Document:

exv10wnn

 

EXHIBIT 10.NN

Skyworks Solutions, Inc.

Restricted Stock Agreement

Granted Under 2008 Director Long-Term Incentive Plan

     AGREEMENT made this                      day of                     , 2008 (the “Grant Date”), between Skyworks Solutions,
Inc. a Delaware corporation (the “Company”), and                      (the “Director”).

     For good and valuable consideration, receipt of which is acknowledged, the parties hereto
agree as follows:

     1. Issuance of Shares.

     The Company shall issue to the Director, subject to the terms and conditions set forth in this
Agreement and in the Company’s 2008 Director Long-Term Incentive Plan (the “Plan”),                     
shares (the “Shares”) of common stock, $0.25 par value, of the Company (“Common Stock”). The
Company shall issue to the Director one or more certificates in the name of the Director for that
number of Shares to be issued to the Director hereunder, or, alternatively, the Shares may be held
in book entry by the Company’s transfer agent in the name of the Director for that number of Shares
issued to the Director. The Director agrees that the Shares shall be subject to forfeiture pursuant
to Section 2 of this Agreement and the restrictions on transfer set forth in Section 4 of this
Agreement.

     2. Forfeiture Option.

          (a) In the event that the Director ceases to serve as a member of the Board of Directors of
the Company for any reason or no reason, except as set forth in Section 2(b) below, prior to the
third anniversary of the Grant Date, the Company shall have the right and option (the “Forfeiture
Option”) to demand that the Director forfeit some or all of the Unvested Shares (as defined below).

     “Unvested Shares” means the total number of Shares subject to this Agreement multiplied by the
Applicable Percentage at the time the Forfeiture Option becomes exercisable by the Company. The
“Applicable Percentage” shall be (i) 100% during the 12-month period ending on the day preceding
the first anniversary of the Grant Date, (ii) 66.67% during the 12-month period beginning on and
after the first anniversary of the Grant Date and ending on the day preceding the second
anniversary of the Grant Date, (iii) 33.33% during the 12-month period beginning on and after the
second anniversary of the Grant Date and ending on the day preceding the third anniversary of the
Grant Date, and (iv) zero on and after the third anniversary of the Grant Date.

          (b) In the event that the Director ceases to serve as a member of the Board of Directors of
the Company by reason of death or disability, the number of the Shares for which the Forfeiture
Option becomes exercisable shall be zero percent (0%) of the number of Unvested Shares for which
the Forfeiture Option would otherwise become exercisable. For this purpose, “disability” shall
mean the permanent disability of the Director as defined in Section 22(e)(3) of the Internal
Revenue Code of 1986.

 

 

     3. Exercise of Forfeiture Option and Closing.

          (a) The Company may exercise the Forfeiture Option by delivering or mailing to the Director
(or his estate), within 90 days after the cessation of the service of the Director with the
Company, a written notice of exercise of the Forfeiture Option. Such notice shall specify the
number of Shares to be forfeited. If and to the extent the Forfeiture Option is not so exercised
by the giving of such a notice within such 90-day period, the Forfeiture Option shall automatically
expire and terminate effective upon the expiration of such 90-day period.

          (b) Within 10 days after delivery to the Director of the Company’s notice of the exercise of
the Forfeiture Option pursuant to subsection (a) above, the Director (or his estate) shall,
pursuant to the provisions of the Joint Escrow Instructions referred to in Section 5 below, tender
to the Company at its principal offices the certificate or certificates representing the Shares
which the Company has demanded forfeiture of in accordance with the terms of this Agreement, duly
endorsed in blank or with duly endorsed stock powers attached thereto, all in form suitable for the
transfer of such Shares to the Company.

          (c) After the time at which any Shares are required to be delivered to the Company for
transfer to the Company pursuant to subsection (b) above, the Company shall not pay any dividend to
the Director on account of such Shares or permit the Director to exercise any of the privileges or
rights of a stockholder with respect to such Shares, but shall, in so far as permitted by law,
treat the Company as the owner of such Shares.

          (d) The Company shall not demand forfeiture of any fraction of a Share upon exercise of the
Forfeiture Option, and any fraction of a Share resulting from a computation made pursuant to
Section 2 of this Agreement shall be rounded to the nearest whole Share (with any one-half Share
being rounded upward).

          (e) The Company may assign its Forfeiture Option to one or more persons or entities.

     4. Restrictions on Transfer.

     The Director shall not sell, assign, transfer, pledge, hypothecate or otherwise dispose of, by
operation of law or otherwise (collectively “transfer”) any Shares, or any interest therein, that
are subject to the Forfeiture Option, except that the Director may transfer such Shares (i) to or
for the benefit of any spouse, children, parents, uncles, aunts, siblings, grandchildren and any
other relatives approved in writing by the Board of Directors (collectively, “Approved Relatives”)
or to a trust established solely for the benefit of the Director and/or Approved Relatives,
provided that such Shares shall remain subject to this Agreement (including without
limitation the restrictions on transfer set forth in this Section 4 and the Forfeiture Option set
forth in Section 2) and such permitted transferee shall, as a condition to such transfer, deliver
to the Company a written instrument confirming that such transferee shall be bound by all of the
terms and conditions of this Agreement or (ii) as part of the sale of all or substantially all of
the shares of capital stock of the Company (including pursuant to a merger or consolidation),
provided that, in accordance with the Plan, the securities or other property received by
the Director in connection with such transaction shall remain subject to this Agreement..

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     5. Escrow.

     The Director shall, upon the execution of this Agreement, execute Joint Escrow Instructions in
the form attached to this Agreement as Exhibit A. The Joint Escrow Instructions shall be
delivered to the General Counsel of the Company, as escrow agent thereunder. The Director shall
deliver to such escrow agent a stock assignment duly endorsed in blank, in the form attached to
this Agreement as Exhibit B, and hereby instructs the Company to deliver to such escrow
agent, on behalf of the Director, the certificate(s) evidencing the Shares issued hereunder. Such
materials shall be held by such escrow agent pursuant to the terms of such Joint Escrow
Instructions.

     6. Restrictive Legends.

     All certificates representing Shares shall have affixed thereto legends in substantially the
following form, in addition to any other legends that may be required under federal or state
securities laws:

“The shares of stock represented by this certificate are subject to
restrictions on transfer and a forfeiture option set forth in a
certain Restricted Stock Agreement between the corporation and the
registered owner of these shares (or his predecessor in interest),
and such Agreement is available for inspection without charge at the
office of the Secretary of the corporation.”

     7. Provisions of the Plan.

          (a) This Agreement is subject to the provisions of the Plan, a copy of which is furnished to
the Director with this Agreement.

          (b) As provided in the Plan, upon the occurrence of a Reorganization Event (as defined in the
Plan), the rights of the Company hereunder (including the right to exercise the Forfeiture Option)
shall inure to the benefit of the Company’s successor and shall apply to the cash, securities or
other property which the Shares were converted into or exchanged for pursuant to such
Reorganization Event in the same manner and to the same extent as they applied to the Shares under
this Agreement. If, in connection with a Reorganization Event, a portion of the cash, securities
and/or other property received upon the conversion or exchange of the Shares is to be placed into
escrow to secure indemnification or similar obligations, the mix between the vested and unvested
portion of such cash, securities and/or other property that is placed into escrow shall be the same
as the mix between the vested and unvested portion of such cash, securities and/or other property
that is not subject to escrow.

     8. Section 83(b) Election.

          (a) The Director has reviewed with the Director’s own tax advisors the federal, state, local
and foreign tax consequences of this investment and the transactions contemplated by this
Agreement. The Director is relying solely on such advisors and not on any statements or
representations of the Company or any of its agents. The Director understands that the Director
(and not the Company) shall be responsible for the Director’s own tax liability that

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may arise as a result of this investment or the transactions contemplated by this Agreement.
The Director understands that it may be beneficial in many circumstances to elect to be taxed at
the time the Shares are issued rather than when and as the Company’s Forfeiture Option expires by
filing an election under Section 83(b) of the Internal Revenue Code of 1986 with the Internal
Revenue Service within 30 days from the date of issuance.

          THE DIRECTOR ACKNOWLEDGES THAT IT IS THE DIRECTOR’S SOLE RESPONSIBILITY AND NOT THE COMPANY’S
TO FILE TIMELY THE ELECTION UNDER SECTION 83(b), EVEN IF THE DIRECTOR REQUESTS THE COMPANY OR ITS
REPRESENTATIVES TO MAKE THIS FILING ON THE DIRECTOR’S BEHALF.

     9. Miscellaneous.

          (a) No Rights to Continue as a Director. The Participant acknowledges and agrees that
the vesting of the Shares pursuant to Section 2 hereof is earned only by continuing service as
member of the Board of Directors of the Company. The Participant further acknowledges and agrees
that the transactions contemplated hereunder and the vesting schedule set forth herein do not
constitute an express or implied promise of continued engagement as a member of the Board of
Directors of the Company.

          (b) Severability. The invalidity or unenforceability of any provision of this
Agreement shall not affect the validity or enforceability of any other provision of this Agreement,
and each other provision of this Agreement shall be severable and enforceable to the extent
permitted by law.

          (c) Waiver. Any provision for the benefit of the Company contained in this Agreement
may be waived, either generally or in any particular instance, by the Board of Directors of the
Company.

          (d) Binding Effect. This Agreement shall be binding upon and inure to the benefit of
the Company and the Director and their respective heirs, executors, administrators, legal
representatives, successors and assigns, subject to the restrictions on transfer set forth in
Section 4 of this Agreement.

          (e) Notice. All notices required or permitted hereunder shall be in writing and
deemed effectively given upon personal delivery or five days after deposit in the United States
Post Office, by registered or certified mail, postage prepaid, addressed to the other party hereto
at the address shown beneath his or its respective signature to this Agreement, or at such other
address or addresses as either party shall designate to the other in accordance with this
Section 9.

          (f) Pronouns. Whenever the context may require, any pronouns used in this Agreement
shall include the corresponding masculine, feminine or neuter forms, and the singular form of nouns
and pronouns shall include the plural, and vice versa.

          (g) Entire Agreement. This Agreement and the Plan constitute the entire agreement
between the parties, and supersedes all prior agreements and understandings, relating to the
subject matter of this Agreement.

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          (h) Amendment. This Agreement may be amended or modified only by a written instrument
executed by both the Company and the Director.

          (i) Governing Law. This Agreement shall be construed, interpreted and enforced in
accordance with the internal laws of the State of Delaware without regard to any applicable
conflicts of laws.

          (j) Director’s Acknowledgments. The Director acknowledges that he or she: (i) has
read this Agreement; (ii) has been represented in the preparation, negotiation, and execution of
this Agreement by legal counsel of the Director’s own choice or has voluntarily declined to seek
such counsel; (iii) understands the terms and consequences of this Agreement; and (iv) is fully
aware of the legal and binding effect of this Agreement.

     IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of the day and year
first above written.

	 	 	 	 	 	 	 
	 	 	Skyworks Solutions, Inc.	 	 
	 
	 	 	 	 	 	 
	 

	 	

By:
	 		 	 
	 

	 	Title:
	 	President & CEO	 	 
	 
	 	 	 	 	 	 
	 	 	 	 	 
	 
	 	 	 	 	 	 
	 	 	 	 	 
	 	 	[DIRECTOR]	 	 

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Exhibit A

Skyworks Solutions, Inc.

Joint Escrow Instructions

DATE [ ]

VP and General Counsel

Skyworks Solutions, Inc.

20 Sylvan Road

Woburn, MA 01801

Dear Sir:

     As Escrow Agent for Skyworks Solutions, Inc., a Delaware corporation, and its successors in
interest under the Restricted Stock Agreement (the “Agreement”) of even date herewith, to which a
copy of these Joint Escrow Instructions is attached (the “Company”), and the undersigned person
(“Holder”), you are hereby authorized and directed to hold the documents delivered to you pursuant
to the terms of the Agreement in accordance with the following instructions:

     1. Appointment. Holder irrevocably authorizes the Company to deposit with you any
certificates evidencing Shares (as defined in the Agreement) to be held by you hereunder and any
additions and substitutions to said Shares. For purposes of these Joint Escrow Instructions,
“Shares” shall be deemed to include any additional or substitute property. Holder does hereby
irrevocably constitute and appoint you as his attorney-in-fact and agent for the term of this
escrow to execute with respect to such Shares all documents necessary or appropriate to make such
Shares negotiable and to complete any transaction herein contemplated. Subject to the provisions
of this Section 1 and the terms of the Agreement, Holder shall exercise all rights and privileges
of a stockholder of the Company while the Shares are held by you.

     2. Closing of Forfeiture.

          (a) Upon any exercise of the Forfeiture Option by the Company pursuant to the Agreement, the
Company shall give to Holder and you a written notice specifying the number of Shares to be
tendered, as determined pursuant to the Agreement, and the time for a closing hereunder (the
“Closing”) at the principal office of the Company. Holder and the Company hereby irrevocably
authorize and direct you to close the transaction contemplated by such notice in accordance with
the terms of said notice.

          (b) At the Closing, you are directed (i) to date the stock assignment form or forms necessary
for the transfer of the Shares, (ii) to fill in on such form or forms the number of Shares being
transferred, and (iii) to deliver same, together with the certificate or certificates evidencing
the Shares to be transferred.

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     3. Withdrawal. The Holder shall have the right to withdraw from this escrow any
Shares as to which the Forfeiture Option (as defined in the Agreement) has terminated or expired.

     4. Duties of Escrow Agent.

          (a) Your duties hereunder may be altered, amended, modified or revoked only by a writing
signed by all of the parties hereto.

          (b) You shall be obligated only for the performance of such duties as are specifically set
forth herein and may rely and shall be protected in relying or refraining from acting on any
instrument reasonably believed by you to be genuine and to have been signed or presented by the
proper party or parties. You shall not be personally liable for any act you may do or omit to do
hereunder as Escrow Agent or as attorney-in-fact of Holder while acting in good faith and in the
exercise of your own good judgment, and any act done or omitted by you pursuant to the advice of
your own attorneys shall be conclusive evidence of such good faith.

          (c) You are hereby expressly authorized to disregard any and all warnings given by any of the
parties hereto or by any other person or entity, excepting only orders or process of courts of law,
and are hereby expressly authorized to comply with and obey orders, judgments or decrees of any
court. If you are uncertain of any actions to be taken or instructions to be followed, you may
refuse to act in the absence of an order, judgment or decrees of a court. In case you obey or
comply with any such order, judgment or decree of any court, you shall not be liable to any of the
parties hereto or to any other person or entity, by reason of such compliance, notwithstanding any
such order, judgment or decree being subsequently reversed, modified, annulled, set aside, vacated
or found to have been entered without jurisdiction.

          (d) You shall not be liable in any respect on account of the identity, authority or rights of
the parties executing or delivering or purporting to execute or deliver the Agreement or any
documents or papers deposited or called for hereunder.

          (e) You shall be entitled to employ such legal counsel and other experts as you may deem
necessary properly to advise you in connection with your obligations hereunder and may rely upon
the advice of such counsel.

          (f) Your rights and responsibilities as Escrow Agent hereunder shall terminate if (i) you
cease to be Secretary of the Company or (ii) you resign by written notice to each party. In the
event of a termination under clause (i), your successor as Secretary shall become Escrow Agent
hereunder; in the event of a termination under clause (ii), the Company shall appoint a successor
Escrow Agent hereunder.

          (g) If you reasonably require other or further instruments in connection with these Joint
Escrow Instructions or obligations in respect hereto, the necessary parties hereto shall join in
furnishing such instruments.

          (h) It is understood and agreed that if you believe a dispute has arisen with respect to the
delivery and/or ownership or right of possession of the securities held by you hereunder, you are
authorized and directed to retain in your possession without liability to

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anyone all or any part of said securities until such dispute shall have been settled either by
mutual written agreement of the parties concerned or by a final order, decree or judgment of a
court of competent jurisdiction after the time for appeal has expired and no appeal has been
perfected, but you shall be under no duty whatsoever to institute or defend any such proceedings.

          (i) These Joint Escrow Instructions set forth your sole duties with respect to any and all
matters pertinent hereto and no implied duties or obligations shall be read into these Joint Escrow
Instructions against you.

          (j) The Company shall indemnify you and hold you harmless against any and all damages, losses,
liabilities, costs, and expenses, including attorneys’ fees and disbursements, (including without
limitation the fees of counsel retained pursuant to Section 4(e) above, for anything done or
omitted to be done by you as Escrow Agent in connection with this Agreement or the performance of
your duties hereunder, except such as shall result from your gross negligence or willful
misconduct.

     5. Notice. Any notice required or permitted hereunder shall be given in writing and
shall be deemed effectively given upon personal delivery or upon deposit in the United States Post
Office, by registered or certified mail with postage and fees prepaid, addressed to each of the
other parties thereunto entitled at the following addresses, or at such other addresses as a party
may designate by ten days’ advance written notice to each of the other parties hereto.

	 	 	 	 	 	 	 
	 

	 	COMPANY:
	 	Notices to the Company shall be sent to the address set
forth in the salutation hereto, Attn: General Counsel
	 	 
	 
	 	 	 	 	 	 
	 

	 	HOLDER:
	 	Notices to Holder shall be sent to the address set forth
below Holder’s signature below.	 	 
	 
	 	 	 	 	 	 
	 

	 	ESCROW AGENT:
	 	Notices to the Escrow Agent shall be sent to the address set
forth in the salutation hereto.	 	 

     6. Miscellaneous.

          (a) By signing these Joint Escrow Instructions, you become a party hereto only for the purpose
of said Joint Escrow Instructions, and you do not become a party to the Agreement.

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          (b) This instrument shall be binding upon and inure to the benefit of the parties hereto and their
respective successors and permitted assigns.

	 	 	 	 	 	 	 
	 	 	Very truly yours,	 	 
	 
	 	 	 	 	 	 
	 	 	Skyworks Solutions, Inc.	 	 
	 
	 	 	 	 	 	 
	 

	 	

By:
	 		 	 
	 
	 	 	 	 	 	 
	 

	 	Title:
	 	President & CEO	 	 
	 
	 	 	 	 	 	 
	 	 	HOLDER:	 	 
	 
	 	 	 	 	 	 
	 	 	(Signature)	 	 
	 
	 	 	 	 	 	 
	 	 	 	 	 
	 	 	Name:	 	 
	 
	 	 	 	 	 	 
	 	 	Date Signed:                                        	 	 

	 	 	 
	ESCROW AGENT:

	 	 
	 
	 	 
	 

	 	 

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Exhibit B

(STOCK ASSIGNMENT SEPARATE FROM CERTIFICATE)

     FOR VALUE RECEIVED, I hereby sell, assign and transfer unto                      (                    ) shares of
Common Stock, $0.25 par value per share, of                      (the “Corporation”) standing in my name on
the books of the Corporation represented by Certificate(s) Number                      herewith, and do
hereby irrevocably constitute and appoint                      attorney to transfer the said
stock on the books of the Corporation with full power of substitution in the premises.

	 	 	 	 	 	 	 
	 

	 	Dated:
	 	 	 	 
	 

	 	 	 	 	 	 
	 
	 	 	 	 	 	 
	IN PRESENCE OF
	 	 	 	 	 	 
	 	 	 	 	 
	 
	 	 	 	 	 	 
	 	 	 	 	 

     NOTICE: The signature(s) to this assignment must correspond with the name as written upon the
face of the certificate, in every particular, without alteration, enlargement, or any change
whatever and must be guaranteed by a commercial bank, trust company or member firm of the Boston,
New York or Midwest Stock Exchange.

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EXHIBIT 10.OO

SKYWORKS SOLUTIONS, INC.

Nonstatutory Stock Option Agreement

Granted Under 2008 Director Long-Term Incentive Plan

1. Grant of Option.

     This agreement evidences the grant by Skyworks Solutions, Inc., a Delaware corporation (the
“Company”), on                     , 200[ ] (the “Grant Date”) to [                                        ], a
member of the Board of Directors of the Company (the “Director”), of an option to purchase, in
whole or in part, on the terms provided herein and in the Company’s 2008 Director Long-Term
Incentive Plan (the “Plan”), a total of [                                        ] shares (the “Shares”) of
common stock, $.25 par value per share, of the Company (“Common Stock”) at $[                    ]
per Share. Unless earlier terminated, this option shall expire at 5:00 p.m., Eastern time, on
[                    ][10 YEARS FROM DATE OF GRANT] (the “Final Exercise Date”).

     It is intended that the option evidenced by this agreement shall not be an incentive stock
option as defined in Section 422 of the Internal Revenue Code of 1986, as amended, and any
regulations promulgated thereunder (the “Code”). Except as otherwise indicated by the context, the
term “Director”, as used in this option, shall be deemed to include any person who acquires the
right to exercise this option validly under its terms.

2. Vesting Schedule.

     This option will become exercisable (“vest”) as to twenty-five percent (25%) of the original
number of Shares on the first anniversary of the Grant Date and as to an additional twenty-five
(25%) of the original number of Shares at the end of each successive twelve-month period following
the first anniversary of the Grant Date until the fourth anniversary of the Grant Date.

     The right of exercise shall be cumulative so that to the extent the option is not exercised in
any period to the maximum extent permissible it shall continue to be exercisable, in whole or in
part, with respect to all Shares for which it is vested until the earlier of the Final Exercise
Date or the termination of this option under Section 3 hereof or the Plan.

3. Exercise of Option.

     (a) Form of Exercise. Each election to exercise this option shall be in writing,
signed by the Director, or by any other form of notice (including electronic notice) that has been
approved by the Company’s Board of Directors, and received by the Company at its principal office
or by a person designated by the Company, accompanied by this agreement, and payment in full in the
manner provided in the Plan. The Director may purchase less than the number of shares covered
hereby, provided that no partial exercise of this option may be for any fractional share.

     (b) Continuous Relationship with the Company Required. Except as otherwise provided
in this Section 3, this option may not be exercised unless the Director, at the time he or

 

 

she exercises this option, is, and has been at all times since the Grant Date, a member of the
Board of Directors of the Company or any other entity the directors of which are eligible to
receive option grants under the Plan (an “Eligible Participant”).

     (c) Termination of Relationship with the Company. If the Director ceases to be an
Eligible Participant for any reason, then, except as provided in paragraphs (d) and (e) below, the
right to exercise this option shall terminate three (3) months after such cessation (but in no
event after the Final Exercise Date), provided that this option shall be
exercisable only to the extent that the Director was entitled to exercise this option on the date
of such cessation.

     (d) Exercise Period Upon Death. If the Director ceases to be an Eligible Participant
due to his or her death prior to the Final Exercise Date while he or she is an Eligible
Participant, this option shall be exercisable as to all shares then vested and unvested, within the
period of twelve (12) months following the date of death of the Director, by an authorized
transferee, provided that this option shall not be exercisable after the Final
Exercise Date.

     (e) Exercise Period Upon Disability. If the Director ceases to be an Eligible
Participant because the Director becomes permanently disabled (within the meaning of Section
22(e)(3) of the Code) prior to the Final Exercise Date while he or she is an Eligible Participant,
this option shall be exercisable, within the period of six (6) months following the date of
disability of the Director, by the Director, provided that this option shall be
exercisable only to the extent that this option was exercisable by the Director on the date of his
or her disability, and further provided that this option shall not be exercisable after the Final
Exercise Date.

4. Nontransferability of Option.

     This option may not be sold, assigned, transferred, pledged or otherwise encumbered by the
Director, either voluntarily or by operation of law, except by will or the laws of descent and
distribution, and, during the lifetime of the Director, this option shall be exercisable only by
the Director.

5. Provisions of the Plan.

     This option is subject to the provisions of the Plan, a copy of which is furnished to the
Director with this option.

6. No Obligation to Continue as a Director.

     Neither the Plan nor this Option confers upon the Director any rights with respect to
continuance as a member of the Board of Directors of the Company.

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     IN WITNESS WHEREOF, the Company has caused this option to be executed under its corporate seal
by its duly authorized officer. This option shall take effect as a sealed instrument.

	 	 	 	 	 	 	 	 	 
	 	 	Skyworks Solutions, Inc.	 	 
	 
	 	 	 	 	 	 	 	 
	Dated:                     

	 	By:	 	 	 	 	 	 
	 	 	 	 	 	 	 
	 
	 	 	 	 	 	 	 	 
	 

	 	 	 	Name:	 	 	 	 
	 

	 	 	 	 	 	 

	 	 
	 

	 	 	 	Title:	 	 	 	 
	 

	 	 	 	 	 	 

	 	 

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DIRECTOR’S ACCEPTANCE

     The undersigned hereby accepts the foregoing option and agrees to the terms and conditions
thereof. The undersigned hereby acknowledges receipt of a copy of the Company’s 2008 Director
Long-Term Incentive Plan.

	 	 	 	 	 	 	 
	 	 	DIRECTOR:	 	 
	 
	 	 	 	 	 	 
	 	 	 	 	 
	 
	 	 	 	 	 	 
	 

	 	Address:

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