Deferral Election Form for Restricted Performance Shares – Westamerica Bancorporation

Contract Categories: Human Resources › Compensation Agreements
Summary

This form allows employees of Westamerica Bancorporation to choose when to receive payment of their vested Restricted Performance Shares. Employees can elect to defer payment to a future date, such as a specific year or after their employment ends. Deferred amounts remain subject to company creditors in case of bankruptcy. The form also authorizes the company to withhold shares to cover required taxes at the time of distribution. The employee must sign and date the form to confirm their choices.

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EX-10.(K) 4 f18098exv10wxky.htm EXHIBIT 10.(K) exv10wxky  

Exhibit 10(k)

DEFERRAL ELECTION FORM FOR
RESTRICTED PERFORMANCE SHARES
             
 
           
Print Name
   Social   Security   Number
 
Residence Address
 
ELECTION TO DEFER
Your election relates only to amounts that become vested in calendar years after the year you file this election, as further designated below. Amounts deferred are subject to the claims of the Westamerica Bancorporation’s creditors in the event of bankruptcy or insolvency.
Please check one box:
     
 
  I elect to defer payment of the Restricted Performance Shares in which I vest during the next calendar year to April 1 of the second following calendar year.
 
    
 
  I elect to defer payment of the Restricted Performance Shares in which I vest during the next calendar year until the first day of the month following my termination of employment.
 
    
 
  I elect to defer payment of the Restricted Performance Shares in which I vest during the next calendar year until the first day of the first month following the calendar year in which I terminate employment.
 
WITHHOLDING TAXES
     
 
  Stock withholding. I irrevocably authorize the Corporation when making payment to me to withhold from the shares otherwise distributable that number of shares necessary to satisfy federal and state (or other) taxes owed on the distribution at the minimum rate determined by the Corporation.
 
SIGNATURE
I hereby make the elections designated in this form.
     
 
   
Signature
      Date

Corporation Use
Rec’d:
 
By: