2017 DISTRIBUTION ELECTION FORM Valero Energy Corporation Deferred Compensation Plan

EX-10.08 4 vloexh1008-12312016.htm EXHIBIT 10.08 Exhibit

Exhibit 10.08

2017 DISTRIBUTION ELECTION FORM
Valero Energy Corporation Deferred Compensation Plan

Payment Election
Upon Retirement
DEFAULT PAYMENT IF NO ELECTION IS MADE:
Fifteen annual installments commencing at date of retirement
I elect that, upon retirement, the value of my Plan account related to deferrals made for the 2017 Plan Year will be paid at the time and in the manner elected below:

Payment Commencement (choose one):

¨        As soon as administratively possible following retirement
(this is the default if no election is made)
¨        January 1 after the year of retirement

AND

Form of Distribution (choose one):

¨         Lump sum payment
¨         Annual installments for _______ years (choose 2 - 15 years)


Payment Election
Upon Other Separation
DEFAULT PAYMENT IF NO ELECTION IS MADE:
Immediate lump sum payable upon separation
I elect that, upon my separation from employment for a reason other than retirement, the value of my Plan account related to deferrals made for the 2017 Plan Year will be paid at the time and in the manner elected below:

Payment Commencement (choose one):

¨        As soon as administratively possible following separation
(this is the default if no election is made)
¨        January 1 after the year of separation

AND

Form of Distribution (choose one):

¨        Lump sum (this is the default payment if no election is made)
¨        Five annual installments






Distribution on Specified Date

In accordance with Section 6.4 of the Plan, I hereby elect to receive in one lump sum payment my Account derived from deferrals made during the 2017 Plan Year on the date or dates specified below, or the balance of the Account, if less. Any amounts distributed pursuant to this election shall immediately reduce my Account accordingly. (The earliest date that can be elected to receive 2017 deferrals is January 1, 2021.)

                                                                       Amount of Elective Deferral or
              Specified Date                                 Total Amount of the Account (Whichever is Less) 

         ___________________                                 ________________________

         ___________________                                 ________________________

         ___________________                                 ________________________


NOTE: In order to be effective, this form must be completed, signed, and returned to Financial Benefits (San Antonio/Mailstation E1L) on or before December 1, 2016. If your form is not timely submitted, your Plan deferral will be subject to the default distributions noted above.

The Company has taken measures to design the Plan in a manner that conforms to current tax law. However, it is possible that new legislation could affect your distribution elections, including delaying your distributions, in order to comply with legal requirements. Distribution elections submitted pursuant to the Plan will be governed by the terms and conditions of the Plan and governing law, and your elections will be subject to modifications made to the Plan in order to conform to legal requirements.
 

ACKNOWLEDGED AND AGREED:

 
 
 
 
 
 
Participant’s Signature
 
Date
 
 
 
 
 
 
Participant’s Name
 
Participant’s Employee ID Number