NCR BOARD OF DIRECTORS PAYMENT ELECTION FOR DIRECTOR PAY
EX-10.5 6 dex105.htm FORM OF PAYMENT ELECTION FOR DIRECTOR PAY UNDER THE NCR MANAGEMENT STOCK PLAN Form of Payment Election for Director Pay under the NCR Management Stock Plan Exhibit 10.5
NCR BOARD OF DIRECTORS
PAYMENT ELECTION FOR DIRECTOR PAY
As provided in the NCR Directors Compensation Program, I hereby elect to receive my annual retainer and meeting fees earned after January 1, 2005,* as follows:
| • | In cash payable in quarterly installments as earned under the program. |
| • | In shares of NCR common stock, payable at the same time(s) as the cash retainer. |
| • | 50% in cash and 50% in shares of NCR common stock, payable at the same times as the cash retainer. |
| • | As a Deferred Stock Award, with the deferred amounts paid at the following time(s): |
| | • | on the date of my termination as a Director (or such later date as may be required under applicable regulations); or |
| | • | in one, two, three, four, or five (check one option) annual installment(s), beginning on the April 30 following my termination as a Director (or such later date as may be required under applicable regulations). |
| | Note: | If a “rolling” distribution with a separate schedule for each year’s pay is desired, please contact NCR’s Executive Compensation department for additional deferral options. |
As provided in the NCR Directors Compensation Program, I hereby elect to receive any annual stock grants earned after January 1, 2005,** as follows:
| | • | In current shares of NCR common stock. |
| | • | As a Deferred Stock Award, payable at the time(s) elected above. |
| * | This election form supersedes all previous forms completed by me, and will remain in effect until a new form is completed by me at a later date. |
| ** | This election applies to the deferral of any portion of my 2004 annual retainer/fees earned in 2005, and supersedes any prior elections of such portion of my retainer/fees. |
THIS FORM MUST BE RETURNED BY DECEMBER 31, 2004.
