Alaska Communications Systems Group, Inc. 2005 Non-Employee Director Stock Compensation Plan Participant Share Election Form
This form allows non-employee directors of Alaska Communications Systems Group, Inc. to choose how they receive their annual retainer—either partially or fully in company stock or cash. Directors must take at least 50% of their compensation in stock, with options to defer payment and select how deferred amounts are distributed. The elections made are irrevocable for the current period but can be changed for future periods. The form requires the director’s signature and personal information.
Exhibit 10.19
Alaska Communications Systems Group, Inc.
1999 Non-Employee Director Stock Compensation Plan
On February 17, 2004 the Compensation and Personnel Committee of the Board of Directors modified the form of Director compensation. Directors are now required to receive at least 50 percent of their annual retainer in the form of Company stock, under the Alaska Communications Systems Group, Inc. 1999 Non-Employee Director Stock Compensation Plan. Directors retained the opportunity to be compensated up to 100 percent in Company stock and also retained the opportunity to defer their compensation.
ALASKA COMMUNICATIONS SYSTEMS GROUP, INC.
2005 NON-EMPLOYEE DIRECTOR STOCK COMPENSATION PLAN
PARTICIPANT SHARE ELECTION FORM
Following are my elections under the Non-Employee Director Stock Compensation Plan (“Plan”).
Form of Payment
I elect to receive my fees as follows:
| o 50% shares of stock, 50% cash | o 100% shares of stock | |||
| o 75% shares of stock, 25% cash |
Delivery Options
I elect compensation delivery as follows:
| Directly to me | Defer | |||
| o 100% of all | o 100% of all | |||
| o Cash ___% | o Cash ___% | |||
| o Shares ___% | o Shares ___% |
Distribution of Deferred Compensation
I elect to have my deferred account balance(s), if any, delivered as follows (check one):
| o In a single lump sum | ||
| o In ___(list number not less than two or more than fifteen) annual installments |
Certification
I understand that the choices I make relative to the amounts I defer and the methods of payments are irrevocable. Future elections may change the choice as to future deferrals only. I further understand that distribution form my Share Account, if any, will be in whole shares of common stock; a fractional share will be paid in cash. The foregoing elections will remains in effect until later changed by me in writing or otherwise changed in accordance with the terms of the Plan.
Signature: | _______________________________________ | Date | _______ | |||
| Name: | _______________________________________________________ | |||||
| Address: | _______________________________________________________ | |||||
| _______________________________________________________ | ||||||
| Phone: | _______________________________________________________ | |||||
