Director Signature. I acknowledge that I have read and reviewed a copy of the Plan’s prospectus. I understand that my decision to defer the settlement of Stock Units will make me only a general, unsecured creditor of the Company. I also understand that the amounts deferred will be taxable as ordinary income in the year paid. If the Company determines that it is required to withhold for any taxes, including, but not limited to, income or employment taxes, prior to the date of deferred payout, I agree that, if I do not make other arrangements that are satisfactory to the Committee, in its sole discretion, the Company will withhold from the amounts due to me. I also understand that, upon receipt of deferred payouts, in addition to federal taxes, I may owe taxes both (1) to the state where I resided at the time of making this election and, if different, (2) to the state where I reside when I receive a deferred payout. The Committee shall have the discretion to make all determinations and decisions regarding this deferral election. To the extent the Committee determines that this election does not comply with applicable laws, now or in the future, this election shall be null and void. In such an event, amounts deferred shall be settled (1) immediately if the Original Payment Date already has occurred, or (2) upon the Original Payment Date if in the future. By signing this Election Form, I authorize implementation of the above instructions. I understand that the deferral elections that I have made on this Election Form are generally irrevocable and may not be changed in the future except in accordance with the requirements of Section 409A and the procedures specified by the Committee. DIRECTOR
Director Signature. Director Full Name (print) ...................................................................................................... *Director/*Secretary Signature ...................................................................................................... *Director/*Secretary Full Name (print) (* please strike out inapplicable *if Sole Director/Secretary write ‘Sole’) Annexure A
Director Signature. Date: Termination of this agreement occurs when a child leaves the program and all fees have been paid. Parents may withdraw the child for any reason. The Center may terminate this agreement if the program does not meet the needs of the child. ***************** Please read, complete and return all items accompanying this form prior to your child's 1st day of attendance. Registration $35 when returning forms before 05/05/23; $40 thereafter. Rev. 10/2023
Director Signature. Director name ...................................................................... Director/Company Secretary signature ...................................................................... Director/Company Secretary name EXECUTED by [INSERT NAME OF ) INDIVIDUAL] in the presence of: ) ..........................................................................
Director Signature. Director Name (BLOCK CAPITALS) ........................................................... Director Signature ………………………………………...... Director Name (BLOCK CAPITALS) Annex 1 - Plan of the borough to be provided. Annex 2 – Permitted Parking locations A Permitted Vehicle is allowed to park within the operating area identified in Annex 1. Where a Controlled Parking Zone (CPZ) is operational within this area, parking is allowed in bays signed as: • Residents parking bays (excluding housing estates and private roads) unless excluded in Annex 3 • Shared use (resident/pay-and-display) bays (Except where excluded in Annex 3) • Pay and Display only bays - : Parking is NOT allowed in: - Any bay outside of the operating area identified in Annex 1 - Disabled badge holders bays (except when displaying a valid blue badge) - Car Club bays - Electric Vehicle Charging Point Spaces (except when charging – maximum charging periods may apply) - Business Permit Only bays - Doctors bays - Suspended bays - Ambulance bays - Taxi Ranks - Motorcycle bays - Coach bays - Streets and roads where national parking restrictions apply. (i.e. yellow lines, red routes, junction boxes, zig zag lines, pedestrian crossings) - Barnet housing estates and private roads - Any location on the Transport for London Road Network (TLRN) for which Transport for London are the Highway and Traffic Authority. Note this includes sections of the side road off the TLRN. - Parking bays in part-time bus lanes at times when they as bus lanes - Parking bays where peak hour parking bans are in operation - Selected streets or areas as defined by Barnet Council, either permanently or for temporary events as directed by the Council and informed to the Company during the operation of the Agreement. A list of some of the known annual temporary events is provided below for information only and is not warranted or guaranteed by the Council. Annex 3 Excluded (Red Flagged) Permitted bay locations None Annex 4 Authorised Representative Barnet Xxxx Xxxxxxxxxx, Interim DLO Coordinator Xxxxx Xxxxx, AD Transportation and Highways Commissioning Xxxxx Xxxxx, Strategic Director- Environment DriveNow Xxxxxxx Bee Xxxxx Xxxxxx
Director Signature. Director name .................................................................... Director/Company Secretary signature .................................................................... Director/Company Secretary name ......................................................................... Date SCHEDULE
Director Signature. I acknowledge that I have read and reviewed a copy of the Plan’s prospectus. If the Company determines that it is required to withhold any taxes, including, but not limited to, income or employment taxes, prior to the date of payout, I agree that, if I do not make other arrangements that are satisfactory to the Committee, in its sole discretion, the Company will withhold from the amounts due to me. I also understand that, upon receipt of payout, in addition to federal taxes, I may owe taxes both (1) to the state where I resided on the Date of Grant or at the time of making this election and, if different, (2) to the state where I reside when I receive payout. The Committee shall have the discretion to make all determinations and decisions regarding this deferral election. To the extent the Committee determines that this election does not comply with applicable laws, now or in the future, this election shall be null and void. By signing this Election Form, I authorize implementation of the above instructions. I understand that the deferral elections that I have made on this Election Form may not be changed in the future except in accordance with the requirements of Section 409A and the procedures specified by the Committee. Please return a signed copy of this Election Form to Xxxxx Ma by email at xxxxx_xx@xxx.xxx or by regular mail to 0 Xxxxxx Xxxxxx, Xxx Xxxxxxxxx, Xxxxxxxxxx 00000 by [DATE] (the “Election Deadline”). If you fail to make an election by the Election Deadline and you have an Evergreen Deferral Election in effect, you will be deemed to have elected to continue your Evergreen Deferral Election at such time. If you fail to make an election by the Election Deadline and you do not have an Evergreen Deferral Election in effect, you will be deemed to have elected the Default Payment Timing for the Stock Unit Grants at such time. DIRECTOR Signed: ____________________________________ Date: ______________________________ Received by: THE GAP, INC. By: __________________________________________ Date: _______________________________ Title: _________________________________________
Director Signature. Date: Termination of this agreement occurs when a child leaves the program and all fees have been paid. Parents may withdraw the child for any reason. The Center may terminate this agreement if the program does not meet the needs of the child. The Parent Handbook is found at the bottom of this webpage: xxxxx://xxxxxxxxxxxxxxxxx.xxx/quick-links Please read, complete and return all items accompanying this form prior to your child's 1st day of attendance. Rev. 2/2024 Registration $35 when returning forms before 5/3/24; $40 thereafter. Contract vs. Flex *During the school year we allow switching between contract and flex agreements. During the summer we ask that you stick with one or the other. Thank you. When you fill out your Summer admission agreement you have the option of a Contract agreement or a Flex agreement. Flex agreement: • Your child can come on random days, as you need and you only pay for days attended. • If your child will be away from the HCLCC more than 2 weeks during the summer this is the most economical choice for you. • However, if we reach capacity, the contracted students will have priority for attendance. (This rarely happens in the summer.) •Flex schedules will be billed at the end of the month. The contract: • Better deal if your child will attend a set schedule throughout the summer. • The contract reserves your child’s space and you pay for that schedule whether or not the child attends. • You can request up to two weeks of vacation credit during the summer. • Billing is done at the beginning of each month. During the Summer we do not allow changes from contract to flex. It is important to decide in advance. +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Split Charges (when parents/guardians want to be billed separately): We, the parents/guardians of , wish to be charged separately for Child(xxx)'s Name(s) tuition costs as stated below: Parent Signature Date Parent Signature Date
Director Signature. Director name ...................................................................... Director/Company Secretary signature ...................................................................... Director/Company Secretary name ATTACHMENT 1 Driver Deed Poll This Deed is made on the date of signature by: DRIVER Name Address Phone Email
Director Signature. In the presence of ) ---------------------------------------------- Witness Name: ) ) …………………………………………. ) Witness Signature SIGNED on behalf of the ) Development and Environmental Professionals Association ) ) ………………………………………….
