PAR PETROLEUM CORPORATION DIRECTORS DEFERRED COMPENSATION PLAN DEFERRAL ELECTION FORM
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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Signature |