving Spouse or Eligible Children will be entitled at Participant’s death to receive (in accordance with Sections 4.6 and 4.7) a benefit equal to fifty percent (50%) of the Participant’s Deferred Vested Retirement Benefit.


  

	 	(e)	Death after Termination of Employment. If a Participant, who has a vested interest under Section 4.3, dies after Termination of Employment but at death is not receiving
any Deferred Vested Retirement Benefits under this Plan and was not eligible for an Early Retirement Benefit pursuant to Section 4.2, his Surviving Spouse or Eligible Children will be entitled to receive (in accordance with Sections 4.6 and
4.7) commencing on the date that would have been the Participant’s Normal Retirement Date, a benefit equal to fifty percent (50%) of the Deferred Vested Retirement Benefit which would have been payable to the Participant at his Normal
Retirement Date. 

  

	 	(f)	Death while an Employee. If a Participant, who has a vested interest under Section 4.3, dies while still actively employed by the Employer before he was eligible for
Early Retirement, his Surviving Spouse or Eligible Children will be entitled at the Participant’s death to receive a benefit equal to fifty percent (50%) of the Participant’s Retirement Benefit (in accordance with Sections 4.6 and
4.7) calculated as if the Participant was age fifty-five (55) and eligible for Early Retirement on the day before the Participant’s death; provided, however, that the combined reductions for Early Retirement and early payment will not
exceed twenty-one percent (21%) of the amount calculated under Sections 4.2(a)(i) and (ii). Distribution of such benefits will not be subject to the six (6) month restriction applicable to Key Employees. 

  

	 	(g)	Actuarial Reduction. To arrive at the amount of the Deferred Vested Retirement Benefit payments to commence at the Participant’s Normal Retirement Date, the amount
calculated under Section 4.4(a), Section 4.4(b), Section 4.4(d), and Section 4.4(e) will be reduced by the maximum percentage reduction for Early Retirement at age fifty-five (55) (i.e., twenty-one percent (21%)).


  

	4.5	 Deferral of Distributions. A Participant may elect to defer payment of his Normal Retirement Benefit payable pursuant to Section 4.1, his Early
Retirement Benefit payable pursuant to Section 4.2 or his Deferred Vested Retirement Benefit payable pursuant to Section 4.4 for a period of at least five (5) years by making an election to defer such distribution at least twelve
(12) months prior to the date that the Normal Retirement Benefit, Early Retirement Benefit or Deferred Vested Retirement Benefit 



  

 16 









	 	 
would otherwise be paid (i.e., at least twelve (12) months prior to a Termination of Employment). In the event that the Participant becomes
entitled to a distribution pursuant to Section 4.1, Section 4.2 or Section 4.4 during this twelve (12) month period, the deferral election will be of no effect and payment of the Participant’s benefits will commence at the
time specified in Section 4.1, Section 4.2 or Section 4.4, as applicable. A Participant who becomes entitled to distribution of a Disability Retirement Benefit pursuant to Section 4.9 may not elect to defer payment of such
distribution pursuant to this Section 4.5 and any deferral election made by such Participant will be null and of no effect. 


  

	4.6	Duration of Benefit Payment. 

  

	 	(a)	Participant Benefit Payments. The Normal Retirement Benefit, Early Retirement Benefit, Disability Retirement Benefit or Deferred Vested Retirement Benefit under the
Plan will be payable to the Participant in the form of a monthly benefit payable for life. 

  

	 	(b)	Surviving Spouse Benefit Payments. The benefit payable to a Surviving Spouse under the Plan will be paid in the form of a monthly benefit payable for life; provided, that all
benefits payable to the Surviving Spouse are subject to actuarial reduction based on the factors in Section 2.2 if the Surviving Spouse is more than three (3) years younger than the Participant. 

  

	 	(c)	Eligible Children Benefit Payments. The benefit payable to a Participant’s Eligible Children under the Plan will be paid in the form of a monthly benefit payable until
each such child reaches age twenty-one (21). 

  

	4.7	Recipients of Benefit Payments. 

  

	 	(a)	Death without Surviving Spouse. If a Participant dies without a Surviving Spouse but is survived by any Eligible Children, then the Participant’s Retirement Benefit will
be paid to his Eligible Children. The total monthly benefit payable will be equal to the monthly benefit that a Surviving Spouse would have received without actuarial reduction. This benefit will be paid in equal shares to all Eligible Children
until the youngest of the Eligible Children attains age twenty-one (21). When any of the Eligible Children reaches twenty-one (21), his share of the total monthly benefit will be reallocated equally to the remaining Eligible Children.


  

	 	(b)	Death of Surviving Spouse. If the Surviving Spouse dies after the death of the Participant but is survived by Eligible Children then the total monthly benefit previously paid
to the Surviving Spouse will be paid in equal shares to all Eligible Children until the youngest of the Eligible Children attains age twenty-one (21). When any of the Eligible Children reaches twenty-one (21), his share of the total monthly benefit
will be reallocated equally to the remaining Eligible Children. 

  

	 	(c)	Death without Surviving Spouse or Eligible Children. If the Participant dies without a Surviving Spouse or Eligible Children, no additional benefits will be paid under this
Plan with respect to that Participant. 

  

 17 









	4.8	Disability. 

  

	 	(a)	Disability Retirement Benefit. Any Participant who incurs a Disability will upon reaching Normal Retirement Age (i.e., Age 65) be paid, as a Disability Retirement
Benefit, the Normal Retirement Benefit in accordance with Section 4.1 based on his vested interest as determined under Section 4.3 and Section 4.8(b). Payment of the Disability Retirement Benefit will begin as of the
Participant’s Normal Retirement Date. A Participant who is entitled to a Disability Retirement Benefit may not elect to defer payment of such distribution pursuant to Section 4.5. Amounts payable pursuant to    
this Section 4.8(a) will not be subject to the six (6) month restriction applicable to Key Employees. 

  

	 	(b)	Continued Accrual of Vesting Service. Upon a Participant’s Disability while an employee of the Employer, the Participant will continue to accrue Years of Service for
purposes of vesting under Section 4.3 of this Plan during his Disability until the earliest of his: 

  

	 	(i)	Recovery from Disability; 

  

	 	(ii)	Attainment of Normal Retirement Age; or 

  

	 	(iii)	Death. 

  

	 	(c)	Not Eligible for Early Retirement Benefit. A Participant who is Disabled will not be entitled to receive an Early Retirement Benefit under this Plan.


  

	 	(d)	Calculation of Earnings. For purposes of calculating the amount of the Disability Retirement Benefit, the Participant’s Final Average Earnings will be determined using
his Earnings up to the date of Disability. 

  

	 	(e)	Death prior to Attainment of Early Retirement Age. If a Participant, who has a vested interest as determined under this Section 4.8 and Section 4.3, dies while on
Disability before he attained Early Retirement Age, his Surviving Spouse or Eligible Children will be entitled at the Participant’s death to receive a benefit equal to fifty percent (50%) of the Participant’s Retirement Benefit (in
accordance with Sections 4.6 and 4.7) calculated under Section 4.2 as if the Participant was age fifty-five (55) and eligible for Early Retirement on the day before the Participant’s death; provided, however, that the combined
reductions for Early Retirement and early payment will not exceed twenty-one percent (21%) of the amount calculated under Sections 4.2(a)(i) and (ii). Distribution of such benefits will not be subject to the six (6) month restriction
applicable to Key Employees. 

  

	 	(f)	Death after Attainment of Early Retirement Age. If a Participant dies after attaining Early Retirement Age while on Disability, his Surviving Spouse or Eligible Children will
be entitled to receive (in accordance with Sections 4.6 and 4.7) a benefit equal to fifty percent (50%) of the Participant’s Early Retirement Benefit determined as if the Participant had retired on the day prior to his death with payments
commencing on the first of the month following the Participant’s death. The benefits payable to a Surviving Spouse or Eligible Children under this Section 4.8(f) will be no less than the benefits payable to a Surviving Spouse or Eligible
Children under Section 4.4 (regarding the Deferred Vested Retirement Benefit) as if the Participant had died immediately prior to age fifty-five (55). Distribution of such benefits will not be subject to the six (6) month restriction
applicable to Key Employees. 

  

 18 









	 	(g)	Death after Commencement of Payments. If a Participant dies after his commencement of Disability Retirement Benefits under this Section 4.8, his Surviving Spouse or
Eligible Children will be entitled at the Participant’s death to receive (in accordance with Sections 4.6 and 4.7) a benefit equal to fifty percent (50%) of the Participant’s Disability Retirement Benefit. 

  

	4.9	Change of Control. 

  

	 	(a)	Calculation of Benefits. 

  

	 	(i)	Post-April 1994 Employees. In the event of a Change of Control while this Plan remains in effect, each Participant will be fully vested in his Retirement Benefit, without
regard to the Participant’s Years of Service and the amount of such benefit will be calculated by granting the Participant Prior Service Credit under Sections 4.1 and 4.2 for all Years of Service prior to his Date of Enrollment. In addition,
with respect to a Participant who (A) is an active employee, (B) has not yet begun to receive benefit payments under the Plan, and (B) incurs a Termination without Cause within two (2) years following a Change of Control while
this Plan remains in effect, the provisions of Section 9.4(b)(ii) (Regarding Conditions Precedent) will not apply. 

  

	 	(ii)	Employees as of April 1, 1994. With respect to a Participant who is an employee actively at work on April 1, 1994, with the corporate office or a division of
the Employer which has not been declared to be a discontinued operation, who has not yet begun to receive benefit payments under the Plan and who incurs a Termination without Cause following a Change of Control, the provisions of
Section 4.9(a)(i) above will not apply and instead a Participant’s Retirement Benefit under this Plan will be determined by: 

  

	 	(A)	granting the Participant full Prior Service Credit under Sections 4.1 and 4.2 for all Years of Service prior to his Date of Enrollment; 

  

	 	(B)	crediting the Participant with three (3) additional Years of Service (with total Years of Service not to exceed twenty (20) years); and 

  

	 	(C)	replacing the definition of Earnings under Article II with the following “the base salary and the annual cash bonus paid to a Participant by the Employer, excluding
(I) any cash bonus paid under the LTIP, (II) any car and other allowances and (III) other cash and non-cash compensation (i.e., the Participant’s award under the Company’s annual incentive plan and cash compensation as of the
date of the Change of Control).” 

 Further, the Participant will be fully vested in such Retirement Benefit without
regard to his Years of Service. 
  

 19 









	 	(b)	Payment of Benefits. Upon the Participant’s Termination of Employment within two (2) years following the occurrence of a Change of Control described in
Section 2.8(a), (b) or (c), the Participant will be entitled to receive such Retirement Benefit commencing on the first day of the calendar month following the date of such Termination of Employment without reduction by virtue of
Section 4.2(a). In the event that the Participant does not incur a Termination of Employment within such two (2) year period or in the event of a Change of Control described in Section 2.8(d), the Participant will be entitled to
receive the Retirement Benefit described in Section 4.9(a) as of his Normal Retirement Date or Early Retirement Date, provided that the Participant elected, or was deemed to have elected, an Early Retirement Benefit, with no reduction by virtue
of Section 4.2(a) or Section 4.2(b), subject to the six (6) month restriction applicable to Key Employees described in Section 5.1. 

  

	4.10 	Golden Parachute Cap. In no event will the total present value of all payments under this Plan that are payable to a Participant upon a Termination of Employment and that are
contingent upon a change of control in accordance with the rules set forth in section 280G of the Code, when added to the present value of all other payments that are payable to the Participant and are contingent upon a change of control in
accordance with the rules set forth in section 280G of the Code, exceed an amount equal to two hundred ninety-nine percent (299%) of the Participant’s “base amount” as that term is defined in section 280G of the Code and the
amount of the benefits payable to the Participant under this Plan will be reduced accordingly to achieve that result. 

  
 End of Article IV 
  

 20 








 ARTICLE V 
 PAYMENT 
  

	5.1	Commencement of Payments. Benefit payments under this Plan generally will begin on the Participant’s Normal Retirement Date; provided, that in the case of a benefit
payable on account of Early Retirement, a Termination of Employment within two (2) years following a Change of Control or death, benefit payments will begin not later than the first day of the calendar month following the occurrence of the
event which entitles the Participant (or a Surviving Spouse or Eligible Children) to benefits under this Plan. Benefit payments under this Plan that are payable to a Key Employee on account of a Termination of Employment will be delayed for a period
of six (6) months following such Participant’s Termination of Employment. On the day following the expiration of such six (6) month period, the Participant will receive a catch-up payment equal to the amount of benefits that would
have been paid during such six (6) month period but for the provisions of this Section 5.1 and the remainder of such payments will be paid according to the terms of the Plan. 

  

	5.2	Withholding; Unemployment Taxes. Any taxes required to be withheld by the Federal or any state or local government will be withheld from payments under this Plan to the
extent required by the law in effect at the time payments are made. 

  

	5.3	Recipients of Payments. All Retirement Benefit payments to be made by the Employer under the Plan will be made to the Participant during his lifetime. All subsequent payments
under the Plan will be made by the Plan to the Participant’s Surviving Spouse or Eligible Children. 

  

	5.4	No Other Benefits. No other benefits will be payable under this Plan to the Participant or his Surviving Spouse or Eligible Children by reason of the Participant’s
Termination of Employment or otherwise, except as specifically provided herein. 

  

	5.5	No Lump Sum Form of Payment. No lump sum form of payment will be payable from the Plan with respect to any Participant regardless of when such Participant incurs a
Termination of Employment. 

  
 End of Article V 
  

 21 








 ARTICLE VI 
 SPOUSAL CLAIMS 
  

	6.1	Spousal Claims. 

  

	 	(a)	An Alternate Payee may be awarded all or a portion of the Participant’s Retirement Benefits pursuant to the terms of a DRO, in which case such benefits will be payable to the
Alternate Payee at the same time and in the same form of payment as the Participant’s. 

  

	 	(b)	Any taxes or other legally required withholdings from payments to such Alternate Payee will be deducted and withheld by the Company, benefit provider or funding agent. The Alternate
Payee will be provided with a tax withholding election form for purposes of federal and state tax withholding, if applicable. 

  

	 	(c)	The Plan Administrator will have sole and absolute discretion to determine whether a judgment, decree or order is a DRO, to determine whether a DRO will be accepted for purposes of
this Section 6.1 and to make interpretations under this Section 6.1, including determining who is to receive benefits, all calculations of benefits and determinations of the form of such benefits, and the amount of taxes to be withheld.
The decisions of the Plan Administrator will be binding on all parties with an interest. 

  

	 	(d)	Any benefits payable to an Alternate Payee pursuant to the terms of a DRO will be subject to all provisions and restrictions of the Plan and any dispute regarding such benefits will
be resolved pursuant to the Plan claims procedure in Article VII. 

  

	6.2	Legal Disability. If a person entitled to any payment under this Plan will, in the sole judgment of the Plan Administrator, be under a legal disability, or otherwise
will be unable to apply such payment to his own interest and advantage, the Plan Administrator, in the exercise of its discretion, may direct the Company or payor of the benefit to make any such payment in any one or more of the following ways:


  

	 	(a)	Directly to such person; 

  

	 	(b)	To his legal guardian or conservator; or 

  

	 	(c)	To his spouse or to any person charged with the duty of his support, to be expended for his benefit and/or that of his dependents. 

 The decision of the Plan Administrator will in each case be final and binding upon all persons in interest, unless the Plan Administrator will reverse its
decision due to changed circumstances. 
  

	6.3	Assignment. Except as provided in Section 6.1, no Participant, Surviving Spouse or Eligible Child will have any right to assign, pledge, transfer, convey, hypothecate,
anticipate or in any way create a lien on any amounts payable hereunder. No amounts payable hereunder will be subject to assignment or transfer or otherwise be alienable, either by voluntary or involuntary act, or by operation of law, or subject to
attachment, execution, garnishment, sequestration or other seizure under any legal, equitable or other process, or be liable in any way for the debts or defaults of Participants or their Surviving Spouses or Eligible Children. The Company may assign
all or a portion of this Plan to any Subsidiary which employs any Participant. 

  
 End of Article VI 
  

 22 








 ARTICLE VII 
 ADMINISTRATION OF THE PLAN 
  

	7.1	The PAC. The overall administration of the Plan will be the responsibility of the PAC. 

  

	7.2	Powers of the PAC. The PAC will have sole and absolute discretion regarding the exercise of its powers and duties under this Plan. In order to effectuate the purposes of the
Plan, the PAC will have the following powers and duties: 

  

	 	(a)	To appoint the Plan Administrator; 

  

	 	(b)	To review and render decisions respecting a denial of a claim for benefits under the Plan; 

  

	 	(c)	To construe the Plan and to make equitable adjustments for any mistakes or errors made in the administration of the Plan; 

  

	 	(d)	To carry out the duties expressly reserved to it under the Plan; and 

  

	 	(e)	To determine and resolve, in its sole and absolute discretion, all questions relating to the administration of the Plan and the Trust (i) when differences of opinion arise
between the Company, a Subsidiary, the Plan Administrator, the Trustee, a Participant, or any of them, and (ii) whenever it is deemed advisable to determine such questions in order to promote the uniform and nondiscriminatory administration of
the Plan for the greatest benefit of all parties concerned. 

 The foregoing list of express powers is not intended to be either
complete or conclusive, and the PAC will, in addition, have such powers as it may reasonably determine to be necessary or appropriate in the performance of its powers and duties under the Plan. 
  

	7.3	Appointment of Plan Administrator. The PAC will appoint the Plan Administrator, who will have the responsibility and duty to administer the Plan on a daily basis. The PAC may
remove the Plan Administrator with or without cause at any time. The Plan Administrator may resign upon written notice to the PAC. 

  

	7.4	Duties of Plan Administrator. The Plan Administrator will have sole and absolute discretion regarding the exercise of its powers and duties under this Plan. The Plan
Administrator will have the following powers and duties: 

  

	 	(a)	To direct the administration of the Plan in accordance with the provisions herein set forth; 

  

	 	(b)	To adopt rules of procedure and regulations necessary for the administration of the Plan, provided such rules are not inconsistent with the terms of the Plan;


  

	 	(c)	To determine all questions with regard to rights of Participants under the Plan including, but not limited to, questions involving the amount of a Participant’s benefits;


  

 23 









	 	(d)	To enforce the terms of the Plan and any rules and regulations adopted by the PAC; 

  

	 	(e)	To review and render decisions respecting a claim for a benefit under the Plan; 

  

	 	(f)	To furnish the Employer with information required for tax or other purposes; 

  

	 	(g)	To engage the service of counsel (who may, if appropriate, be counsel for the Employer), actuaries, and agents whom it may deem advisable to assist it with the performance of its
duties; 

  

	 	(h)	To prescribe procedures to be followed by distributees in obtaining benefits; 

  

	 	(i)	To receive from the Employer and from Participants such information as is necessary for the proper administration of the Plan; 

  

	 	(j)	To create and maintain such records and forms as are required for the efficient administration of the Plan; 

  

	 	(k)	To make all determinations and computations concerning the benefits to which any Participant is entitled under the Plan; 

  

	 	(l)	To give the Trustee specific directions in writing with respect to: 

  

	 	(i)	the making of distribution payments, giving the names of the payees, the amounts to be paid and the time or times when payments will be made; and 

  

	 	(ii)	the making of any other payments which the Trustee is not by the terms of the trust agreement authorized to make without a direction in writing by the Plan Administrator or the
Company; 

  

	 	(m)	To comply with all applicable lawful reporting and disclosure requirements of the Act; 

  


	 	(n)	To comply (or transfer responsibility for compliance to the Trustee) with all applicable federal income tax withholding requirements for benefit distributions; and


  

	 	(o)	To construe the Plan, in its sole and absolute discretion, and make equitable adjustments for any mistakes and errors made in the administration of the Plan.


 The foregoing list of express duties is not intended to be either complete or conclusive, and the Plan Administrator will, in
addition, exercise such other powers and perform such other duties as it may deem necessary, desirable, advisable or proper for the supervision and administration of the Plan. 
  

	7.5	 Indemnification of the PAC and Plan Administrator. To the extent not covered by insurance, or if there is a failure to provide full insurance coverage for
any reason, and to the extent permissible under corporate by-laws and other applicable laws and regulations, the Company agrees to hold harmless and indemnify the PAC and Plan 



  

 24 









	 	 
Administrator against any and all claims and causes of action by or on behalf of any and all parties whomsoever, and all losses therefrom, including, without
limitation, costs of defense and reasonable attorneys’ fees, based upon or arising out of any act or omission relating to or in connection with the Plan other than losses resulting from the PAC’s, or any such person’s, fraud or
willful misconduct. 


  

	7.6	Claims for Benefits. 

  

	 	(a)	Initial Claim. In the event that an Employee, Eligible Employee, Participant, Surviving Spouse, or Eligible Child claims to be eligible for benefits, or claims any rights
under this Plan, such claimant must complete and submit such claim forms and supporting documentation as will be required by the Plan Administrator, in its sole and absolute discretion. Likewise, any Participant, Surviving Spouse, or Eligible Child
who feels unfairly treated as a result of the administration of the Plan must file a written claim, setting forth the basis of the claim, with the Plan Administrator. In connection with the determination of a claim, or in connection with review of a
denied claim, the claimant may use representation and may examine this Plan, and any other pertinent documents generally available to Participants that are specifically related to the claim. 

 Different claims procedures apply to claims for benefits on account of Disability, referred to as “Disability claims,” and all other claims for
benefits, referred to as “non-Disability claims.” 
  

	 	(b)	Non-Disability Claims. 

  

	 	(i)	Initial Decision. If a claimant files a non-Disability claim, written notice of the disposition of such claim will be furnished to the claimant within ninety (90) days
after the claim is filed with the Plan Administrator. Such notice will refer, if appropriate, to pertinent provisions of this Plan, will set forth in writing the reasons for denial of the claim if a claim is denied (including references to any
pertinent provisions of this Plan) and, where appropriate, will describe any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary. If the claim is
denied, in whole or in part, the claimant will also be notified of the Plan’s claim review procedure and the time limits applicable to such procedure, including the claimant’s right to arbitration following an adverse benefit determination
on review as provided below. All benefits provided in this Plan as a result of the disposition of a claim will be paid as soon as practicable following receipt of proof of entitlement, if requested. 

  

	 	(ii)	Request for Review. Within ninety (90) days after receiving written notice of the Plan Administrator’s disposition of the claim, the claimant may file with the PAC
a written request for review of his claim. In connection with the request for review, the claimant will be entitled to be represented by counsel and will be given, upon request and free of charge, reasonable access to all pertinent documents for the
preparation of his claim. If the claimant does not file a written request for review within ninety (90) days after receiving written notice of the Plan Administrator’s disposition of the claim, the claimant will be deemed to have accepted
the Plan Administrator’s written disposition, unless the claimant was physically or mentally incapacitated so as to be unable to request review within the ninety (90) day period. 

  

 25 









	 	(iii)	Decision on Review. After receipt by the PAC of a written application for review of his claim, the PAC will review the claim taking into account all comments, documents,
records and other information submitted by the claimant regarding the claim without regard to whether such information was considered in the initial benefit determination. The PAC will notify the claimant of its decision by delivery or by certified
or registered mail to his last known address. A decision on review of the claim will be made by the PAC at its next meeting following receipt of the written request for review. If no meeting of the PAC is scheduled within forty-five (45) days
of receipt of the written request for review, then the PAC will hold a special meeting to review such written request for review within such forty-five (45) day period. If special circumstances require an extension of the forty-five
(45) day period, the PAC will so notify the claimant and a decision will be rendered within ninety (90) days of receipt of the request for review. In any event, if a claim is not determined by the PAC within ninety (90) days of
receipt of written submission for review, it will be deemed to be denied. 

 The decision of the PAC will be provided to the
claimant as soon as possible but no later than five (5) days after the benefit determination is made. The decision will be in writing and will include the specific reasons for the decision presented in a manner calculated to be understood by
the claimant and will contain references to all relevant Plan provisions on which the decision was based. Such decision will also advise the claimant that he may receive upon request, and free of charge, reasonable access to and copies of all
documents, records and other information relevant to his claim and will inform the claimant of his right to arbitration in the case of an adverse decision regarding his appeal. The decision of the PAC will be final and conclusive. 
  

	 	(c)	Disability Claims. 

  

	 	(i)	 Initial Decision. If a claimant files a Disability claim, written notice of the disposition of such claim will be furnished to the claimant within forty-five
(45) days after the claim is filed with the Plan Administrator. This period may be extended by the Plan Administrator for up to thirty (30) days provided that the Plan Administrator determines that such an extension is necessary due to
matters beyond its control and the claimant is notified prior to the expiration of the initial forty-five (45) day period of the circumstances requiring the extension of time and the date by which the Plan Administrator expects to render a
decision. If, prior to the first thirty (30) day extension period, the Plan Administrator determines that, due to matters beyond its control, a decision can not be made within that extension period, the period for making the determination may
be extended for up to an additional thirty (30) days provided that the claimant is notified prior to the expiration of the first thirty (30) day extension period of the circumstances requiring the extension and the date as of which the




  

 26 









	 	 
Plan Administrator expects to issue a decision. In the case of any extension, the notice of extension will specifically explain the standards on which
entitlement to a benefit on account of Disability is based, the unresolved issues that prevent a decision on the claim, and the additional information needed to resolve those issues and the claimant will be given at least forty-five (45) days
within which to provide the specified information. 


 Written notice of the disposition of the claim will refer, if
appropriate, to pertinent provisions of this Plan, will set forth in writing the reasons for denial of the claim if a claim is denied (including references to any pertinent provisions of this Plan), the protocol relied upon in denying the claim or a
statement that such protocol is available on request and, where appropriate, will describe any additional material or information necessary for the claimant to perfect the claim and an explanation of why such material or information is necessary. If
the claim is denied, in whole or in part, the claimant will also be notified of the Plan’s claim review procedure and the time limits applicable to such procedure, including the claimant’s right to arbitration following an adverse benefit
determination on review as provided below. 
  

	 	(ii)	Request for Review. Within one hundred and eighty (180) days after receiving written notice of the Plan Administrator’s denial of the claim, the claimant may file
with the PAC a written request for review of his claim. In connection with the request for review, the claimant will be entitled to be represented by counsel and will be given, upon request and free of charge, reasonable access to all pertinent
documents for the preparation of his claim. If the claimant does not file a written request for review within this one hundred and eighty (180) day period, the claimant will be deemed to have accepted the Plan Administrator’s written
disposition, unless the claimant was physically or mentally incapacitated so as to be unable to request review within the one hundred and eighty (180) day period. 

 If the benefit denial is based in whole or in part on a medical judgment, the claimant will be entitled to a review by the PAC based on the PAC’s
consultation with a health care professional who has appropriate training and experience in the field of medicine involved in the medical judgment whereby such professional is neither an individual who was consulted in connection with the benefit
denial that is the subject of the request for review nor the subordinate of any such individual. The claimant will also be provided with the identity of any medical or vocational experts whose advice was obtained on behalf of the Plan in connection
with the benefit denial, without regard to whether the advice was relied upon in making the initial benefit determination. 
 The PAC’s
review will take into account all comments, documents, records and other information submitted by the claimant relating to the claim without regard to whether such information was submitted or considered in the initial benefit determination. In
addition, the PAC’s review will not give deference to the initial adverse benefit determination. If the Plan Administrator is a member of the PAC, he shall not participate in the PAC’s review of the request for review 
  

 27 









	 	(iii)	Decision on Review. The claimant will be provided with written notice of the PAC’s benefit determination on review within a reasonable period of time; provided, however,
that such period shall not last more than forty-five (45) days or ninety (90) days if an extension is required and proper notice is given to the claimant. In any event, if a claim is not determined by the PAC within ninety (90) days
of receipt of written submission for review, it will be deemed to be denied. 

 The decision of the PAC will be in writing and
will include the specific reasons for the decision presented in a manner calculated to be understood by the claimant and will contain references to all relevant Plan provisions on which the decision was based. Such decision will also advise the
claimant that he may receive upon request, and free of charge, reasonable access to and copies of all documents, records and other information relevant to his claim and will inform the claimant of his right to arbitration in the case of an adverse
decision regarding his appeal. In addition, the notice will set forth the following additional information, to the extent applicable: 
  

	 	(A)	the protocol relied upon in making the adverse decision; 

  

	 	(B)	if the adverse decision is based on a medical necessity or similar exclusion or limit, either an explanation of the scientific or clinical judgment for the decision, applying the
terms of the Plan to the claimant’s medical circumstances, or a statement that such explanation will be provided free of charge upon request; and 

  

	 	(C)	the following statement: You and your Plan may have other voluntary alternative dispute resolution options, such as mediation. One way to find out what may be available is to
contact your local U.S. Department of Labor Office. 

 The decision of the PAC will be final and conclusive. 
  

	7.7	Arbitration. In the event the claims review procedure described in Section 7.6(a) of the Plan (regarding non-Disability claims) does not result in an outcome thought by
the claimant to be in accordance with the Plan document, he may appeal to a third party neutral arbitrator. The claimant must appeal to an arbitrator within sixty (60) days after receiving the PAC’s denial or deemed denial of his request
for review and before bringing suit in court. 

 The arbitrator will be mutually selected by the claimant and the PAC from a
list of arbitrators provided by the American Arbitration Association (“AAA”). If the parties are unable to agree on the selection of an arbitrator within ten (10) days of receiving the list from the AAA, the AAA will appoint an
arbitrator. The arbitrator’s review will be limited to interpretation of the Plan document in the context of the particular facts involved. The claimant, the PAC and the Company agree to accept the award of the arbitrator as binding, and all
exercises of power by the arbitrator hereunder will be final, conclusive 

  

 28 








 
and binding on all interested parties, unless found by a court of competent jurisdiction, in a final judgment that is no longer subject to review or appeal,
to be arbitrary and capricious. The costs of arbitration will be paid by the Company; the costs of legal representation for the claimant or witness costs for the claimant will be borne by the claimant; provided, that, as part of his award, the
Arbitrator may require the Company to reimburse the claimant for all or a portion of such amounts. 
 The arbitrator will have no power to add
to, subtract from, or modify any of the terms of the Plan, or to change or add to any benefits provided by the Plan, or to waive or fail to apply any requirements of eligibility for a benefit under the Plan. Nonetheless, the arbitrator will have
absolute discretion in the exercise of its powers in this Plan. Arbitration decisions will not establish binding precedent with respect to the administration or operation of the Plan. 
  

	7.8	Receipt and Release of Necessary Information. In implementing the terms of this Plan, the PAC and Plan Administrator, as applicable, may, without the consent of or notice to
any person, release to or obtain from any other insuring entity or other organization or person any information, with respect to any person, which the PAC or Plan Administrator deems to be necessary for such purposes. Any person claiming benefits
under this Plan will furnish to the PAC or Plan Administrator, as applicable, such information as may be necessary to determine eligibility for and amount of benefit, as a condition of claiming and receiving such benefit. 


 

	7.9	Overpayment and Underpayment of Benefits. The Plan Administrator may adopt, in its sole and absolute discretion, whatever rules, procedures and accounting practices are
appropriate in providing for the collection of any overpayment of benefits. If a Participant, Surviving Spouse or Eligible Child receives an underpayment of benefits, the Plan Administrator will direct that payment be made as soon as practicable to
make up for the underpayment. If an overpayment is made to a Participant, Surviving Spouse or Eligible Child, for whatever reason, the Plan Administrator may, in its sole and absolute discretion, (a) withhold payment of any further benefits
under the Plan until the overpayment has been collected provided that the entire amount of reduction in any calendar year does not exceed five thousand dollars ($5,000), and the reduction is made at the same time and in the same amount as the debt
otherwise would have been due and collected from the Participant or (b) may require repayment of benefits paid under this Plan without regard to further benefits to which the Participant, Surviving Spouse or Eligible Child may be entitled.


  
 End of Article VII

  

 29 








 ARTICLE VIII 
 AMENDMENT AND TERMINATION OF THE PLAN 
  

	8.1	Continuation. The Company intends to continue this Plan indefinitely, but nevertheless assumes no contractual obligation beyond the promise to pay the benefits described in
this Plan. 

  

	8.2	Amendment of Plan. The Company, through an action of the Compensation Committee, reserves the right in its sole and absolute discretion to amend this Plan in any respect at
any time except that Plan benefits cannot be reduced during any two (2)-year period after any Change of Control of the Company. In addition, the PAC has the right to make non-material amendments to the Plan to comply with changes in the law or to
facilitate Plan administration; provided, however, that each such proposed non-material amendment must be discussed with the Chairperson of the Compensation Committee in order to determine whether such change would constitute a material amendment to
the Plan. 

  

	8.3	Termination of Plan. Except during any two (2) year period after any Change of Control of the Company, the Company, through an action of the Compensation Committee, may
terminate or suspend this Plan in whole or in part at any time and may terminate an Agreement with any Participant at any time. In the event of termination of the Plan or of a Participant’s Agreement, a Participant will be entitled to only the
vested portion of his accrued benefits under Article IV of the Plan as of the time of the termination of the Plan or his Agreement. All further vesting and benefit accrual will cease on the date of Plan or Agreement termination. Benefit payments
would be in the amounts specified and would commence at the time specified in Article IV as appropriate. 

 Notwithstanding the
foregoing, the Compensation Committee may decide to liquidate the Plan upon termination under the following circumstances: 
  

	 	(a)	Corporate Dissolution or Bankruptcy. The Compensation Committee may terminate and liquidate the Plan within twelve (12) months of a corporate dissolution taxed under
section 331 of the Code or with the approval of a bankruptcy court pursuant to 11 U.S.C. § 503(b)(1)(A), provided that the amounts deferred under the Plan are included in Participants’ gross income in the latest of the following years (or
if earlier, the taxable year in which the amount is actually or constructively received): 

  

	 	(i)	The calendar year in which the Plan termination and liquidation occurs. 

  

	 	(ii)	The first calendar year in which the amount is no longer subject to a substantial risk of forfeiture. 

  

	 	(iii)	The first calendar year in which the payment is administratively practicable. 

  

	 	(b)	 Change in Control. The Compensation Committee may terminate and liquidate the Plan within the thirty (30) days preceding a Change in Control as defined
in of Section 2.8(a), (b) or (c) provided that all plans or arrangements that would be 



  

 30 









	 	 
aggregated with the Plan under section 409A of the Code are also terminated and liquidated with respect to each Participant that experienced the Change in
Control event so that under the terms of the Plan and all such arrangements the Participant is required to receive all amounts of compensation deferred under such arrangements within twelve (12) months of the termination of the Plan or
arrangement, as applicable. In the case of a Change of Control event which constitutes a sale of assets, the termination of the Plan pursuant to this Section 8.3(b) may be made with respect to the Employer that is primarily liable immediately
after the Change of Control transaction for the payment of benefits under the Plan. 


  

	 	(c)	Termination of Plan. The Compensation Committee may terminate and liquidate the Plan provided that (i) the termination and liquidation does not occur by reason of a
downturn of the financial health of the Company or an Employer, (ii) all plans all plans or arrangements that would be aggregated with the Plan under section 409A of the Code are also terminated and liquidated, (iii) no payments in
liquidation of the Plan are made within twelve (12) months of the date of termination of the Plan other than payments that would be made in the ordinary course operation of the Plan, (iv) all payments are made within twenty-four
(24) months of the date the Plan is terminated and (v) the Company or the Employer, as applicable depending on whether the Plan is terminated with respect to such entity, do not adopt a new plan that would be aggregated with the Plan
within three (3) years of the date of the termination of the Plan. 

  

	8.4	Termination of Affiliate’s Participation. A Subsidiary may terminate its participation in the Plan at any time by an action of its governing body and providing written
notice to the Company. Likewise, the Company may terminate a Subsidiary’s participation in the Plan at any time by an action of the Compensation Committee and providing written notice to the Subsidiary. The effective date of any such
termination will be the later of the date specified in the notice of the termination of participation or the date on which the PAC can administratively implement such termination. In the event that a Subsidiary’s participation in the Plan is
terminated, each Participant employed by such Subsidiary will continue to participate in the Plan as an inactive Participant and will be entitled to a distribution of his vested Retirement Benefit pursuant to Article IV. 

  
 End of Article VIII 
  

 31 








 ARTICLE IX 
 CONDITIONS RELATED TO BENEFITS 
  

	9.1	No Right to Assets. A Participant will have only an unsecured contractual right to the amounts, if any, payable under this Plan. Neither a Participant nor any other person
will acquire by reason of the Plan any right in or title to any assets, funds or property of the Employer whatsoever including, without limiting the generality of the foregoing, any specific funds or assets which the Employer, in its sole
discretion, may set aside in anticipation of a liability under this Plan. Any rights created under the Plan and this Agreement will be mere unsecured contractual rights of Plan participants and their beneficiaries against Employer. The fact that the
Trust has been established, to assist in the payment of benefits under this Plan will not create any preferred claim by Participants or their beneficiaries on, or any beneficial ownership interest in, any assets of the Trust. The assets of the Trust
and the Employer will be subject to the claims of the Employer’s general creditors under federal and state law. 

  

	9.2	No Employment Rights. Nothing in this Plan will constitute a contract of continuing employment or in any manner obligate the Employer to continue the service of a
Participant, or obligate a Participant to continue in the service of the Employer, and nothing in this Plan will be construed as fixing or regulating the compensation paid to a Participant. 

  

	9.3	Offset. If at the time payments or installments of payments are to be made hereunder, any Participant or his Surviving Spouse or both are indebted to the Employer, then the
payments remaining to be made to the Participant or his Surviving Spouse or both may, at the discretion of the PAC, be reduced by the amount of such indebtedness; provided, that the entire amount of reduction in any calendar year does not exceed
five thousand dollars ($5,000), and the reduction is made at the same time and in the same amount as the debt otherwise would have been due and collected from the Participant. An election by the PAC not to reduce any such payment or payments will
not constitute a waiver of any claim for such indebtedness. 

  

	9.4	Conditions Precedent. No Retirement Benefits will be payable hereunder to any Participant: 

  

	 	(a)	whose Employment with the Employer is terminated because of his willful misconduct or gross negligence in the performance of his or her duties; or 

  

	 	(b)	who within three (3) years after Termination of Employment becomes an employee with or consultant to any third party engaged in any line of business in competition with the
Employer (i) in a line of business in which Participant has performed services for the Employer, or (ii) that accounts for more than ten percent (10%) of the gross revenues of the Employer taken as a whole. 


 
 End of Article IX 
  

 32 








 ARTICLE X 
 MISCELLANEOUS 
  

	10.1 	Gender and Number. Wherever appropriate herein, the masculine may mean the feminine and the singular may mean the plural or vice versa. 

  

	10.2 	Notice. Any notice or filing required to be given or delivered to the PAC or Plan Administrator will include delivery to or filing with a person or persons designated by the
PAC or Plan Administrator, as applicable, for the disbursement and the receipt of administrative forms. Delivery will be deemed to have occurred only when the form or other communication is actually received. Headings and subheadings are for the
purpose of reference only and are not to be considered in the construction of this Plan. 

  

	10.3 	Validity. In the event any provision of this Plan is held invalid, void or unenforceable, the same will not affect, in any respect whatsoever, the validity of any other
provision of this Plan. 

  

	10.4 	Applicable Law. This Plan will be governed and construed in accordance with the laws of the State of Texas. 

  

	10.5 	Successors in Interest. This Plan will inure to the benefit of, be binding upon, and be enforceable by, any corporate successor to the Company or successor to substantially
all of the assets of the Company. 

  

	10.6 	No Representation on Tax Matters. The Company makes no representation to Participants regarding current or future income tax ramifications of the Plan.


  

	10.7 	Provisions Binding. All of the provisions of this Plan will be binding upon all persons who will be entitled to any benefit hereunder, their heirs and personal
representatives 

  
 End of
Article X 
  

 33 








 IN WITNESS WHEREOF, this Sixth Amended and Restated Tenet Healthcare Corporation Supplemental Executive Retirement
Plan has been executed on this 29 day of December, 2008, effective as of the date set forth above, except as specifically provided otherwise herein. 
  


			
	TENET HEALTHCARE CORPORATION
		
	By: 	 	/s/ Paul Slavin
		 	Paul Slavin, Senior Director of Executive Compensation


  

 34 








 EXHIBIT A 
 TENET HEALTHCARE CORPORATION 
 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN 
 AGREEMENT WITH PARTICIPANT - NO AMI SERP BENEFITS 
 THIS AGREEMENT is made as of                                 ,
             [and supersedes] [any previous agreement] [the previous agreement dated
                    ,
                    ,] by and between TENET HEALTHCARE CORPORATION, a Nevada corporation (“Tenet”), and
                     (“Participant”). 
 WHEREAS, Tenet has adopted the Tenet Healthcare Corporation Supplemental Executive Retirement Plan (the “Tenet SERP”) for a select group of highly compensated or management employees of Tenet and its Subsidiaries (as
defined in the Tenet SERP); and 
 WHEREAS, Tenet has determined that Participant is currently eligible to participate in the Tenet SERP; and

 WHEREAS, the Tenet SERP requires that an agreement be entered into between Tenet and Participant setting out certain terms and benefits of the Plan
as they apply to the Participant. 
 NOW, THEREFORE, Tenet and Participant hereby agree as follows: 
  

	1.	Incorporation of Tenet SERP Terms. The Tenet SERP is hereby incorporated into and made a part of this Agreement as though set forth in full herein. The parties shall
be bound by and have the benefit of each and every provision of the Tenet SERP. Participant’s benefits under the Tenet SERP will be calculated and paid pursuant to the terms of the Tenet SERP and this Agreement. 

  

	2.	Participant Data for Benefit Calculation Purposes. Participant was born on
                                , and his or her present employment with
Tenet or a Subsidiary thereof, (i) for purposes of determining “Years of Service,” under the Tenet SERP began on
                                , (ii) for purposes of determining vesting
under Section 3.3 of the Tenet SERP began on                     . 

 Participant’s spouse,
                                 was born on
                    . 
 Participant’s Eligible Children under the age of 21 and their dates of birth are as follows: 
  

			
	Name	  	Birth Date
	
	 
	
	 

 Participant agrees to notify the Senior Director of Executive Compensation of Tenet promptly from
time to time of any change in his or her spouse or Eligible Children. 
  

 A-1 









	3.	Existing Retirement Benefit Plans Adjustment Factor. Participant’s “Existing Retirement Benefit Plans Adjustment Factor” under Article II of the Tenet
SERP is                      percent. 

  

	4.	Payment of Tenet SERP Benefits. Payments under the Tenet SERP will begin not later than the first day of the calendar month following the occurrence of an event which
entitles Participant (or his or her Surviving Spouse or Eligible Children) to payments under the Tenet SERP. 

  

	5.	Dispute Resolution. Any dispute or claim for benefits under the Tenet SERP must be resolved through the claims procedure set forth in Article VII of the Tenet SERP
which procedure culminates in binding arbitration. By accepting the benefits provided under the Tenet SERP, Participant hereby agrees to binding arbitration as the final means of dispute resolution with respect to the Tenet SERP.


  

	6.	Successors and Assigns. This Agreement shall inure to the benefit of and be binding upon Tenet and its successors and assigns and Participant and his or her beneficiaries.


 IN WITNESS WHEREOF, the parties hereto have entered into this Agreement on
                                , 20    .

  

									
	PARTICIPANT	 		 	TENET HEALTHCARE CORPORATION
				
	 	 		 	By: 	 	 
		 		 		 		 	Vice President of Human Resources

  

 A-2 








 TENET HEALTHCARE CORPORATION 
 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN 
 AGREEMENT WITH PARTICIPANT - AMI SERP
BENEFITS 
 THIS AGREEMENT is made as of
                                ,
             and supersedes [any previous agreement] [the previous agreement dated
                    ,
                    ,] by and between TENET HEALTHCARE CORPORATION, a Nevada corporation (“Tenet”), and
                     (“Participant”). 
 WHEREAS, Tenet has adopted the Tenet Healthcare Corporation Supplemental Executive Retirement Plan (the “Tenet SERP”) for a select group of highly compensated or management employees of Tenet and its Subsidiaries (as
defined in the Tenet SERP); and 
 WHEREAS, Tenet has determined that Participant is currently eligible to participate in the Tenet SERP; and

 WHEREAS, the Tenet SERP requires that an agreement be entered into between Tenet and Participant setting out certain terms and benefits of the Plan
as they apply to the Participant; 
 WHEREAS, Participant has also been a participant in the American Medical International, Inc. Supplemental
Executive Retirement Plan (the “AMI SERP”) and the American Medical International, Inc. Pension Plan (the “AMI Pension Plan”) and has a frozen benefit under both plans as of December 31, 1995; and 

WHEREAS, the amount of the benefits payable to Participant under the Tenet SERP will be reduced or offset by the benefits payable to Participant under the AMI
SERP and the AMI Pension Plan. 
 NOW, THEREFORE, Tenet and Participant hereby agree as follows: 
  

	1.	Calculation of Benefits. The Tenet SERP is hereby incorporated into and made a part of this Agreement as though set forth in full herein. The parties shall be bound by and
have the benefit of each and every provision of the Tenet SERP, as amended from time to time, EXCEPT that when benefits become payable under the Tenet SERP, the amount of benefits calculated under the Tenet SERP will include an offset of the
benefits earned under the AMI SERP and AMI Pension Plan as of December 31, 1995, in addition to offset provided by the Existing Retirement Benefits Adjustment Factor shown in item 3 below. For purposes of determining the offset attributable to
the AMI SERP and the AMI Pension Plan, the amount of Participant’s benefits under the Tenet SERP, the AMI SERP and the AMI Pension Plan will be calculated as of Participant’s normal retirement date, as defined in such plans, and the offset
will be determined accordingly using the actuarial factors and assumptions specified in the applicable plans. Participant’s benefits under the AMI SERP and AMI Pension Plan will be paid to Participant pursuant to the terms of such plans.
Participant’s benefits under the Tenet SERP, as calculated pursuant to this item 1, will be paid in accordance with the terms of the Tenet SERP and this Agreement. 

  

	2.	Participant Data for Benefit Calculation Purposes. Participant was born on
                                , and his or her present employment with Tenet or
a Subsidiary thereof, (i) for purposes of determining “Years of Service,” under the Tenet SERP began on
                                , (ii) for purposes of determining vesting
under Section 3.3 of the Tenet SERP began on                     . 

  

 A-3 








 Participant’s spouse,
                     was born on
                    . 
 Participant’s Eligible Children under the age of 21 and their dates of birth are as follows: 
  

			
	Name	  	Birth Date
	
	 
	
	 

 Participant agrees to notify the Senior Director of Executive Compensation of Tenet promptly from
time to time of any change in his or her spouse or Eligible Children. 
  

	3.	Existing Retirement Benefit Plans Adjustment Factor. Participant’s “Existing Retirement Benefit Plans Adjustment Factor” under Article II of the Tenet
SERP is                      percent. 

  

	4.	Payment of Tenet SERP Benefits. Payments under the Tenet SERP will begin not later than the first day of the calendar month following the occurrence of an event which
entitles Participant (or his or her Surviving Spouse or Eligible Children) to payments under the Tenet SERP. All benefits payable to a Participant by reason of a Termination of Employment will be subject to the six (6) month restriction
applicable to Key Employees. 

  

	5.	Dispute Resolution. Any dispute or claim for benefits under the Tenet SERP must be resolved through the claims procedure set forth in Article VII of the Tenet SERP which
procedure culminates in binding arbitration. By accepting the benefits provided under the Tenet SERP, Participant hereby agrees to binding arbitration as the final means of dispute resolution with respect to the Tenet SERP. 


 

	6.	Successors and Assigns. This Agreement shall inure to the benefit of and be binding upon Tenet and its successors and assigns and Participant and his or her beneficiaries.


 IN WITNESS WHEREOF, the parties hereto have entered into this Agreement on
                                , 20    .

  

									
	PARTICIPANT	 		 	TENET HEALTHCARE CORPORATION
				
	 	 		 	By: 	 	 
		 		 		 		 	Vice President of Human Resources

  

 A-4 








 SECTION 409A UPDATE TO TENET HEALTHCARE CORPORATION 
 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN 
 AGREEMENT WITH PARTICIPANT - AMI SERP BENEFITS 
 [This Section 409A Update is to be provided and apply to each Active
or Term Vested 
 Participant who also is entitled to benefits under the AMI SERP who has an existing Agreement 
 on December 31, 2008 paragraph 1 of which addresses or is silent regarding the AMI SERP] 
 THIS SECTION 409A UPDATE (“Section 409A Update”) amends the Agreement (“Agreement”) previously entered into between
                                 (the “Participant”) and Tenet
Healthcare Corporation (the “Tenet”) with respect to the Participant’s benefits under the Tenet Healthcare Corporation Supplemental Executive Retirement Plan (the “Tenet SERP”) . Capitalized terms used in
this Section 409A Update that are not defined herein or in the Participant’s Agreement will have the meaning set forth in the Tenet SERP. 
  

	1.	Tenet made certain clarifying changes to the Tenet SERP in order for it to comply with the requirements of section 409A of the Internal Revenue Code. 

  

	2.	One of the clarifying changes concerns the manner in which benefits are paid under the Tenet SERP with respect to a participant who is also entitled to a benefit under the American
Medical International, Inc. Supplemental Executive Retirement Plan (the “AMI SERP”). Accordingly, paragraph 1 of the Participant’s Agreement is revised to read as follows: 

  

	 	1.	The Tenet SERP is hereby incorporated into and made a part of this Agreement as though set forth in full herein. The parties shall be bound by and have the benefit of each and every
provision of the Tenet SERP, as amended from time to time, EXCEPT that when benefits become payable under the Tenet SERP, the amount of benefits calculated under the Tenet SERP will include an offset of the benefits earned under the AMI SERP
and AMI Pension Plan as of December 31, 1995, in addition to offset provided by the Existing Retirement Benefits Adjustment Factor shown in item 3 below. For purposes of determining the offset attributable to the AMI SERP and the AMI Pension
Plan, the amount of Participant’s benefits under the Tenet SERP, the AMI SERP and the AMI Pension Plan will be calculated as of Participant’s normal retirement date, as defined in such plans, and the offset will be determined accordingly
using the actuarial factors and assumptions specified in the applicable plans. Participant’s benefits under the AMI SERP and AMI Pension Plan will be paid to Participant pursuant to the terms of such plans. Participant’s benefits under the
Tenet SERP, as calculated pursuant to this item 1, will be paid in accordance with the terms of the Tenet SERP and this Agreement. 

  

	3.	The provisions of this Section 409A Update are effective December 31, 2008. In all other respects the terms of the Participant’s Agreement remain in effect.


  

 A-5