Document:

EX-10.5

 Exhibit 10.5 

DELPHI TECHNOLOGIES PLC 

LONG-TERM INCENTIVE PLAN 

NOTICE OF AWARD – TIME-BASED RSUS 

(New Hire Grant) 
 Subject to the terms
and conditions of (1) Delphi Technologies PLC Long-Term Incentive Plan (the “Plan”), (2) this Notice of Award – Time-Based RSUs (the “Award Notice”), (3) the
Time-Based RSU Award Agreement (the “Agreement”) and (4) the Confidentiality and Noninterference Agreement (the “CNA”), the Company has granted you (the “Participant”) an award of time-based
RSUs (“Time-Based RSUs”) as reflected below (the “Award”). Each Time-Based RSU represents the opportunity to receive one (1) Share upon satisfaction of the terms and conditions as set forth in this Award
Notice, the Agreement and the CNA, subject to the terms of the Plan. For the sake of clarity, the Award is conditioned upon (and will not become effective unless and until) the Participant’s execution and return of the CNA to your local HR
business partner. A CNA previously executed by the Participant will continue to be effective unless and until a new CNA is executed. Capitalized terms used herein but not defined in this Award Notice or the Agreement shall have the meaning specified
in the Plan. In the event of a conflict among the provisions of the Award Notice, the Agreement, the Plan and the CNA, the provisions of the Plan will prevail. 
  

			
	Participant	  	Michel Berthelin
	Grant Date	  	[February 28, 2018 or Hire Date (Later of the two)]
	Number of Time-Based RSUs	  	[$600,00 divided by 10 day avg closing share price preceding grant date]
	
	Vesting Schedule
		
	 Vesting Date
	  	 Percentage of RSUs Vesting

	 February 28, 2019
	  	33 1/3% 
	 February 28, 2020
	  	33 1/3% 
	 February 28, 2021
	  	33 1/3% 
	
	One-third of the Time-Based RSUs will vest on each of the first three anniversaries of the Grant Date[insert vesting details] ([each] a] [the] “Time-Based
Vesting Date”), except as otherwise provided in the vesting schedule.

 DELPHI TECHNOLOGIES PLC 

LONG-TERM INCENTIVE PLAN 

TIME-BASED RSU AWARD AGREEMENT 
 The
Time-Based RSUs with respect to Shares granted to you effective as of the Grant Date are subject to (1) the Notice of Award—Time-Based RSUs (the “Award Notice”), (2) this Time-Based RSU Award Agreement (the
“Agreement”) and (3) the Confidentiality and Noninterference Agreement (the “CNA”), along with all of the terms and conditions of Delphi Technologies PLC Long-Term Incentive Plan (the “Plan”),
which are incorporated herein by reference. For the sake of clarity, the Award is conditioned upon (and will not become effective unless and until) the Participant’s execution and return of the CNA to your local HR business partner. Capitalized
terms used herein but not defined in the Award Notice or this Agreement shall have the meaning specified in the Plan. In the event of a conflict among the provisions of the Award Notice, this Agreement, the Plan or the CNA, the provisions of the
Plan will prevail. For purposes of this Agreement, “Employer” means the Company or any Affiliate that employs you on the applicable date. 

Section 1.    Grant of Award. The Company has granted the Award to the Participant effective as of the Grant
Date and subject to the vesting provisions as set forth in the Award Notice. 
 Section 2.    Vesting.
Subject to Sections 3 and 4 of the Agreement, [•one-third of] the Time-Based RSUs shall vest on [each of] the Time-Based Vesting Date[s]. 

Section 3.    Termination of Service. 

(a)    Death; Disability; Termination Without Cause; Resignation for Good Reason. If the Participant experiences a
Termination of Service [after the first Time-Based Vesting Date and] prior to the [final] Time-Based Vesting Date] due to (i) death, (ii) Disability, (iii) termination by the Employer without
Cause, or (iv) resignation for Good Reason (each such circumstance being a “Qualifying Termination”), the Participant shall become vested in the number of Time-Based RSUs equal to (A) the number of unvested Time-Based RSUs
as of such termination, multiplied by (B) a fraction, the numerator of which shall be the number of full months between the [Time-Based Vesting Date that immediately precedes such termination and the termination date] [Grant Date]
and the denominator of which shall be the number of full months between the [Time-Based Vesting Date that immediately precedes such termination] [Grant Date] and the [final] Time-Based Vesting Date; provided,
however, that, in the event of the Participant’s Termination of Service due to the Participant’s death, subject to Section 18 of the Plan, the Company may elect to vest this Award effective on the date of the Participant’s
death, in which case the Time-Based RSUs shall be settled in Shares delivered to the Participant’s estate or legal representative in accordance with Section 5 of this Agreement. 

(b)    Any Other Termination of Service. In the event of the Participant’s Termination of Service [(i)
prior to the first Time-Based Vesting Date for any reason or (ii) on or after the first Time-Based Vesting Date and] prior to the [final] Time-Based Vesting Date for any reason other than as described in Section 3(a)
above, the Participant immediately shall forfeit the unvested portion of Time-Based RSUs without any payment to the Participant. 

 (c)    Effective Date of Termination of Service. Notwithstanding
anything to the contrary in the Plan or the Agreement, and for purposes of clarity, if the Participant is employed outside of the United States, any Termination of Service shall be effective as of the date the Participant’s active employment
with the Employer ceases and shall not be extended by any statutory or common law notice of termination period. 

Section 4.    Change in Control. 

(a)    Conditional Vesting. Upon a Change in Control prior to the [final] Time-Based Vesting Date,
except to the extent that another award meeting the requirements of Section 4(b) (a “Replacement Award”) is provided to the Participant to replace this Award (the “Replaced Award”), any unvested
Time-Based RSUs shall vest in full and be delivered to the Participant on the effective date of such Change in Control. If a Replacement Award is provided, notwithstanding anything in this Agreement to the contrary, any outstanding Time-Based RSUs
covered by this Agreement, which at the time of the Change in Control are not subject to a “substantial risk of forfeiture” (within the meaning of Section 409A of the Code), will be deemed to be vested at the time of such Change in
Control and shall be delivered to the Participant on the effective date of such Change in Control. 

(b)    Replacement Awards. An award shall meet the conditions of this Section 4(b) (and thereby qualify
as a Replacement Award) if the following conditions are met: 
 (i)    The award has a value at least
equal to the value of the Replaced Award; 
 (ii)    The award relates to publicly-traded equity
securities of the Company or its successor following the Change in Control or another entity that is affiliated with the Company or its successor following the Change in Control; and 

(iii)    The other terms and conditions of the award are not less favorable to the Participant than the
terms and conditions of the Replaced Award (including the provisions that would apply in the event of a subsequent Change in Control and the provisions of Section 4(c)). 

Without limiting the generality of the foregoing, a Replacement Award may take the form of a continuation of a Replaced Award if the requirements of the
preceding sentence are satisfied. The determination of whether the conditions of this Section 4(b) are satisfied shall be made by the Committee, as constituted immediately before the Change in Control, in its sole discretion. 

(c)    Qualifying Termination following a Change in Control. If the Participant experiences a Qualifying
Termination (for purposes of which the Company will include a successor of the Company following the Change in Control or another entity that is affiliated with the Company or its successor following the Change in Control), in connection with or
during a period of two (2) years after the Change in Control, any Replacement Award that replaces this Award, to the extent not vested as of such Termination of Service, shall vest in full. Any such vested Replacement Award (including
any portion previously vested but not yet delivered) shall be delivered to the Participant within thirty (30) days following the date of such Qualifying Termination, provided that if the Qualifying Termination does not occur within two
(2) years of a Change in Control that qualifies as a permissible date of distribution under Section 

 
409A(a)(2)(A) of the Code, and the regulations thereunder, and where Section 409A of the Code applies to such distribution, the vested Replacement Award (and any previously vested but
undelivered portion) will be delivered to the Participant at the times specified in Section 5(a) of this Agreement as though the Participant had continued employment through [each] [the] Time-Based Vesting Date. 

Section 5.    Settlement of Time-Based RSUs. 

(a)    Delivery of Shares. Subject to Sections 3 and 4 of the Agreement, any vested Time-Based RSUs shall be
settled in the form of Shares delivered to the Participant as soon as practicable following the Time-Based Vesting Date but in no event later than 30 days following the Time-Based Vesting Date. 

(b)    Alternative Form of Settlement. Pursuant to Section 7(f) of the Plan and notwithstanding any provision
in the Agreement to the contrary, the Company may, in its sole discretion, settle any Time-Based RSUs in the form of (i) a cash payment to the extent settlement in Shares (1) is prohibited under local law, (2) would require the
Participant, the Company or the Employer to obtain the approval of any governmental and/or regulatory body in the Participant’s country of residence (or country of employment, if different), (3) would result in adverse tax consequences for the
Participant, the Company or the Employer, or (4) is administratively burdensome; or (ii) Shares, but require the Participant to sell such Shares immediately or within a specified period following the Participant’s Termination of
Service (in which case, the Participant hereby expressly authorizes the Company to issue sales instructions in relation to such Shares on the Participant’s behalf). 

Section 6.    Dividend Equivalents. If a dividend is paid on Shares underlying Time-Based RSUs with respect to
the period commencing on the Grant Date and ending on the date on which the Shares in settlement of the Time-Based RSUs are delivered to the Participant, the Participant shall be eligible to receive an amount equal to the amount of the dividend that
the Participant would have received had the Shares attributable to Time-Based RSUs been held by the Participant during the period with respect to which the dividend was paid, which amount shall be calculated and reinvested in additional Time-Based
RSUs as of the time at which such dividend is paid. No such amount shall be payable with respect to any portion of this Award that is forfeited pursuant to Section 3 of the Agreement. Such amount shall be paid to the Participant in the form of
additional Shares on the date on which the Shares attributable to the related original Time-Based RSUs are delivered to the Participant; provided that the Committee retains the discretion to pay such amount in cash rather than Time-Based RSUs
in the event that an insufficient number of Shares are authorized and available for issuance under the Plan. Any Shares attributable to Time-Based RSUs that the Participant is eligible to receive pursuant to this Section 6 are referred to
herein as “Dividend Shares”. 
 Section 7.    Withholding of
Tax-Related Items. 
 (a)    Responsibility for Taxes. The
Participant acknowledges that, regardless of any action taken by the Company or the Employer, the ultimate liability for the all income tax, social insurance, payroll tax, fringe benefits tax, payment on account other
tax-related items related to the Participant’s participation in the Plan (“Tax-Related Items”), is and remains the Participant’s
responsibility and may exceed the amount actually withheld by the Company or the 

 
Employer. The Participant further acknowledges that the Company and the Employer (i) make no representations or undertakings regarding the treatment of any
Tax-Related Items in connection with any aspect of this Award, including, but not limited to, the grant, vesting or settlement of this Award, the subsequent sale of Shares attributable to Time-Based RSUs
(including Dividend Shares) acquired pursuant to such and the receipt of any dividends or dividend equivalents, and (ii) do not commit to and are under no obligation to structure the terms of the grant or any aspect of this Award to reduce or
eliminate the Participant’s responsibility for Tax-Related Items or achieve any particular tax result. Further, if the Participant is subject to Tax-Related Items
in more than one jurisdiction between the Grant Date and the date of any relevant taxable or tax withholding event, as applicable, the Participant acknowledges that the Company and the Employer may be required to withhold or account for Tax-Related Items in more than one jurisdiction. 
 (b)    Tax Withholding.
Prior to any relevant taxable or tax withholding event, as applicable, the Participant agrees to make adequate arrangements satisfactory to the Company and the Employer to satisfy all Tax-Related Items. In
this regard, the Participant authorizes the Company, the Employer or an agent of the Company or the Employer to satisfy the obligations with regard to all Tax-Related Items by one or a combination of the
following: 
 (i)    The Company may withhold a portion of the Shares otherwise issuable in settlement of
this Award (or, in the case of Awards settled in cash, a portion of the cash proceeds) that have an aggregate fair market value sufficient to pay the Tax-Related Items required to be withheld (as determined by
the Company in good faith and in its sole discretion) with respect to this Award. For purposes of the foregoing, no fractional Shares will be withheld or issued pursuant to the vesting of this Award and the issuance of Shares or cash thereunder.

 (ii)    The Company or the Employer may withhold a portion of the sales proceeds from the sale of
Shares acquired pursuant to this Award either through a voluntary sale or through a mandatory sale arranged by the Company or the Employer (on the Participant’s behalf pursuant to this authorization without further consent). 

(iii)    The Company or the Employer may withhold any amount necessary to pay the Tax-Related Items from the Participant’s salary or other amounts payable to the Participant. 

(iv)    The Company or Employer may require the Participant to submit a cash payment equivalent to the Tax-Related Items required to be withheld with respect to this Award. 

(v)    The Company or the Employer may satisfy the Tax-Related
Items by such other methods or combinations of methods as the Company or the Employer may make available from time to time. 
 Depending on the withholding
method, the Company or the Employer may withhold or account for Tax-Related Items by considering applicable withholding rates (as determined by the Company in good faith and its sole discretion), including
maximum applicable tax rates. If the obligation for Tax-Related Items is satisfied by withholding from the Shares to be delivered upon 

 
settlement of this Award, for tax purposes, the Participant is deemed to have been issued the full number of Shares notwithstanding that a number of Shares are held back for the purpose of paying
Tax-Related Items. In the event the withholding requirements are not satisfied, no Shares or cash will be issued to the Participant (or the Participant’s estate) in settlement of this Award unless and
until satisfactory arrangements (as determined by the Company in its sole discretion) have been made by the Participant with respect to the payment of any such Tax-Related Items. By accepting the grant of this
Award, the Participant expressly consents to the methods of withholding of Tax-Related Items as provided hereunder. All other Tax-Related Items related to this Award and
any Shares or cash delivered in settlement thereof are the Participant’s sole responsibility. 

(c)    Tax Withholding for Section 16 Officers. If the Participant is a Section 16
officer of the Company under the U.S. Securities Exchange Act of 1934, as amended, the Company will withhold Shares upon the settlement of Time-Based RSUs to cover any withholding obligations for Tax-Related
Items unless the use of such withholding method is prohibited or problematic under applicable laws or otherwise may trigger adverse consequences to the Company or the Employer (in each case, as determined by the Committee), in which case the
obligation to withhold Tax-Related Items shall be satisfied by the Participant submitting a payment to the Company equal to the amount of the Tax-Related Items required
to be withheld. 
 Section 8.    Additional Terms and Conditions. 

(a)    Issuance of Shares. Upon delivery of Shares in settlement of the Time-Based RSUs (including, if applicable,
any Dividend Shares), such Shares shall be evidenced by book-entry registration; provided, however, that the Committee may determine that such Shares shall be evidenced in such other manner as it deems appropriate, including the issuance of a
share certificate or certificates. Any such fractional Shares shall be rounded up to the nearest whole Share. 

(b)    Voting Rights. The Participant shall not have voting rights with respect to the Shares underlying the
Time-Based RSUs (including, if applicable, any Dividend Shares) unless and until such Shares are delivered to the Participant. 

Section 9.    Data Privacy. Pursuant to applicable personal data protection laws, the Company hereby notifies
the Participant of the following in relation to the Participant’s personally identifiable data (“Personal Data”) and the collection, processing and transfer of such data in relation to the Company’s grant of this Award and
participation in the Plan. The collection, processing and transfer of Personal Data is necessary for the Company’s administration of the Plan and the Participant’s participation in the Plan, and although the Participant has the right to
deny or object to the collection, processing and transfer of Personal Data, the Participant’s denial and/or objection to the collection, processing and transfer of Personal Data may affect the Participant’s participation in the Plan. As
such, the Participant voluntarily acknowledges and consents (where required under applicable law) to the collection, use, processing and transfer of Personal Data as described herein: 

The Company and the Employer hold certain Personal Data about the Participant, including (but not limited to) the Participant’s name, home address and
telephone number, date of birth, social security number (resident registration number or tax identification number) or other employee 

 
identification number, e-mail address, salary, nationality, job title, any shares or directorships held in the Company, details of all entitlements to
shares (or cash) awarded, canceled, purchased, vested, unvested or outstanding in the Participant’s favor, for the purpose of managing and administering the Plan. The Personal Data may be provided by the Participant or collected, where lawful,
from the Company, its Affiliates and/or third parties, and the Company and the Employer will process the Personal Data in this context for the exclusive purpose of implementing, administering and managing the Participant’s participation in the
Plan. The Personal Data processing will take place through electronic and non-electronic means correlated to the purposes for which Personal Data are collected and with confidentiality and security provisions
as set forth by applicable laws and regulations in the Participant’s country of residence (or country of employment, if different). Personal Data will be accessible within the organization only by those persons requiring access for purposes of
the implementation, administration and operation of the Plan and for the participation in the Plan. 
 The Company and the Employer will transfer Personal
Data internally as necessary for the purpose of implementation, administration and management of the Participant’s participation in the Plan, and the Company and the Employer may further transfer Personal Data to any third parties assisting the
Company in the implementation, administration and management of the Plan. The third party recipients of Personal Data may be any Affiliate of the Company or a broker/administrator that the Company may engage to assist with the implementation,
administration and management of the Plan from time to time, and any third party vendors with whom the broker/administrator has contracted to provide services under the Plan. These recipients may be located in the European Economic Area, or in other
countries, such as the United States, which may not be considered to provide the same level of privacy protection to Personal Data as that provided by the Participant’s country of residence (or country of employment, if different). The
Participant hereby authorizes (where required under applicable law) such processing and transfer of Personal Data. 
 The Participant may, at any time,
exercise the Participant’s rights provided under applicable personal data protection laws, which may include the right to (i) obtain confirmation as to the existence of the Personal Data, (ii) verify the content, origin and accuracy
of the Personal Data, (iii) request the integration, update, amendment, deletion or blockage (for breach of applicable laws) of the Personal Data, (iv) oppose, for legal reasons, the collection, processing or transfer of the Personal Data
which is not necessary or required for the implementation, administration and/or operation of the Plan and the Participant’s participation in the Plan, and (v) withdraw consent to the collection, processing or transfer of Personal Data as
provided hereunder (in which case, this Award will become null and void). The Participant may seek to exercise these rights by contacting the Employer’s HR department. 

 Section 10.    Miscellaneous Provisions. 

(a)    Notices. All notices, requests and other communications under this Agreement shall be in writing and shall
be delivered in person (by courier or otherwise), mailed by certified or registered mail, return receipt requested, or sent by facsimile transmission, as follows: 

if to the Company, to: 
 Delphi
Technologies PLC 
 One Angel Court, 10th Floor 

London EC2R 7HJ, UK 
 Attention:
Chief Human Resources Officer 
 if to the Participant, to the address that the Participant most recently provided to the Company, 

or to such other address as such party may hereafter specify for the purpose by notice to the other parties hereto. All such notices, requests and other
communications shall be deemed received on the date of receipt by the recipient thereof if received prior to 5:00 p.m. on a business day in the place of receipt. Otherwise, any such notice, request or communication shall be deemed received on
the next succeeding business day in the place of receipt. 
 (b)    Entire Agreement. This Agreement, the Plan
and any other agreements referred to herein and therein and any attachments referred to herein or therein, constitute the entire agreement and understanding between the parties in respect of the subject matter hereof and supersede all prior and
contemporaneous arrangements, agreements and understandings, both oral and written, whether in term sheets, presentations or otherwise, between the parties with respect to the subject matter hereof. 

(c)    Amendment; Waiver. No amendment or modification of any provision of this Agreement shall be effective unless
signed in writing by or on behalf of the Company and the Participant, except that the Committee may amend or modify this Agreement without the Participant’s consent in accordance with the provisions of the Plan or as otherwise set forth in this
Agreement. No waiver of any breach or condition of this Agreement shall be deemed to be a waiver of any other or subsequent breach or condition, whether of like or different nature. Any amendment or modification of or to any provision of this
Agreement, or any waiver of any provision of this Agreement, shall be effective only in the specific instance and for the specific purpose for which made or given. 

(d)    Severability. The Agreement shall be enforceable to the fullest extent allowed by law. In the event that any
provision of the Agreement is determined to be invalid, illegal or unenforceable in any respect under any applicable law or rule in any jurisdiction, then that provision shall be reduced, modified or otherwise conformed to the relevant law, judgment
or determination to the degree necessary to render it valid and enforceable without affecting the validity, legality or enforceability of any other provision of the Agreement or the validity, legality or enforceability of such provision in any other
jurisdiction. Any provision of the Agreement that is prohibited or unenforceable in any jurisdiction shall, as to such jurisdiction, be deemed severable from the remainder of the Agreement, and the remaining provisions contained in the Agreement
shall be construed to preserve to the maximum permissible extent the intent and purposes of the Agreement. 

 (e)    Assignment. Neither this Agreement nor any right, remedy,
obligation or liability arising hereunder or by reason hereof shall be assignable by the Participant. 

(f)    Successors and Assigns; No Third Party Beneficiaries. This Agreement shall inure to the benefit of and be
binding upon the Company and the Participant and their respective heirs, successors, legal representatives and permitted assigns. Nothing in this Agreement, expressed or implied, is intended to confer on anyone other than the Company and the
Participant, and their respective heirs, successors, legal representatives and permitted assigns, any rights, remedies, obligations or liabilities under or by reason of this Agreement. 

(g)    Counterparts. This Agreement may be signed in any number of counterparts, each of which shall be an
original, with the same effect as if the signatures thereto and hereto were upon the same instrument. 

(h)    Acknowledgement of Discretionary Nature of the Plan; No Vested Rights. The Participant acknowledges and
agrees that the Plan is established voluntarily by the Company, is discretionary in nature and limited in duration, and may be amended, cancelled, or terminated by the Company, in its sole discretion, at any time. The grant of this Award under the
Plan is a one-time benefit and does not create any contractual or other right to receive an award or benefits in lieu of an award in the future. Future awards, if any, will be at the sole discretion of the
Company, including, but not limited to, the form and timing of the award, the number of Time-Based RSUs subject to the award, and the vesting provisions applicable to the award. 

(i)    Extraordinary Item of Compensation. The Participant’s participation in the Plan is voluntary. The value
of this Award under the Plan is an extraordinary item of compensation outside the scope of the Participant’s employment (and the Participant’s employment contract, if any). As such, this Award under the Plan is not part of normal or
expected compensation for purposes of calculating any severance, resignation, redundancy, end of service payments, bonuses, long-service awards, pension, or retirement benefits or similar payments. The grant of this Award does not create a right to
employment and shall not be interpreted as forming an employment or service contract with the Company or the Employer and shall not interfere with the ability of the Employer to terminate the Participant’s employment or service relationship.

 (j)    Participant Undertaking. By accepting this Award, the Participant acknowledges that he or she has
executed a Confidentiality and Noninterference Agreement and agrees to take whatever additional action and execute whatever additional documents the Company may deem necessary or advisable to carry out or give effect to any of the obligations or
restrictions imposed on the Participant pursuant to the provisions of this Agreement. 
 (k)    Compliance with
Law. As a condition to the Company’s grant of this Award, the Participant agrees to repatriate all payments attributable to the Shares and cash acquired under the Plan in accordance with local foreign exchange rules and regulations in the
Participant’s country of residence (and country of employment, if different). In addition, the Participant also agrees to take any and all actions, and consent to any and all actions taken by the Company and its Affiliates, as may be required
to allow the Company and its Affiliates to comply with local 

 
laws, rules and regulations in the Participant’s country of residence (and country of employment, if different). Finally, the Participant agrees to take any and all actions as may be
required to comply with the Participant’s personal legal, regulatory and tax obligations under local laws, rules and regulations in the Participant’s country of residence (and country of employment, if different). 

(l)    Electronic Delivery. The Company may, in its sole discretion, elect to deliver any documents related to this
Award granted to the Participant by electronic means. By accepting this Award, the Participant hereby consents to receive such documents by electronic delivery and agrees to participate in the Plan through an
on-line or electronic system established and maintained by the Company or a third party designated by the Company. 

(m)    EU Age Discrimination Rules. If the Participant is a local national of and employed in a country that is a
member of the European Union, the grant of the Award and the terms and conditions governing the Award are intended to comply with the age discrimination provisions of the EU Equal Treatment Framework Directive, as implemented into local law (the
“Age Discrimination Rules”). To the extent that a court or tribunal of competent jurisdiction determines that any provision of the Agreement is invalid or unenforceable, in whole or in part, under the Age Discrimination Rules, the
Company, in its sole discretion, shall have the power and authority to revise or strike such provision to the minimum extent necessary to make it valid and enforceable to the full extent permitted under local law. 

(n)    Insider Trading and Market Abuse Laws. Depending on the Participant’s country of residence (or country
of employment, if different), the Participant may be subject to insider trading restrictions and/or market abuse laws, which may affect the Participant’s ability to acquire or sell Shares under the Plan during such times as the Participant is
considered to have “inside information” regarding the Company (as defined by the laws of the Participant’s country of residence or employment, as applicable). Any restrictions under these laws or regulations are separate from and in
addition to any restrictions that may be imposed under any applicable Company insider trading policy. The Participant acknowledges that it is the Participant’s responsibility to comply with any applicable restrictions and that the Participant
should consult with the Participant’s personal advisor on this matter. 
 (o)    English Language. If the
Participant is a resident or employed outside of the United States, the Participant acknowledges and agrees that by accepting this Award, it is the Participant’s express intent that the Agreement, the Award Notice, the CNA, the Plan and all
other documents, notices and legal proceedings entered into, given or instituted pursuant to this Award, be drawn up in English. If the Participant has received the Agreement, the Award Notice, the CNA, the Plan or any other documents related to
this Award translated into a language other than English, and if the meaning of the translated version is different than the English version, the English version will control. 

(p)    Plan. The Participant acknowledges and understands that material definitions and provisions concerning this
Award and the Participant’s rights and obligations with respect thereto are set forth in the Plan. The Participant has read carefully, and understands, the provisions of the Plan. 

 (q)    Addendum. Notwithstanding any provisions of the Agreement to
the contrary, this Award shall be subject to any special terms and conditions for the Participant’s country of residence (or country of employment, if different), as are set forth in the applicable addendum to the Agreement
(“Addendum”). Further, if the Participant transfers residence and/or employment to another country reflected in an Addendum to the Agreement, the special terms and conditions for such country shall apply to the Participant to the
extent the Company determines, in its sole discretion, that the application of such terms and conditions is necessary or advisable in order to comply with local law or to facilitate the operation and administration of this Award and the Plan (or the
Company may establish alternative terms or conditions as may be necessary or advisable to accommodate the Participant’s transfer). Any applicable Addendum shall constitute part of the Agreement. 

(r)    Additional Requirements. The Company reserves the right to impose other requirements on this Award, any
Shares acquired pursuant to this Award and the Participant’s participation in the Plan to the extent the Company determines, in its sole discretion, that such other requirements are necessary or advisable in order to comply with local law or to
facilitate the operation and administration of this Award and the Plan. Such requirements may include (but are not limited to) requiring the Participant to sign any agreements or undertakings that may be necessary to accomplish the foregoing. 

(s)    Risk Statement. The Participant acknowledges and accepts that the future value of the Shares is unknown and
cannot be predicted with certainty and that the value of the Award at the time when the Shares are delivered may be less than the value of the Award on the Grant Date. The Participant understands that if he or she is in any doubt as to whether he or
she should accept this Award, the Participant should obtain independent advice. 
 (t)    No Advice Regarding
Grant. No employee of the Company or the Employer is permitted to advise the Participant regarding the Participant’s participation in the Plan or the acquisition or sale of the Shares underlying this Award. The Participant is hereby advised
to consult with the Participant’s personal tax, legal and financial advisors prior to taking any action related to the Plan. 

(u)    Private Placement. Outside of the United States, the grant of this Award is not intended to be a public
offering of securities in the Participant’s country of residence (or country of employment, if different) but instead is intended to be a private placement. As a private placement, the Company has not submitted any registration statement,
prospectus or other filings with the local securities authorities (unless otherwise required under local law) at the time of grant, and the grant of this Award is not subject to the supervision of the local securities authorities. 

(v)    Governing Law. The Agreement shall be governed by the laws of the State of New York, without application of
the conflicts of law principles thereof. 
 (w)    No Right to Continued Service. The granting of the Award
evidenced hereby and this Agreement shall impose no obligation on the Company or any Affiliate to continue the service of the Participant and shall not lessen or affect the right that the Company or any Affiliate may have to terminate the service of
such Participant. 

 (x)    WAIVER OF JURY TRIAL. EACH OF THE PARTIES HERETO IRREVOCABLY
WAIVES ANY AND ALL RIGHT TO TRIAL BY JURY IN ANY LEGAL PROCEEDING ARISING OUT OF OR RELATED TO THIS AGREEMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY. 
 IN
WITNESS WHEREOF, the parties have executed this Agreement as of the day and year first written above. 
  

					
	DELPHI TECHNOLOGIES PLC
		
	By:	 	  

		 	Name:	 	James D. Harrington
		 	Title:	 	Senior Vice President & General Counsel
	
	PARTICIPANT
		
		 	  

		 	Name:

 DELPHI TECHNOLOGIES PLC 

LONG-TERM INCENTIVE PLAN 

ADDENDUM TO 
 TIME-BASED
RSU AWARD AGREEMENT 
 In addition to the terms of the Award Notice, the Agreement, the CNA and the Plan, the Time-Based RSUs are subject to the
following additional terms and conditions (the “Addendum”). All capitalized terms as contained in this Addendum shall have the same meaning as set forth in the Award Notice, the Agreement and the Plan. Pursuant to Section 10(q)
of the Agreement, if the Participant transfers the Participant’s residence and/or employment to another country reflected in the Addendum at the time of transfer, the special terms and conditions for such country will apply to the Participant
to the extent the Company determines, in its sole discretion, that the application of such terms and conditions is necessary or advisable in order to comply with local law, rules and regulations, or to facilitate the operation and administration of
the Award and the Plan (or the Company may establish alternative terms and conditions as may be necessary or advisable to accommodate your transfer). 

ARGENTINA 
 None. 

AUSTRIA 
 None. 

BRAZIL 

1.    Labor Law Acknowledgment. By accepting this Award, the Participant acknowledges and agrees, for all legal
purposes, that (a) the benefits provided under the Agreement and the Plan are the result of commercial transactions unrelated to the Participant’s employment; (b) the Agreement and the Plan are not a part of the terms and conditions
of the Participant’s employment; and (c) the income from this Award, if any, is not part of the Participant’s remuneration from employment. 

CHINA 

1.    Satisfaction of Regulatory Obligations. If the Participant is a People’s Republic of China
(“PRC”) national, the grant of this Award is conditioned upon the Company securing all necessary approvals from the PRC State Administration of Foreign Exchange to permit the operation of the Plan and the participation of PRC
nationals employed by the Employer, as determined by the Company in its sole discretion. 
 2.    Sale of Shares.
Notwithstanding anything to the contrary in the Plan, upon any termination of employment with the Employer, the Participant shall be required to sell all Shares acquired under the Plan within such time period as may be established by the PRC State
Administration of Foreign Exchange, the Company and/or the Employer. 

 3.    Exchange Control Restrictions. The Participant acknowledges and
agrees that the Participant will be required to immediately repatriate to the PRC the proceeds from the sale of any Shares acquired under the Plan, as well as any other cash amounts attributable to the Shares acquired under the Plan (collectively,
“Cash Proceeds”). Further, the Participant acknowledges and agrees that the repatriation of the Cash Proceeds must be effected through a special bank account established by the Employer, the Company or one of its Affiliates, and the
Participant hereby consents and agrees that the Cash Proceeds may be transferred to such account by the Company on the Participant’s behalf prior to being delivered to the Participant. The Cash Proceeds may be paid to the Participant in U.S.
dollars or local currency at the Company’s discretion. If the Cash Proceeds are paid to the Participant in U.S. dollars, the Participant understands that a U.S. dollar bank account must be established and maintained in China by the Participant
so that the proceeds may be deposited into such account. If the Cash Proceeds are paid to the Participant in local currency, the Participant acknowledges and agrees that the Company is under no obligation to secure any particular exchange conversion
rate and that the Company may face delays in converting the Cash Proceeds to local currency due to exchange control restrictions. The Participant agrees to bear any currency fluctuation risk between the time the Shares related to the Time-Based RSUs
(including, if applicable, any Dividend Shares) are sold and the Cash Proceeds are converted into local currency and distributed to the Participant. The Participant further agrees to comply with any other requirements that may be imposed by the
Employer, the Company and its Affiliates in the future in order to facilitate compliance with exchange control requirements in the PRC. 
 CZECH REPUBLIC

 None. 
 DENMARK 

1.    Treatment of Units upon Termination. Notwithstanding any provisions in the Agreement to the contrary, if the
Participant is determined to be an “Employee,” as defined in section 2 of the Danish Act on the Use of Rights to Purchase or Subscribe for Shares etc. in Employment Relationships (the “Stock Option Act”), the treatment of the
Award upon Termination of Service shall be governed by Sections 4 and 5 of the Stock Option Act. However, if the provisions in the Agreement or the Plan governing the treatment of the Award upon a Termination of Service are more favorable, the
provisions of the Agreement or the Plan will govern. In accepting the Award, the Participant acknowledges having received an “Employer Information Statement” in Danish as part of the grant materials distributed or otherwise made
available to the Participant. 
 FINLAND 

1.    Withholding of Tax-Related Items. Notwithstanding anything in
Section 7(b) of the Agreement to the contrary, if the Participant is a local national of Finland, any Tax-Related Items shall be withheld only in cash from the Participant’s regular salary/wages or
other amounts payable to the Participant in cash or such other withholding methods as may be permitted under the Plan and allowed under local law. 

 FRANCE 

1.    Termination of Service. The following provision shall supplement Section 3(c) of the Agreement: 

In case of Termination of Service of the Participant triggering the payment of severance costs under applicable law, the Time-Based RSUs shall not be taken
into account in the calculation of such severance costs, to the extent permitted by applicable law. 
 2.    Use of
English Language. By accepting this Award, the Participant acknowledges and agrees that it is the Participant’s wish that the Agreement, including the Addendum, as well as all other documents, notices and legal proceedings entered
into, given or instituted pursuant to this Award, either directly or indirectly, be drawn up in English. 
 Langue anglaise. Langue
anglaise. En acceptant cette Attribution, le Participant reconnaît et accepte que le Participant souhaite que le Contrat, y compris l’Addendum, ainsi que tous les autres documents, avis et procédures judiciaires
entamés, donnés ou institués en vertu de l’Attribution, directement ou indirectement, soient rédigés en anglais.

BY SIGNING BELOW, THE PARTICIPANT ACKNOWLEDGES, UNDERSTANDS AND AGREES TO THE PROVISIONS OF THE AGREEMENT, INCLUDING THE ADDENDUM AND THE PLAN. 

PLEASE SIGN AND RETURN THE ADDENDUM VIA EMAIL NO LATER THAN MARCH 31, 2018 TO YOUR LOCAL HR BUSINESS PARTNER. 

 

					
	  
	 		 	  

	Participant Signature	 		 	Participant Name (Printed)
			
	                                      
  	 		 	
	Date	 		 	

 GERMANY 

1.    Termination of Service. The following provision shall supplement Section 3(c) of the Agreement: 

In case of Termination of Service of the Participant triggering the payment of severance costs under applicable law, the Time-Based RSUs shall not be taken
into account in the calculation of such severance costs, to the extent permitted by applicable law. 
 HUNGARY 

None. 
 INDIA 

None. 
 IRELAND 

None. 
 ITALY 

1.    Termination of Service. The following provision shall supplement Section 3(c) of the Agreement: 

In case of Termination of Service of the Participant triggering the payment of severance costs under applicable law, the Time-Based RSUs shall not be taken
into account in the calculation of such severance costs, to the extent permitted by applicable law. 
 2.    Data
Privacy. This following provision replaces Section 9 of the Agreement in its entirety: 
 The Participant understands that the Company and its
Affiliates may hold certain personal information about the Participant, including, but not limited to, the Participant’s name, home address and telephone number, date of birth, social security number (or any other social or national
identification number), salary, nationality, job title, number of shares held and the details of any RSUs or any other entitlement to shares awarded, cancelled, exercised, vested, unvested or outstanding (“Data”) for the purpose of
implementing, administering and managing the Participant’s participation in the Plan. The Participant is aware that providing the Company with the Participant’s Data is necessary for the performance of the Agreement and that the
Participant’s refusal to provide such Data would make it impossible for the Company to perform its contractual obligations and may affect the Participant’s ability to participate in the Plan. 

The Controller of personal Data processing is Delphi Technologies PLC, Courteney Road, Hoath Way, Gillingham, Kent ME8 0RU, United Kingdom. Delphi
Technologies PLC is the Company’s Representative for privacy purposes pursuant to Legislative Decree no. 196/2003. The Participant understands that the Data may be transferred to the Company or its Affiliates, or to any third party
assisting with the implementation, administration and management of the Plan, including any transfer required to the broker/administrator or any other 

 
third party with whom the Time-Based RSUs or cash from the sale of Time-Based RSUs acquired under the Plan may be deposited. Furthermore, the recipients that may receive, possess, use, retain and
transfer such Data for the above mentioned purposes may be located in Italy or elsewhere, including outside of the European Union, and a recipient’s country (e.g., the United States) may have different data privacy laws and protections from
Italy. The processing activity, including the transfer of the Participant’s Data abroad, outside of the European Union, as herein specified and pursuant to applicable Italian data privacy laws and regulations, does not require the
Participant’s consent thereto as the processing is necessary for the performance of contractual obligations related to the implementation, administration and management of the Plan. The Participant understands that Data processing relating to
the purposes above specified shall take place under automated or non-automated conditions, anonymously when possible, that comply with the purposes for which Data is collected and with confidentiality and
security provisions as set forth by applicable Italian data privacy laws and regulations, with specific reference to D.lgs. 196/2003. 
 The Participant
understands that Data will be held only as long as is required by law or as necessary to implement, administer and manage the Participant’s participation in the Plan. The Participant understands that pursuant to art.7 of D.lgs 196/2003, the
Participant has the right, including but not limited to, access, delete, update, request the rectification of the Participant’s Data and cease, for legitimate reasons, the Data processing. Furthermore, the Participant is aware that the
Participant’s Data will not be used for direct marketing purposes. In addition, the Data provided can be reviewed and questions or complaints can be addressed by contacting the Participant’s local human resources representative. 

JAPAN 
 None. 

LUXEMBOURG 

1.    Termination of Service. The following provision shall supplement Section 3(c) of the Agreement: 

In case of Termination of Service of the Participant triggering the payment of severance costs under applicable law, the Time-Based RSUs shall not be taken
into account in the calculation of such severance costs, to the extent permitted by applicable law. 
 MEXICO 

1.    Commercial Relationship. The Participant expressly recognizes that the Participant’s participation in the
Plan and the Company’s grant of this Award do not constitute an employment relationship between the Participant and the Company. The Participant has been granted this Award as a consequence of the commercial relationship between the Company and
the Participant’s Employer, and such entity is the Participant’s sole employer. Based on the foregoing, (a) the Participant expressly recognizes the Plan and the benefits the Participant may derive from the Participant’s
participation in the Plan does not establish any rights between the Participant and the Employer, (b) the Plan and the benefits the Participant may derive from the Participant’s participation in the Plan are not part of the employment
conditions and/or benefits provided by the Employer, and (c) any modification or amendment of the Plan by the Company, or a termination of the Plan by the Company, shall not constitute a change or impairment of the terms and conditions of the
Participant’s employment with the Employer. 

 2.    Extraordinary Item of Compensation. The Participant expressly
recognizes and acknowledges that the Participant’s participation in the Plan is a result of the discretionary and unilateral decision of the Company, as well as the Participant’s free and voluntary decision to participate in the Plan in
accord with the terms and conditions of the Plan and the Agreement, including the Addendum. As such, the Participant acknowledges and agrees that the Company may, in its sole discretion, amend and/or discontinue the Participant’s participation
in the Plan at any time and without any liability. The value of this Award is an extraordinary item of compensation outside the scope of the Participant’s employment contract, if any. This Award is not part of the Participant’s regular or
expected compensation for purposes of calculating any severance, resignation, redundancy, end of service payments, bonuses, long-service awards, pension, retirement benefits, or any similar payments, which are the exclusive obligations of the
Employer. 
 BY SIGNING BELOW, THE PARTICIPANT ACKNOWLEDGES, UNDERSTANDS AND AGREES TO THE PROVISIONS OF THE AGREEMENT, INCLUDING THE ADDENDUM AND THE
PLAN. 
 PLEASE SIGN AND RETURN THE ADDENDUM VIA EMAIL NO LATER THAN MARCH 31, 2018 TO YOUR LOCAL HR BUSINESS PARTNER. 

 

					
	  
	 		 	  

	Participant Signature	 		 	Participant Name (Printed)
			
	                                      
  	 		 	
	Date	 		 	

 NETHERLANDS 

1.    Waiver of Termination Rights. As a condition to the grant of this Award, the Participant hereby waives any and
all rights to compensation or damages as a result of the termination of the Participant’s employment with the Employer for any reason whatsoever, insofar as those rights result or may result from (i) the loss or diminution in value of such
rights or entitlements under the Plan, or (ii) the Participant ceasing to have rights under or ceasing to be entitled to any Award or awards under the Plan as a result of such termination. 

NORWAY 
 None. 

POLAND 

1.    Termination of Service. The following provision shall supplement Section 3(c) of the Agreement: 

In case of Termination of Service of the Participant triggering the payment of severance costs under applicable law, the Time-Based RSUs shall not be taken
into account in the calculation of such severance costs, to the extent permitted by applicable law. 
 PORTUGAL 

1.    Termination of Service. The following provision shall supplement Section 3(c) of the Agreement: 

In case of Termination of Service of the Participant triggering the payment of severance costs under applicable law, the Time-Based RSUs shall not be taken
into account in the calculation of such severance costs, to the extent permitted by applicable law. 
 2.    Language
Consent. Participant hereby expressly declares that the Participant has full knowledge of the English language and has read, understood and freely accepted and agreed with the terms and conditions established in the Plan and the Agreement. 

Conhecimento da Língua. Pela presente, o Participante declara expressamente que tem pleno conhecimento da língua inglesa e
que leu, compreendeu e livremente aceitou e concordou com os termos e condições estabelecidas no Plano e no Acordo. 
 SINGAPORE 

1.    Qualifying Person Exemption. The following provision shall replace Section 10(u) of the Agreement: 

The grant of this Award under the Plan is being made pursuant to the “Qualifying Person” exemption” under section 273(1)(f) of the Securities
and Futures Act (Chapter 289, 2011 Ed.) (“SFA”). The Plan has not been lodged or registered as a prospectus with the Monetary Authority of Singapore. The Participant should note that, as a result, this Award is subject to section
257 of the SFA and the Participant will not be able to make (a) any subsequent sale of the Shares underlying the Time-Based RSUs (including, if applicable, any Dividend Shares) in 

 
Singapore or (ii) any offer of such subsequent sale of the Shares underlying the Time-Based RSUs (including, if applicable, any Dividend Shares) subject to this Award in Singapore, unless
such sale or offer is made pursuant to the exemptions under Part XIII Division (1) Subdivision (4) (other than section 280) of the SFA (Chapter 289, 2011 Ed.). 

SOUTH AFRICA 

1.    Withholding Taxes. The following provision supplements Section 8(b) of the Agreement: 

By accepting the grant of this Award, the Participant agrees to notify the Employer of the amount of any gain realized upon vesting of this Award. If the
Participant fails to advise the Employer of the gain realized upon vesting of this Award, the Participant may be liable for a fine. The Participant shall be responsible for paying any difference between the actual tax liability and the amount
withheld. 
 2.    Securities Law Information and Deemed Acceptance of this Award. Neither this Award
nor the underlying Shares shall be publicly offered or listed on any stock exchange in South Africa. The offer is intended to be private pursuant to Section 96 of the Companies Act and is not subject to the supervision of any South African
governmental authority. Pursuant to Section 96 of the Companies Act, this Award offer must be finalized on or before the 60th day following the grant date. If the Participant does not want to accept the grant of this Award, the Participant
is required to decline this Award no later than the 60th day following the Grant Date. If the Participant does not reject the grant of this Award on or before the 60th day following the Grant Date, the Participant will be deemed to accept
the grant of this Award. 
 SOUTH KOREA 

1.    Data Privacy. The following provision replaces Section 9 of the Agreement in its entirety: 

Pursuant to applicable personal data protection laws, the Company and the Employer hereby notifies the Participant of the following in relation to the
Participant’s personal data and the collection, processing and transfer of such data in relation to the Company’s grant of RSUs and the Participant’s participation in the Plan. The collection, processing and transfer of the
Participant’s personal data is necessary for the Company’s administration of the Plan and the Participant’s participation in the Plan, and although the Participant has the right to deny or object to the collection, processing and
transfer of personal data, the Participant’s denial and/or objection to the collection, processing and transfer of personal data may affect the Participant’s participation in the Plan. As such, the Participant voluntarily acknowledges and
consents (where required under applicable law) to the collection, use, processing and transfer of personal data as described herein. The Company shall retain and use the Participant’s personal data until the purpose of the collection and use of
the personal data is accomplished and shall promptly destroy the personal data thereafter. 
 The Company and the Employer hold certain personal information
about the Participant, including the Participant’s name, home address, email address, and telephone number, date of birth, social security number (resident registration number), passport number, or other employee identification number, e-mail address, salary, nationality, job title, any Time-Based RSUs or 

 
directorships held in the Company, details of all Awards, options or any other entitlement to Time-Based RSUs awarded, canceled, purchased, vested, unvested or outstanding in the
Participant’s favor, for the purpose of managing and administering the Plan (“Data”). The Data may be provided by the Participant or collected, where lawful, from third parties, and the Company and the Employer will
process the Data for the exclusive purpose of implementing, administering and managing the Participant’s participation in the Plan. The Data processing will take place through electronic and
non-electronic means according to logics and procedures strictly correlated to the purposes for which Data are collected and with confidentiality and security provisions as set forth by applicable laws and
regulations in the Participant’s country of residence (and country of employment, if different). Data processing operations will be performed minimizing the use of personal and identification data when such operations are unnecessary for the
processing purposes sought. Data will be accessible within the Company’s organization only by those persons requiring access for purposes of the implementation, administration and operation of the Plan and for the Participant’s
participation in the Plan. 
 The Company and the Employer will transfer Data internally as necessary for the purpose of implementation, administration and
management of the Participant’s participation in the Plan, and the Company may further transfer Data to any third parties assisting the Company in the implementation, administration and management of the Plan. The third party recipients of Data
may be any Affiliates or subsidiaries of the Company and / or the Company’s broker/administrator or any successor or any other third party that the Company or the broker/administrator (or its successor) may engage to assist with the
implementation, administration and management of the Plan from time to time. These recipients may be located in the European Economic Area, or elsewhere throughout the world, such as the United States. the Participant hereby authorizes (where
required under applicable law) them to receive, possess, use, retain and transfer the Data, in electronic or other form, for purposes of implementing, administering and managing the Participant’s participation in the Plan, including any
requisite transfer of such Data as may be required for the administration of the Plan and/or the subsequent holding of Time-Based RSUs on the Participant’s behalf to a broker/administrator or other third party with whom the Participant may
elect to deposit any Time-Based RSUs acquired pursuant to the Plan. Such third parties to which the Company will transfer the Participant’s personal date shall retain and use the Participant’s personal data until the purpose of the
collection and use of the personal data is accomplished and shall promptly destroy such personal data thereafter. 
 The Company and any third party
recipient of the Data will use, process and store the Data only to the extent they are necessary for the purposes described above. 
 The Participant may,
at any time, exercise the Participant’s rights provided under applicable personal data protection laws, which may include the right to (a) obtain confirmation as to the existence of the Data, (b) verify the content, origin and
accuracy of the Data, (c) request the integration, update, amendment, deletion, or blockage (for breach of applicable laws) of the Data, (d) to oppose, for legal reasons, the collection, processing or transfer of the Data which is not
necessary or required for the implementation, administration and/or operation of the Plan and the Participant’s participation in the Plan, and (e) withdraw the Participant’s consent to the collection, processing or transfer of Data as
provided hereunder (in which case, the Participant’s Award will be null and void). the Participant may seek to exercise these rights by contacting the Participant’s local human resources manager or the Company’s human resources
department. 

 BY SIGNING AND CHECKING THE BOXES BELOW, PARTICIPANT ACKNOWLEDGES, UNDERSTANDS AND AGREES TO THE PROVISIONS OF
THE AGREEMENT, THE PLAN AND THIS ADDENDUM. FURTHER, PARTICIPANT ACKNOWLEDGES, UNDERSTANDS AND AGREES TO (1) THE COLLECTION, USE, PROCESSING AND TRANSFER OF THE DATA AS DESCRIBED ABOVE AND (2) THE PROCESSING OF PARTICIPANT’S UNIQUE
IDENTIFYING INFORMATION (RESIDENT REGISTRATION NUMBER) AS DESCRIBED ABOVE. 
 [    ] I agree to the collection and use of my Personal
Data. 
 [    ] I agree to the provision of my Personal Data to a third party and transfer of my Personal Data overseas. 

[    ] I agree to the processing of my unique identifying information (resident registration number). 

 

                          
                                   

Participant Signature 
  

                          
                                   

Participant Printed Name 
  

                          
               
 Date 

PLEASE SIGN AND RETURN THE ADDENDUM VIA EMAIL NO LATER THAN MARCH 31, 2018 TO YOUR LOCAL HR BUSINESS PARTNER. 

 SPAIN 

1.    Termination of Service. The following provision shall supplement Section 3(c) of the Agreement: 

In case of Termination of Service of the Participant triggering the payment of severance costs under applicable law, the Time-Based RSUs shall not be taken
into account in the calculation of such severance costs, to the extent permitted by applicable law. 

2.    Acknowledgement of Discretionary Nature of the Plan; No Vested Rights. In accepting the grant of this Award,
the Participant acknowledges that the Participant consents to participation in the Plan and have received a copy of the Plan. The Participant understands that the Company has unilaterally, gratuitously and in its sole discretion granted this Award
under the Plan to individuals who may be employees of the Company or its Affiliates throughout the world. The decision is a limited decision that is entered into upon the express assumption and condition that any grant will not economically or
otherwise bind the Company or any of its Affiliates on an ongoing basis. Consequently, the Participant understands that this Award is granted on the assumption and condition that this Award and the Shares acquired upon vesting of this Award shall
not become a part of any employment contract (either with the Company or any of its Affiliates) and shall not be considered a mandatory benefit, salary for any purposes (including severance compensation) or any other right whatsoever. In addition,
the Participant understands that this grant would not be made to him or her but for the assumptions and conditions referenced above. Thus, the Participant acknowledges and freely accepts that should any or all of the assumptions be mistaken or
should any of the conditions not be met for any reason, the grant of this Award shall be null and void. 
 The Participant understands and agrees that, as a
condition of the grant of this Award, any unvested portion of this Award as of the date you cease active employment will be forfeited without entitlement to the underlying Shares or to any amount of indemnification in the event of the termination of
employment by reason of, but not limited to, (i) material modification of the terms of employment under Article 41 of the Workers’ Statute or (ii) relocation under Article 40 of the Workers’ Statute. The Participant
acknowledges that the Participant has read and specifically accepts the conditions referred to in the Agreement regarding the impact of a termination of employment on this Award. 

BY SIGNING BELOW, THE PARTICIPANT ACKNOWLEDGES, UNDERSTANDS AND AGREES TO THE PROVISIONS OF THE AGREEMENT, INCLUDING THE ADDENDUM AND THE PLAN. 

PLEASE SIGN AND RETURN THE ADDENDUM VIA EMAIL NO LATER THAN MARCH 31, 2018 TO YOUR LOCAL HR BUSINESS PARTNER. 

 

					
	  
	 		 	  

	Participant Signature	 		 	Participant Name (Printed)
			
	                                      
  	 		 	
	Date	 		 	

 SWEDEN 

1.    Termination of Service. The following provision shall supplement Section 3(c) of the Agreement: 

In case of Termination of Service of the Participant triggering the payment of severance costs under applicable law, the Time-Based RSUs shall not be taken
into account in the calculation of such severance costs, to the extent permitted by applicable law. 
 UNITED KINGDOM 

1.    Termination of Service. The following provision shall supplement Section 3(c) of the Agreement: 

In case of Termination of Service of the Participant triggering the payment of severance costs under applicable law, the Time-Based RSUs shall not be taken
into account in the calculation of such severance costs, to the extent permitted by applicable law. 
 2.    Taxes.
The following provisions supplement Section 7 of the Agreement: 
 The Participant shall pay to the Company or its Affiliates the amount of income
tax that such entity may be required to account to HM Revenue & Customs (“HMRC”) with respect to the event giving rise to the income tax (the “Taxable Event”) that cannot be satisfied by the means described
in the Agreement. If payment or withholding of the income tax is not made within ninety days of the end of the U.K. tax year in which the Taxable Event occurs or such other period specified in Section 222(1)(c) of the ITEPA 2003 (the
“Due Date”), then the amount that should have been withheld shall constitute a loan owed by the Participant to the Company or its Affiliates, effective on the Due Date. The Participant agrees that the loan will bear interest at the
HMRC official rate and will be immediately due and repayable by the Participant, and the Company and/or its Affiliates may recover it at any time thereafter by any of the means set forth in the Agreement. 

Notwithstanding the foregoing, if the Participant is an executive officer or director (as within the meaning of Section 13(k) of the U.S. Securities
Exchange Act of 1934, as amended), the terms of the immediately foregoing provision will not apply. In the event that the Participant is an executive officer or director, as defined above, and income tax due is not collected from or paid by the
Participant by the Due Date, the amount of any uncollected income tax may constitute a benefit to the Participant on which additional income tax and National Insurance contributions may be payable. The Participant will be responsible for reporting
and paying any income tax due on this additional benefit directly to HMRC under the self-assessment regime and for reimbursing the Company or its Affiliates, as applicable, for the value of any employee National Insurance contributions due on this
additional benefit, which the Company or its Affiliates, as applicable, may recover from the Participant by any of the means set forth in the Agreement. 

UNITED STATES 
 None. 

**************************Exhibit 4(a)

 [Abraham Lincoln]

[XX-0123456]

(A Stock Company)

ANNUITY CONTRACT

Individual Flexible Purchase Payment

Deferred Variable Annuity Contract

With Annuity Payment Options

Nonparticipating

The Lincoln National Life Insurance Company (LNL) agrees to provide the benefits and other rights described in this Contract in accordance with the terms of this Contract.

READ THIS CONTRACT CAREFULLY.  This is a legal contract between the Owner and LNL.  We want to be sure you understand the features and benefits contained in this Contract.  IT IS THEREFORE IMPORTANT THAT YOU READ YOUR CONTRACT CAREFULLY.  If you have any questions after reading the Contract, we hope you will contact your representative or the Home Office of LNL.

NOTICE OF RIGHT TO EXAMINE CONTRACT.  Within [10] days after this Contract is first received, it may be cancelled for any reason without penalty (e.g., no Contingent Deferred Sales Charge will be deducted) by delivering or mailing it to the representative through whom it was purchased or to the Home Office of LNL.  Upon cancellation, LNL will return the Contract Value as of the Valuation Date on which LNL receives the cancellation request.

ALL PAYMENTS AND VALUES PROVIDED BY THIS CONTRACT, WHEN BASED ON THE INVESTMENT EXPERIENCE OF THE VARIABLE ACCOUNT, ARE VARIABLE.  THE AMOUNTS MAY INCREASE OR DECREASE AND ARE NOT GUARANTEED AS TO FIXED DOLLAR AMOUNT (SEE ARTICLE 4 AND ARTICLE 7).

Signed for The Lincoln National Life Insurance Company at its Home Office located at [1300 S. Clinton St. in Fort Wayne, Indiana 46802.]

                                                                     

   Jon A. Boscia, President                           

Table of Contents

Article  Page

1            Definitions  4

2            Purchase Payments  6

3            Contract Value  7

4            Variable Account  8

5            Transfers, Withdrawals and Surrenders  10

6            Death Benefits  12

7            Annuity Payment Options  15

8            Beneficiary  18

9            Suspension or Deferral of Payments  19

10            General Provisions  20

ARTICLE 1

DEFINITIONS

ACCUMULATION UNIT -- A unit of measure used in the calculation of the value of a Variable Subaccount prior to the Annuity Commencement Date.

ANNUITANT OR JOINT ANNUITANT -- The person or persons upon whose life or lives the annuity payments made after the Annuity Commencement Date will be based.

ANNUITY COMMENCEMENT DATE -- The Valuation Date on which the Contract Value is withdrawn for payment of annuity benefits under the annuity payment option selected.

ANNUITY PAYMENT DATE -- The date on which the Owner is entitled to the first annuity payment.  Subsequent annuity payments will be due on the same day of the month as the first annuity payment, at the applicable frequency.

ANNUITY UNIT -- A unit of measure used after the Annuity Commencement Date to calculate the amount of a Variable Annuity Payment.

BENEFICIARY -- The person or persons or entity designated by the Owner to receive the Death Benefit, if any.

CODE -- The Internal Revenue Code of 1986, as amended.

CONTINGENT ANNUITANT -- Prior to the Annuity Commencement Date, the individual who will become the Annuitant upon the death of the Annuitant.

CONTINGENT DEFERRED SALES CHARGE (CDSC) -- Charges assessed on a surrender of the Contract or a partial withdrawal from the Contract, calculated according to the Contract provisions.

CONTRACT -- The agreement between LNL and the Owner, in which LNL provides an annuity as described on the front page of this Contract.

CONTRACT DATE -- The date this Contract became effective.  The Contract Date is shown on the Contract Specifications.

CONTRACT VALUE -- Prior to the Annuity Commencement Date, the sum of the values of the Variable Subaccounts.

CONTRACT YEAR -- Each twelve-month period starting with the Contract Date on the Contract Specifications and starting with each Contract Date anniversary thereafter.

DEATH BENEFIT -- The amount payable upon death of an Owner or an Annuitant.

DOLLAR COST AVERAGING (DCA) -- An option that allows the automatic transfer of a portion of the Contract Value in periodic installments from a designated DCA holding account to one or more of the Variable Subaccounts available under the Contract.  The periodic installments will be over any DCA period made available by LNL and selected by the Owner.

EARNINGS -- The excess of the Contract Value over the Purchase Payments which have not yet been withdrawn from this Contract.

FIXED ANNUITY PAYMENTS -- Periodic payments made to the Owner or the Owner's designee by LNL on or after the Annuity Commencement Date which LNL guarantees as to the dollar amount.  Fixed annuity payments are made out of the General Account.

FUND -- Any of the underlying investment options available in the Variable Account.

GENERAL ACCOUNT --  An account consisting of all assets owned by LNL other than those assets in segregated investment accounts.

HOME OFFICE -- The principal office of LNL located at [1300 South Clinton Street, Fort Wayne, Indiana, 46802], or an institution designated by LNL.

LNL -- The Lincoln National Life Insurance Company.

MATURITY DATE – The date by which an election to receive payments under an Annuity Payment Option must be made. The Maturity Date is shown on the Contract Specifications.

NET ASSET VALUE PER SHARE -- The market value of a Fund share calculated each day.

NOTICE -- Any form of communication providing information as required by LNL, either in signed writing or another manner, that LNL approves in advance.  All Notices must be received by LNL in the Home Office and must include all required information necessary to process the request.  To be effective for any Valuation Date, a Notice must be received in good order prior to the end of that Valuation Date.

OWNER -- The one person, two persons or entity who exercises rights of ownership under this Contract.  If two persons are named as Owner, all references to Owner means joint Owner.

PURCHASE PAYMENTS -- Amounts paid into this Contract by the Owner.

QUALIFIED CONTRACT -- A contract that is used as a funding vehicle for a retirement plan qualified for special tax treatment under the Code, including Sections 401, 403, 408, 408A and 457.  All other contracts are considered Non-qualified contracts.

VALUATION DATE -- Close of the market of each day that the New York Stock Exchange is open for business.

VALUATION PERIOD -- The period commencing at the close of business on a particular Valuation Date and ending at the close of business on the next succeeding Valuation Date.

VARIABLE ACCOUNT -- The segregated investment account into which LNL sets aside and invests the assets allocated to the Variable Subaccount(s) made available by LNL and selected by the Owner.  The Variable Account for this variable annuity Contract is shown on the Contract Data page.

VARIABLE ANNUITY PAYMENTS -- Periodic payments made to the Owner or the Owner's designee by LNL on or after the Annuity Commencement Date which vary in amount with the investment experience of each applicable Variable Subaccount.

VARIABLE SUBACCOUNT -- That portion of the Variable Account which invests in shares of a particular Fund.  There is a separate Variable Subaccount for each particular Fund.

ARTICLE 2

PURCHASE PAYMENTS

2.01 WHERE PAYABLE

All Purchase Payments must be made to LNL at its Home Office.

2.02 AMOUNT AND FREQUENCY

LNL reserves the right to limit future Purchase Payments into this Contract. The minimum subsequent Purchase Payments are shown on the Contract Specifications.

Purchase Payments may be made until the earliest of: the Annuity Commencement Date, death of the Owner, or surrender of the Contract.  In the event that Purchase Payments are discontinued by the Owner, this Contract will continue and Purchase Payments may be resumed at any time prior to the earlier of: the Annuity Commencement Date, death of the Owner, or surrender of this Contract.

ARTICLE 3

CONTRACT VALUE

3.01 CONTRACT VALUE

The Contract Value, at any time prior to the Annuity Commencement Date, is equal to the sum of the values of the Variable Subaccounts on a given Valuation Date.

3.02 ACCOUNT FEE

LNL will deduct an Account Fee from the Contract Value as shown on the Contract Specifications.

ARTICLE 4

VARIABLE ACCOUNT

4.01 THE VARIABLE ACCOUNT

The Variable Account, which is designated on the Contract Specifications, is for the exclusive benefit of persons entitled to receive benefits under variable annuity contracts.  The Variable Account will not be charged with the liabilities arising from any other part of LNL's business.

Subject to any required regulatory approvals, LNL reserves the right to eliminate the shares of any Fund and substitute the securities of a different Fund or investment company or mutual fund.  Such elimination and substitution may occur if the shares of a Fund are no longer available for investment or, if in the judgment of LNL, further investment in any Fund should become inappropriate in view of the purposes of the Contract. LNL may close any Variable Subaccount to new Purchase Payments, transfers of Contract Value or both.  LNL may add new Variable Subaccounts in which the assets of the Variable Account may be invested.  LNL will give the Owner written notice of the elimination and substitution of any Fund as required by law after such substitution occurs.

4.02 ALLOCATION OF PURCHASE PAYMENTS TO A VARIABLE SUBACCOUNT

The Owner may allocate Purchase Payments to any of the available Variable Subaccounts in accordance with the restrictions on the Contract Specifications.

A Notice must be given to LNL if the Owner elects to allocate any Purchase Payment to a new Variable Subaccount not previously selected.

Purchase Payments allocated to each Variable Subaccount will be invested at Net Asset Value Per Share of one of the Funds.  Following receipt of a Purchase Payment, LNL will use each Purchase Payment to buy Accumulation Units in the Variable Subaccount(s) selected by the Owner.

4.03 VALUATION OF THE VARIABLE ACCOUNT

The value of the Variable Account, at any time prior to the Annuity Commencement Date, is equal to the sum of the values allocated to the Variable Subaccounts.  The value of a Variable Subaccount, at any time prior to the Annuity Commencement Date, is equal to the Accumulation Units credited to a Variable Subaccount multiplied by the value of the Accumulation Unit for the respective Variable Subaccount.

Accumulation Units are used to value all amounts allocated to or withdrawn from a Variable Subaccount as a result of Purchase Payments, transfers, withdrawals, or fees and charges.  Accumulation Units for each Variable Subaccount are valued separately.  The value of an Accumulation Unit may increase or decrease from Valuation Period to Valuation Period. The number of Accumulation Units is determined by dividing the amount allocated to or withdrawn from a Variable Subaccount by the dollar value of one Accumulation Unit of the Variable Subaccount as of the Valuation Date the transaction becomes effective. The number of Accumulation Units held for an Owner in a Variable Subaccount will not be changed by any change in the dollar value of Accumulation Units in the Variable Subaccount.

The value of an Accumulation Unit was arbitrarily established at the inception of the Variable Subaccount.  The Accumulation Unit value for a Variable Subaccount for any later Valuation Period is determined as follows:

	
a.

	
the total value of Fund shares held in the Variable Subaccount is calculated by multiplying the number of Fund shares owned by the Variable Subaccount at the beginning of the Valuation Period by the Net Asset Value Per Share of the Fund at the end of the Valuation Period, and adding any dividend or other distribution of the Fund if an ex-dividend date occurs during the Valuation Period; minus

	
b.

	
the liabilities of the Variable Subaccount at the end of the Valuation Period (such liabilities include daily charges imposed on the Variable Subaccount (see Section 4.04) and may include a charge or credit with respect to any taxes paid or reserved for by LNL that LNL determines is a result of the operation of the Variable Account); the result divided by

	
c.

	
the outstanding number of Accumulation Units in the Variable Subaccount at the beginning of the Valuation Period.

The Accumulation Unit value may increase or decrease the dollar value of benefits under the Contract.  Expenses incurred by LNL will not adversely affect the dollar value of benefits.

4.04 MORTALITY AND EXPENSE RISK AND ADMINISTRATIVE CHARGE

LNL will deduct a Mortality and Expense Risk and Administrative charge (daily charge) from the Variable Account as shown on the Contract Specifications.

4.05 CHANGE IN OPERATION

LNL reserves the right to transfer assets of the Variable Account to another account, and to modify the structure or operation of the Variable Account, subject to obtaining any necessary regulatory approvals.  LNL guarantees that such modification will not affect the Contract Value.

ARTICLE 5

TRANSFERS, WITHDRAWALS AND SURRENDERS

5.01 TRANSFERS BEFORE THE ANNUITY COMMENCEMENT DATE

Prior to the earlier of: the Annuity Commencement Date, termination of this Contract upon payment of any Death Benefit, or surrender of this Contract, the Owner may direct a transfer of a portion of the Contract Value from any available Variable Subaccount to another Variable Subaccount by providing Notice to transfer.

Transfers will be subject to the following:

	
a.

	
The Transfer Requirements outlined on the Contract Specifications.

	
b.

	
LNL reserves, in its sole opinion, the right to limit or modify transfers that may have an adverse effect on other contract owners.  Restrictions may be applied in any manner reasonably designed to prevent any use of the transfer right that is considered by LNL to disadvantage other contract owners.

LNL has the right to waive or modify any of these restrictions.

Upon receipt of Notice to transfer, LNL will process the transfer within the time period required by the Securities and Exchange Commission, unless the Suspension or Deferral of Payments or Transfers from the Variable Account provision (Article 9) is in effect.

Transfers will be accomplished at Accumulation Unit values as of the Valuation Date the Notice to transfer is received.

5.02 WITHDRAWALS

The Owner may, upon Notice to LNL, withdraw a part of the surrender value of this Contract at any time prior to the earlier of: the Annuity Commencement Date, termination of this Contract upon payment of any Death Benefit, or surrender of this Contract.

Withdrawals will be subject to the withdrawal and surrender requirements as shown on the Contract Specifications.

The Notice to withdraw must specify from which Variable Subaccount the withdrawal will be made. If no Subaccount is specified, LNL will withdraw the amount requested on a pro-rata basis from each Variable Subaccount.

Upon receipt of Notice of withdrawal, LNL will pay the amount of any withdrawal within the time period as required by the Securities and Exchange Commission unless the Suspension or Deferral of Payments or Transfers from the Variable Account provision (Article 9) is in effect.

Withdrawals will be accomplished at Accumulation Unit values as of the Valuation Date the Notice for withdrawal is received.

5.03 SURRENDERS

The Owner may, upon Notice to LNL, surrender this Contract for its surrender value at any time prior to the earlier of:  the Annuity Commencement Date, or termination of this Contract upon payment of any Death Benefit.

This Contract will terminate upon surrender.  The surrender will be effective on the Valuation Date on which LNL receives Notice of surrender.

Surrenders will be subject to the withdrawal and surrender requirements as shown on the Contract Specifications.

The surrender value on the Valuation Date of surrender will be the Contract Value, minus the CDSC.

LNL reserves the right to surrender this Contract if any withdrawal reduces the total Contract Value to a level at which this Contract may be surrendered in accordance with the terms set forth in the standard nonforfeiture law for individual deferred annuities applicable in the state in which this Contract was purchased. LNL may surrender the Contract for its surrender value.

Upon receipt of Notice to surrender, LNL will pay the amount of any surrender within the time period required by the Securities and Exchange Commission, unless the Suspension or Deferral of Payments or Transfers from the Variable Account provision (Article 9) is in effect.

ARTICLE 6

DEATH BENEFITS

6.01 DEATH BEFORE THE ANNUITY COMMENCEMENT DATE

Entitlement.

If there is a single Owner, then upon the death of the Owner LNL will pay a Death Benefit to the designated Beneficiary(s).  If the designated Beneficiary of the Death Benefit is the surviving spouse of the deceased Owner, the spouse may elect to continue the Contract as the new Owner.  The Death Benefit in effect at the time of death of the original Owner will continue, unless subsequently terminated by the surviving spouse.  If there are no designated Beneficiaries, LNL will pay a Death Benefit to the Owner's estate.  Upon the death of the spouse who continues the Contract as the new Owner, LNL will pay a Death Benefit to the designated Beneficiary(s).

If there are two Owners, upon the death of the first Owner, LNL will pay a Death Benefit to the surviving Owner.  If the surviving Owner is the spouse of the deceased Owner, then the spouse may elect to continue the Contract as sole Owner.  The Death Benefit in effect at the time of death of the original Owner will continue, unless subsequently terminated by the surviving spouse.  Upon the death of the Owner who continues the Contract, LNL will pay a Death Benefit to the designated Beneficiary(s).

If the Annuitant is also an Owner, then the Death Benefit paid upon the death of the Annuitant will be subject to the Contract provisions regarding death of an Owner.  If the surviving spouse of the deceased Annuitant assumes the Contract, the Contingent Annuitant, if any, will become the Annuitant.  If there is no named Contingent Annuitant, the surviving spouse will become the Annuitant.

If an Annuitant who is not an Owner dies, then the Contingent Annuitant, if named, becomes the Annuitant and no Death Benefit is payable on the death of the Annuitant.

If an Annuitant who is not an Owner dies and no Contingent Annuitant is named, the youngest Owner immediately becomes the Annuitant and the Contract continues.  In lieu of continuing the Contract, the Owner may elect to receive a Death Benefit (in equal shares, if applicable). Written notification of the election to receive the Death Benefit must be received by LNL within [75 days] of the death of the Annuitant. This Contract will terminate when any Death Benefit is paid due to the death of the Annuitant.

If the Owner is a corporation or other non-individual (non-natural person), the death of the Annuitant will be treated as the death of the Owner.

The Death Benefit will be paid upon approval by LNL and after LNL is in receipt of:

	
a.

	
proof, satisfactory to LNL, of the death;

	
b.

	
written authorization for payment; and

	
c.

	
all claim forms, fully completed.

Due proof of death may be a certified copy of a death certificate, a certified copy of a decree of a court of competent jurisdiction as to the findings of death, or any other proof of death acceptable to LNL.

All Death Benefit payments will be subject to the laws and regulations governing death benefits.

Notwithstanding any provision of this Contract to the contrary, the payment of Death Benefits provided under the Contract must be made in compliance with Code Section 72(s) or 401(a)(9) as applicable, as amended from time to time.

Determination of Amounts

[The Death Benefit is equal to the Contract Value as of the Valuation Date on which the death claim is approved by the LNL Home Office for payment.]

[OR]

[The Death Benefit is equal to the greater of:

	
a.

	
the Contract Value on the Valuation Date the Death Benefit is approved by the LNL Home Office for payment; or

	
b.

	
the sum of all Purchase Payments minus all withdrawals, including any applicable charges and any premium tax incurred .

Upon the death of an Owner or Annuitant of this Contract, if a surviving spouse continues the Contract, the excess, if any, of the Death Benefit over the current Contract Value as of the date on which the death claim is approved by LNL for payment will be credited into the Contract.  This excess will only be credited one time for each Contract.

If the Owner is a corporation or other non-individual (non-natural person) and there are Joint Annuitants, upon the death of the first Joint Annuitant to die, if the Contract is continued, the excess, if any, of the Death Benefit over the current Contract Value as of the date on which the death claim is approved by LNL for payment will be credited into the Contract.  This excess will only be credited one time for each Contract.

If at any time the [Owner] [or] [Annuitant] named on this Contract is changed, except on the death of a prior [Owner] [or] [Annuitant], the Death Benefit for the new [Owner] [or] [Annuitant] will be the [Contract Value] as of the Valuation Date the death claim for the new [Owner] [or] [Annuitant] is approved by the LNL Home Office for payment.

Other Death Benefit requirements may apply as shown on the Contract Specifications.]

[OR]

[The Death Benefit is equal to the greatest of:

	
a.

	
the Contract Value on the Valuation Date the Death Benefit is approved by the LNL Home Office for payment; or

	
b.

	
the sum of all Purchase Payments minus all withdrawals, including any applicable charges and any premium tax incurred; or

	
c.

	
the highest Contract Value on the Contract Date or on any Contract Date anniversary (determined before the allocation of any Purchase Payments on that Contract Date anniversary) prior to the 81st birthday of the deceased Owner or Annuitant and prior to the date of death of the Owner or Annuitant for whom a death claim is approved by the LNL Home Office for payment.  The highest Contract Value is adjusted for certain transactions.  It is increased by Purchase Payments made on or after that Contract Date anniversary on which the highest Contract Value is obtained.  It is decreased by partial withdrawals, including any applicable charges and any premium tax incurred on or after that Contract Date anniversary on which the highest Contract Value is obtained.

Upon the death of an Owner or Annuitant of this Contract, if a surviving spouse continues the Contract, the excess, if any, of the Death Benefit over the current Contract Value as of the date on which the death claim is approved by LNL for payment will be credited into the Contract.  This excess will only be credited one time for each Contract.

If the Owner is a corporation or other non-individual (non-natural person) and there are Joint Annuitants, upon the death of the first Joint Annuitant to die, if the Contract is continued, the excess, if any, of the Death Benefit over the current Contract Value as of the date on which the death claim is approved by LNL for payment will be credited into the Contract.  This excess will only be credited one time for each Contract.

If at any time the [Owner] [or] [Annuitant] named on this Contract is changed, except on the death of a prior [Owner] [or] [Annuitant], the Death Benefit for the new [Owner] [or] [Annuitant] will be the [Contract Value] as of the Valuation Date the death claim for the new [Owner] [or] [Annuitant] is approved by the LNL Home Office for payment.

Other Death Benefit requirements may apply as shown on the Contract Specifications.]

Payment of Amounts

The Death Benefit payable on the death of the Owner, or after the death of the first Owner, or upon the death of the spouse who continues the Contract, will be distributed to the designated Beneficiary(s) as follows:

	
a.

	
the Death Benefit must be completely distributed within five years of the Owner's date of death; or

	
b.

	
an election may be made within the one year period after the Owner's date of death for the designated Beneficiary, to receive the Death Benefit in substantially equal installments over the life of such designated Beneficiary or over a period not extending beyond the life expectancy of such designated Beneficiary; provided that such distributions begin not later than one year after the Owner's date of death.

The Death Benefit payable upon the death of the Annuitant, must be elected by the Owner within [75 days] of the death of the Annuitant, and will be distributed to the Owner in either form of a lump sum or under an Annuity Payment Option.  An Annuity Payment Option must be selected within [60 days] after LNL approves the death claim.

If a lump sum settlement is elected, the proceeds will be mailed within the time period required by the Securities and Exchange Commission following LNL's approval of the death claim, unless the Suspension or Deferral of Payments or Transfers from the Variable Account provision (Article 9) is in effect.

The Death Benefit in effect will terminate on the Annuity Commencement Date.

6.02 DEATH ON OR AFTER THE ANNUITY COMMENCEMENT DATE

Upon receipt of due proof of death of the Annuitant, any remaining annuity benefits payable will continue to be distributed under the Annuity Payment Option then in effect.

Upon the death of the Owner, any remaining annuity payments will be made at least as rapidly as the Annuity Payment Option then in effect.  Upon the death of the Owner, the rights of ownership granted by the Contract will pass to the surviving Owner, if any, otherwise to the Beneficiary.  If there is no named Beneficiary at the time of a sole Owner's death, then the rights of ownership will pass to the Annuitant, if still living; otherwise to the Joint Annuitant, if applicable.  If no named Beneficiary, Annuitant or Joint Annuitant survives the Owner, any remaining payments payable will continue to the Owner's estate.

ARTICLE 7

ANNUITY PAYMENT OPTIONS

7.01 ANNUITY PAYMENTS

Annuity Payments will commence on the Annuity Payment Date.  Payments are made under the Annuity Payment Option selected (see Section 7.02).

7.02 CHOICE OF ANNUITY PAYMENT OPTION

An election to receive payments under an Annuity Payment Option must be made by the Maturity Date.  The Maturity Date is set forth on the Contract Specifications.

Upon written request by the Owner and any Beneficiary who cannot be changed, the Maturity Date may be deferred.  If the Maturity Date is extended, LNL reserves the right to restrict the availability of certain Annuity Payment Options.

By Owner

Prior to the Annuity Commencement Date, the Owner may choose or change any Annuity Payment Option.  In addition, the Owner may select an Annuity Payment Option that meets the requirements of Code Section 72(s) or 401(a)(9) as set forth in Section 6.01, Payment of Amounts, for payment of the Death Benefit to a Beneficiary.  A Notice of such selection of a distribution method must be made and approved by LNL.  Upon Notice, the Owner may change or revoke, in writing to the Home Office, any such selection, unless such selection was made irrevocable.

By Beneficiary

If an Annuity Payment Option has not been previously selected by the Owner as the distribution option for the payment of the Death Benefit to a Beneficiary, then at the time proceeds are payable to a Beneficiary, a Beneficiary may choose any Annuity Payment Option that meets the requirements of Code Section 72(s) or 401(a)(9) as set forth in Section 6.01, Payment of Amounts.  The Beneficiary then becomes the Annuitant.

A Notice is required to choose an Annuity Payment Option.

7.03 ANNUITY PAYMENT OPTIONS

Annuity Payment Options are shown on the attached Annuity Payment Option Rider.  If an Annuity Payment Option is not chosen prior to the Maturity Date, payments will commence to the Owner on the Maturity Date under the Annuity Payment Option providing a Life Annuity with annuity payments guaranteed for 10 years.

At the time an Annuity Payment Option is selected under the provisions of this Contract, the Owner may elect to have the Contract Value applied to provide a Variable Annuity Payment, a Fixed Annuity Payment, or a combination Fixed and Variable Annuity Payment.  If no election is made, the Contract Value will be used to provide a Variable Annuity Payment.

7.04 DETERMINATION OF THE AMOUNT OF THE FIRST ANNUITY PAYMENT

The amount of annuity payment will depend on the age and sex (except in cases where unisex rates are required) of the Annuitant as of the Annuity Commencement Date.  A choice may be made to receive payments once each month, four times each year, twice each year, or once each year.

The attached Annuity Payment Option Rider, illustrates the minimum payment amounts and the age adjustments which will be used to determine the first monthly payment for a unisex Variable Annuity Payment based upon the assumed interest rate selected by the Owner.  The tables show the dollar amount of the first monthly payment which can be purchased with each $1,000 of Contract Value, after deduction of any applicable premium taxes.  The Owner must select one of the assumed interest rates, as shown on the Contract Specifications, for the Variable Annuity Payment prior to the Annuity Commencement Date.  The assumed interest rate may not be changed after the Annuity Commencement Date.

The attached Annuity Payment Option Rider, illustrates the minimum payment amounts and the age adjustments that will be used to determine the monthly payments for a Fixed Annuity Payment.  The tables show the dollar amount of the guaranteed monthly payments which can be purchased with each $1,000 of Contract Value, after deduction of any applicable premium taxes.

Determination of the first Annuity Payment Date is shown on the Contract Specifications.

7.05 DETERMINATION OF THE AMOUNT OF VARIABLE ANNUITY PAYMENTS AFTER THE FIRST PAYMENT

The first Variable Annuity Payment is sub-divided into components, each of which represents the product of:

	
a.

	
the percentage elected by the Owner of a specific Variable Subaccount, the performance of which will determine future Variable Annuity Payments, and

	
b.

	
the entire first Variable Annuity Payment.

Each Variable Annuity Payment after the first payment attributable to a specific Variable Subaccount will be determined by multiplying the Annuity Unit value for the Variable Subaccount for the Valuation Date no more than [14] days before each payment is due by a constant number of Annuity Units.  This constant number of each specific Variable Subaccount is determined by dividing the component of the first payment attributable to such Variable Subaccount as described above by the Annuity Unit value for that Variable Subaccount on the Annuity Commencement Date.  The total Variable Annuity Payment will be the sum of the payments attributable to each Variable Subaccount.  In the absence of transfers between Variable Subaccounts, the number of Annuity Units attributable to each Variable Subaccount remains constant, although the Annuity Unit values will vary with the investment performance of the Funds.  The Annuity Unit value may increase or decrease the dollar value of benefits under the Contract.

The Annuity Unit value for any Valuation Period for any Variable Subaccount is determined by multiplying the Annuity Unit value for the immediately preceding Valuation Period by the product of (a) the daily factor raised to a power equal to the number of days in the current Valuation Period and (b) the Accumulation Unit value of the same Variable Subaccount for this Valuation Period divided by the Accumulation Unit value of the same Variable Subaccount for the immediately preceding Valuation Period.

The valuation of all assets in the Variable Subaccount will be determined in accordance with the provisions of applicable laws, rules, and regulations. The method of determination by LNL of the value of an Accumulation Unit and of any Annuity Unit will be conclusive upon the Owner, Annuitant and any Beneficiary.

LNL guarantees that the dollar amount of each payment after the first will not be affected by variations in mortality experience from mortality assumptions on which the first payment is based.

7.06 TRANSFERS AFTER THE ANNUITY COMMENCEMENT DATE

After the Annuity Commencement Date, if any portion of the annuity payment is a Variable Annuity Payment, the Owner may direct a transfer of assets from one Variable Subaccount to another Variable Subaccount or to a Fixed Annuity Payment by providing Notice to transfer.  Such transfers will be limited to [three (3)] times per Contract Year.  Assets may not be transferred from a Fixed Annuity Payment to a Variable Annuity Payment.

A transfer from one Variable Subaccount to another Variable Subaccount will result in the purchase of Annuity Units in one Variable Subaccount and the redemption of Annuity Units in the other Variable Subaccount.  Such a transfer will be accomplished at relative Annuity Unit values as of the Valuation Date the Notice to transfer is received.  The valuation of Annuity Units is described above.  A transfer from a Variable Subaccount to a Fixed Annuity Payment will result in the redemption of Annuity Units in that Variable Subaccount and the purchase of a minimum Fixed Annuity Payment based on the tables on the attached Annuity Payment Option Rider.

7.07 PROOF OF AGE

Payment will be subject to proof of age that LNL will accept, such as a certified copy of a birth certificate.

7.08 MINIMUM ANNUITY PAYMENT REQUIREMENTS

LNL reserves the right to reduce the frequency of payments to an interval which will result in each payment exceeding the minimum annuity payment amount shown on the Contract Specifications.

7.09 EVIDENCE OF SURVIVAL

LNL has the right to ask for proof that the Annuitant(s) on whose life (or lives) the payment is based is alive when each payment is due.

7.10 CHANGE IN ANNUITY PAYMENT OPTION

The Annuity Payment Option may not be changed after the Annuity Commencement Date.

ARTICLE 8

BENEFICIARY

8.01 DESIGNATION OF BENEFICIARY

The Owner may designate a Beneficiary and a contingent Beneficiary.

Prior to the Annuity Commencement Date, if there is a single Owner, the designated Beneficiary will receive the Death Benefit proceeds upon the death of the Owner unless the Beneficiary as the surviving spouse elects to continue the Contract.

Prior to the Annuity Commencement Date, if there are two Owners, upon the death of the first Owner, the surviving Owner will receive the Death Benefit proceeds.  The surviving Owner will be treated as the primary designated Beneficiary.  Any other Beneficiary designation on record at the time of death will be treated as a contingent Beneficiary.

Prior to the Annuity Commencement Date, if the surviving spouse of a deceased Owner continues the Contract as the sole Owner, then the designated Beneficiaries move up, in the order of their original designation, to replace the spouse as original Beneficiary, unless the Beneficiary designation is subsequently changed by the surviving spouse as the new Owner.

Prior to the Annuity Commencement Date, if the Annuitant dies and a Death Benefit is paid, the Owner will be treated as the primary designated Beneficiary.  Any other primary Beneficiary on record at the time of death will be treated as a contingent Beneficiary.

Unless otherwise stated in the Beneficiary designation, multiple Beneficiaries are presumed to share equally.

8.02 CHANGE OF BENEFICIARY

The Owner may change any Beneficiary unless otherwise provided in the previous designation by providing a Notice to change beneficiary.  A change of Beneficiary will revoke any previous designation.  The change will become effective upon receipt by LNL of the Notice.

LNL reserves the right to request the Contract for endorsement of the change.

8.03 DEATH OF BENEFICIARY

Unless otherwise provided in the Beneficiary designation, if any Beneficiary dies before the Owner, that Beneficiary's interest will go to any other primary Beneficiaries named, according to their respective interests.  If there are no primary Beneficiaries, the Beneficiaries' interest will pass to a contingent Beneficiary, if any.  Prior to the Annuity Commencement Date, if no Beneficiary or contingent Beneficiary survives the Owner, the Death Benefits will be paid to the Owner's estate.

Unless otherwise provided in the Beneficiary designation, once a Beneficiary is receiving Death Benefits or annuity  payments under an Annuity Payment Option, the Beneficiary may name his or her own Beneficiary to receive any remaining benefits due under the Contract, should the original Beneficiary die prior to receipt of all benefits.  If no Beneficiary is named or the named Beneficiary predeceases the original Beneficiary, any remaining benefits will continue to the original Beneficiary's estate.  A Beneficiary designation must be made by Notice to LNL.

ARTICLE 9

SUSPENSION OR DEFERRAL OF PAYMENTS OR TRANSFERS

FROM THE VARIABLE ACCOUNT

9.01 SUSPENSION OR DEFERRAL OF PAYMENTS OR TRANSFERS FROM OR WITHIN THE VARIABLE ACCOUNT

LNL reserves the right to suspend or postpone payments for a transfer, withdrawal or surrender for any period when:

	
a.

	
the New York Stock Exchange is closed (other than customary weekend and holiday closings);

	
b.

	
trading on the New York Stock Exchange is restricted;

	
c.

	
an emergency exists as a result of which disposal of securities held in the Variable Account is not reasonably practicable or it is not reasonably practicable to determine the value of the Variable Account's net assets; or

	
d.

	
during any other period when the Securities and Exchange Commission, by order, so permits for the protection of the Owner.

The applicable rules and regulations of the Securities and Exchange Commission will govern as to whether the conditions described in (2) and (3) exist.

ARTICLE 10

GENERAL PROVISIONS

10.01 THE CONTRACT

The Contract and any riders attached constitute the entire Contract.  Only the President, a Vice President, the Secretary or an Assistant Secretary of LNL has the power, on behalf of LNL, to change, modify, or waive any provisions of this Contract.

LNL reserves the right to unilaterally change the Contract for the purpose of keeping the Contract in compliance with federal or state law.

Any changes, modifications, or waivers must be in writing.  No representative or person other than the above named officers has authority to change or modify this Contract or waive any of its provisions.  All terms used in this Contract will have their usual and customary meaning except when specifically defined.

10.02 OWNERSHIP

All Owners will be treated as having equal, undivided interests in the Contract, including rights of survivorship.  Either Owner, independently of the other, may exercise any ownership rights in the Contract.

10.03 ANNUITANTS

Prior to the Annuity Commencement Date.

The Owner may name only one Annuitant.  If the Owner is a tax-exempt entity, the Owner may name one Annuitant or two Joint Annuitants.

If the Owner is a natural person, the Owner has the right to change the Annuitant at any time by sending Notice of change to LNL.  If the Owner is a non-natural person, the Annuitant may not be changed. The new Annuitant must be under the age of [91] as of the effective date of the change.  Change of Annuitant may affect the Death Benefit (refer to Article 6, Death Benefit).

A Contingent Annuitant may be named, or changed upon receipt of Notice by LNL.

On or After the Annuity Commencement Date.

The Annuitant or Joint Annuitants may not be changed.  Any Contingent Annuitant designation is no longer applicable and is terminated.

10.04 ASSIGNMENTS

The Contract may not be sold, discounted or pledged as collateral for a loan or as security for the performance of an obligation or for any other purpose.  In addition, if this Contract is a Qualified Contract, the Contract will not be transferable unless allowed under applicable law.

10.05 INCONTESTABILITY

This Contract will not be contested by LNL.

10.06 MISSTATEMENT OF AGE AND/OR SEX

If the age and/or sex of the Annuitant has been misstated, the benefits available under this Contract will be those which the Purchase Payments would have purchased using the correct age and/or sex.  Any underpayment already made by LNL will be made up immediately and any overpayments already made by LNL will be charged against the annuity benefit payments falling due after the correction is made.

10.07 NONPARTICIPATING

The Contract is nonparticipating and will not share in the surplus earnings of LNL.

10.08 OWNERSHIP OF THE ASSETS

LNL will have exclusive and absolute ownership and control of its assets, including all assets in the Variable Account.

10.09 REPORTS

Prior to the Annuity Commencement Date, at least once each Calendar Year, LNL will mail a report to the Owner.  The report will be mailed to the last address known to LNL.  The report will include a statement of the Contract Value including the number of Accumulation Units credited to the Variable Account and the dollar value of such units.  The information in the report will be as of a date not more than two months prior to the date of mailing the report.  The Owner will have [60 days] from the date the report or confirmation is received to notify LNL of any errors in the report or confirmation, otherwise the report or confirmation will be deemed to be final and correct.

10.10 PREMIUM TAX

State and local government premium tax, if applicable, will be deducted from Purchase Payments or Contract Value when incurred by LNL or at another time of LNL's choosing.

10.11 MAXIMUM ISSUE AGE

The Owner and the Annuitant (or both Joint Annuitants, if applicable), when named, must be under the age of  [91].

ANNUITY

CONTRACT

Individual Flexible Purchase Payment

Deferred Variable Annuity Contract

With Annuity Payment Options

Nonparticipating

If you have any questions concerning

this Contract, please

contact your Lincoln National Life

representative or the Home Office of LNL.

THE LINCOLN NATIONAL

LIFE INSURANCE COMPANY

[1300 South Clinton Street

P. O. Box 7882

Fort Wayne, Indiana 46802]

[800-458-0822]

 

30070-B

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