Fiscal Year 2006 Director Stock Option and Restricted Stock Election Form

Summary

This form allows a director to choose how they wish to receive their annual equity grant from the company for fiscal year 2006. The director can elect either to receive stock options for 5,000 shares or a combination of stock options for 2,000 shares and a restricted stock grant of 1,000 shares. The form requires the director's name, address, social security number, and signature. This election is irrevocable once made.

EX-10.1 2 dex101.htm FORM OF FISCAL YEAR 2006 DIRECTOR ELECTION FORM Form of Fiscal Year 2006 Director Election Form

Exhibit 10.1

 

FISCAL YEAR 2006 DIRECTOR ELECTION FORM

 

 

Name:

Address:

Social Security Number:

 

 

I, irrevocably elect to receive my annual grant of Stock Options as follows: (check one)

 

             An annual grant of options to purchase 5,000 shares of the Company’s Common Stock.

 

             An annual grant of options to purchase 2,000 shares of the Company’s Common Stock and an annual restricted stock grant of 1,000 shares of the Company’s Common Stock.

 

 

                                                                                                         

[Insert Name]

Date: