Document:

EX-10.5

 

Exhibit 10.5

     Grant No.:                     

U-STORE-IT TRUST

2004 EQUITY INCENTIVE PLAN

RESTRICTED SHARE AGREEMENT

U-Store-It Trust, a Maryland real estate investment trust (the “Company”), grants common shares of
beneficial interest, $.01 par value (the “Shares”), of the Company to the Grantee named below,
subject to the vesting conditions set forth in the attachment. Additional terms and conditions of
the grant are set forth in this cover sheet, in the attachment, and in the Company’s 2004 Equity
Incentive Plan (the “Plan”).

	 	 	 
	Grant Date: June 5, 2006
	 	 
	Name of Grantee: Christopher P. Marr
	Grantee’s Social Security Number:
	 	 
	Number of Shares Covered by Grant:

	 	52,817

By signing this cover sheet, you agree to all of the terms and conditions described in the attached
Agreement and in the Plan, a copy of which will be provided on request. You acknowledge that you
have carefully reviewed the Plan and agree that the Plan will control in the event any provision of
this Agreement should appear to be inconsistent with the terms of the Plan.

	 	 	 	 	 	 	 
	Grantee:	 	/s/ CHRISTOPHER P. MARR
	 	 
	 	 	 	 	 
	 	 	(Signature)
	 	 
	 
	 	 	 	 	 	 
	Company:	 	/s/ DEAN JERNIGAN
	 	 
	 	 	 	 	 
	 	 	(Signature)
	 	 
	 

	 	Title:
	 	President and Chief Executive Officer	 	 

Attachments 

This is not a share certificate or a negotiable instrument.

 

 

U-STORE-IT TRUST

2004 EQUITY INCENTIVE PLAN

RESTRICTED SHARE AGREEMENT

	 	 	 
	Restricted Shares/ Nontransferability

	 	This grant is an award of Shares in
the number of Shares set forth on
the cover sheet, at the Purchase
Price set forth on the cover sheet,
and subject to the vesting
conditions described below
(“Restricted Shares”). To the extent
not yet vested, your Restricted
Shares may not be transferred,
assigned, pledged or hypothecated,
whether by operation of law or
otherwise, nor may the Restricted
Shares be made subject to execution,
attachment or similar process.
	 
	 	 
	Issuance and Vesting

	 	The Company will issue your
Restricted Shares in your name as of
the Grant Date.

Your right to the Shares under this
Restricted Share Agreement vests as
to the total number of Shares
covered by this grant, as shown on
the cover sheet, on the first five
anniversaries of the date of grant
as follows: thirty-one and one-half
percent (31.5%) (June 5, 2007),
twenty-five and one-half percent
(25.5%) (June 5, 2008), eighteen and
six-tenths percent (18.6%) (June 5,
2009), seventeen and nine-tenths
percent (17.9%) (June 5, 2010) and
six and one-half percent (6.5%)
(June 5, 2011); provided you then
continue in Service with respect to
each such vesting date.

Your right to the Shares under this
Restricted Share Agreement will
become fully vested on your
termination of Services due to death
or disability. No additional Shares
will vest after your Service has
terminated for any reason, other
than pursuant to the terms of any
Employment Agreement between you and
the Company.
	 
	 	 
	Forfeiture of Unvested Shares

	 	Except as provided pursuant to the
terms of any Employment Agreement
between you and the Company, in the
event that your Service terminates
for any reason other than death or
disability, you will forfeit to the
Company all of the Shares subject to
this grant that have not yet vested.
	 
	 	 
	Withholding

Taxes

	 	You agree, as a condition of this
grant, that you will make acceptable
arrangements to pay any withholding
or other taxes that may be due as a
result of the vesting of Shares
acquired under this grant. In the
event that the Company determines
that any federal, state, local or
foreign tax or withholding payment
is required relating to the vesting
of Shares arising from this grant,
the Company shall have the right to: (i)
require such payments from you,
(ii) withhold such amounts from
other payments due to you from the
Company or any Affiliate, or (iii)
cause an immediate forfeiture of
Shares subject to the vesting
pursuant to this Agreement in an
amount equal to the withholding or
other taxes due.

2

 

	 	 	 
	Retention Rights

	 	This Agreement does not give you the
right to be retained by the Company
(or any parent, Subsidiaries or
Affiliates) in any capacity.
	 
	 	 
	Shareholder Rights

	 	You have the right to vote the
Restricted Shares and to receive any
dividends declared or paid on such
Shares. Any distributions you
receive as a result of any split,
dividend, combination of Shares or
other similar transaction shall be
deemed to be a part of the
Restricted Shares and subject to the
same conditions and restrictions
applicable thereto. Except as
described in the Plan, no
adjustments are made for dividends
or other rights if the applicable
record date occurs before your share
certificate is issued.
	 
	 	 
	Adjustments

	 	In the event of a split, a dividend
or a similar change in the Shares,
the number of Shares covered by this
grant may be adjusted (and rounded
down to the nearest whole number)
pursuant to the Plan. Your
Restricted Shares shall be subject
to the terms of the agreement of
merger, liquidation or
reorganization in the event the
Company is subject to such corporate
activity.
	 
	 	 
	Legends

	 	All certificates representing the
Shares issued in connection with
this grant shall, where applicable,
have endorsed thereon the following
legends:

“THE SHARES REPRESENTED BY THIS
CERTIFICATE ARE SUBJECT TO CERTAIN
RESTRICTIONS ON TRANSFER SET FORTH
IN AN AGREEMENT BETWEEN THE COMPANY
AND THE REGISTERED HOLDER, OR HIS OR
HER PREDECESSOR IN INTEREST. A COPY
OF SUCH AGREEMENT IS ON FILE AT THE
PRINCIPAL OFFICE OF THE COMPANY AND
WILL BE FURNISHED UPON WRITTEN
REQUEST TO THE SECRETARY OF THE
COMPANY BY THE HOLDER OF RECORD OF
THE SHARES REPRESENTED BY THIS
CERTIFICATE.”
	 
	 	 
	Applicable Law

	 	This Agreement will be interpreted
and enforced under the laws of the
State of Maryland, other than any
conflicts or choice of law rule or
principle that might otherwise refer
construction or interpretation of
this Agreement to the substantive
law of another jurisdiction.
	 
	 	 
	Data Privacy

	 	In order to administer the Plan, the
Company may process personal data
about you. Such data includes, but
is not limited to, the information
provided in this Agreement and any
changes thereto, other appropriate
personal and financial data about
you such as home address and
business addresses and other contact
information, payroll information and
any other information that might be
deemed appropriate by the Company to
facilitate the administration of the
Plan.

3

 

	 	 	 
	 

	 	By accepting this grant, you give
explicit consent to the Company to
process any such personal data. You
also give explicit consent to the
Company to transfer any such
personal data outside the country in
which you work or are employed,
including, with respect to non-U.S.
resident Grantees, to the United
States, to transferees who shall
include the Company and other
persons who are designated by the
Company to administer the Plan.
	 
	 	 
	Consent to Electronic Delivery

	 	The Company may choose to deliver
certain statutory materials relating
to the Plan in electronic form. By
accepting this grant, you agree that
the Company may deliver the Plan
prospectus and the Company’s annual
report to you in an electronic
format. If at any time you would
prefer to receive paper copies of
these documents, as you are entitled
to, the Company would be pleased to
provide copies. Please contact the
Secretary of the Company to request
paper copies of these documents.

By signing the cover sheet of this Agreement, you agree to all of the terms and conditions
described above and in the Plan.

4exv10w01

 

Exhibit 10.01

SUMMARY OF MATRIXX INITIATIVES, INC.

DIRECTOR RESTRICTED STOCK

PURCHASE PROGRAM

PURPOSE AND DESCRIPTION OF PROGRAM 

     The Board of Directors of Matrixx Initiatives, Inc. has determined that it is in Matrixx’s
best interest for its non-employee directors (“Directors”) to own shares of Matrixx common
stock. To assist in this objective, each Director may purchase, at a discount to prevailing market
prices, shares of Matrixx common stock in exchange for such Director receiving a lesser amount of
cash consideration in respect of quarterly retainers and/or meeting fees, and, as applicable, for
serving as Chairman of the Board or any Board committee (the “Program”). The shares of
Matrixx common stock issuable under the Program will be issued under the Matrixx Initiatives, Inc.
2001 Long-Term Incentive Plan (the “2001 Incentive Plan”).

PROCEDURE

     Each Director who wishes to participate in the Program must execute and deliver to Matrixx a
Restricted Stock Program Agreement (the “Agreement”) in the form attached to this
memorandum. Each Director who executes this Agreement may then elect, by delivery of a completed
election form to Matrixx, to purchase shares of Matrixx’s common stock in lieu of all or some
portion of the cash consideration that would otherwise be payable to the Director for the
Director’s service on the Board and/or any Board committee. The number of shares to which the
Director will be entitled will equal the portion of the cash compensation payable to him by Matrixx
that the Director wishes to apply to the purchase of shares under the Program, divided by the
product of 80% times the closing market price for Matrixx’s common stock on the date such portion
of cash consideration would otherwise be payable by Matrixx.

Example: Assume that the Director elects to apply the Director’s
entire quarterly Board retainer to purchase shares of Matrixx common
stock, and the closing price of such stock on Nasdaq on the day of
Matrixx’s scheduled first quarterly retainer payment is $15.00 per
share. The Director is able to purchase shares pursuant to the
following formula: $5,000/(80% x $15.00) or $5,000/$12.00 = 416
shares. This formula would be recalculated on each subsequent
retainer payment date to determine the number of shares issuable on
each such date.

     The election made by the Director will remain in effect and will automatically renew each year
without notice unless and until the Director delivers to Matrixx a revised election form setting
forth a different proportion of compensation to be paid in shares of common stock. The Director
may also elect by delivering a revised election form to cease receiving any such shares in lieu of
cash compensation.

 

 

RESTRICTION PERIOD

     Notwithstanding that the issuance by Matrixx of the shares of common stock issuable under the
2001 Incentive Plan has been registered under the Securities Act of 1933, shares issued under the
Program to a Director will be restricted until the first to occur of (i) the expiration of three
years from their respective dates of issuance, (ii) a Change of Control of Matrixx, or (iii) the
Director’s death or Disability. During this period of restriction, such shares may not be sold,
transferred, pledged, encumbered or disposed of by the Director. Any attempt by a Director to
sell, transfer, pledge, encumber or otherwise dispose of any such shares during the restriction
period will be void, and Matrixx will neither give effect to such sale, transfer or disposition on
is books or records nor recognize any transferee of such shares as the legal or beneficial owner
thereof. If a Director ceases providing services to the Company as a director for a reason other
than the Director’s death or Disability, the Director will retain the shares and is not required to
forfeit the shares back to the Company; however, the shares subject to the Agreement will continue
to be subject to the transfer restrictions until the end of the restriction period.

TAX CONSEQUENCES

     Because shares of common stock issued under the Program are issued in lieu of the cash
consideration that the Director would otherwise receive for the Director’s Board and/or committee
services, the Director is immediately subject to tax on the shares as income. Of special
note, while the shares are issued at a 20% discount to their market price, the Director will be
taxed based on the full market price of the shares at the time of issuance. Hence, using the above
example, the Director who receives 416 shares in lieu of $5,000 cash, will be taxed not on the
$5,000, but rather on $6,240 — the aggregate market price of the common shares acquired before
applying the 20% discount. Calculation of the 12-month hold period for obtaining capital gains tax
treatment on any gains received on disposition of shares acquired under the Program will commence,
as to each issuance of such shares, on the date of issuance of such shares.

DEFINED TERMS; SUMMARY ONLY

     Capitalized terms used in this Summary, unless otherwise expressly defined herein, have the
respective meanings given to them in the 2001 Incentive Plan or in the Agreement.

     The foregoing is a summary only, and does not contain all of the terms and conditions
applicable to participation in the Program. You are encouraged to review the 2001 Incentive Plan
and the form of Restricted Stock Program Agreement in detail.

2

 

MATRIXX INITIATIVES, INC.

2001 LONG-TERM INCENTIVE PLAN

RESTRICTED STOCK PROGRAM AGREEMENT

     This Restricted Stock Program Agreement (this “Agreement”) is entered into between
Matrixx Initiatives, Inc., a Delaware corporation (the “Company”), and                                         
(the “Director”), as of June 30, 2006

RECITALS

     A. The Company has adopted the Matrixx Initiatives, Inc. 2001 Long-Term Incentive Plan, as
amended (the “Plan”) to allow the Company to make grants that will provide an incentive to
attract and retain eligible individuals whose services are considered unusually valuable by
providing them an opportunity to have a proprietary interest in the success of the Company.

     B. The Company believes that entering into this Agreement with the Director is consistent with
the above stated purposes.

     NOW, THEREFORE, in consideration of the mutual covenants and conditions in this Agreement and
for other good and valuable consideration, the Company and the Director agree as follows:

          1.     ELECTION TO RECEIVE COMMON STOCK.

          Subject to the terms of this Agreement, for the balance of the Company’s 2006 fiscal year
running after the date of this Agreement, and for each subsequent fiscal year of the Company, the
Director may, by written election submitted to the Company in the form attached hereto as
Exhibit 1 (the “Election Form”), elect to receive all or any portion of the fees
payable by the Company to the Director for the Director’s service on the Board of Directors or any
Board committee, including, without limitation, retainer fees, meeting fees and, if applicable,
Board or committee chairman fees (collectively, “Fees”), in the form of shares of common
stock of the Company (“Common Stock”) in lieu of cash. The Director’s election to
subscribe for and purchase Common Stock pursuant to this Section 1 will be subject to the
following procedures:

                    A. For the balance of the Company’s 2006 fiscal year and for each subsequent fiscal year, the
Director may at any time on or after the date of this Agreement, complete, execute and deliver an
Election Form setting forth the portion of Fees payable by the Company for such applicable fiscal
year to be paid by issuance of Common Stock in lieu of cash. Any such election will apply only to
Fees that become payable by the Company after the date of its receipt of such Election Form.

                    B. The Director may at any time amend the Director’s election to receive some or all of the
Fees in the form of shares of Common Stock issued pursuant to this Agreement by delivering to the
Company a completed and duly executed revised Election Form. Until such time as the Director
delivers a revised Election Form to the Company, the Director’s election to receive shares of
Common Stock as set forth is the Election Form last executed and

 

 

delivered to the Company will automatically renew each year without notice to or by the
Company or the Director. Any amendment to the Director’s election to receive Common Stock made by
way of delivery of a revised Election Form will be effective for Fees that become payable by the
Company after the date of delivery of the revised Election Form.

          2.     ISSUANCE OF COMMON STOCK; ISSUE PRICE

          The Company will issue the applicable shares of Common Stock as of the dates on which the Fees
in respect of which such Common Stock is issued would otherwise be payable (each, a “Fee
Payment Date”). The issue price for such shares will be equal to eighty percent (80%) of the
closing price of the Common Stock on the Nasdaq National Market System (or any other national stock
exchange or automated stock quotation system on which the Common Stock is listed or quoted for
trading) on the relevant Fee Payment Date.

          The Company will cause its transfer agent to issue stock certificates representing the Common
Stock issued pursuant to this Agreement. The Company will retain possession of all such stock
certificates pending the termination of the restriction period applicable to such Common Stock.

          3.     RIGHTS OF DIRECTOR.

          Upon the issuance by the Company to the Director of any Common Stock pursuant to this
Agreement, the Director will become a shareholder with respect to such Common Stock and will have
all of the rights of a shareholder in the Company with respect to such Common Stock, including,
without limitation, the right to receive notice of, attend and vote at meetings of the Company’s
shareholders and to receive any dividend on such Common Stock that the Company may declare and pay
from time to time; provided, however, that such Common Stock will be subject to the restrictions
set forth in this Agreement.

          4.     RESTRICTIONS ON STOCK SUBJECT TO THIS AGREEMENT.

                    A. Limitations on Transfer.

                    The Director agrees not to sell, transfer, pledge, exchange, hypothecate, grant any security
interest in, or otherwise dispose of, any shares of Common Stock issued to the Director pursuant to
this Agreement before the date on which the restrictions on those shares lapse in accordance with
this Section 4, or enter into any agreement to do so. Any such attempted sale, transfer,
pledge, exchange, hypothecation or disposition of any such shares of Common Stock will be null and
void, and the Company will not recognize or give effect to such transaction on its books and
records (including the books and records of the Company’s transfer agent) or recognize the person
or persons to whom such sale, transfer, pledge, exchange, hypothecation or disposition has been
made as the legal or beneficial owner of such shares.

                    B. Term of Restriction Period.

                    Subject to the other conditions in this Section 4, the restrictions on disposition of
the shares of Common Stock issued hereunder will expire upon the first to occur of (i) the third
anniversary of the issuance of such shares, (ii) the effective date of a Change of

2

 

Control, and (iii) the date on which the Director ceases to serve on the Board of Directors or
any committee thereof on account of the Director’s death or Disability (as that term is defined in
the Plan). If the Director ceases providing services to the Company as a director for a reason
other than the Director’s death or Disability, the Director will retain the shares and is not
required to forfeit the shares back to the Company; however, the shares subject to this Agreement
will continue to be subject to the transfer restrictions until the end of the restriction period.
For purposes of this Agreement, the term “Change of Control” means and will be deemed to
have occurred if:

                    (a) any “person” (as such term is used in Sections 13(d) and 14(d)(2) of the Securities
Exchange Act of 1934, as amended (the “Exchange Act”), or any successor provision thereto) becomes
the beneficial owner (within the meaning of Rule 13d-3 under the Exchange Act or any successor
provision thereto) directly or indirectly of securities of the Company representing 15% or more of
the combined voting power of the Company’s then outstanding securities ordinarily having the right
to vote at an election of directors; provided, however, that, for this purpose, “person” excludes
the Company, any person acquiring such securities directly from the Company, any employee benefit
plan sponsored by the Company or from you or any shareholder beneficially owning more than 15% or
more of the combined voting power of the Company’s outstanding securities as of the date of this
Agreement; or

                    (b) any shareholder of the Company beneficially owning 15% or more of the combined voting
power of the Company’s outstanding securities as of the date of this Agreement shall becomes the
beneficial owner (within the meaning of Rule 13d-3 under the Exchange Act) directly or indirectly
of securities of the Company (other than through the acquisition of securities directly from the
Company or from you) representing 20% or more of the combined voting power of the Company’s then
outstanding securities ordinarily having the right to vote at an election of directors; or

                    (c) individuals who, as of the date of this Agreement, constitute the Board (the
“Incumbent Board”) cease for any reason to constitute at least 80% of the Board, provided
however, that any person becoming a member of the Board subsequent to the date of this Agreement
whose election, or nomination for election by the Company’s shareholders, was approved by a vote of
at least 80% of the members then comprising the Incumbent Board (other than an election or
nomination of an individual whose initial assumption of office is in connection with an actual or
threatened election contest relating to the election of directors of the Company, as such terms are
used in Rule 14a-11 of Regulation 14A under the Exchange Act or any successor provisions thereto)
shall be, for purposes of this Agreement, considered as though such person were a member of the
Incumbent Board; or

                    (d) approval by the shareholders of the Company and consummation of a reorganization, merger,
consolidation, or sale or other disposition of all or substantially all of the assets of the
Company, in each case, with or to a corporation or other person or entity of which persons who were
the shareholders of the Company immediately prior to such transaction do not, immediately
thereafter, own more than 80% of the combined voting power of the outstanding voting securities
entitled to vote generally in the election of directors of the reorganized, merged, consolidated or
purchasing corporation (or in the case of a non-corporate person or entity, functionally equivalent
voting power) and 80% of the members of the Board of

3

 

which corporation (or functional equivalent in the case of a non-corporate person or entity)
were not members of the Incumbent Board at the time of the execution of the initial agreement
providing for such reorganization, merger, consolidation or sale.

          5.     SECURITIES ACT.

                    A. Condition on Delivery of Stock.

                    The Company will not be required to deliver any shares of Common Stock issuable hereunder if,
in the opinion of counsel for the Company, the issuance would violate the Securities Act of 1933 or
any other applicable federal or state securities laws or regulations. The Company may require the
Director, prior to or after the issuance of any shares of Common Stock hereunder, to sign and
deliver to the Company a written statement, in form and content acceptable to the Company in its
sole discretion, that the Director (i) is acquiring the shares for investment and not with a view
to the sale or distribution thereof, (ii) will not sell any of such shares or any other Common
Stock of the Company that the Director may then own or hereafter acquire except with the prior
written approval of the Company, and (iii) will comply with the Securities Act of 1933, the
Securities Exchange Act of 1934 and all other applicable federal and state securities laws and
regulations.

                    B. Legend.

                    Share certificates representing any Common Stock issued hereunder will bear a legend
restricting the transferability of such Stock in substantially the following form:

“The securities represented by this certificate may not be sold,
pledged, or otherwise disposed of until the restrictions set forth
in the Restricted Stock Program Agreement dated as of June 30, 2006,
between Matrixx Initiatives, Inc. and                                          are
satisfied.”

          6.     NONTRANSFERABILITY OF AGREEMENT.

          The Director may not assign or transfer the Director’s rights under this Agreement, nor may
the Director subject such rights (or any of them) to execution, attachment, garnishment or similar
process. In the event of any such occurrence, this Agreement, and all of the Director’s rights
hereunder, will automatically be terminated and will thereafter be null and void.

          7.     FEDERAL AND STATE TAXES.

          The Director may incur certain liabilities for federal, state or local taxes in connection
with the issuance of shares of Common Stock hereunder, and the Company may be required by law to
withhold such taxes. Upon determination of the year in which such taxes are due and the
determination by the Company of the amount of taxes required to be withheld, the Director shall pay
an amount equal to the amount of federal, state or local taxes required to be withheld to the
Company. If the Director fails to make such payment in a timely manner, the

4

 

Company may withhold and set-off against Fees payable to the Director the amount of such
required payment.

          8.      ADJUSTMENT OF SHARES.

          The number of shares of Common Stock issued to the Director pursuant to this Agreement will be
adjusted in accordance with Article 11 of the Plan in the event of a change in the
Company’s capital structure. Such number of shares may also be adjusted based on any withholding
of Fees by the Company as provided in the last sentence of Section 7 hereof.

          9.     AMENDMENT OF THIS AGREEMENT; TERMINATION.

          This Agreement may only be amended with the written approval of the Director and the Company.
Notwithstanding the foregoing sentence, the Company may at any time, upon written notice to the
Director, (i) amend or terminate the Plan, or (ii) terminate this Agreement; provided, however,
that termination of this Agreement by the Company will be with respect to future issuances of
Common Stock only, and will have no effect on the Director’s or the Company’s rights and
obligations hereunder, including, outstanding restrictions on the sale, transfer, pledge, exchange,
hypothecation or disposition of shares of Common Stock issued to the Director hereunder before the
effective date of such termination.

          10.     GOVERNING LAW.

          This Agreement shall be governed in all respects, whether as to validity, construction,
capacity, performance, or otherwise, by the laws of the State of Arizona, without giving effect to
choice of law rules.

          11.     SEVERABILITY.

          If any provision of this Agreement, or the application of any such provision to any person or
circumstance, is held to be unenforceable or invalid by any court of competent jurisdiction or
under any applicable law, the parties hereto will negotiate an equitable adjustment to the
provisions of this Agreement with the view to effecting, to the greatest extent possible, the
original purpose and intent of this Agreement, and in any event, the validity and enforceability of
the remaining provisions of this Agreement will not be affected thereby.

          12.     ENTIRE AGREEMENT.

          This Agreement and the provision of the Plan applicable hereto constitute the entire, final
and complete agreement between the parties hereto with respect to the subject matter hereof and
supersedes all prior agreements, promises, understandings, negotiations, representations and
commitments, both written and oral, between the parties hereto with respect to the subject matter
hereof. Neither party hereto will be bound by or liable for any statement, representation,
promise, inducement, commitment or understanding of any kind whatsoever not expressly set forth in
this Agreement or in the Plan.

5

 

     IN WITNESS WHEREOF, the Company has caused this Agreement to be executed by its duly
authorized representative and the Director has signed this Agreement as of the day and year first
written above.

	 	 	 	 	 
	 	MATRIXX INITIATIVES, INC.

 	 
	 	By:  	 	 
	 	 	William J. Hemelt

Executive Vice President, Chief

Financial Officer, Treasurer & Secretary 	 
	 
	 	DIRECTOR

 
Signature

 
Name

 	 
	 	 	 
	 	 	 
	 	 	 

6

 

	 	 	 	 	 

MATRIXX INITIATIVES, INC.

2001 LONG-TERM INCENTIVE PLAN

RESTRICTED STOCK PROGRAM AGREEMENT

ELECTION FORM

     In accordance with the provisions of that Restricted Stock Program Agreement (the
“Agreement”) dated as of June 30, 2006 between the undersigned and Matrixx Initiatives,
Inc. (the “Company”), the undersigned hereby elects to receive the following portion of
his/her board of directors fees and board committee fees (if any) hereinafter payable by the
Company to the undersigned in the form of shares of Common Stock of the Company (“Shares”)
(check one only and complete as appropriate):

	 	 	o     _____% of each payment of fees.
	 
	 	 	o     Of each:

	 	 	 	o     Retainer fee payable, $                     of such fees;
	 
	 	 	 	o     Meeting fee payable, $                     of such fees; and
	 
	 	 	 	o     Other fee payable, $                     of such fees.

	 	 	o     No fees.

     The undersigned acknowledges that the issuance of Shares pursuant to this Election Form will
be calculated in the manner and otherwise subject to the terms and conditions of the Agreement and
the Company’s 2001 Long-Term Incentive Plan (the “2001 Incentive Plan”). The undersigned
further acknowledges that the Company will not issue fractional shares and, accordingly, will pay
to the undersigned, in lieu thereof, the cash value of any fractional Share that would otherwise be
issuable from time to time as a result of the undersigned’s election hereunder.

     The undersigned represents and warrants to the Company as of the date hereof, and the
undersigned will be deemed to repeat each such representation and warranty as of the date on which
each issuance of Shares is made pursuant to this Election Form, as follows:

	 	•	 	The undersigned acknowledges that he/she is prohibited from selling, transferring,
pledging, exchanging, hypothecating, granting any security interest in, or otherwise
disposing of, any Shares issued to him/her pursuant to this Election Form until the
first to occur of (i) the third anniversary of the date of issuance of such Shares,
(ii) a Change of Control of the Company (as the term “Change of Control” is
defined in the Agreement), and (iii) the undersigned’s ceasing to be a member of the
Company’s board of directors or any committee thereof as a result of his/her death or
Disability (as the term “Disability” is defined in the 2001 Incentive Plan).

 

 

	 	•	 	The undersigned is purchasing the Shares for the undersigned’s own account, and not
as principal, agent or nominee for any other person or entity, for investment purposes
only and not with a view to the resale or distribution of any part thereof. The
undersigned has no present intention of selling, transferring or otherwise disposing of
the Shares or any part thereof, and does not have any contract, undertaking, agreement
or arrangement with any person or entity to sell, transfer or dispose of any of the
Shares.
	 
	 	•	 	The undersigned is aware of the Company’s business, affairs and financial condition,
has received and reviewed all information (including all reports, registrations and
other documents) filed by the Company with the United States Securities and Exchange
Commission up to the date hereof) that he/she considers necessary or appropriate for
making an informed and knowledgeable decision as to whether to purchase shares of the
Company’s common stock, and further represents that he/she, as a director of the
Company, has had sufficient opportunity to ask questions and receive answers from the
Company regarding the nature and affairs of the Company, including its business,
properties, prospects and financial condition.
	 
	 	•	 	The undersigned is an investor in securities of companies and acknowledges that
he/she is capable of bearing the economic risk of his/her investment in the Shares,
including the risk of total loss of such investment, and has such knowledge and
experience in financial and business matters that he/she is capable of evaluating the
merits and risks of such investment.

Dated this 30th day of June, 2006.

	 	 	 
	 
	 	 
	 
Signature

	 	 
	 
	 	 
	 
	 	 
	 
Print Name
	 	 

2

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00108-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00108-of-00352.parquet"}]]