Document:

Exhibit 10.1

 

CTC MEDIA,
INC.

SECOND
AMENDMENT AGREEMENT

 

This Second Amendment
Agreement (this “Amendment”) is
made as of the 10th day of June 2010
among CTC Media, Inc., a Delaware corporation (the “Company”), and the stockholders of the
Company listed on the signature pages hereto (individually, a “Stockholder” and collectively, the “Stockholders”).

 

Preliminary Statements:

 

A.            The Company and the
Stockholders are party to that certain Stockholders’ Agreement dated as of May 12,
2006 (the “Original Agreement”), as amended
by the Amendment Agreement dated as of November 5, 2008 (the “First Amendment” and, together with the Original Agreement,
the “Agreement”).

 

B.            The Company and the
Stockholders entered into the First Amendment in connection with the election
of a tenth member to the Company’s Board of Directors.

 

C.            The Company and the
Stockholders desire to amend certain provisions of the Agreement to (i) extend
the term of the Agreement and (ii) to memorialize certain terms of the
Original Agreement in light of the fact that the Company’s Board of Directors
has been reduced to nine members.

 

D.            Capitalized terms used herein
and not otherwise defined herein shall have the meanings ascribed to such terms
in the Agreement.

 

In consideration of the mutual
covenants contained herein, and for other valuable consideration, receipt of
which is hereby acknowledged, the parties hereto agree as follows:

 

Agreements:

 

1.             Amendments.

 

(a)           Section 1.1(a) of
the Agreement is hereby deleted in its entirety and replaced with Section 1.1(a) of
the Original Agreement.

 

(b)           Section 1.1(i) of
the Agreement is hereby deleted in its entirety.

 

(c)           Section 8.3 of the
Agreement is hereby deleted in its entirety and replaced with the following:

 

“Termination.  This Agreement shall terminate on the earlier
to occur of (i) the date on which all Stockholders agree in writing to
terminate this Agreement and (ii) June 6, 2014; provided, however,
that Section 8.13 (Governing Law)
and Section 8.14 (Dispute Resolution)
shall survive termination hereof.”

 

2.             General.

 

(a)           Section Headings.  The section headings herein are for the
convenience of the parties and in no way affect the validity or enforceability
of any other provision of this Amendment.

 

 

(b)           Severability.  The invalidity or unenforceability of any
provision of this Amendment shall not affect the validity or enforceability of
any other provision of this Amendment.

 

(c)           Complete Agreement.  Except as expressly amended or waived hereby,
the Agreement remains in full force and effect. 
This Amendment, together with the Agreement, constitutes the entire
agreement and understanding of the parties hereto with respect to the subject
matter hereof, and supersedes all prior agreement and understandings, whether
written or oral, relating to such subject matter.

 

(d)           Counterparts; Facsimile
Signatures.  This Amendment
may be executed in any number of counterparts, each of which shall be deemed to
be an original, and all of which together shall constitute one and the same
document.  This Amendment may be executed
by facsimile signatures.

 

****

 

2

 

IN WITNESS WHEREOF, this
Amendment has been executed by the parties hereto as of the day and year first
written above.

 

	
   

  	
  CTC MEDIA, INC.

  
	
   

  	
   

  
	
   

  	
   

  
	
   

  	
  By:

  	
  /s/ Boris Podolsky

  
	
   

  	
   

  	
  Boris Podolsky

  
	
   

  	
   

  	
  Chief Financial Officer

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
  MTG RUSSIA AB

  
	
   

  	
   

  
	
   

  	
   

  
	
   

  	
  By:

  	
  /s/ Hans-Holger
  Albrecht

  
	
   

  	
   

  	
  Director

  
	
   

  	
   

  
	
   

  	
  Print name:

  	
  Hans-Holger
  Albrecht

  
	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
  By:

  	
  /s/ Mathias Hermansson

  
	
   

  	
   

  	
  Director

  
	
   

  	
   

  
	
   

  	
  Print name:

  	
  Mathias Hermansson

  
	
   

  	
   

  	
   

  
	
   

  	
   

  
	
   

  	
  ALFA CTC HOLDINGS LIMITED

  
	
   

  	
   

  
	
   

  	
   

  
	
   

  	
  By:

  	
  /s/ Charalambos Michaelldes

  
	
   

  	
   

  	
  Director

  
	
   

  	
   

  
	
   

  	
  Print name: Charalambos Michaelldes

  
	
   

  	
   

  
	
   

  	
   

  
	
   

  	
  By:

  	
  /s/ Maria Pitta

  
	
   

  	
   

  	
  Director

  
	
   

  	
   

  
	
   

  	
  Print
  name: Maria PittaExhibit 10.1

 

(For executive officers)

 

CBOE HOLDINGS, INC. LONG-TERM
INCENTIVE PLAN

RESTRICTED STOCK
AWARD AGREEMENT

 

This RESTRICTED STOCK AWARD AGREEMENT (the “Agreement”) is dated
effective                               ,
2010 (the “Award Date”), and is between CBOE Holdings, Inc. (the “Corporation”)
and                               
(“Participant”).  Any term capitalized
but not defined in this Agreement will have the meaning set forth in the CBOE
Holdings, Inc. Long-Term Incentive Plan (the “Plan”).

 

1.                                       Award.  The
Corporation hereby awards to Participant                     
shares of Stock (the “Award”).  The Award
will be subject to the terms and conditions of the Plan and this
Agreement.  The Award constitutes the
right, subject to the terms and conditions of the Plan and this Agreement, to
distribution of shares of Stock (the “Restricted Stock”). It is the parties’
intention that the value of the Award per share of Restricted Stock will be the
price to the public in the initial public offering of the Corporation.

 

2.                                       Rights as Stockholder. 
On and after the Award Date, and except to the extent provided in Section 5,
during any period in which shares of Stock acquired pursuant to this Agreement
remain subject to vesting conditions, Participant shall have all of the rights
of a stockholder of the Corporation holding shares of Stock, including the
right to vote such shares and to receive all dividends and other distributions
paid with respect to such shares, provided that in the event of a dividend or distribution
paid in shares of Stock or other property or any other adjustment made upon a
change in the capital structure of the Corporation as described in Section 3.2
of the Plan, any and all new, substituted or additional securities or other
property (other than normal cash dividends) to which Participant is entitled by
reason of the Restricted Stock shall be immediately subject to the same vesting
conditions as the Restricted Stock with respect to which such dividends or
distributions were paid or adjustments were made.  If Participant forfeits any rights he or she
may have under this Agreement in accordance with Section 3, Participant
shall, on the day of the event of forfeiture, no longer have any rights as a stockholder
with respect to the Restricted Stock or any interest therein and Participant
shall no longer be entitled to vote or receive dividends on such Stock.

 

3.                                       Vesting; Effect of Termination of
Employment.

 

(a)           Subject to Sections 3(b) and 3(c) below,
Participant’s Restricted Stock will become vested (i) 25% on the first one-year
anniversary of the Award Date, so long as Participant has remained in Service continuously
until such date, (ii) 25% on the second anniversary of the Award Date, so
long as Participant has remained in Service continuously until such date, (iii) 25%
on the third anniversary of the Award Date, so long as Participant has remained
in Service continuously until such date, and (iv) 25% on the fourth
anniversary of the Award Date, so long as Participant has remained in Service
continuously until such date.

 

 

(b)           The Restricted Stock will become 100%
fully vested upon the earliest of (i) Participant’s death, (ii) Participant’s
Disability, or (iii) a Change in Control, in each case if prior to any
forfeiture event under Section 3(c) below.

 

(c)           If Participant terminates Service for
any reason except as set forth in Section 3(b) above, and before all
of his or her Restricted Stock has become vested under this Agreement,
Participant’s Restricted Stock that has not become vested will be forfeited on
and after the effective date of such termination.  Neither the Corporation nor any Affiliate
will have any further obligations to Participant under this Agreement if
Participant’s Restricted Stock is forfeited.

 

4.                                       Terms and Conditions of Distribution.  The
Corporation will distribute the Restricted Stock as soon as practicable after
all the Restricted Stock becomes vested. 
If Participant dies before the Corporation has distributed vested
Restricted Stock, the Corporation will distribute such Restricted Stock to
Participant’s designated beneficiary(ies) or, if none are designated or
surviving, to Participant’s estate or personal representative.  The Corporation will distribute the vested
Restricted Stock no later than six months after Participant’s death.

 

(a)           Notwithstanding the foregoing, the
Corporation will not distribute the Restricted Stock until Participant has paid
to the Corporation or an Affiliate the amount required to be withheld for Federal,
state or local taxes.

 

(b)           The Corporation will not make any distribution
under this Section 4 before the first date the Restricted Stock may be
distributed to Participant without penalty or forfeiture under Federal or state
laws or regulations governing short swing trading of securities.  In determining whether a distribution would
result in such a penalty or forfeiture, the Corporation and the Committee may
rely upon information reasonably available to them or upon representations of
Participant’s legal or personal representative.

 

(c)           The Corporation is not required to
issue or deliver any Restricted Stock before completing the steps necessary to
comply with applicable Federal and state securities laws (including any
registration requirements) and applicable stock exchange rules and practices.  The Corporation will use commercially
reasonable efforts to cause compliance with those laws, rules and
practices.

 

5.                                       Nontransferability.  The
Restricted Stock may not be sold, transferred, exchanged, pledged, assigned,
garnished, or otherwise alienated or hypothecated, other than by will or by the
laws of descent and distribution, or pursuant to a domestic relations order (as
defined in Code Section 414(p)).  Any
effort to assign or transfer the rights under this Agreement will be wholly
ineffective, and will be grounds for termination by the Committee of all rights
of Participant under this Agreement.

 

6.                                       Administration. 
The Committee administers the Plan. 
Participant’s rights under this Agreement are expressly subject to the
terms and conditions of the Plan and to any guidelines the Committee adopts
from time to time.  The interpretation
and construction by the Committee of the Plan and this Agreement, and such rules and
regulations as may 

 

2

 

be adopted by the
Committee for purposes of administering the Plan and this Agreement, will be
final and binding upon Participant.

 

7.                                       Securities Law Requirements.  If
at any time the Board or Committee determines that issuing Stock pursuant to
this Agreement would violate applicable securities laws, the Corporation will
not be required to issue such Stock.  The
Board or Committee may declare any provision of this Agreement or action of its
own null and void, if it determines the provision or action fails to comply
with applicable securities laws.  The Corporation
may require Participant to make written representations it deems necessary or
desirable to comply with applicable securities laws.

 

8.                                       Lock-Up Provisions.  Participant,
if required by the Corporation and the managing underwriter of the Corporation’s
initial registered public offering of Stock, shall agree not to offer, pledge,
sell, contract to sell, sell any option or contract to purchase, purchase any
option or contract to sell, make any short sale of, loan, grant any option,
right or warrant to purchase, or otherwise transfer or dispose of, directly or
indirectly, any shares of Stock acquired under this Agreement or other
securities of the Corporation held by such holder or enter into any swap or similar
agreement that transfers, in whole or in part, the economic risk of ownership
of any such securities, whether any such transaction is to be settled by the
delivery of any shares of Stock acquired under this Agreement or other
securities of the Corporation, in cash or otherwise, during the period
specified by the Corporation.

 

9.                                       Payment of Withholding Taxes.  In
the absence of an effective election under Code Section 83(b), payment to
Participant of shares of Stock under this Agreement will be subject to Federal
income and other tax withholding (and state and local income tax withholding,
if applicable) by the Corporation in respect of taxes on income realized by
Participant.  The Corporation may
withhold such required amounts from future paychecks to Participant, or may
require that Participant deliver to the Corporation the amounts to be
withheld.  Participant agrees to allow
the Corporation, upon any payment of shares of Stock to Participant under this
Agreement, to withhold a portion of the shares of Stock otherwise deliverable
to Participant having a Fair Market Value (on the date that the amount of tax
to be withheld is to be determined) of the amount to be withheld, in
satisfaction of any Federal income and other tax withholding (and any state and
local income tax withholding, if applicable).

 

10.                                 Section 83(b) Election.  Participant may make an election under Code Section 83(b) (the
“Section 83(b) Election”) with respect to the Restricted Stock.  A form of a Section 83(b) Election
is attached to this Agreement as Exhibit A.  If Participant elects to make a Section 83(b) Election,
Participant shall submit a copy of an executed version and satisfactory
evidence of the contemporaneous filing of the executed election form with the U.S.
Internal Revenue Service.  Participant
hereby agrees to assume full responsibility for ensuring that the Section 83(b) Election
is actually and timely filed with the U.S. Internal Revenue Service and all tax
consequences resulting from making such Section 83(b) Election.

 

11.                                 Restrictive Covenants. 
Participant understands the global nature of the Corporation’s
businesses and the effort the Corporation and the Chicago Board Options
Exchange, Inc. 

 

3

 

(together referred
to in this Section as the “CBOE”) undertake to develop and protect their
business and their competitive advantage. 
Accordingly, Participant agrees that the scope and duration of the
restrictions described in this Agreement are reasonable and necessary to protect
the legitimate business interests of the CBOE. 
Participant further agrees that during the period of Participant’s
Service and for a period of two years following Participant’s separation from
Service, Participant shall not:

 

(a)           singly, jointly, or in any other
capacity, in a manner that contributes to any research, technology,
development, account, trading, marketing, promotion, or sales and that relates
to Participant’s Service with the CBOE, directly or beneficially, manage, join,
participate in the management, operation or control of, or work for (as an
employee, consultant or independent contractor), or permit the use of his name
by, or provide financial or other assistance to, any options exchange regulated
by the Securities and Exchange Commission or alternative trading system that
directly competes with the CBOE, without the express written approval of the
Chief Executive Officer and Chairman of the Board of the Corporation;

 

(b)           provide any service or assistance
that (i) is of the general type of service or assistance provided by
Participant to the CBOE, (ii) relates to any technology, account, product,
project or piece of work with which Participant was involved during his
Service, and (iii) contributes to causing an entity to come within the definition
described in Section 11(a) above;

 

(c)           solicit or accept if offered to
Participant, with or without solicitation, on his or her own behalf or on
behalf of any other person, the services of any person who is a then-current
employee of the CBOE (or was an employee of the CBOE during the year preceding
such solicitation), nor solicit any of the CBOE’s then-current employees (or an
individual who was employed by or engaged by the CBOE during the year preceding
such solicitation) to terminate employment or an engagement with the CBOE, nor
agree to hire any then-current employee (or an individual who was an employee
of the CBOE during the year preceding such hire) of the CBOE into employment
with Participant or any company, individual or other entity; or

 

(d)           directly or indirectly divert or
attempt to divert from the CBOE any business in which the CBOE has been
actively engaged during Participant’s Service, nor interfere with the
relationships of the CBOE or with their sources of business.

 

12.                                 Confidentiality. 
Participant acknowledges that the Corporation or an Affiliate may
disclose secret or confidential information to Participant during the period of
Participant’s Service to enable Participant to perform his or her duties.  Participant agrees that, subject to the
following sentence, Participant shall not during his or her Service (except in
connection with the proper performance of his or her duties) and thereafter,
without the prior written consent of the Corporation, disclose to any person or
entity any material or significant secret or confidential information
concerning the business of the Corporation or an Affiliate that was obtained by
Participant in the course of Participant’s Service.  This paragraph shall not be applicable if and
to the extent Participant is required to testify in a legislative, judicial or
regulatory proceeding pursuant to an order of Congress, any state or local
legislature, a judge, or an administrative law judge, or if such secret or 

 

4

 

confidential
information is required to be disclosed by Participant by any law, regulation
or order of any court or regulatory commission, department or agency.  Participant further agrees that if Participant’s
Service is terminated for any reason, Participant will not take, but will leave
with the Corporation or an Affiliate, all records and papers and all matter of
whatever nature that bears secret or confidential information of the
Corporation or an Affiliate.  For
purposes of this Agreement, the term “secret or confidential information” shall
include, but not be limited to, any and all records, notes, memoranda, data,
writings, research, personnel information, customer information, clearing
members’ information, the Corporation’s and any Affiliate’s financial
information and plans, processes, methods, techniques, systems, formulas,
patents, models, devices, compilations or any other information of whatever
nature in the possession or control of the Corporation or an Affiliate, that
has not been published or disclosed to the general public, the options industry
or the commodities futures industry, provided that such term shall not include
knowledge, skills, and information that is common to the trade or profession of
Participant.

 

13.                                 Judicial Modification. 
If the final judgment of a court of competent jurisdiction declares that
any term or provision of Section 11 or 12 is invalid or unenforceable, the
parties agree that (a) the court making the determination of invalidity or
unenforceability shall have the power to reduce the scope, duration, or
geographic area of the term or provision, to delete specific words or phrases,
or to replace any invalid or unenforceable term or provision with a term or
provision that is valid and enforceable and that comes closest to expressing
the intention of the invalid or unenforceable term or provision, (b) the
parties shall request that the court exercise that power, and (c) this
Agreement shall be enforceable as so modified after the expiration of the time
within which the judgment or decision may be appealed.

 

14.                                 Remedies.  Participant
agrees that in the event of a breach or threatened breach of any of the covenants
contained in Sections 11 or 12 of this Agreement, in addition to any other
penalties or restrictions that may apply under any employment agreement, state
law, or otherwise, Participant shall forfeit, upon written notice to such effect
from the Corporation:  (a) any and
all Awards granted to him or her under the Plan and this Agreement, including
vested Awards; and (b) the profit Participant has realized on the vesting
of any Awards, which Participant may be required to repay to the
Corporation).  The forfeiture provisions
of this Section 14 shall continue to apply, in accordance with their
terms, after the provisions of any employment or other agreement between the
Corporation and Participant have lapsed. 
Participant consents and agrees that if Participant violates or
threatens to violate any provisions of Sections 11 or 12 of this
Agreement, the Corporation or its successors in interest shall be entitled, in
addition to any other remedies that they may have, including money damages, to
an injunction to be issued by a court of competent jurisdiction restraining
Participant from committing or continuing any violation of Sections 11 or 12.  In the event that Participant is found to
have breached any provision set forth in Section 11 of this Agreement, the
time period provided for in that provision shall be deemed tolled (i.e., it will not begin to run) for so long as Participant
was in violation of that provision.

 

5

 

15.                                 Representations and Warranties. 
Participant represents and warrants to the Corporation that Participant
has received a copy of the Plan and this Agreement, has read and understands
the terms of the Plan and this Agreement, and agrees to be bound by their terms
and conditions in all respects.

 

16.                                 No Limitation on the Corporation’s Rights. 
This granting of Restricted Stock under this Agreement shall not and
will not in any way affect the Corporation’s right or power to make
adjustments, reclassifications or changes in its capital or business structure
or to merge, consolidate, reincorporate, dissolve, liquidate or sell or
transfer all or any part of its business or assets.

 

17.                                 Plan and Agreement Not a Contract of
Employment or Service.  Neither the Plan nor this
Agreement is a contract of employment or Service, and no terms of Participant’s
employment or Service will be affected in any way by the Plan, this Agreement
or related instruments, except to the extent specifically expressed
therein.  Neither the Plan nor this
Agreement will be construed as conferring any legal rights of Participant to
continue to be employed or remain in Service, nor will it interfere with the
Corporation’s or any Affiliate’s right to discharge Participant or to deal with
Participant regardless of the existence of the Plan or this Agreement.

 

18.                                 Entire Agreement and Amendment. 
This Agreement and the Plan constitute the entire agreement between the
parties hereto with respect to the Restricted Stock, and all prior oral and
written representations are merged in this Agreement and the Plan.  Notwithstanding the preceding sentence, this
Agreement shall not in any way affect the terms and provisions of the
Plan.  This Agreement may be amended,
modified, or terminated only in accordance with the Plan.  The headings in this Agreement are inserted for
convenience and identification only and are not intended to describe, interpret,
define or limit the scope, extent, or intent of this Agreement or any provision
hereof.

 

19.                                 Notice.  Any notice or
other communication required or permitted under this Agreement must be in
writing and must be delivered personally, sent by certified, registered or
express mail, or sent by overnight courier, at the sender’s expense.  Notice will be deemed given (a) when
delivered personally or, (b) if mailed, three days after the date of
deposit in the United States mail or, (c) if sent by overnight courier, on
the regular business day following the date sent.  Notice to the Corporation should be sent to CBOE
Holdings, Inc., 400 South LaSalle Street, Chicago, Illinois 60605,
Attention: General Counsel.  Notice to
Participant should be sent to the address set forth on the Corporation’s
records.  Either party may change the
address to which the other party must give notice under this Section 19 by
giving the other party written notice of such change, in accordance with the
procedures described above.

 

20.                                 Successors and Assigns.  The
terms of this Agreement will be binding upon the Corporation and its successors
and assigns.

 

21.                                 Governing Law.  To
the extent not preempted by Federal law, the Plan, this Agreement, and
documents evidencing rights relating to the Plan or this Agreement will be
construed, administered and governed in all respects under and by the laws of
the State of Delaware, 

 

6

 

without giving
effect to its conflict of laws principles. 
If any provision of this Agreement will be held by a court of competent
jurisdiction to be invalid or unenforceable, the remaining provisions hereof
will continue to be fully effective.  The
jurisdiction and venue for any disputes arising under, or any action brought to
enforce (or otherwise relating to), this Agreement will be exclusively in the
courts in the State of Illinois, County of Cook, including the Federal Courts
located therein (should Federal jurisdiction exist).

 

22.                                 Plan Document Controls. 
The rights granted under this Agreement are in all respects subject to
the provisions set forth in the Plan to the same extent and with the same
effect as if set forth fully in this Agreement. 
If the terms of this Agreement conflict with the terms of the Plan document,
the Plan document will control.

 

23.                                 Counterparts. 
This Agreement may be executed simultaneously in two or more
counterparts, each of which shall be deemed an original and all of which
together shall constitute but one and the same instrument.

 

24.                                 Waiver; Cumulative Rights. 
The failure or delay of either party to require performance by the other
party of any provision of this Agreement will not affect its right to require
performance of such provision unless and until such performance has been waived
in writing.  Each right under this
Agreement is cumulative and may be exercised in part or in whole from time to
time.

 

25.                                 Tax Consequences.  Participant
agrees to determine and be responsible for all tax consequences to Participant
with respect to the Restricted Stock.

 

IN WITNESS WHEREOF, the
Corporation and Participant have duly executed this Agreement as of the date
first written above.

 

	
   

  	
   

  	
  CBOE
  Holdings, Inc.

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
  By:

  	
   

  
	
  Participant’s
  Name

  	
   

  	
  Its:

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
  Participant’s
  Signature

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
  Participant’s Address for notices

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  

 

7

 

EXHIBIT A

 

ELECTION
TO INCLUDE VALUE OF

RESTRICTED
PROPERTY IN GROSS INCOME

IN YEAR
OF TRANSFER UNDER CODE § 83(b)

 

The undersigned (the “Taxpayer”) hereby elects pursuant to
§ 83(b) of the Internal Revenue Code of 1986, as amended, to include
the restricted property described below in his/her gross income for the tax
year ending                               ,
2010 and supplies the following information in accordance with the regulations
promulgated thereunder:

 

1.              The name, address and
taxpayer identification number of the Taxpayer are:

 

Name:

 

Address:

 

SSN Number:

 

2.              Description of property
with respect to which the election is being made:

 

                                           
shares of common stock (the “Stock”)
of CBOE Holdings, Inc. (the “Corporation”).

 

3.              The date on which property
was transferred is                               , 2010.

 

The taxable year
to which this election relates is calendar year 2010.

 

4.              The nature of the
restriction(s) to which the property is subject.

 

The property is subject
to vesting restrictions and will become vested as follows: (i) 25% on the
first anniversary of the award date, so long as the Taxpayer has remained in
service continuously until such date, (ii) 25% on the second anniversary
of the award date, so long as the Taxpayer has remained in service continuously
until such date, (iii) 25% on the third anniversary of the award date, so
long as the Taxpayer has remained in service continuously until such date, and (iv) 25%
on the fourth anniversary of the award date, so long as the Taxpayer has
remained in service continuously until such date.

 

5.              Fair market value:

 

The fair market value at
time of transfer (determined without regard to any restrictions other than
restrictions which by their terms will never lapse) of the property with
respect to which this election is being made is $                    
per share of Stock.

 

6.              Furnishing statement to
employer:

 

A copy of this statement
has been furnished to the Corporation.

 

	
   

  	
  Dated:                                ,
  2010

  

 

 

	
   

  	
   

  	
   

  
	
   

  	
  Taxpayer’s
  Signature

  	
   

  

 

This
election must be filed with the Internal Revenue Service Center with which the
Taxpayer files his Federal income tax returns and must be filed within 30 days
after the date of purchase.  This filing
should be made by registered or certified mail, return receipt requested.  The taxpayer must retain two copies of the
completed form for filing with his Federal and State tax returns for the
current tax year and an additional copy for his records.

 

9

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