Aflac Incorporated Non-Employee Director Restricted Stock Award Agreement under 2004 Long-Term Incentive Plan

Summary

Aflac Incorporated grants a non-employee director an award of restricted shares of its common stock under the 2004 Long-Term Incentive Plan. The shares are subject to vesting over specified periods, during which the recipient has ownership rights, including voting and dividend rights, but cannot sell or transfer the shares until restrictions lapse. The agreement is effective as of the grant date and is governed by the terms of the plan and the attached award agreement.

EX-10.4 5 ntcrstawdir04plan8k105ex104.htm EXHIBIT 10.4 NOTICE OF GRANT OF AWARD

EXHIBIT 10.4

   

  NOTICE OF GRANT OF AWARD

AFLAC INCORPORATED

  AND AWARD AGREEMENT

ID: 58-1167100

 

Worldwide Headquarters

   NON-EMPLOYEE DIRECTOR

1932 Wynnton Road

 

Columbus, Georgia 31999

   

<FirstName> <MiddleName> <LastName>

Award Number:

<Number>

<Address>

Plan:

2004 Long-Term Incentive Plan

<Address2>

ID:

<ID>

<Address3>

   


Effective <LongOptionDate>, you have been granted an award of <AwardsGranted> shares of AFLAC INCORPORATED (the Company) common stock.

The current total value of the Award at the date of issue was $______________.

These award shares are restricted until the vest date shown below:

Shares

 

Vest Type

 

Full Vest

 
           

<sharesperiod1>

 

<vesttypeperiod1>

 

<vestdateperiod1>

 

<sharesperiod2>

 

<vesttypeperiod2>

 

<vestdateperiod2>

 

<sharesperiod3>

 

<vesttypeperiod3>

 

<vestdateperiod3>

 

<sharesperiod4>

 

<vesttypeperiod4>

 

<vestdateperiod4>

 

 

Summary of Award Terms:

These shares of restricted stock will be held in book entry form in the custody of the Company until the restrictions thereon have lapsed.

Subject to the restrictions set forth in the Plan and the Award Agreement relating to this award, you shall possess all incidents of ownership with respect to the Shares, including the right to receive or reinvest dividends with respect to such Shares and to vote such Shares.

By your signature and the Company's signature below, you and the Company agree that this award is granted under and governed by the terms and conditions of the Company's 2004 Long-Term Incentive Plan and the Award Agreement relating to this award, which are attached to and made a part of this document.

 

_______________________________________

 

__________________________________

By Daniel P. Amos

 

Date

AFLAC INCORPORATED

   
     

_______________________________________

 

__________________________________

<FirstName> <MiddleName> <LastName>

 

Date