Document:

Exhibit 10.1

 Exhibit 10.1 

FORM OF INDEMNIFICATION AGREEMENT 

This Indemnification Agreement (“Agreement”) is made as of
                     by and between Belk, Inc., a Delaware corporation (the “Company”), and
                     (“Indemnitee”). 

RECITALS 

WHEREAS, the Company desires to attract and retain the services of highly qualified individuals, such as Indemnitee, to serve
the Company; 
 WHEREAS, in order to induce Indemnitee to continue to provide services to the Company, the Company wishes to
provide for the indemnification of, and advancement of expenses to, Indemnitee to the maximum extent permitted by law; 

WHEREAS, the Second Amended and Restated Bylaws of the Company (as amended, supplemented or modified from time to time, the
“Bylaws”) require indemnification of the officers and directors of the Company, and Indemnitee may also be entitled to indemnification pursuant to the General Corporation Law of the State of Delaware (the “DGCL”);

 WHEREAS, the Bylaws and the DGCL expressly provide that the indemnification provisions set forth therein are not
exclusive, and thereby contemplate that contracts may be entered into between the Company and members of the board of directors, officers and other persons with respect to indemnification; 

WHEREAS, the Company and Indemnitee recognize the continued difficulty in obtaining liability insurance for the Company’s
directors, officers, employees, agents and fiduciaries, the significant and continual increases in the cost of such insurance and the general trend of insurance companies to reduce the scope of coverage of such insurance; 

WHEREAS, the Company and Indemnitee further recognize the substantial increase in corporate litigation in general, subjecting
directors, officers, employees, agents and fiduciaries to expensive litigation risks at the same time as the availability and scope of coverage of liability insurance provide increasing challenges for the Company; 

WHEREAS, the Board of Directors of the Company (the “Board”) has determined that the increased difficulty in
attracting and retaining highly qualified persons such as Indemnitee is detrimental to the best interests of the Company’s stockholders and that the Company should act to assure Indemnitee that there will be increased certainty of such
protection in the future; 
 WHEREAS, it is reasonable, prudent and necessary for the Company contractually to obligate
itself to indemnify, and to advance expenses on behalf of, such persons to the fullest extent permitted by applicable law, regardless of any amendment or revocation of the Company’s Amended and Restated Certificate of Incorporation (as amended,
modified or supplemented from time to time, the “Charter”) or Bylaws, so that they will serve or continue to serve the Company free from undue concern that they will not be so indemnified; and 

 WHEREAS, this Agreement is a supplement to and in furtherance of the
indemnification provided in the Bylaws and any resolutions adopted pursuant thereto, and shall not be deemed a substitute therefor, nor to diminish or abrogate any rights of Indemnitee thereunder. 

NOW, THEREFORE, in consideration of the premises and the covenants contained herein, the Company and Indemnitee do hereby
covenant and agree as follows: 
 Section 1. Services to the Company. Indemnitee agrees to continue to serve as a
[[director] [officer] [director and officer]] of the Company. Indemnitee may at any time and for any reason resign from such position (subject to any other contractual obligation or any obligation imposed by law), in which event the Company shall
have no obligation under this Agreement to continue Indemnitee in such position. This Agreement shall not be deemed an employment contract between the Company (or any of its subsidiaries or any Enterprise) and Indemnitee. The foregoing
notwithstanding, this Agreement shall continue in force after Indemnitee has ceased to serve as a [[director] [officer] [director and officer]] of the Company. 

Section 2. Definitions. 

As used in this Agreement: 

(a) “Corporate Status” describes the status of a person as a current or former director, officer, employee,
agent or trustee of the Company or of any other Enterprise which such person is or was serving at the request of the Company. 

(b) “Enforcement Expenses” shall include all reasonable attorneys’ fees, retainers, court costs,
transcript costs, fees of experts, witness fees, travel expenses, duplicating costs, printing and binding costs, telephone charges, postage, delivery service fees and all other disbursements or expenses of the types customarily incurred in
connection with an action to enforce indemnification or advancement rights, or an appeal from such action, including, without limitation, the premium, security for and other costs relating to any cost bond, supersedes bond or other appeal bond or
its equivalent. 
 (c) “Enterprise” shall mean any corporation (other than the Company), partnership, joint
venture, trust, employee benefit plan or other legal entity of which Indemnitee is or was serving at the request of the Company as a director, officer, employee, agent or trustee. 

(d) “Expenses” shall include all reasonable attorneys’ fees, retainers, court costs, transcript costs,
fees of experts, witness fees, travel expenses, duplicating costs, printing and binding costs, telephone charges, postage, delivery service fees and all other disbursements or expenses of the types customarily incurred in connection with
prosecuting, defending, preparing to prosecute or defend, investigating, being or preparing to be a witness in, or otherwise participating in, a Proceeding or an appeal resulting from a Proceeding, including, without limitation, the premium,
security for and other costs relating to any cost bond, supersedes bond or other appeal bond or its equivalent. Expenses, however, shall not include amounts paid in settlement by Indemnitee or the amount of judgments or fines against Indemnitee.

  
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 (e) “Independent Counsel” means a law firm, or a partner (or, if
applicable, member) of such a law firm, that is experienced in matters of Delaware corporation law and neither presently is, nor in the past five years has been, retained to represent: (i) the Company, any Enterprise or Indemnitee in any matter
material to any such party (other than with respect to matters concerning Indemnitee under this Agreement, or of other indemnitees under similar indemnification agreements), or (ii) any other party to the Proceeding giving rise to a claim for
indemnification hereunder. Notwithstanding the foregoing, the term “Independent Counsel” shall not include any person who, under the applicable standards of professional conduct then prevailing, would have a conflict of interest in
representing either the Company or Indemnitee in an action to determine Indemnitee’s rights under this Agreement. The Company agrees to pay the reasonable fees and expenses of the Independent Counsel and to fully indemnify such counsel against
any and all expenses, claims, liabilities and damages arising out of or relating to this Agreement or its engagement pursuant hereto. 

(f) The term “Proceeding” shall include any threatened, pending or completed action, suit, arbitration,
alternate dispute resolution mechanism, investigation, inquiry, administrative hearing or any other actual, threatened or completed proceeding, whether brought in the right of the Company or otherwise and whether of a civil, criminal, administrative
or investigative nature, in which Indemnitee was, is or will be involved as a party or otherwise by reason of the fact that Indemnitee is or was a director of the Company or is or was serving at the request of the Company as a director, officer,
employee, agent or trustee of any Enterprise or by reason of any action taken by him or of any action taken on his part while acting as director of the Company or while serving at the request of the Company as a director, officer, employee, agent or
trustee of any Enterprise, in each case whether or not serving in such capacity at the time any liability or expense is incurred for which indemnification, reimbursement or advancement of expenses can be provided under this Agreement;
provided, however, that the term “Proceeding” shall not include any action, suit or arbitration, or part thereof, initiated by Indemnitee to enforce Indemnitee’s rights under this Agreement as provided for in
Section 13(e) of this Agreement. 
 Section 3. Indemnity in Third-Party Proceedings. The Company shall
indemnify Indemnitee in accordance with the provisions of this Section 3 if Indemnitee is, or is threatened to be made, a party to or a participant in any Proceeding, other than a Proceeding by or in the right of the Company to procure a
judgment in its favor. Pursuant to this Section 3, Indemnitee shall be indemnified against all Expenses, judgments, fines and amounts paid in settlement actually and reasonably incurred by Indemnitee or on his behalf in connection with such
Proceeding or any claim, issue or matter therein, if Indemnitee acted in good faith and in a manner he reasonably believed to be in or not opposed to the best interests of the Company and, in the case of a criminal proceeding, had no reasonable
cause to believe that his conduct was unlawful. Indemnitee shall not enter into any settlement in connection with a Proceeding without ten (10) days’ prior notice to the Company. 

Section 4. Indemnity in Proceedings by or in the Right of the Company. The Company shall indemnify Indemnitee in
accordance with the provisions of this Section 4 if Indemnitee is, or is threatened to be made, a party to or a participant in any Proceeding by or in the right of the Company to procure a judgment in its favor. Pursuant to this Section 4,
Indemnitee shall be indemnified against all Expenses actually and reasonably incurred by him or 

  
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on his behalf in connection with such Proceeding or any claim, issue or matter therein, if Indemnitee acted in good faith and in a manner he reasonably believed to be in or not opposed to the
best interests of the Company. No indemnification for Expenses shall be made under this Section 4 in respect of any claim, issue or matter as to which Indemnitee shall have been finally adjudged by a court to be liable to the Company, unless
and only to the extent that the Delaware Court of Chancery (the “Delaware Court”) or any court in which the Proceeding was brought shall determine upon application that, despite the adjudication of liability but in view of all the
circumstances of the case, Indemnitee is fairly and reasonably entitled to indemnification for such expenses as the Delaware Court or such other court shall deem proper. 

Section 5. Indemnification for Expenses of a Party Who is Wholly or Partly Successful. Notwithstanding any other
provisions of this Agreement and except as provided in Section 8, to the extent that Indemnitee is a party to or a participant in and is successful, on the merits or otherwise, in any Proceeding or in defense of any claim, issue or matter
therein, the Company shall indemnify Indemnitee against all Expenses actually and reasonably incurred by him in connection therewith. If Indemnitee is not wholly successful in such Proceeding but is successful, on the merits or otherwise, as to one
or more but less than all claims, issues or matters in such Proceeding, the Company shall indemnify Indemnitee against all Expenses actually and reasonably incurred by him or on his behalf in connection with each successfully resolved claim, issue
or matter. For purposes of this Section and without limitation, the termination of any claim, issue or matter in such a Proceeding by dismissal, with or without prejudice, shall be deemed to be a successful result as to such claim, issue or matter.

 Section 6. Indemnification For Expenses of a Witness. Notwithstanding any other provision of this Agreement,
to the extent that Indemnitee is, by reason of his Corporate Status, a witness in any Proceeding to which Indemnitee is not a party and is not threatened to be made a party, he shall be indemnified against all Expenses actually and reasonably
incurred by him or on his behalf in connection therewith. 
 Section 7. Additional Indemnification. 

(a) Except as provided in Section 8, notwithstanding any limitation in Sections 3, 4 or 5, the Company shall indemnify
Indemnitee to the fullest extent permitted by law if Indemnitee is a party to or is threatened to be made a party to any Proceeding (including a Proceeding by or in the right of the Company to procure a judgment in its favor) against all Expenses,
judgments, fines and amounts paid in settlement actually and reasonably incurred by Indemnitee in connection with the Proceeding. 

(b) For purposes of Section 7(a), the meaning of the phrase “to the fullest extent permitted by law” shall
include, but not be limited to: 
 (i) to the fullest extent permitted by the provision of the DGCL that authorizes or
contemplates additional indemnification by agreement, or the corresponding provision of any amendment to or replacement of the DGCL or such provision thereof; and 

  
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 (ii) to the fullest extent authorized or permitted by any amendments to or
replacements of the DGCL adopted after the date of this Agreement that increase the extent to which a corporation may indemnify its officers and directors. 

Section 8. Exclusions. Notwithstanding any provision in this Agreement to the contrary, the Company shall not be
obligated under this Agreement: 
 (a) to make any indemnity for amounts otherwise indemnifiable hereunder (or for which
advancement is provided hereunder) if and to the extent that Indemnitee has otherwise actually received such amounts under any insurance policy, contract, agreement or otherwise; 

(b) to make any indemnity for an accounting of profits made from the purchase and sale (or sale and purchase) by Indemnitee of
securities of the Company within the meaning of Section 16(b) of the Securities Exchange Act of 1934, as amended, or similar provisions of state statutory law or common law; or 

(c) to make any indemnity or advancement that is prohibited by applicable law. 

Section 9. Advances of Expenses. The Company shall advance, to the extent not prohibited by law, the Expenses
incurred by Indemnitee in connection with any Proceeding, and such advancement shall be made within twenty (20) days after the receipt by the Company of a statement or statements requesting such advances (which shall include invoices received
by Indemnitee in connection with such Expenses but, in the case of invoices in connection with legal services, any references to legal work performed or to expenditures made that would cause Indemnitee to waive any privilege accorded by applicable
law shall not be included with the invoice) from time to time, whether prior to or after final disposition of any Proceeding. Advances shall be unsecured and interest free. Advances shall be made without regard to Indemnitee’s ability to repay
the expenses and without regard to Indemnitee’s ultimate entitlement to indemnification under the other provisions of this Agreement. Indemnitee shall qualify for advances upon the execution and delivery to the Company of this Agreement which
shall constitute an undertaking providing that Indemnitee undertakes to the fullest extent required by law to repay the advance if and to the extent that it is ultimately determined by a court of competent jurisdiction in a final judgment, not
subject to appeal, that Indemnitee is not entitled to be indemnified by the Company. The right to advances under this paragraph shall in all events continue until final disposition of any Proceeding, including any appeal therein. Nothing in this
Section 9 shall limit Indemnitee’s right to advancement pursuant to Section 13(e) of this Agreement. 

Section 10. Procedure for Notification and Defense of Claim. 

(a) To obtain indemnification under this Agreement, Indemnitee shall submit to the Company a written request therefor and, if
Indemnitee so chooses pursuant to Section 11 of this Agreement, such written request shall also include a request for Indemnitee to have the right to indemnification determined by Independent Counsel. 

(b) The Company will be entitled to participate in the Proceeding at its own expense. 

  
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 Section 11. Procedure Upon Application for Indemnification. 

(a) Upon written request by Indemnitee for indemnification pursuant to Section 10(a), a determination, if such
determination is required by applicable law, with respect to Indemnitee’s entitlement thereto shall be made in the specific case: (i) by Independent Counsel in a written opinion to the Board if Indemnitee so requests in such written
request for indemnification pursuant to Section 10(a), or (ii) by the Company in accordance with applicable law if Indemnitee does not so request such determination be made by Independent Counsel. In the case that such determination is
made by Independent Counsel, a copy of Independent Counsel’s written opinion shall be delivered to Indemnitee and, if it is so determined that Indemnitee is entitled to indemnification, payment to Indemnitee shall be made within ten
(10) days after such determination. Indemnitee shall cooperate with the Independent Counsel or the Company, as applicable, making such determination with respect to Indemnitee’s entitlement to indemnification, including providing to such
counsel or the Company, upon reasonable advance request, any documentation or information which is not privileged or otherwise protected from disclosure and which is reasonably available to Indemnitee and reasonably necessary to such determination.
Any costs or expenses (including attorneys’ fees and disbursements) incurred by Indemnitee in so cooperating with the Independent Counsel or the Company shall be borne by the Company (irrespective of the determination as to Indemnitee’s
entitlement to indemnification) and the Company hereby indemnifies and agrees to hold Indemnitee harmless therefrom. 
 (b)
In the event that Indemnitee exercises his right to have his entitlement to indemnification determined by Independent Counsel pursuant to Sections 10(a) and 11(a)(i), the Independent Counsel shall be selected by Indemnitee. The Company may, within
ten (10) days after written notice of such selection, deliver to Indemnitee a written objection to such selection; provided, however, that such objection may be asserted only on the ground that the Independent Counsel so selected
does not meet the requirements of “Independent Counsel” as defined in Section 2 of this Agreement, and the objection shall set forth with particularity the factual basis of such assertion. Absent a proper and timely objection, the
person so selected shall act as Independent Counsel. If such written objection is so made and substantiated, the Independent Counsel so selected may not serve as Independent Counsel unless and until such objection is withdrawn or a court has
determined that such objection is without merit. If, within twenty (20) days after the later of (i) submission by Indemnitee of a written request for indemnification and Independent Counsel pursuant to Sections 10(a) and 11(a)(i) hereof,
respectively, and (ii) the final disposition of the Proceeding, including any appeal therein, no Independent Counsel shall have been selected without objection, Indemnitee may petition a court of competent jurisdiction for resolution of any
objection which shall have been made by the Company to the selection of Independent Counsel and/or for the appointment as Independent Counsel of a person selected by the court or by such other person as the court shall designate. The person with
respect to whom all objections are so resolved or the person so appointed shall act as Independent Counsel under Section 11(a) hereof. Upon the due commencement of any judicial proceeding or arbitration pursuant to Section 13(a) of this
Agreement, Independent Counsel shall be discharged and relieved of any further responsibility in such capacity (subject to the applicable standards of professional conduct then prevailing). 

  
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 Section 12. Presumptions and Effect of Certain Proceedings. 

(a) In making a determination with respect to entitlement to indemnification hereunder, it shall be presumed that Indemnitee is
entitled to indemnification under this Agreement if Indemnitee has submitted a request for indemnification in accordance with Section 10(a) of this Agreement, and the Company shall have the burden of proof to overcome that presumption in
connection with the making of any determination contrary to that presumption. Neither (i) the failure of the Company or of Independent Counsel to have made a determination prior to the commencement of any action pursuant to this Agreement that
indemnification is proper in the circumstances because Indemnitee has met the applicable standard of conduct, nor (ii) an actual determination by the Company or by Independent Counsel that Indemnitee has not met such applicable standard of
conduct, shall be a defense to the action or create a presumption that Indemnitee has not met the applicable standard of conduct. 

(b) The termination of any Proceeding or of any claim, issue or matter therein, by judgment, order, settlement or conviction,
or upon a plea of guilty, nolo contendere or its equivalent, shall not (except as otherwise expressly provided in this Agreement) of itself adversely affect the right of Indemnitee to indemnification or create a presumption that
Indemnitee did not act in good faith and in a manner which he reasonably believed to be in or not opposed to the best interests of the Company or, with respect to any criminal Proceeding, that Indemnitee had reasonable cause to believe that his
conduct was unlawful. 
 (c) The knowledge and/or actions, or failure to act, of any director, officer, agent or employee of
the Company or any Enterprise shall not be imputed to Indemnitee for purposes of determining the right to indemnification under this Agreement. 

Section 13. Remedies of Indemnitee. 

(a) Subject to Section 13(f), in the event that (i) a determination is made pursuant to Section 11 of this
Agreement that Indemnitee is not entitled to indemnification under this Agreement, (ii) advancement of Expenses is not timely made pursuant to Section 9 of this Agreement, (iii) no determination of entitlement to indemnification shall
have been made pursuant to Section 11(a) of this Agreement within sixty (60) days after receipt by the Company of the request for indemnification that does not include a request for Independent Counsel, (iv) payment of indemnification
is not made pursuant to Section 5 or 6 or the last sentence of Section 11(a) of this Agreement within ten (10) days after receipt by the Company of a written request therefor or (v) payment of indemnification pursuant to
Section 3, 4 or 7 of this Agreement is not made within ten (10) days after a determination has been made that Indemnitee is entitled to indemnification, Indemnitee shall be entitled to an adjudication by a court of his entitlement to such
indemnification or advancement. Alternatively, Indemnitee, at his option, may seek an award in arbitration to be conducted by a single arbitrator pursuant to the Commercial Arbitration Rules of the American Arbitration Association. Indemnitee shall
commence such proceeding seeking an adjudication or an award in arbitration within 180 days following the date on which Indemnitee first has the right to commence such proceeding pursuant to this Section 13(a); provided, however,
that the foregoing time limitation shall not apply in respect of a proceeding brought by Indemnitee to enforce his rights under Section 5 of this Agreement. The Company shall not oppose Indemnitee’s right to seek any such adjudication or
award in arbitration. 

  
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 (b) In the event that a determination shall have been made pursuant to
Section 11(a) of this Agreement that Indemnitee is not entitled to indemnification, any judicial proceeding or arbitration commenced pursuant to this Section 13 shall be conducted in all respects as a de novo trial, or arbitration, on the
merits and Indemnitee shall not be prejudiced by reason of that adverse determination. In any judicial proceeding or arbitration commenced pursuant to this Section 13, the Company shall have the burden of proving Indemnitee is not entitled to
indemnification or advancement, as the case may be. 
 (c) If a determination shall have been made pursuant to
Section 11(a) of this Agreement that Indemnitee is entitled to indemnification, the Company shall be bound by such determination in any judicial proceeding or arbitration commenced pursuant to this Section 13, absent a misstatement by
Indemnitee of a material fact, or an omission of a material fact necessary to make Indemnitee’s statement not materially misleading, in connection with the request for indemnification. 

(d) The Company shall be precluded from asserting in any judicial proceeding or arbitration commenced pursuant to this
Section 13 that the procedures and presumptions of this Agreement are not valid, binding and enforceable and shall stipulate in any such court or before any such arbitrator that the Company is bound by all the provisions of this Agreement. 

(e) The Company shall indemnify Indemnitee against any and all Enforcement Expenses and, if requested by Indemnitee, shall
(within ten (10) days after receipt by the Company of a written request therefor) advance, to the extent not prohibited by law, such Enforcement Expenses to Indemnitee, which are incurred by Indemnitee in connection with any action brought by
Indemnitee for indemnification or advancement from the Company under this Agreement or under any directors’ and officers’ liability insurance policies maintained by the Company, regardless of whether Indemnitee ultimately is determined to
be entitled to such indemnification, advancement or insurance recovery, as the case may be, in the suit for which indemnification or advancement is being sought. 

(f) Notwithstanding anything in this Agreement to the contrary, no determination as to entitlement to indemnification under
this Agreement shall be required to be made prior to the final disposition of the Proceeding, including any appeal therein. 

Section 14. Non-exclusivity; Survival of Rights; Insurance; Subrogation. 

(a) The rights of indemnification and to receive advancement as provided by this Agreement shall not be deemed exclusive of any
other rights to which Indemnitee may at any time be entitled under applicable law, the Charter, the Bylaws, any agreement, a vote of stockholders or a resolution of directors, or otherwise. No amendment, alteration or repeal of this Agreement or of
any provision hereof shall limit or restrict any right of Indemnitee under this Agreement in respect of any action taken or omitted by such Indemnitee in his Corporate Status prior to such amendment, alteration or repeal. To the extent that a change
in Delaware law, whether by statute or judicial decision, permits greater indemnification or advancement than 

  
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would be afforded currently under the Charter, Bylaws and this Agreement, it is the intent of the parties hereto that Indemnitee shall enjoy by this Agreement the greater benefits so afforded by
such change. No right or remedy herein conferred is intended to be exclusive of any other right or remedy, and every other right and remedy shall be cumulative and in addition to every other right and remedy given hereunder or now or hereafter
existing at law or in equity or otherwise. The assertion or employment of any right or remedy hereunder, or otherwise, shall not prevent the concurrent assertion or employment of any other right or remedy. 

(b) To the extent that the Company maintains an insurance policy or policies providing liability insurance for directors,
officers, employees, agents or trustees of the Company or of any other Enterprise, Indemnitee shall be covered by such policy or policies in accordance with its or their terms to the maximum extent of the coverage available for any such director,
officer, employee, agent or trustee under such policy or policies. If, at the time of the receipt of a notice of a claim pursuant to the terms hereof, the Company has director and officer liability insurance in effect, the Company shall give prompt
notice of the commencement of such proceeding to the insurers in accordance with the procedures set forth in the respective policies. The Company shall thereafter take all necessary or desirable action to cause such insurers to pay, on behalf of
Indemnitee, all amounts payable as a result of such proceeding in accordance with the terms of such policies. 
 (c) In the
event of any payment under this Agreement, the Company shall be subrogated to the extent of such payment to all of the rights of recovery of Indemnitee, who shall execute all papers required and take all action necessary to secure such rights,
including execution of such documents as are necessary to enable the Company to bring suit to enforce such rights. 
 (d) The
Company’s obligation to provide indemnification or advancement hereunder to Indemnitee who is or was serving at the request of the Company as a director, officer, employee, agent or trustee of any other Enterprise shall be reduced by any amount
Indemnitee has actually received as indemnification or advancement from such other Enterprise. 
 Section 15.
Duration of Agreement. This Agreement shall continue until and terminate upon the later of: (a) ten (10) years after the date that Indemnitee shall have ceased to serve as a [[director] [officer] [director and officer]] of the
Company or (b) one (1) year after the final termination of any Proceeding, including any appeal, then pending in respect of which Indemnitee is granted rights of indemnification or advancement hereunder and of any proceeding, including any
appeal, commenced by Indemnitee pursuant to Section 13 of this Agreement relating thereto. This Agreement shall be binding upon the Company and its successors and assigns and shall inure to the benefit of Indemnitee and his heirs, executors and
administrators. The Company shall require and cause any successor, and any direct or indirect parent of any successor, whether direct or indirect by purchase, merger, consolidation or otherwise, to all, substantially all or a substantial part, of
the business and/or assets of the Company, by written agreement in form and substance satisfactory to Indemnitee, expressly to assume and agree to perform this Agreement in the same manner and to the same extent that the Company would be required to
perform if no such succession had taken place. 

  
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 Section 16. Severability. If any provision or provisions of this
Agreement shall be held to be invalid, illegal or unenforceable for any reason whatsoever: (a) the validity, legality and enforceability of the remaining provisions of this Agreement (including, without limitation, each portion of any section
of this Agreement containing any such provision held to be invalid, illegal or unenforceable, that is not itself invalid, illegal or unenforceable) shall not in any way be affected or impaired thereby and shall remain enforceable to the fullest
extent permitted by law; (b) such provision or provisions shall be deemed reformed to the extent necessary to conform to applicable law and to give the maximum effect to the intent of the parties hereto; and (c) to the fullest extent
possible, the provisions of this Agreement (including, without limitation, each portion of any section of this Agreement containing any such provision held to be invalid, illegal or unenforceable, that is not itself invalid, illegal or
unenforceable) shall be construed so as to give effect to the intent manifested thereby. 
 Section 17.
Enforcement. 
 (a) The Company expressly confirms and agrees that it has entered into this Agreement and assumed the
obligations imposed on it hereby in order to induce Indemnitee to serve or continue to serve as a [[director] [officer] [director and officer]] of the Company, and the Company acknowledges that Indemnitee is relying upon this Agreement in serving as
a [[director] [officer] [director and officer]] of the Company. 
 (b) This Agreement constitutes the entire agreement
between the parties hereto with respect to the subject matter hereof and supersedes all prior agreements and understandings, oral, written and implied, between the parties hereto with respect to the subject matter hereof; provided,
however, that this Agreement is a supplement to and in furtherance of the Charter, the Bylaws and applicable law, and shall not be deemed a substitute therefor, nor to diminish or abrogate any rights of Indemnitee thereunder. 

Section 18. Modification and Waiver. No supplement, modification or amendment, or waiver of any provision, of this
Agreement shall be binding unless executed in writing by the parties thereto. No waiver of any of the provisions of this Agreement shall be deemed or shall constitute a waiver of any other provisions of this Agreement nor shall any waiver constitute
a continuing waiver. 
 Section 19. Notice by Indemnitee. Indemnitee agrees promptly to notify the Company in
writing upon being served with any summons, citation, subpoena, complaint, indictment, information or other document relating to any Proceeding or matter which may be subject to indemnification or advancement as provided hereunder. The failure of
Indemnitee to so notify the Company shall not relieve the Company of any obligation which it may have to Indemnitee under this Agreement or otherwise. 

Section 20. Notices. All notices, requests, demands and other communications under this Agreement shall be in
writing and shall be deemed to have been duly given if (a) delivered by hand and receipted for by the party to whom said notice or other communication shall have been directed, (b) mailed by certified or registered mail with postage
prepaid, on the third business day after the date on which it is so mailed, (c) mailed by reputable overnight courier and receipted for by the party to whom said notice or other communication shall have been directed or (d) sent by
facsimile transmission, with receipt of oral confirmation that such transmission has been received: 
 (a) If to Indemnitee,
at such address as Indemnitee shall provide to the Company. 

  
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 (b) If to the Company to: 

 

									
		 	  
	  		  		  	
		 	  
	  		  		  	
		 	  
	  		  		  	

 or to any other address as may have been furnished to Indemnitee by the Company. 

Section 21. Contribution. To the fullest extent permissible under applicable law, if the indemnification provided
for in this Agreement is unavailable to Indemnitee for any reason whatsoever, the Company, in lieu of indemnifying Indemnitee, shall contribute to the amount incurred by Indemnitee, whether for judgments, fines, penalties, excise taxes, amounts paid
or to be paid in settlement and/or for Expenses, in connection with any Proceeding in such proportion as is deemed fair and reasonable in light of all of the circumstances in order to reflect (i) the relative benefits received by the Company
and Indemnitee in connection with the event(s) and/or transaction(s) giving rise to such Proceeding; and/or (ii) the relative fault of the Company (and its directors, officers, employees and agents) and Indemnitee in connection with such
event(s) and/or transactions. 
 Section 22. Applicable Law and Consent to Jurisdiction. This Agreement and the
legal relations among the parties shall be governed by, and construed and enforced in accordance with, the laws of the State of Delaware, without regard to its conflict of laws rules. Except with respect to any arbitration commenced by Indemnitee
pursuant to Section 13(a) of this Agreement, the Company and Indemnitee hereby irrevocably and unconditionally (i) agree that any action or proceeding arising out of or in connection with this Agreement shall be brought only in the
Delaware Court, and not in any other state or federal court in the United States of America or any court in any other country, (ii) consent to submit to the exclusive jurisdiction of the Delaware Court for purposes of any action or proceeding
arising out of or in connection with this Agreement, (iii) consent to service of process at the address set forth in Section 20 of this Agreement with the same legal force and validity as if served upon such party personally within the
State of Delaware, (iv) waive any objection to the laying of venue of any such action or proceeding in the Delaware Court and (v) waive, and agree not to plead or to make, any claim that any such action or proceeding brought in the
Delaware Court has been brought in an improper or inconvenient forum. 
 Section 23. Identical Counterparts.
This Agreement may be executed in one or more counterparts, each of which shall for all purposes be deemed to be an original but all of which together shall constitute one and the same Agreement. Only one such counterpart signed by the party against
whom enforceability is sought needs to be produced to evidence the existence of this Agreement. 

  
 -11- 

 Section 24. Miscellaneous. The headings of the paragraphs of this
Agreement are inserted for convenience only and shall not be deemed to constitute part of this Agreement or to affect the construction thereof. 

IN WITNESS WHEREOF, the parties have caused this Agreement to be signed as of the day and year first above written. 

 

					
	BELK, INC.
		
	By:	 	 
		 	[Name]	 	
		 	[Office]	 	
		
		 	 
		 	[Indemnitee]	 	
		 	[Name]	 	

  
 -12-Exhibit 10.2

 Exhibit 10.2 

BELK, INC. 
 AMENDED AND
RESTATED SEVERANCE PAY PLAN 
 AND 

SUMMARY PLAN DESCRIPTION 

EFFECTIVE APRIL 15, 2015 

 TABLE OF CONTENTS 

 

					
		
	§ 1. PURPOSE AND EFFECTIVE DATE	 	 	1	  
	 1.1 Purpose
	 	 	1	  
	 1.2 Effective Date
	 	 	1	  
		
	§ 2. DEFINITIONS	 	 	1	  
	 2.1 Administrator
	 	 	1	  
	 2.2 Affiliate
	 	 	1	  
	 2.3 Base Salary
	 	 	1	  
	 2.4 Basic Severance Benefit
	 	 	1	  
	 2.5 Bonus
	 	 	1	  
	 2.6 Cause
	 	 	2	  
	 2.7 Change in Control
	 	 	2	  
	 2.8 Change in Control Severance Benefit
	 	 	2	  
	 2.9 Code
	 	 	2	  
	 2.10 Company
	 	 	2	  
	 2.11 Director
	 	 	2	  
	 2.12 Eligible Employee
	 	 	2	  
	 2.13 Employee Benefits Committee
	 	 	3	  
	 2.14 ERISA
	 	 	3	  
	 2.15 Executive Team Member
	 	 	3	  
	 2.16 Good Reason
	 	 	3	  
	 2.17 Monthly Pay
	 	 	4	  
	 2.18 Plan
	 	 	4	  
	 2.19 Plan Sponsor
	 	 	4	  
	 2.20 Prorated Bonus
	 	 	4	  
	 2.21 Protection Period
	 	 	4	  
	 2.22 Release and Restrictive Covenant Agreement
	 	 	4	  
	 2.23 Store Closing Severance Benefit
	 	 	4	  
	 2.24 Weekly Pay
	 	 	4	  
	 2.25 Year of Service
	 	 	5	  
		
	§ 3. PLAN PARTICIPATION AND BENEFITS	 	 	5	  
	 3.1 Circumstances in Which Benefits are Payable
	 	 	5	  
	 (a) Basic Severance Benefits
	 	 	5	  
	 (b) Store Closing Severance Benefits
	 	 	5	  
	 (c) Change in Control Severance Benefits
	 	 	6	  
	 (d) Special Severance Benefits
	 	 	6	  
	 (e) Release and Restrictive Covenant Agreement
	 	 	6	  
	 3.2 Benefits
	 	 	6	  
	 (a) Benefit Formula
	 	 	6	  
	 (b) Medical, Dental and Vision Coverage
	 	 	7	  
	 (c) Vacation Pay
	 	 	7	  
	 (d) Maximum Benefit
	 	 	7	  
	 (e) Retention Payments
	 	 	7	  
	 (f) Bonus
	 	 	7	  
	 3.3 Benefit Payment Form
	 	 	8	  
	 3.4 Withholding
	 	 	8	  
	 3.5 Forfeiture of Benefit
	 	 	8	  

  
 - i - 

					
	 3.6 Effect on Certain Other Benefits
	 	 	8	  
	 (a) Retirement Plan Benefits
	 	 	8	  
	 (b) Unemployment Benefits
	 	 	8	  
	 (c) No Duplication of Benefits
	 	 	8	  
	 3.7 Section 409A Deferral
	 	 	9	  
	 3.8 Section 280G
	 	 	9	  
		
	§ 4. ADMINISTRATION	 	 	10	  
		
	§ 5. MISCELLANEOUS	 	 	12	  
	 5.1 Right to Terminate Employment
	 	 	12	  
	 5.2 Death
	 	 	12	  
	 5.3 Incompetency
	 	 	12	  
	 5.4 Source of Benefits
	 	 	12	  
	 5.5 No Assignment; Binding Effect
	 	 	12	  
	 5.6 ERISA
	 	 	12	  
	 5.7 Construction, Controlling Law
	 	 	12	  
	 5.8 Amendment and Termination
	 	 	13	  
	 5.9 Limitations
	 	 	13	  
	 5.10 Severability
	 	 	14	  
	 5.11 Code Section 409A
	 	 	14	  
		
	EXHIBIT A	 	 	15	  
		
	EXHIBIT B	 	 	16	  

  
 - ii - 

 § 1. 

PURPOSE AND EFFECTIVE DATE 

1.1 Purpose. The purpose of the Plan is to provide a continuation of compensation under certain circumstances to help Eligible
Employees deal with loss of employment from the Company. 
 1.2 Effective Date. The Plan shall be effective with respect to Eligible
Employees terminating employment on or after April 15, 2015, the Plan’s effective date. This amendment and restatement of the Plan is effective as of the original effective date of April 15, 2015. 

§ 2. 
 DEFINITIONS

 For purposes of this Plan, the following terms shall have the meanings set forth opposite such terms. 

2.1 Administrator – means Belk Stores Services, Inc., acting through its Chief People Officer (or his or her delegate), or the
Employee Benefits Committee, whichever is applicable under § 4 of the Plan. 
 2.2 Affiliate – means for each calendar
year (a) any parent, subsidiary or sister corporation which during such year is a member of a controlled group of corporations (as defined in Code § 1563(a), disregarding Code §§ 1563(a)(4) and 1563(e)(3)(C)) of which
the Plan Sponsor is a member, (b) any trade or business, whether or not incorporated, which during such year is considered to be under common control with the Plan Sponsor under Code § 414(c), (c) any member of an affiliated
service group (under Code § 414(m)) which includes the Plan Sponsor, and (d) any entity required to be aggregated with the Plan Sponsor under Code § 414(o). 

2.3 Base Salary – means an Eligible Employee’s annual base salary as in effect on the date the Eligible Employee’s
active employment terminates (as determined by the Administrator). 
 2.4 Basic Severance Benefit – means the cash benefit
payable under § 3.1(a) of the Plan. 
 2.5 Bonus – means any bonus payable to an Eligible Employee under the
Company’s Amended and Restated Annual Incentive Plan, as amended from time to time, and any successor to such plan, if any. 

 2.6 Cause – means 

(a) an Eligible Employee has received a performance rating of “needs improvement” or “unsatisfactory” on
his or her most recent Company performance review, or is currently under a performance improvement plan; or an active final warning within the last rolling twelve (12) month period from the date of issue. 

(b) an Eligible Employee is convicted of a felony that materially damages the property, business or reputation of the Plan
Sponsor or an Affiliate or has engaged in a dishonest act, misappropriation of funds, embezzlement, criminal conduct or common law fraud, 

(c) an Eligible Employee has engaged in a material violation of the Plan Sponsor’s or Affiliate’s standards of
conduct, confidential information policy, conflict of interest policy, or equal employment opportunity and harassment policy, or 

(d) an Eligible Employee has engaged in any willful act that materially damages or materially prejudices the Plan Sponsor or an
Affiliate. 
 2.7 Change in Control – means a change in control as defined under the Company’s 2010 Incentive Stock Plan or
any successor to such plan. 
 2.8 Change in Control Severance Benefit – means the cash benefit payable under § 3.1(c)
of the Plan. 
 2.9 Code – means the Internal Revenue Code of 1986, as amended from time to time. 

2.10 Company – means the Plan Sponsor and each other Affiliate which the Board of Directors of the Plan Sponsor designates as
participating in the Plan. 
 2.11 Director – means an Eligible Employee who is a director level associate, including a buyer,
planner, product developer or store manager. 
 2.12 Eligible Employee – means each regular, common-law employee of the Company
who (i) is classified on the Company’s records as salaried and is regularly scheduled to work 30 or more hours per week, or (ii) has completed one Year of Service. “Eligible Employee” shall not include: 

(a) an employee of the Company who quits, resigns, retires or otherwise terminates employment with the Company voluntarily
(other than an Executive Team Member or Director whose resignation is due to a Good Reason during a Protection Period), 

(b) an employee who fails to return to work immediately following the conclusion of an approved leave of absence, 

(c) an employee who terminates employment due to death or disability (as determined by the Administrator), 

  
 -2- 

 (d) an employee who, after being notified of his or her termination, does not
remain in the Company’s employ through his or her Company-determined last day of employment, 
 (e) an employee for whom
the Company has made any other written severance or separation pay arrangement the terms of which explicitly waive the payment of benefits pursuant to the Plan, 

(f) an employee who is classified as a seasonal, temporary or leased employee or who is classified as an independent
contractor, even if it is later determined that the classification is incorrect and he or she should have been classified as a common law employee, or 

(g) an employee who fails to have a Release and Restrictive Covenant Agreement become effective and irrevocable for purposes of
the Plan. 
 2.13 Employee Benefits Committee – means the committee responsible for administering the retirement, group health
and welfare benefit plans and related policies of the Company. 
 2.14 ERISA – means the Employee Retirement Income Security Act
of 1974, as amended. 
 2.15 Executive Team Member – means each Eligible Employee who has a title of Vice President or higher.

 2.16 Good Reason – means the occurrence, within a Protection Period, of any of the following: 

(a) for a Director, either 

(1) a material diminution in Base Salary, or 

(2) a material change in the geographic location at which services are to be performed for the Company; 

(b) for an Executive Team Member, the preceding (a)(1), (a)(2) or 

(1) a material diminution in authority, duties, or responsibilities; 

provided, however, that no act or omission shall be treated as Good Reason under this Section 2.16 unless an Executive Team Member or Director gives the
Administrator a detailed, written statement of the basis of his or her belief that such act or omission constitutes Good Reason before the end of the 90 day period that starts on the date there is an act or omission which forms the basis for his or
her belief that Good Reason exists, gives the Company a 30 day period after the delivery of the statement to cure the basis for such belief, and resigns during the 120 day period that begins immediately after the end of the 30 day cure period if the
Executive Team Member or Director reasonably and in good faith determines that Good Reason continues to exist 

  
 -3- 

 
after the end of such 30 day cure period. Notwithstanding the foregoing, the Administrator may state in writing that an Executive Team Member or Director has the right to treat any such act or
omission as Good Reason under this Section 2.16 provided the Executive Team Member or Director resigns during the 120 day period that begins on the date such statement is delivered to the Executive Team Member or Director. If an act or omission
described in this § 2.16 occurs during a Protection Period, any resulting termination of employment that occurs after the Protection Period ends due to the Executive Team Member or Director following the procedures in this § 2.16
shall be treated as occurring during the Protection Period. 
 2.17 Monthly Pay – means 1/12 of an Eligible Employee’s Base
Salary. 
 2.18 Plan – means the Belk, Inc. Amended and Restated Severance Pay Plan as set forth in this document and as
hereafter amended from time to time. 
 2.19 Plan Sponsor – means Belk, Inc. and any successor thereto. 

2.20 Prorated Bonus – means, for Change in Control Severance Benefit purposes, 

(a) if a termination of employment occurs in the same fiscal year as a Change in Control, a prorated Bonus determined by
multiplying the target Bonus for such fiscal year by a fraction, the numerator of which is the number of weeks from the date the Change in Control occurs to the date employment terminates and the denominator of which is 52, or 

(b) if a termination of employment occurs in a fiscal year that begins after the Change in Control, a prorated Bonus determined
by multiplying the target Bonus for such fiscal year by a fraction, the numerator of which is the number of weeks worked in such fiscal year and the denominator of which is 52. 

If the Bonus for a prior fiscal year is unpaid when an Eligible Employee terminates employment, the prorated Bonus for Change in Control Severance Benefit
purposes shall also include any Bonus payable for such fiscal year based on actual performance (less any amounts paid upon a Change in Control that occurred during such prior fiscal year). 

2.21 Protection Period – means the period beginning on the occurrence of a Change in Control and continuing for the time following
a Change in Control specified for an Eligible Employee on Exhibit A. 
 2.22 Release and Restrictive Covenant Agreement – means
a general release of claims that has become effective between the Company and the Eligible Employee and that is satisfactory in form and substance to the Company and that may include, in the Company’s sole discretion, non-disclosure,
non-disparagement and, unless prohibited by § 3.1(e), non-solicitation and non-compete provisions. 
 2.23 Store Closing
Severance Benefit – means the cash benefit payable under § 3.1(b) of the Plan. 
 2.24 Weekly Pay – means
(a) for each hourly Eligible Employee, his or her basic rate of hourly pay as in effect on the date his or her active employment terminates (as determined by 

  
 -4- 

 
the Administrator) multiplied by the lesser of (i) 40 or (ii) the number of hours which the Administrator determines that the Eligible Employee ordinarily was expected to work each week
immediately before the date his or her active employment terminates, and (b) for each salaried Eligible Employee, 1/52 of such Eligible Employee’s Base Salary. 

2.25 Year of Service – means for each Eligible Employee, a 365-day (or 366-day as applicable) period of continuous and
uninterrupted service (including an approved leave of absence) with the Company that begins on the date his or her most recent employment with the Company begins and ends on the day before the anniversary of such date and each such subsequent
consecutive 365-day (or 366-day as applicable) period. Solely for purposes of Exhibit A, if the period between an Eligible Employee’s last employment anniversary date and his or her employment termination date is less than 365 days (or 366 days
as applicable), but is at least 183 days, then such period shall be deemed to equal a Year of Service. Years of Service shall not include any period of employment with the Company for which the Eligible Employee is receiving or previously has
received any severance pay or similar benefits, whether under the Plan or any other plan or arrangement sponsored or paid by the Company or any period of employment prior to the date his or her most recent employment with the Company began. 

§ 3. 
 PLAN BENEFITS

 3.1 Circumstances in Which Benefits are Payable. 

(a) Basic Severance Benefits. An Eligible Employee shall qualify for a Basic Severance Benefit under Exhibit A to the
Plan if (1) he or she is an Executive Team Member or a Director of the Company or he or she is regularly employed at the Company’s corporate headquarters or a division office at a level below the Director level, (2) his or her
employment with the Company terminates at the Company’s initiative for reasons other than Cause, (3) such termination occurs outside a Protection Period and (4) the Eligible Employee properly, timely and unconditionally executes a
Release and Restrictive Covenant Agreement that becomes effective and irrevocable. For purposes of § 3.1(a), § 3.1(b), and § 3.1(c), if the Company terminates an Eligible Employee’s employment due to job elimination or an
announced business restructuring by the Company, he or she will be treated as having terminated employment for reasons other than Cause even if at the time of the termination the Eligible Employee has received a performance rating of “needs
improvement” or “unsatisfactory” on his or her most recent Company performance review or is currently under a performance improvement plan or an active final warning within the last rolling twelve (12) month period from the date
of issue. 
 (b) Store Closing Severance Benefits. An Eligible Employee (other than an Executive Team Member or a
Director of the Company) shall qualify for a Store Closing Severance Benefit under Exhibit A to the Plan if (1) he or she is regularly employed at a Company store or distribution center through the date such store or distribution center closes,
(2) as a result of such closing, his or her employment terminates at the Company’s initiative for reasons other than Cause, (3) such termination occurs outside a Protection 

  
 -5- 

 
Period, and (4) the Eligible Employee properly, timely and unconditionally executes a Release and Restrictive Covenant Agreement that becomes effective and irrevocable. Notwithstanding the
foregoing, an Eligible Employee will not qualify for a Store Closing Severance Benefit if the Administrator determines (in its sole discretion) that the Eligible Employee has employment or an offer of employment at another Company store or
distribution center that disqualifies the Eligible Employee from receiving a Store Closing Severance Benefit. 
 (c)
Change in Control Severance Benefits. An Eligible Employee who is employed by the Company on the date a Change in Control occurs and who meets the requirements to qualify for a Basic Severance Benefit under § 3.1(a) or a Store
Closing Severance Benefit under § 3.1(b) other than the requirement that the termination occur outside a Protection Period shall qualify for a Change in Control Severance Benefit if his or her termination of employment occurs during a
Protection Period. Further, for purpose of this § 3.1(c), an Eligible Employee who is an Executive Team Member or a Director of the Company shall be treated as having his or her employment terminated at the Company’s initiative if he or
she resigns for Good Reason during a Protection Period. 
 (d) Special Severance Benefits. The Company may from time
to time determine that an employee of the Company qualifies for severance benefits as a result of special circumstances and the Company may in its sole discretion provide such severance benefits to such employee provided the employee properly,
timely and unconditionally executes a Release and Restrictive Covenant Agreement that becomes effective and irrevocable. Such employee shall be treated as an Eligible Employee and such benefits shall be treated as Basic Severance Benefits for all
purposes except that the amount of such benefits shall not necessarily be determined under Exhibit A. 
 (e) Release and
Restrictive Covenant Agreement. The Administrator shall provide a Release and Restrictive Covenant Agreement within 10 days after an Eligible Employee’s termination of employment for such Eligible Employee to properly, timely and
unconditionally execute as a minimum condition to qualifying for a benefit under § 3. The Administrator may revise the Release and Restrictive Covenant Agreement from time to time as the Administrator deems necessary or appropriate and,
further, shall determine when each such revision shall become effective. The Administrator, as part of each determination under § 3, also shall determine whether the Release and Restrictive Covenant Agreement for an Eligible Employee shall
(for reasons sufficient to the Administrator) include requirements in addition to the minimum requirements set forth in the form release and shall revise the release for such Eligible Employee accordingly. Notwithstanding the foregoing, in no event
shall the Release and Restrictive Covenant Agreement for any Eligible Employee who qualifies for Change in Control Severance Benefits include non-solicitation or non-compete provisions. 

3.2 Benefits. 

(a) Benefit Formula. The formula for determining an Eligible Employee’s Basic Severance Benefit, Store Closing
Severance Benefit, or Change in Control Severance Benefit (whichever is applicable) is set forth on Exhibit A to the Plan. 

  
 -6- 

 (b) Medical, Dental and Vision Coverage. An Eligible Employee who is paid
severance benefits in installments under the Plan will have the right to continue his or her medical, dental, and vision coverage from the Company (subject to the terms of the applicable Company plan documents, as amended from time) for the period
after his or her termination of employment during which severance benefits are provided on Exhibit A, provided the Eligible Employee timely pays the employee premiums for such coverage and otherwise follows the enrollment and election change
procedures applicable to Company employees. The medical, dental and vision coverage of an Eligible Employee who is paid severance benefits in a lump sum under § 3.3 will terminate immediately upon his or her termination of employment. Upon
termination of the medical, dental and vision coverage under this § 3.2(b), the Company will offer an Eligible Employee an opportunity to purchase continuation health coverage under Code § 4980B and the corresponding provision of
ERISA to the extent required by law. 
 (c) Vacation Pay. An Eligible Employee’s rights, if any, to be paid for
any unused vacation pay shall be determined under the Company’s vacation pay policy as in effect from time to time. 

(d) Outplacement Services. Subject to procedures the Administrator establishes, the Company shall provide an Eligible
Employee who is an Executive Team Member of the Company with a choice of outplacement services (in the amount and duration determined by the Administrator) to assist such Eligible Employee in finding employment with another company or a lump sum
cash payment equal to the Company’s cost to provide such outplacement services. Any such lump sum cash payment shall be included in such Eligible Employee’s first payment of severance benefits under § 3.3 (or as part of the lump
sum severance benefit if payment is made in a lump sum). 
 (e) Retention Payments. If an Eligible Employee qualifies
for a Change in Control Severance Benefit under the Plan and also has a retention agreement with the Company that requires employment past his or her termination date, any payment forfeited under the retention agreement as a result of failure to
remain employed through a specified date will be paid under the Plan. Amounts payable under this § 3.2(e) shall be treated as an additional Change in Control Severance Benefit. 

(f) Bonus. Upon an Eligible Employee’s termination of employment, the terms of the Belk, Inc. Amended and Restated
Annual Incentive Plan, as amended from time to time, and the bonus guidelines under such plan will determine an Eligible Employee’s rights, if any, to be paid a Bonus for the fiscal year of the Company in which the Eligible Employee’s
employment terminates (including without limitation, any bonus for any period(s) ending on or before the date a Change in Control occurs); provided, however, if an Eligible Employee qualifies for a Change in Control Severance Benefit and such
severance benefit includes a Prorated Bonus on Exhibit A,, such Prorated Bonus shall be paid to the Eligible Employee under the Plan in lieu of any Bonus provided for under the Belk, Inc. Amended and Restated Annual Incentive Plan for the same bonus
period to avoid a duplication of amounts. 

  
 -7- 

 3.3 Benefit Payment Form. Subject to § 3.7, the Company will pay or commence any
benefit amounts to which an Eligible Employee is entitled under the Plan no later than 90 days after the date the Eligible Employee has terminated employment with the Company, provided (1) the Eligible Employee has executed and submitted the
Release and Restrictive Covenant Agreement and the statutory period during which the Eligible Employee is entitled to revoke the Release and Restrictive Covenant Agreement has expired on or before such
90th day without the Release and Restrictive Covenant Agreement being revoked and (2) if the 90 day period following an Eligible Employee’s termination of employment begins in one
calendar year and ends in a subsequent calendar year, the payment will be made in the subsequent calendar year. If a Release and Restrictive Covenant Agreement has not been signed, submitted and become irrevocable before the end of such 90-day period, the Eligible Employee shall forfeit all amounts the Eligible Employee would otherwise have been entitled to receive under the Plan. 

Further, to the extent required to comply with Code § 409A, if an Eligible Employee’s termination of employment from the
Company does not also satisfy the definition of a separation from service (within the meaning of Code § 409A), no amounts to which an Eligible Employee is entitled under the Plan upon his or her termination of employment shall be paid
until such Eligible Employee has incurred a separation from service from the Company. 
 Except for a Change in Control Severance Benefit
(which shall be paid in a single lump sum payment), payment under § 3.2(a) shall be made in bi-weekly (every two weeks) installments on regularly scheduled pay dates over the period used to determine the benefit amount payable to the
Eligible Employee on Exhibit A; provided, however, no installments shall be paid over a period which exceeds two years from the date that the Eligible Employee’s employment terminated. No interest whatsoever shall be paid on any benefit under
the Plan. 
 3.4 Withholding. The Company shall have the right to take such action as it deems necessary or appropriate in order to
satisfy any federal, state or local income or other tax requirement to withhold or take deductions from any benefit otherwise payable under the Plan. 

3.5 Forfeiture of Benefit. If an Eligible Employee entitled to a benefit under the Plan is reemployed by the Company, any unpaid
benefit under the Plan shall automatically cease and be forfeited. 
 3.6 Effect on Certain Other Benefits. 

(a) Retirement Plan Benefits. Benefits under the Plan shall not be taken into account as current compensation under any
retirement or other benefit plan, program, or arrangement sponsored or maintained by the Company unless such plan, program or arrangement expressly requires otherwise. 

(b) Unemployment Benefits. The Company reserves the right to contest an Eligible Employee’s claim for unemployment
benefits for any reason, including, but not limited to, an Eligible Employee’s receipt of benefits under the Plan. 

(c) No Duplication of Benefits. If the Administrator determines that the benefit payable under the Plan to an Eligible
Employee duplicates (directly or indirectly) any other benefit otherwise payable to such Eligible Employee by the Company, the Administrator shall have the right to reduce the benefit otherwise payable under the Plan to the extent deemed necessary
to eliminate such duplication. 

  
 -8- 

 3.7 Section 409A Deferral. To the extent an Eligible Employee is a “specified
employee” within the meaning of Code § 409A, any benefit (or portion thereof, if applicable) otherwise payable under the Plan to the Eligible Employee during the first six month after such Eligible Employee separates from service (within
the meaning of Code § 409A) with the Company shall be deferred to the date which is six months and one day after such separation from service unless the Administrator determines that such payments can be made absent such delay without
subjecting the Eligible Employee to any tax under Code § 409A. All amounts so deferred shall be paid in a single lump sum payment without interest, with the first payment otherwise due after the six-month period. 

3.8 Section 280G. Payments under the Plan shall be made without regard to whether the deductibility of such payments (or any other
payments to or for the benefit of an Eligible Employee) would be limited or precluded by Code § 280G, and without regard to whether such payments (or any other payments) would subject an Eligible Employee to the federal excise tax levied on
certain “excess parachute payments” under Code § 4999; provided, however, that if the total of all payments to or for the benefit of the Eligible Employee (whether under the Plan or otherwise), after reduction for all state and
federal taxes (including the tax described in Code § 4999, if applicable) with respect to such payments (“Eligible Employee’s total after-tax payments”), would be increased by the limitation or elimination of any payment
under the Plan, amounts payable under the Plan shall be reduced to the extent, and only to the extent, necessary to maximize the Eligible Employee’s total after-tax payments. The determination as to whether and to what extent payments under the
Plan are required to be reduced in accordance with the preceding sentence shall be made at the Company’s expense by a Certified Public Accountant selected by mutual agreement of the Company and the Eligible Employee (the “Outside
Firm”). 
 In the event of any mistaken underpayment or overpayment under this § 3.8, as determined by the Outside Firm,
the amount of such underpayment or overpayment shall be paid to the Eligible Employee or refunded to the Company, as the case may be. 

Any reduction in payments required by this § 3.8 shall be applied in the following order: (i) Full Credit Payments (as defined
below) that are payable in cash, (ii) non-cash Full Credit Payments that are then taxable, (iii) non-cash Full Credit Payments that are not then taxable (iv) Partial Credit Payments (as defined below) and (v) non-cash employee
welfare benefits. In each case, reductions shall be made in reverse chronological order such that the payment or benefit owed on the latest date following the occurrence of the event triggering the excise tax will be the first payment or benefit to
be reduced (with reductions made pro-rata in the event payments or benefits are owed at the same time). “Full Credit Payment” means a payment, distribution or benefit, whether paid or payable or distributed or distributable pursuant to the
terms of the Plan or otherwise, that if reduced in value by one dollar reduces the amount of the parachute payment (as defined in Code § 280G) by one dollar, determined as if such payment, distribution or benefit had been paid or distributed on
the date of the event triggering the excise tax. “Partial Credit Payment” means any payment, distribution or benefit that is not a Full Credit Payment. In no event shall the Eligible Employee have any discretion with respect to the
ordering of payment reductions. 

  
 -9- 

 § 4.

ADMINISTRATION 
 The
‘plan administrator” for ERISA reporting and disclosure purposes shall be Belk Stores Services, Inc. acting through its Chief People Officer or his or her delegate. Further, the Plan shall be administered on a day-to-day basis by Belk
Stores Services, Inc. acting through its Chief People Officer or his or her delegate, except to the extent administration of the Plan is handled through a third party administrator or through the Employee Benefits Committee. In carrying out his or
her duties under the Plan, the Chief People Officer (or his or her delegate) will have the exclusive responsibility and complete discretionary authority to control the operation and administration of the Plan, with all powers necessary to enable it
to properly carry out such responsibility, including, but not limited to, the power to construe the terms of the Plan, to determine status, coverage and eligibility for benefits, and to resolve all interpretive, equitable, and other questions that
shall arise in the operation and administration of the Plan. All actions or determinations of the Chief People Officer (or his or her delegate) shall be final, conclusive and binding on all persons. If the Chief People Officer position is vacant for
any reason or the Chief People Officer is unable to fulfill his or her duties due to disability or other reasons, the Chief Executive Officer shall appoint an acting Chief People Officer for purposes of the Plan. 

The duties and responsibilities of the Employee Benefits Committee with respect to the Plan are as follows: 

(a) Policies, Practices and Objectives. Establish administrative policies and practices and human resources objectives
for the Plan, monitor the performance of the Plan against these objectives, and recommend to the Plan Sponsor short-term and long-term strategies for the Plan; 

(b) Plan Design. Recommend amendments, mergers, spin-offs, and termination of the Plan for approval by the Plan Sponsor
(acting through its Chief People Officer, Chief Financial Officer or a designee of either officer and with Board or Executive Committee approval as required by § 5.8); prepare any necessary or appropriate documents related to such amendments,
mergers, spin-offs, and termination; 
 (c) Contributions. Set the participant contribution amounts, if any, for the
Plan; 
 (d) Interpretive Questions. Upon request by Belk Stores Services, Inc., construe the terms of the Plan or
address interpretative, equitable and other questions that arise in the operation and administration of the Plan; 
 (e)
Appeals. Subject to the claims review process described in the Plan, adjudicate appeals by employees of denials of claims submitted pursuant to procedures formulated by the Employee Benefits Committee and perform such other similar
adjudicatory functions as Belk Stores Services, Inc. may assign to the Employee Benefits Committee from time to time; 

  
 -10- 

 (f) Service Providers. Appoint, monitor and remove third party service
providers as necessary or appropriate for the administration of the Plan; provided, however that the Employee Benefits Committee shall have the ability to delegate in its discretion the appointment, monitoring and removal of any third party service
providers to Belk Stores Services, Inc.; 
 (g) Significant Correction Issues. Correct or cause to be corrected
any significant administration or documentation issues for the Plan; 
 (h) Plan Governance. Provide governance
procedures and controls documentation for the Plan, oversee compliance with such procedures and documentation, and provide fiduciary training as needed; 

(i) Advisors/Agents. Retain legal counsel, accountants, consultants, and such other advisors and agents as it deems
necessary or appropriate to properly administer the Plan; 
 (j) Rules. Adopt rules and regulations necessary for the
performance of its duties under the Plan; and 
 (k) Delegation/Subcommittee. Delegate in its discretion tasks to one
or more employees of the Company and/or appoint a subcommittee of at least three persons (who may but need not be members of the Employee Benefits Committee), and delegate to any such employee or the subcommittee exclusive responsibility and
complete discretionary authority for any administration matter that otherwise rested in the Employee Benefits Committee with all the powers to interpret, construe and resolve interpretive, equitable and other questions that arise in connection with
such tasks. 
 To the extent the Employee Benefits Committee has a responsibility with respect to the Plan, the Employee Benefits Committee
will have the exclusive responsibility and complete discretionary authority (together with all powers necessary) to properly carry out its duties and responsibilities with respect to the Plan including, but not limited to, the power to construe the
terms of the Plan, to determine status, coverage and eligibility for benefits, and to resolve all interpretive, equitable, and other questions that shall arise in the operation and administration of the Plan. All determinations made by the Employee
Benefits Committee will be final, conclusive and binding on all persons. 
 The Company will indemnify and hold harmless the Chief People
Officer, the Chief Financial Officer, the Employee Benefits Committee, any subcommittee appointed by the Employee Benefits Committee, and each member of such committee and each employee of the Company to whom the Employee Benefits Committee or Belk
Stores Services, Inc. has delegated responsibility, from all liability for their acts and omissions and for the acts and omissions of their duly appointed agents in the administration of the Plan, except for their own willful and gross misconduct.

  
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 § 5. 

MISCELLANEOUS 
 5.1
Right to Terminate Employment. The Company unconditionally reserves the right to terminate an Eligible Employee’s employment at any time, and the Eligible Employee’s qualification or failure to qualify for a benefit under the Plan
shall not establish any right of any kind or description whatsoever (a) to a continuation or reinstatement of employment with the Company or (b) for those who fail to qualify for a benefit, receipt of any payment from the Company in lieu
of such benefit. 
 5.2 Death. If an Eligible Employee dies after qualifying for a benefit under the Plan but before receiving all
payments scheduled under the Plan, any unpaid amounts shall be paid to the Eligible Employee’s estate in a lump sum. 
 5.3
Incompetency. If any Eligible Employee is, in the opinion of the Administrator, legally incapable of giving a valid receipt and discharge of any payment, the Administrator may, in its discretion, direct that such payment or any part thereof
be made to such person or persons who, in the opinion of the Administrator, are caring for and supporting such Eligible Employee, unless it has received due notice of the appointment of a guardian or conservator of the estate of the Eligible
Employee. A payment so made will be a complete discharge of the obligations of the Plan to the extent thereof, and neither the Administrator nor the Company shall have any obligation regarding the application of such payment. 

5.4 Source of Benefits. All benefits under the Plan shall be paid from the general assets of the Company, and the status of the claim
of an Eligible Employee or his or her estate to any benefit shall be the same as the status of a claim against the Company by any general and unsecured creditor. No person whosoever shall look to, or have any claim whatsoever against, any officer,
director, employee or agent of the Company in his individual capacity for the payment of any benefits whatsoever under the Plan. 
 5.5
No Assignment; Binding Effect. No Eligible Employee or his estate shall have the right to alienate, assign, commute or otherwise encumber any benefit under the Plan for any purpose whatsoever and, except to the extent prohibited by applicable
law, any attempt to do so shall be disregarded completely as null and void. The provisions of the Plan shall be binding on each employee, former employee, their respective estates and the Company. 

5.6 ERISA. The Company intends that the Plan constitute a “welfare plan” under ERISA and any ambiguities in the Plan shall be
construed to effect that intent. 
 5.7 Construction, Controlling Law. The Plan shall be construed in accordance with the law of the
State of North Carolina except to the extent such law has been preempted by ERISA. In the construction of the Plan, the masculine shall include the feminine and the feminine the masculine, and the singular shall include the plural and the plural the
singular, in all cases where such meanings would be appropriate. Headings and subheadings have been added only for convenience of reference and shall have no substantive effect whatsoever. All references to sections shall be to sections of the Plan.

  
 -12- 

 5.8 Amendment and Termination. The Plan may be terminated at any time by adoption of a
resolution by the Board of Directors or the Executive Committee of the Board of Directors of the Plan Sponsor. The Plan Sponsor also may amend the Plan at any time and from time to time, in any manner which the Plan Sponsor deems desirable, to take
effect retroactively or otherwise, by execution by the Plan Sponsor (acting through its Chief People Officer, Chief Financial Officer or a designee of either officer) of a written amendment. Notwithstanding the foregoing, for an Eligible Employee
employed by the Company on the date a Change in Control occurs, any amendment or termination adopted after the occurrence of a Change in Control that negatively impacts such Eligible Employee’s benefit amount or eligibility shall not become
effective as to such Eligible Employee before the later of (a) 12 months after the date the Change in Control occurs or (b) the day immediately after such Eligible Employee’s Protection Period ends, unless otherwise required to comply
with applicable law. 
 5.9 Limitations. In the event an Eligible Employee breaches the Release and Restrictive Covenant Agreement,
discloses to any unauthorized person information relating to the business of the Company which is confidential (unless such disclosure is required by applicable law), breaches any contract with or violates any legal obligation to the Company, or if
the Company acting in good faith determines that it has a claim against an Eligible Employee 

  
 -13- 

 
that relates back directly or indirectly to his or her employment with the Company, the Administrator shall have the right to suspend or discontinue permanently any further payments to or for the
benefit of the Eligible Employee under the Plan, and/or to offset the benefit otherwise payable to the Eligible Employee under the Plan to the extent deemed necessary to satisfy any debt or other amount that the Administrator, acting in good faith,
determines is owed by the Eligible Employee to the Company. Further, in such circumstances, the Administrator shall be entitled to reimbursement from the Eligible Employee for any benefits or payments previously paid under the Plan. 

5.10 Severability. If any provision of the Plan shall be held illegal or invalid for any reason, such illegality or invalidity shall
not affect the remaining provisions of the Plan, but the Plan shall be construed and enforced as if such illegal and invalid provision had never been included in the Plan. 

5.11 Code Section 409A. To the extent any benefits under the Plan are exempt from Code § 409A (including without
limitation under the severance pay plan exemption and the short term deferral exemption), the Company intends to administer and interpret the Plan in a manner consistent with such exemption. Further, to the extent benefits under the Plan are subject
to Code § 409A, the Company intends to administer and interpret the Plan in a manner that complies with Code § 409A. Notwithstanding the foregoing, the Company makes no assurances with respect to the tax treatment of any payments
or benefits payable under the Plan, including without limitation under the Code, other federal laws, or state or local tax laws. 
 IN
WITNESS WHEREOF, Belk, Inc. has caused this Belk, Inc. Amended and Restated Severance Pay Plan to be executed by a duly authorized officer this 6th day of August, 2015, effective as of April 15, 2015. 

 

			
	BELK, INC.
		
	By:	 	/s/ Lilicia Bailey
		
	Title:	 	Lilicia Bailey, EVP, CPO

  
 -14- 

 EXHIBIT A 

Severance Benefits 
  

							
	 Level/Job Position
	  	 Basic Severance Benefit; Store
Closing Severance
Benefit
(installments)
	  	 Change in Control Severance
Benefit

(lump sum)
	  	 Protection Period

	CEO; President and COO	  	12 months of Monthly Pay	  	12 months of Monthly Pay	  	18 months
				
	President and Chief Merchandizing Officer; EVPs; Division Chairmen	  	12 months of Monthly Pay	  	18 months of Monthly Pay, plus Prorated Bonus	  	18 months
				
	SVPs	  	9 months of Monthly Pay	  	15 months of Monthly Pay plus Prorated Bonus	  	12 months
				
	VPs	  	6 months of Monthly Pay	  	9 months of Monthly Pay plus Prorated Bonus	  	12 months
				
	All Directors	  	One week of Weekly Pay per Year of Service up to a maximum of 26 weeks; minimum 12 weeks	  	6 months of Monthly Pay	  	12 months
				
	Corporate & Division Office Eligible Employees below Director level	  	One week of Weekly Pay per Year of Service up to a maximum of 26 weeks; minimum 4 weeks	  	One week of Weekly Pay per Year of Service up to a maximum of 26 weeks; minimum 4 weeks	  	12 months
				
	Store & Distribution Center Eligible Employees below Director level (Only if Store or Distribution Center Closes)	  	One week of Weekly Pay per Year of Service up to a maximum of 26 weeks; minimum 4 weeks	  	One week of Weekly Pay per Year of Service up to a maximum of 26 weeks; minimum 4 weeks	  	12 months

  
 -15- 

 EXHIBIT B 

SUMMARY PLAN DESCRIPTION FOR THE BELK, INC. SEVERANCE PAY PLAN 

§ 1. 
 GENERAL
INFORMATION 
 1.1 SPD Requirements. Section 1 through § 5 and Exhibit A to the Plan set forth the terms of the
Plan as in effect as of April 15, 2015, and the Administrator deems § 1 through § 5 and Exhibit A sufficiently simple and straightforward to serve (together with this General Information section) as the summary plan
description for the Plan as in effect on such date as well as to serve as the Plan. If the Plan as set forth in § 1 through § 5 and Exhibit A is amended or terminated, this General Information section will be amended accordingly
within the time required under ERISA for amending a summary plan description. 
 1.2 General SPD Information. The plan administrator
for ERISA reporting and disclosure purposes is: 
 Belk Stores Services, Inc. 

2801 West Tyvola Road 

Charlotte, North Carolina 28217 

(704) 426-1890 

For routine questions about benefits, Eligible Employees should check with the Human Resources representative assigned to their area. 

The sponsor of the Plan is Belk, Inc. located at the same address and phone number as Belk Stores Services, Inc. 

In addition to Belk, Inc., the following Affiliates currently participate in the Plan: 

Belk-Simpson Company, Greenville, South Carolina 

The Belk Center, Inc. 

Belk International, Inc. Belk Stores Services, Inc. 

Belk Administration Company 

Belk Stores of Virginia LLC 

Belk Accounts Receivable LLC 

Belk Gift Card Company LLC 

Belk Merchandising LLC 

  
 -16- 

 Belk Department Stores LP 

Belk Texas Holdings LLC 

Belk Ecommerce LLC 

Belk Stores of Mississippi LLC 

The participating Affiliates may change from time to time. A current list of their names and addresses may be obtained upon written request to
the Chief People Officer and is available for examination during the Plan Sponsor’s normal business hours. 
 Service of legal process
relating to the Plan should be addressed to: 
 Belk, Inc. 

2801 West Tyvola Road 

Charlotte, North Carolina 28217 

Attn: General Counsel 

For government reporting purposes, the Employer Identification Number (EIN) for Belk, Inc. is 56-2058574. In addition, the Plan is identified
by the following official plan name and plan number: 
  

			
	 Plan Name:
	  	Belk, Inc. Severance Pay Plan
		
	 Type of Plan:
	  	ERISA welfare plan – severance
		
	 Plan Number:
	  	518
		
	 Source of Contributions:
	  	Benefits under the Plan are paid by the Company from its general assets.
		
	 Plan Year:
	  	Calendar Year

 1.3 Claims Review Procedure. An Eligible Employee (or his estate) who does not receive a severance
benefit following his termination of employment or who disagrees with the amount of benefit received, may send a claim in writing to the Administrator through the Chief People Officer at the address for Belk Stores Services, Inc. provided in this
Summary Plan Description. A response to the claim will be provided to the Eligible Employee or his estate within ninety (90) days (180 days if the Eligible Employee or estate is notified of an extension). 

In the event the Administrator denies or modifies the claim for benefits under the Plan, the Eligible Employee or estate will be notified in
writing of the following: 
 (a) the specific reason for the denial or modification; 

(b) the Plan provisions upon which the denial or modification is based; 

  
 -17- 

 (c) any additional material or information necessary to perfect the claim and the
reasons why such material or information is necessary; and 
 (d) the Plan’s claim review procedure. 

In the event the claim is denied or modified and the claimant wishes to appeal, the claimant must, within 60 days following receipt of the
denial or modification, submit a written request to the Administrator for review of its initial decision. Any such request may be accompanied by documents, records, or other information in support of the appeal. The claimant may have reasonable
access to, and copies of, all documents, records, and other information relevant to the claim free of charge. The appeal will take into account all documents, records and other information you or your beneficiary submit regarding your claim, without
regard to whether the information was considered in the initial benefit determination. Within 60 days following the request for review, the Administrator must render its final decision in writing to the claimant stating specific reasons for its
decision. If special circumstances require an extension of such 60-day period, the Administrator’s decision will be rendered as soon as possible, but not later than 120 days after receipt of the claimant’s request for review. If an
extension of time for review is required, the claimant will receive written notice of the extension prior to the commencement of the extension period. 

1.4 Rights under ERISA. Covered employees and beneficiaries are entitled to certain rights and protections under ERISA, which provides
that all Plan Eligible Employees shall be entitled to: 
 RECEIVE INFORMATION ABOUT THIS PLAN AND BENEFITS 

(e) examine without charge, at the Administrator’s office and at other specified locations such as work-sites, all
documents governing the Plan and copies of the latest annual report (Form 5500 Series) filed by the Plan with the U.S. Department of Labor and available at the Public Disclosure Room of the Employee Benefits Security Administration; 

(f) obtain, upon written request to the Administrator, copies of documents governing the operation of the Plan and copies of
the latest annual report (Form 5500 Series) and updated summary plan description. The Administrator may make a reasonable charge for the copies; and 

(g) receive a summary of the Plan’s annual financial report. The Administrator is required by law to furnish each Eligible
Employee with a copy of this summary annual report. 
 PRUDENT ACTIONS BY PLAN FIDUCIARIES 

In addition to creating rights for Plan Eligible Employees, ERISA imposes obligations upon the people who are responsible for the operation of
employee benefit plans. The people who operate the Plan, called “fiduciaries” of the Plan, have a duty to do so prudently and in the interest of Eligible Employees and beneficiaries. No one, including the Company, may fire an employee or
otherwise discriminate against an employee in any way to prevent the employee from obtaining benefits or exercising his rights under ERISA. 

  
 -18- 

 ENFORCE RIGHTS 

If an employee’s or beneficiary’s claim for a benefit is denied or ignored, in whole or in part, he has a right to know why this was
done, to obtain copies of documents relating to the decision without charge, and to appeal any denial, all within certain time schedules. 

Under ERISA, there are steps that may be taken to enforce the above rights. For instance, if an employee or beneficiary requests a copy of
plan documents or the latest annual report from the Administrator and does not receive them within 30 days, he may file suit in a federal court. In such a case, the Court may require the Administrator to provide the materials and pay the employee or
beneficiary up to $110 a day until the materials are received, unless the materials were not sent because of reasons beyond the control of the Administrator. If a claim for benefits is denied or ignored in whole or in part, the employee or
beneficiary may file suit in a state or federal court. If the employee or beneficiary is discriminated against for asserting his rights, he may seek assistance from the U.S. Department of Labor, or may file suit in a federal court. The court will
decide who should pay court costs and legal fees. If the employee or beneficiary is successful, the court may order the person he has sued to pay these costs and fees. If the employee or beneficiary loses, the court may order him to pay these costs
and fees (for example, if it finds that his claim is frivolous). 
 ASSISTANCE WITH QUESTIONS 

If an employee or beneficiary has any questions about the Plan, he should contact the Human Resources Representative assigned to his area. For
questions about this statement or about rights under ERISA, or if you need assistance in obtaining documents from the Administrator, the employee or beneficiary should contact the nearest Area office of the Employee Benefits Security Administration,
US Department of Labor listed in your telephone directory or the Division of Technical Assistance and Inquiries, Employee Benefits Security Administration, US Department of Labor, 200 Constitution Avenue NW, Washington, DC 20210. An employee or
beneficiary may also obtain certain publications about your rights and responsibilities under ERISA by calling the publications hotline of the Employee Benefits Security Administration. 

  
 -19-

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