[FORM OF] FIRST AMENDMENT TO CHANGE IN CONTROL SEVERANCE AGREEMENT (Farmer Bros. Co. / [Executive Last Name]) _________________________________________________________________________
EX-10.36 5 farm-03312017xex1036xformo.htm EXHIBIT 10.36 Exhibit
Exhibit 10.36
[FORM OF]
FIRST AMENDMENT TO CHANGE IN CONTROL SEVERANCE AGREEMENT
(Farmer Bros. Co. / [Executive Last Name])
_________________________________________________________________________
This First Amendment to the Change in Control Severance Agreement (“Amended Agreement”) is made and entered into as of [date of signature] between FARMER BROS. CO., a Delaware corporation (the “Company”), and [EXECUTIVE FULL NAME] (“[Executive Last Name]”), who agree as follows:
WHEREAS the Company and [Executive Last Name] are parties to a Change in Control Severance Agreement (“Agreement”) dated [Date of Change in Control Severance Agreement];
WHEREAS the parties desire to amend the Agreement to clarify certain rights and obligations of the parties to that Agreement;
The parties agree that the Agreement is amended to including the following paragraph:
Nothing contained in this Amended Agreement or the Agreement is intended to or shall be construed as prohibiting [Executive’s Last Name] from voluntarily communicating with the U.S. Securities and Exchange Commission (“Commission”) about possible violations of law or from accepting a Commission whistleblower award.
IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first above written.
COMPANY: FARMER BROS. CO.,
a Delaware corporation
By:
Michael H. Keown
President and Chief Executive Officer
[EXECUTIVE FULL NAME]:
By:
[Executive Full Name]
