Energizer Holdings, Inc. 2002 Deferred Compensation Plan Election Form
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Summary
This form allows employees and directors of Energizer Holdings, Inc. to elect participation in the company's Deferred Compensation Plan for 2002. Participants can choose to defer a portion of their salary, incentive bonus, or director's fees, with a minimum deferral of $1,000. They may allocate deferred amounts among various investment funds and select the timing and form of future payments. The election is irrevocable, and payment options include lump sum or annual installments, subject to certain conditions such as employment termination or account balance thresholds.
EX-10.5 7 doc6.txt ENERGIZER HOLDINGS, INC. Deferred Compensation Plan 2002 Election Form - -------------------- - --------------------------------------------- ---------------------------- Participant Name (Last, First, Middle Initial) Social Security Number I have been offered an opportunity to participate in the Energizer Holdings, Inc., Deferred Compensation Plan (the "Plan"). I hereby elect to participate in the Plan and irrevocably authorize the Company to deduct from my compensation the amounts specified below: ================================================================================ DEFERRAL ELECTION PLEASE COMPLETE THE DEFERRAL ELECTION BELOW. YOU MUST DEFER A TOTAL OF AT LEAST $1,000 TO PARTICIPATE IN THE PLAN. ================================================================================ BASE SALARY I elect to defer _______% of my calendar 2001 Base Salary (maximum deferral is 75%). ================================================================================ INCENTIVE PLAN BONUS I elect to defer _______%, OR all up to $_______, OR defer all in excess of $_______ of my Year 2002 Incentive Plan Bonus. ================================================================================ NON-PARTICIPATION I elect not to defer calendar 2002 Base Salary or Fiscal Year Incentive Plan Bonus. ================================================================================ ================================================================================ CALENDAR 2002 BASE SALARY INVESTMENT ELECTION (PLEASE SELECT IN WHOLE PERCENTAGE INCREMENTS; TOTAL MUST EQUAL 100%) ================================================================================ I elect to invest my calendar 2002 Base Salary deferrals in the following Measurement Funds: ================================================================================
================================================================================ FISCAL YEAR 2002 INCENTIVE PLAN BONUS INVESTMENT ELECTION (PLEASE SELECT IN WHOLE PERCENTAGE INCREMENTS; TOTAL MUST EQUAL 100%) ================================================================================
(OVER) ELECTION OF DATE AND FORM OF PAYMENT FOR 2002 DEFERRALS (PLEASE SELECT A DATE AND FORM OF PAYMENT) ================================================================================ I elect to receive _______% of my calendar 2002 Base Salary Deferrals and/or my Fiscal Year 2002 Incentive Plan Bonus Deferrals and the associated earnings, on ___________________(cannot be sooner than January 1, 2006). I understand that if my employment terminates for any reason prior to the date I elected above, my benefit will be paid to me upon my termination of employment. I elect to receive my calendar 2002 Base Salary Deferrals and/or my Fiscal Year 2002 Incentive Plan Bonus Deferrals upon the termination of my employment for any reason. ================================================================================ Upon termination of my employment for any reason, I elect to receive payment of my entire Account Balance in the following form (check one below): ________ Lump Sum ________ 5 Annual Payments ________ 10 Annual Payments I understand that if my vested account balance is less than $50,000 my account will be paid to me in a lump sum. ================================================================================ ACCEPTED AND ACKNOWLEDGED: - ----------------------------- ------------------------------------------------- SIGNATURE OF PARTICIPANT DATE FOR ENERGIZER PLANS ADMINISTRATIVE COMMITTEE DATE MAIL OR FAX TO: CLARK/BARDES CONSULTING - COMPENSATION RESOURCE GROUP ATTN: ROGER PENA 633 WEST FIFTH STREET, 52ND FLOOR LOS ANGELES, CA 90071 FAX ###-###-#### ENERGIZER HOLDINGS, INC. Deferred Compensation Plan 2002 Election Form for Directors - ------------------------------------ - ------------------------------------------------ --------------------------- Participant's Name (Last, First, Middle Initial) Social Security Number I have been offered an opportunity to participate in the Energizer Holdings, Inc., Deferred Compensation Plan (the "Plan"). I hereby elect to participate in the Plan and irrevocably authorize the Company to deduct from my calendar 2002 Director's Fees the amount specified below: ================================================================================ DIRECTOR'S FEE DEFERRAL ELECTION PLEASE COMPLETE THE DEFERRAL ELECTION BELOW. YOU MUST DEFER A TOTAL OF AT LEAST $ 1,000 TO PARTICIPATE IN THE PLAN. ================================================================================ FEES I elect to defer _______%, or all up to $____________, or all in excess of $____________, or _____% in excess of $____________ of my remaining calendar 2002 Director's Fees ================================================================================ NON-PARTICIPATION I elect not to defer my remaining calendar 2002 Director's Fees ================================================================================ DIRECTOR'S FEE INVESTMENT ELECTION (PLEASE SELECT IN WHOLE PERCENTAGE INCREMENTS; TOTAL MUST EQUAL 100%) ================================================================================
ACCEPTED AND ACKNOWLEDGED: - ------------------------------ -------------------------------------------- Signature of Participant Date for the Nominating and Executive Date Compensation Committee PLEASE COMPLETE AND RETURN FORMS TO: CLARK/BARDES CONSULTING - COMPENSATION RESOURCE GROUP ATTN: ROGER PENA 633 WEST FIFTH STREET, 52ND FLOOR LOS ANGELES, CA 90071-2086 FAX: (213) 438-6600