Par Petroleum Corporation Directors’ Deferred Compensation Plan Deferral Election Form
This form allows directors of Par Petroleum Corporation to choose to defer their compensation, either as cash or company stock, under the company's Directors’ Deferred Compensation Plan. Directors can select when they want their deferred compensation to be paid out, either upon separation from the company, death, or a specified date at least 24 months after the election. The deferral is subject to the terms of the Plan, and the form must be signed and returned by a specified deadline.
Exhibit 10.11
PAR PETROLEUM CORPORATION
DIRECTORS’ DEFERRED COMPENSATION PLAN
DEFERRAL ELECTION FORM
I, [Name], Par Petroleum Corporation (the “Company”), on this day of , hereby elect to defer my [2014] compensation as specified below under the Par Petroleum Corporation Directors’ Deferred Compensation Plan (the “Plan”):
1. Cash Amount $ .
2. Common Stock [ Number of Shares].
In connection with the above deferred amount I elect to commence the payment of my distribution on (select one):
1. The earlier of my death or my separation from service with the Company.
2. The earlier of [Date] at least 24 months after this election is made or my separation from service.
I understand all amounts are subject to the terms and conditions of the Plan and hereby acknowledge that I have received a copy of the Plan.
This form must be returned to the Company no later than .
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