Document:

Exhibit 10.2

 

RESTRICTED
SHARE UNIT AGREEMENT

 

This AGREEMENT (the “Agreement”) is made as of [              ],
2009 (the “Date of Grant”) by and between GEORGIA GULF CORPORATION, a Delaware
corporation (together with any Subsidiaries, as applicable, the “Company”), and
                              
(the “Grantee”).

 

1.                                      Grant of Restricted Share Units. 
Subject to and upon the terms, conditions, and restrictions set forth in
this Agreement and in the Company’s 2009 Equity and Performance Incentive Plan,
as amended (the “Plan”), the Company hereby grants to the Grantee, as of the
Date of Grant,                         
Restricted Share Units.  Each Restricted
Share Unit shall represent the right to receive one share of Common Stock.

 

2.                                      Restrictions on Transfer of
Restricted Share Units.  The Restricted
Share Units may not be transferred, sold, pledged, exchanged, assigned or
otherwise encumbered or disposed of by the Grantee, except to the Company,
until they have become nonforfeitable in accordance with this Agreement.  Any purported transfer, encumbrance or other
disposition of the Restricted Share Units that is in violation of this Section 2
shall be null and void, and the other party to any such purported transaction
shall not obtain any rights to or interest in the Restricted Share Units.

 

3.                                      Vesting of Restricted Share Units.

 

(a)                                 50% of the of Restricted Share Units
specified in Section 1 of this Agreement shall vest as follows:

 

(i)                                    On each of the first three (3) anniversaries
of the Date of Grant, a number of Restricted Share Units equal to thirty-three
and one-third percent (331/3 %) multiplied
by the number equal to 50% of Restricted Share Units specified in Section 1
of this Agreement shall become nonforfeitable on a cumulative basis until such
50% of the Restricted Share Units have become nonforfeitable.

 

(ii)                                 Notwithstanding the provisions of Section 3(a)(i),
but subject to earlier forfeiture as described below, all of the Restricted
Share Units subject to Section 3(a) shall immediately become nonforfeitable
in the event of a Change in Control.

 

(b)                                50% of the of Restricted Share Units
specified in Section 1 of this Agreement shall vest as follows:

 

(i)                                    If the Company is in compliance with the
financial covenants set forth  in Section 8.11
(the “Financial Covenants”) of the Credit Agreement dated as of October 3,
2006 among the Company, Royal Group, Inc., the various subsidiaries of the
Company party thereto as Guarantors, the various financial institutions party thereto
as lenders, and Bank of America, National Association, as Domestic
Administrative Agent and Bank of America, National Association acting through
its Canada branch, as Canadian 

 

 

Administrative Agent (the
“Credit Agreement”), then on each of the first three (3) anniversaries of
the Date of Grant, a number of Restricted Share Units equal to thirty-three and
one-third percent (331/3 %) multiplied by the number equal to 50% of
Restricted Share Units specified in Section 1 of this Agreement shall
become nonforfeitable on a cumulative basis until such 50% of the Restricted
Share Units have become nonforfeitable.

 

(ii)                                 In the event the Company is not in
compliance with the Financial Covenants on any anniversary of the Date of
Grant, the Restricted Share Units scheduled to vest on such anniversary of the
Date of Grant shall immediately be forfeited.

 

(iii)                              Notwithstanding the provisions of Section 3(b)(ii),
but subject to the forfeiture provision in Section 4, in the event the
Company refinances the debt incurred pursuant to the Credit Agreement prior to
the third anniversary of the Date of Grant, any Restricted Share Units subject
to Section 3(b) that have not theretofore become nonforfeitable
(including any Restricted Share Units previously forfeited pursuant to Section 3(b)(ii)),
and have not otherwise been forfeited pursuant to Section 4, shall
immediately vest in full.

 

(iv)                             Notwithstanding the provisions of Section 3(b)(i),
but subject to earlier forfeiture as described below, all of the Restricted
Share Units subject to Section 3(b) shall immediately become
nonforfeitable in the event of a Change in Control.

 

4.                                      Forfeiture of Restricted Share
Units.  Except as the Board may determine on a
case-by-case basis, at such time as the Grantee ceases to be continuously
employed by the Company, any Restricted Share Units that have not theretofore
become nonforfeitable shall be forfeited. 
Notwithstanding the foregoing, a Grantee shall be treated as being in
the continuous employ of the Company for purposes hereof and vesting of
Restricted Share Units shall continue as provided for in accordance with Section 3
if and only for so long as all of the following conditions are met: (i) Grantee’s
employment was terminated other than by the Company for cause; (ii) at the
time such employment was terminated, the Grantee had attained the age of 55; (iii) at
the time such employment was terminated the Grantee’s age, when added to the
number of years of continuous employment of such Grantee by the Company,
equaled or exceeded seventy (70); and (iv) the Grantee does not engage in
any Detrimental Activity (together, a “Qualifying Retirement”).

 

For purposes of this provision, “cause” shall mean the
Grantee shall have committed prior to termination of employment any of the
following acts:  (i) an intentional
act of fraud, embezzlement, theft, or any other material violation of law in
connection with the Grantee’s duties or in the course of the Grantee’s
employment; (ii) intentional wrongful damage to material assets of the
Company; (iii) intentional wrongful disclosure of material confidential
information of the Company; (iv) intentional wrongful engagement in any
competitive activity that would constitute a material breach of the duty of
loyalty; or (v) intentional breach of any stated material

 

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employment policy of the
Company.  Any determination of whether
the Grantee’s employment was terminated for cause shall be made by the Board,
whose determination shall be binding and conclusive.

 

5.                                      Payment of Restricted Share Units. 
At such time as the Restricted Share Units shall become nonforfeitable
as specified in this Agreement, shares of Common Stock underlying such
Restricted Share Units shall be transferred to the Grantee no later than [15] days after the date on which the
Restricted Share Units become nonforfeitable, except as otherwise provided in Section 7
or Section 17.

 

6.                                      Dividend, Voting and Other Rights. 
The Grantee shall have no rights of ownership in the Restricted Share
Units and shall have no right to vote them until the date on which the shares
of Common Stock are transferred to the Grantee pursuant to Section 5 above
[and a stock certificate representing such
shares of Common Stock is issued to the Grantee].  From and after the Date of Grant and until the
earlier of (a) the time when the Grantee receives the shares of Common
Stock underlying the Restricted Share Units in accordance with Section 5
hereof or (b) the time when the Grantee’s right to receive the Restricted
Share Units is forfeited in accordance with Section 4 hereof, the Company
shall pay to the Grantee, whenever a normal cash dividend is paid on shares of
Common Stock, an amount of cash equal to the product of the per-share amount of
the dividend paid multiplied by the number of such Restricted Share Units.

 

7.                                      Retention of Restricted Share
Units by the Company.  The shares of
Common Stock underlying the Restricted Share Units shall be released to the
Grantee by the Company’s transfer agent (currently Computershare Inc.) at the
direction of the Company.  At such time
as the Restricted Share Units become nonforfeitable as specified in this
Agreement, the Company shall direct the transfer agent to forward all such
nonforfeitable shares of Common Stock to the Grantee except in the event that
the Grantee has notified the Company of his or her election to satisfy any tax
obligations by surrender of a portion of such shares, the transfer agent will
be directed to forward the remaining balance of shares after the amount
necessary for such taxes has been deducted.

 

8.                                      Rights of Company Upon Occurrence
of Detrimental Activity.  Upon a finding
by the Board that a Grantee who has met the conditions for a Qualifying
Retirement has engaged in any Detrimental Activity during the period of time
beginning when such conditions are first met and ending when all rights under
this Agreement terminate, and forthwith upon notice of such finding, the
Grantee shall forfeit any Restricted Share Units with respect to which the
forfeiture provisions hereunder have not lapsed, and the Grantee hereby
expressly agrees that the Company may exercise any and all other rights
available to it under the Plan.

 

9.                                      Compliance with Law. 
The Company shall make reasonable efforts to comply with all applicable
federal and state securities laws; provided, however, notwithstanding any other
provision of this Agreement, the Company shall not be obligated to issue any
Restricted Share Units or shares of Common Stock or other securities pursuant
to this Agreement if the issuance thereof would, in the reasonable opinion of
the Company, result in a violation of any such law.

 

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10.                                Relation to Other Benefits. 
Any economic or other benefit to the Grantee under this Agreement shall
not be taken into account in determining any benefits to which the Grantee may
be entitled.

 

11.                                Amendments. 
Any amendment to the Plan shall be deemed to be an amendment to this
Agreement to the extent that the amendment is applicable hereto; provided,
however, that no amendment shall adversely affect the rights of the Grantee
under this Agreement without the Grantee’s consent.

 

12.                                Severability. 
In the event that one or more of the provisions of this Agreement shall
be invalidated for any reason by a court of competent jurisdiction, any
provision so invalidated shall be deemed to be separable from the other
provisions hereof, and the remaining provisions hereof shall continue to be
valid and fully enforceable.

 

13.                                Relation to Plan. 
This Agreement is subject to the terms and conditions of the Plan.  In the event of any inconsistent provisions
between this Agreement and the Plan, the Plan shall govern.  Capitalized terms used herein without definition
shall have the meanings assigned to them in the Plan.  The Board, acting pursuant to the Plan shall,
except as expressly provided otherwise herein, have the right to determine any
questions which arise in connection with this grant.

 

14.                                Successors and Assigns. 
The provisions of this Agreement shall inure to the benefit of, and be
binding upon, the successors, administrators, heirs, legal representatives and
assigns of the Grantee, and the successors and assigns of the Company.

 

15.                                Governing Law. 
The interpretation, performance, and enforcement of this Agreement shall
be governed by the laws of the State of Georgia, without giving effect to the
principles of conflict of laws thereof.

 

16.                                Notices. 
Any notice to the Company provided for herein shall be in writing to the
Company, marked Attention: Vice President-General Counsel and Secretary, and
any notice to the Grantee shall be addressed to said Grantee at his or her
address currently on file with the Company. 
Except as otherwise provided herein, any written notice shall be deemed
to be duly given if and when delivered personally or deposited in the United
States mail, first class registered mail, postage and fees prepaid, and
addressed as aforesaid.  Any party may
change the address to which notices are to be given hereunder by written notice
to the other party as herein specified (provided that for this purpose any
mailed notice shall be deemed given on the third business day following deposit
of the same in the United States mail).

 

17.                                Compliance with Section 409A
of the Code.  To the extent applicable, it is intended that
this Agreement and the Plan comply with the provisions of Section 409A of
the Code, so that the income inclusion provisions of Section 409A(a)(1) do
not apply to the Grantee.  This Agreement
and the Plan shall be administered in a manner consistent with this
intent.  In particular, notwithstanding
any provision of this Agreement to the contrary, to the extent any Restricted
Share Unit would be considered “nonqualified deferred compensation” within the
meaning of Section 409A of the Code and either the Restricted Share Unit
becomes nonforfeitable pursuant to (a) Section 3(b)(iii) or (b) Section 3(b)(iv) and
such Change of Control

 

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does not constitute a “change
in the ownership or effective control” or a “change in the ownership or a
substantial portion of the assets” of the Company within the meaning of Section 409A(a)(2)(A)(v) of
the Code, then even though such Restricted Share Unit may be deemed to be
vested or restrictions lapse, expire or terminate upon the occurrence of the
event specified in Section 3(b)(i) or a Change of Control, payment
will not be made, to the extent necessary to comply with the provisions of Section 409A
of the Code, to the Grantee prior to the earliest of (i) the Grantee’s “separation
from service” with the Company (determined in accordance with Section 409A
of the Code); provided, however, that if the Grantee is a “specified employee”
(within the meaning of Section 409A of the Code), the payment date shall
be the first day of the seventh month after the date of the Grantee’s
separation from service with the Company, (ii) the date payment otherwise
would have been made in the absence of any provisions in this Agreement to the
contrary (provided such date was not a prior tax year and is permissible under Section 409A
of the Code), or (iii) the Grantee’s death.

 

18.                                Counterparts. 
This Agreement may be executed by the parties hereto in separate
counterparts, each of which when so executed and delivered shall be an
original, but all such counterparts shall together constitute the same
instrument.

 

19.                                Data Protection. By signing below, the Grantee consents
to the Company processing Grantee’s personal data provided herein (the “Data”)
exclusively for the purpose of performing this Agreement, in particular in
connection with the exercise of Restricted Share Units awarded herein.  For this purpose the Data may also be
disclosed to and processed by companies outside the Company, e.g., banks
involved.

 

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IN WITNESS WHEREOF, the Company has caused this
Agreement to be executed on its behalf by its duly authorized officer and
Grantee has also executed this Agreement in duplicate, as of the day and year
first above written.

 

	
   

  	
   

  	
  GEORGIA GULF CORPORATION

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
  By:

  	
   

  
	
   

  	
   

  	
  Name:

  	
   

  
	
   

  	
   

  	
  Title:

  	
   

  
	
   

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
  GRANTEE:

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
  Name:

  	
   

  	
   

  	
   

  
					

 

6Exhibit
10.3

 

RESTRICTED SHARE UNIT AGREEMENT
FOR CANADIAN GRANTEES

 

This AGREEMENT (the “Agreement”) is made as
of [              ],
2009 (the “Date of Grant”) by and between GEORGIA GULF CORPORATION, a Delaware
corporation (together with any Subsidiaries, as applicable, the “Company”), and
                              
(the “Grantee”).

 

1.                                      Grant of
Restricted Share Units.  Subject to
and upon the terms, conditions, and restrictions set forth in this Agreement
and in the Company’s 2009 Equity and Performance Incentive Plan, as amended
(the “Plan”), the Company hereby grants to the Grantee, as of the Date of
Grant,               
Restricted Share Units.  Each Restricted
Share Unit shall represent the right to receive one share of Common Stock.

 

2.                                      Restrictions
on Transfer of Restricted Share Units. 
The Restricted Share Units may not be transferred, sold, pledged,
exchanged, assigned or otherwise encumbered or disposed of by the Grantee,
except to the Company, until they have become nonforfeitable in accordance with
this Agreement.  Any purported transfer,
encumbrance or other disposition of the Restricted Share Units that is in
violation of this Section 2 shall be null and void, and the other party to
any such purported transaction shall not obtain any rights to or interest in
the Restricted Share Units.

 

3.                                      Vesting
of Restricted Share Units.

 

(a)                                  50% of the of Restricted Share
Units specified in Section 1 of this Agreement shall vest as follows:

 

(i)                                    On each of the first three (3) anniversaries
of the Date of Grant, a number of Restricted Share Units equal to thirty-three
and one-third percent (331/3 %) multiplied
by the number equal to 50% of Restricted Share Units specified in Section 1
of this Agreement shall become nonforfeitable on a cumulative basis until such
50% of the Restricted Share Units have become nonforfeitable.

 

(ii)                                 Notwithstanding the provisions
of Section 3(a)(i), but subject to earlier forfeiture as described below,
all of the Restricted Share Units subject to Section 3(a) shall
immediately become nonforfeitable in the event of a Change in Control.

 

(b)                                 50% of the of Restricted Share
Units specified in Section 1 of this Agreement shall vest as follows:

 

(i)                                    If the Company is in
compliance with the financial covenants set forth  in Section 8.11 (the “Financial
Covenants”) of the Credit Agreement dated as of October 3, 2006 among the
Company, Royal Group, Inc., the various subsidiaries of the Company party
thereto as Guarantors, the various financial institutions party thereto as
lenders, and Bank of America, National Association, as Domestic Administrative
Agent and Bank of America, National Association acting through its Canada
branch, as Canadian Administrative Agent (the “Credit Agreement”), then on each
of the first three (3) anniversaries of the Date of Grant, a number of

 

 

Restricted Share Units equal to thirty-three and
one-third percent (331/3 %) multiplied
by the number equal to 50% of Restricted Share Units specified in Section 1
of this Agreement shall become nonforfeitable on a cumulative basis until such
50% of the Restricted Share Units have become nonforfeitable.

 

(ii)                                 In the event the Company is
not in compliance with the Financial Covenants on any anniversary of the Date
of Grant, the Restricted Share Units scheduled to vest on such anniversary of
the Date of Grant shall immediately be forfeited.

 

(iii)                              Notwithstanding the provisions
of Section 3(b)(ii), but subject to the forfeiture provision in Section 4,
in the event the Company refinances the debt incurred pursuant to the Credit
Agreement prior to the third anniversary of the Date of Grant, any Restricted
Share Units subject to Section 3(b) that have not theretofore become
nonforfeitable (including any Restricted Share Units previously forfeited
pursuant to Section 3(b)(ii)), and have not otherwise been forfeited
pursuant to Section 4, shall immediately vest in full.

 

(iv)                             Notwithstanding the provisions
of Section 3(b)(i), but subject to earlier forfeiture as described below,
all of the Restricted Share Units subject to Section 3(b) shall
immediately become nonforfeitable in the event of a Change in Control.

 

4.                                      Forfeiture
of Restricted Share Units.  Except as the
Board may determine on a case-by-case basis, at such time as the Grantee ceases
to be continuously employed by the Company, any Restricted Share Units that
have not theretofore become nonforfeitable shall be forfeited.

 

5.                                      Payment
of Restricted Share Units.  At such time
as the Restricted Share Units shall become nonforfeitable as specified in this
Agreement, shares of Common Stock underlying such Restricted Share Units shall
be issued to the Grantee only from authorized but unissued shares or treasury
shares, no later than [15] days
after the date on which the Restricted Share Units become nonforfeitable,
except as otherwise provided in Section 7 or Section 17.

 

6.                                      Dividend,
Voting and Other Rights.  The Grantee
shall have no rights of ownership in or entitlement to the shares of Common
Stock underlying unvested Restricted Share Units and shall have no right to
vote such shares of Common Stock until the date on which the shares of Common
Stock are transferred to the Grantee pursuant to Section 5 above [and a stock certificate representing such shares of
Common Stock is issued to the Grantee].

 

7.                                      Retention
of Restricted Share Units by the Company.  The
shares of Common Stock underlying the Restricted Share Units shall be released
to the Grantee by the Company’s transfer agent (currently Computershare Inc.)
at the direction of the Company.  At such
time as the Restricted Share Units become nonforfeitable as specified in this
Agreement, the Company shall direct the transfer agent to forward all such
nonforfeitable shares of

 

2

 

Common Stock to the Grantee except in the event that
the Grantee has notified the Company of his or her election to satisfy any tax
obligations by surrender of a portion of such shares, the transfer agent will
be directed to forward the remaining balance of shares after the amount
necessary for such taxes has been deducted.

 

8.                                      Rights of
Company Upon Occurrence of Detrimental Activity. 
Upon a finding by the Board that a Grantee who has met the conditions
for a Qualifying Retirement has engaged in any Detrimental Activity during the
period of time beginning when such conditions are first met and ending when all
rights under this Agreement terminate, and forthwith upon notice of such
finding, the Grantee shall forfeit any Restricted Share Units with respect to
which the forfeiture provisions hereunder have not lapsed, and the Grantee
hereby expressly agrees that the Company may exercise any and all other rights
available to it under the Plan.

 

9.                                      Compliance
with Law.  The Company shall make reasonable efforts to
comply with all applicable federal, provincial and state securities laws;
provided, however, notwithstanding any other provision of this Agreement, the
Company shall not be obligated to issue any Restricted Share Units or shares of
Common Stock or other securities pursuant to this Agreement if the issuance
thereof would, in the reasonable opinion of the Company, result in a violation
of any such law.

 

10.                                Relation
to Other Benefits.  Any economic
or other benefit to the Grantee under this Agreement shall not be taken into
account in determining any benefits to which the Grantee may be entitled.

 

11.                                Amendments.  Any amendment to the Plan shall be deemed to
be an amendment to this Agreement to the extent that the amendment is
applicable hereto; provided, however, that no amendment shall adversely affect
the rights of the Grantee under this Agreement without the Grantee’s consent.

 

12.                                Severability.  In the event that one or more of the
provisions of this Agreement shall be invalidated for any reason by a court of
competent jurisdiction, any provision so invalidated shall be deemed to be
separable from the other provisions hereof, and the remaining provisions hereof
shall continue to be valid and fully enforceable.

 

13.                                Relation
to Plan.  This Agreement is subject to the terms and
conditions of the Plan.  In the event of
any inconsistent provisions between this Agreement and the Plan, this Agreement
shall govern.  Capitalized terms used
herein without definition shall have the meanings assigned to them in the
Plan.  The Board, acting pursuant to the
Plan shall, except as expressly provided otherwise herein, have the right to
determine any questions which arise in connection with this grant.

 

14.                                Successors
and Assigns.  The provisions of this
Agreement shall inure to the benefit of, and be binding upon, the successors,
administrators, heirs, legal representatives and assigns of the Grantee, and
the successors and assigns of the Company.

 

15.                                Governing
Law.  The interpretation, performance, and
enforcement of this Agreement shall be governed by the laws of the State of
Georgia, without giving effect to the principles of conflict of laws thereof.

 

3

 

16.                                Notices.  Any notice to the Company provided for herein
shall be in writing to the Company, marked Attention:  Vice President-General Counsel and Secretary,
and any notice to the Grantee shall be addressed to said Grantee at his or her
address currently on file with the Company. 
Except as otherwise provided herein, any written notice shall be deemed
to be duly given if and when delivered personally or deposited in the United
States mail, first class registered mail, postage and fees prepaid, and
addressed as aforesaid.  Any party may
change the address to which notices are to be given hereunder by written notice
to the other party as herein specified (provided that for this purpose any
mailed notice shall be deemed given on the third business day following deposit
of the same in the United States mail).

 

17.                                Compliance
with Section 409A of the Code.  To
the extent applicable, it is intended that this Agreement and the Plan comply
with the provisions of Section 409A of the Code, so that the income
inclusion provisions of Section 409A(a)(1) do not apply to the
Grantee.  This Agreement and the Plan
shall be administered in a manner consistent with this intent.  In particular, notwithstanding any provision
of this Agreement to the contrary, to the extent any Restricted Share Unit
would be considered “nonqualified deferred compensation” within the meaning of Section 409A
of the Code and either the Restricted Share Unit becomes nonforfeitable
pursuant to (a) Section 3(b)(iii) or (b) Section 3(b)(iv) and
such Change of Control does not constitute a “change in the ownership or
effective control” or a “change in the ownership or a substantial portion of
the assets” of the Company within the meaning of Section 409A(a)(2)(A)(v) of
the Code, then even though such Restricted Share Unit may be deemed to be
vested or restrictions lapse, expire or terminate upon the occurrence of the event
specified in Section 3(b)(i) or a Change of Control, payment will not
be made, to the extent necessary to comply with the provisions of Section 409A
of the Code, to the Grantee prior to the earliest of (i) the Grantee’s “separation
from service” with the Company (determined in accordance with Section 409A
of the Code); provided, however, that if the Grantee is a “specified employee”
(within the meaning of Section 409A of the Code), the payment date shall
be the first day of the seventh month after the date of the Grantee’s
separation from service with the Company, (ii) the date payment otherwise
would have been made in the absence of any provisions in this Agreement to the
contrary (provided such date was not a prior tax year and is permissible under Section 409A
of the Code), or (iii) the Grantee’s death.

 

18.                                Counterparts.  This Agreement may be executed by the parties
hereto in separate counterparts, each of which when so executed and delivered
shall be an original, but all such counterparts shall together
constitute the same instrument.

 

19.                                Data
Protection. By signing below, the Grantee consents to the Company processing
Grantee’s personal data provided herein (the “Data”) exclusively for the
purpose of performing this Agreement, in particular in connection with the
exercise of Restricted Share Units awarded herein.  For this purpose the Data may also be
disclosed to and processed by companies outside the Company, e.g., banks
involved.

 

20.                                Fractional Shares. Fractional Shares of Common Stock shall not
be issuable  hereunder and if any
provision of this Agreement may entitle the Grantee to a fractional share, such
fraction will be disregarded.

 

4

 

21.                                Withholding
Tax. The Company will be entitled to deduct from any payments of any kind
otherwise due to the Grantee from the Company, the amount of any applicable
withholding taxes payable in connection with the Restricted Share Units. In the
alternative, the Grantee will pay to the Company, or make arrangements
satisfactory to the Company regarding payment of such taxes.

 

5

 

IN WITNESS WHEREOF, the Company has caused
this Agreement to be executed on its behalf by its duly authorized officer and
Grantee has also executed this Agreement in duplicate, as of the day and year
first above written.

 

	
   

  	
   

  	
   

  	
  GEORGIA GULF
  CORPORATION

  
	
   

  	
   

  	
   

  	
   

  
	
   

  	
   

  	
  By:

  	
   

  
	
   

  	
   

  	
  Name:

  	
   

  
	
   

  	
   

  	
  Title:

  	
   

  
	
   

  	
   

  	
   

  
	
  GRANTEE:

  	
   

  	
   

  
	
   

  	
   

  	
   

  
	
  Signature:

  	
   

  	
   

  	
   

  
						

 

6

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