Common use of COMPLIANCE WITH TAX AND SECURITIES LAWS Clause in Contracts

COMPLIANCE WITH TAX AND SECURITIES LAWS. S H I understand that I must rely on, and consult with, my own tax and I E legal counsel (and not Hudson City Bancorp, Inc.) regarding the G R application of xxx xxws -- particularly tax and securities laws -- N E to the transactions to be effected pursuant to my Option and this Notice. I understand that I will be responsible for paying any federal, state and local taxes that may become due upon the sale (including a sale pursuant to a "cashless exercise") or other disposition of Shares issued pursuant to this Notice and that I must consult with my own tax advisor regarding how and when such income will be reportable. ------------------------------------ -------------- Signature Date -------------------------------------------------------------------- Address -------------------------------------------------------------------------------- --------------------------------INTERNAL USE ONLY------------------------------- Received [CHECK ONE]: |_| By Hand |_| By Mail Post Marked ----------------- DATE OF POST MARK By ---------------------------------------------- ----------------- AUTHORIZED SIGNATURE DATE OF RECEIPT -------------------------------------------------------------------------------- HUDSON CITY BANCORP, INC. APPENDIX B TO STOCK XXXXXX AGREEMENT FOR DENIS J. SALAMONE BENEFICIARY DESIGNATION XXXX XXXXXXX INFORMATION USE THIS FORM TO DESIGNATE THE BENEFICIARY(IES) WHO WILL RECEIVE SHARES AVAILABLE FOR DISTRIBUTION AT THE TIME OF YOUR DEATH. Name of Award Social Security Number Recipient -- -- ----------------------------------------- ---------------------- COMPLETE SECTIONS A AND B. IF NO PERCENTAGE SHARES ARE SPECIFIED, EACH BENEFICIARY IN THE SAME CLASS (PRIMARY OR CONTINGENT) SHALL HAVE AN EQUAL SHARE. IF ANY BENEFICIARY BENEFICIARY DESIGNATED BENEFICIARY PREDECEASES YOU, THE DESIGNATION SHARES OF EACH REMAINING BENEFICIARY IN THE SAME CLASS (PRIMARY OR CONTINGENT) SHALL BE INCREASED PROPORTIONATELY.

Appears in 1 contract

Samples: Stock Option Agreement (Hudson City Bancorp Inc)

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COMPLIANCE WITH TAX AND SECURITIES LAWS. S H I understand that I must rely on, and consult with, my own tax and I E legal counsel (and not Hudson City Slade's Ferry Bancorp, Inc.) regarding the G R txx X E application of xxx xxws all laws -- particularly tax and securities laws -- N E to the transactions to be effected pursuant to my Option and this G R Notice. I understand that I will be responsible for paying any federal, state and local taxes that may become due upon the sale N E (including a sale pursuant to a "cashless exercise") or other disposition of Shares issued pursuant to this Notice and that I must consult with my own tax advisor regarding how and when such income will be reportable. ------------------------------------ -------------- ________________________________________ ______________________ Signature Date -------------------------------------------------------------------- Address -------------------------------------------------------------------------------- --------------------------------INTERNAL USE ONLY------------------------------- ___________________________ Internal Use Only _______________________________ Received [CHECK ONEcheck one]: |_| [ ] By Hand |_| [ ] By Mail Post Marked ----------------- DATE OF POST MARK By ---------------------------------------------- ----------------- AUTHORIZED SIGNATURE DATE OF RECEIPT -------------------------------------------------------------------------------- HUDSON CITY BANCORP, INC. Marked__________________ Date of Post Mark By_______________________________________ ____________________________________ Authorized Signature Date of Receipt APPENDIX B TO STOCK XXXXXX AGREEMENT FOR DENIS J. SALAMONE BENEFICIARY DESIGNATION XXXX XXXXXXX OPTION CERTIFICATE SLADE'S FERRY BANCORP 2004 EQUITY INCENTIVE PLAN Beneficiary Designation Form GENERAL INFORMATION USE THIS FORM TO DESIGNATE THE BENEFICIARY(IESUse this form to designate the Beneficiary(ies) WHO WILL RECEIVE SHARES AVAILABLE FOR DISTRIBUTION AT THE TIME OF YOUR DEATHwho will receive vested stock options outstanding to you at the time of your death. Name of Award Recipient _________________________ Social Security Number Recipient -- -- ----------------------------------------- ---------------------- COMPLETE SECTIONS ___-__-____ BENEFICIARY Complete sections A AND and B. IF NO PERCENTAGE SHARES ARE SPECIFIEDIf no percentage shares are DESIGNATION specified, EACH BENEFICIARY IN THE SAME CLASS each Beneficiary in the same class (PRIMARY OR CONTINGENTprimary or contingent) SHALL HAVE AN EQUAL SHAREshall have an equal share. IF ANY BENEFICIARY BENEFICIARY DESIGNATED BENEFICIARY PREDECEASES YOUIf any designated Beneficiary predeceases you, THE DESIGNATION SHARES OF EACH REMAINING BENEFICIARY IN THE SAME CLASS the shares of each remaining Beneficiary in the same class (PRIMARY OR CONTINGENTprimary or contingent) SHALL BE INCREASED PROPORTIONATELYshall be increased proportionately.

Appears in 1 contract

Samples: Slades Ferry Bancorp

COMPLIANCE WITH TAX AND SECURITIES LAWS. S H I understand that I must rely on, and consult with, my own tax and I E legal counsel (and not Hudson City Bancorp, Inc.the Company) regarding the G R I E application of xxx xxws all laws -- particularly tax and securities laws -- N E to the transactions to be effected pursuant to my G R Option and this Notice. I understand that I will be responsible for paying any federal, state and local taxes that may N E become due upon the sale (including a sale pursuant to a "cashless exercise") or other disposition of Shares issued pursuant to this Notice and that I must consult with my own tax advisor regarding how and when such income will be reportable. ------------------------------------ -------------- Signature Date -------------------------------------------------------------------- Address -------------------------------------------------------------------------------- --------------------------------INTERNAL ____________________________________________________________________________________ ______________________ SIGNATURE DATE __________________________________________________________________________________________________________________________ ADDRESS ------------------------------------------------------------------------------------------------------------------------------------ -------------------------------------------------------------INTERNAL USE ONLY------------------------------- ONLY------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------------------------ CORPORATE SECRETARY Received [CHECK ONE]: |_| /_/ By Hand |_| /_/ By Mail Post Marked ----------------- ______________________________ DATE OF POST MARK By ---------------------------------------------- ----------------- By______________________________________________________________________________________________ ______________________________ AUTHORIZED SIGNATURE DATE OF RECEIPT -------------------------------------------------------------------------------- HUDSON CITY BANCORP, INC. ------------------------------------------------------------------------------------------------------------------------------------ APPENDIX B TO STOCK XXXXXX OPTION AGREEMENT FOR DENIS J. SALAMONE BIG FOOT FINANCIAL CORP. 1997 STOCK OPTION PLAN BENEFICIARY DESIGNATION XXXX XXXXXXX FORM GENERAL INFORMATION USE THIS FORM TO DESIGNATE THE BENEFICIARY(IES) WHO WILL RECEIVE SHARES AVAILABLE FOR DISTRIBUTION MAY EXERCISE OPTIONS OUTSTANDING TO YOU AT THE TIME OF YOUR DEATH. Name of Award Social Security Number Recipient -- -- ----------------------------------------- ---------------------- NAME OF PERSON MAKING DESIGNATION______________________________________________________________________ SOCIAL SECURITY NUMBER_____-_____-_______ BENEFICIARY COMPLETE SECTIONS A AND B. IF NO PERCENTAGE SHARES ARE SPECIFIED, EACH BENEFICIARY IN THE SAME CLASS (PRIMARY OR DESIGNATION CONTINGENT) SHALL HAVE AN EQUAL SHARE. IF ANY BENEFICIARY BENEFICIARY DESIGNATED BENEFICIARY PREDECEASES YOU, THE DESIGNATION SHARES OF EACH REMAINING BENEFICIARY IN THE SAME CLASS (PRIMARY OR CONTINGENT) SHALL BE INCREASED PROPORTIONATELY.. A PRIMARY BENEFICIARY(IES). I hereby designate the following person as my primary Beneficiary under the Plan, reserving the right to change or revoke this designation at any time prior to my death: NAME ADDRESS RELATIONSHIP BIRTHDATE SHARE ___________________________________ __________________________________________ _______________ _____________ __________________% __________________________________________ ___________________________________ __________________________________________ _______________ _____________ __________________% __________________________________________ ___________________________________ __________________________________________ _______________ _____________ __________________% __________________________________________ Total = 100% B CONTINGENT BENEFICIARY(IES). I hereby designate the following person(s) as my contingent Beneficiary(ies) under the Plan to receive benefits only if all of my primary Beneficiaries should predecease me, reserving the right to change or revoke this designation at any time prior to my death as to all outstanding Options: NAME ADDRESS RELATIONSHIP BIRTHDATE SHARE ___________________________________ __________________________________________ _______________ _____________ __________________% __________________________________________ ___________________________________ __________________________________________ _______________ _____________ __________________% __________________________________________ ___________________________________ __________________________________________ _______________ _____________ __________________% __________________________________________ Total = 100%

Appears in 1 contract

Samples: Stock Option Agreement (Big Foot Financial Corp)

COMPLIANCE WITH TAX AND SECURITIES LAWS. S H I understand that I must rely on, and consult with, my own tax and I E legal counsel (and not Hudson City BancorpTappan Zee Financial, Inc.) regarding the G R application of xxx xxws all laws -- particularly tax and securities laws -- N E to the transactions to be effected pursuant to my Option and this Notice. I understand that I will be responsible for paying any federal, state and local taxes that may become due upon the sale (including a sale pursuant to a "cashless exercise") or other disposition of Shares issued pursuant to this Notice and that I must consult with my own tax advisor regarding how and when such income will be reportable. ------------------------------------ -------------- ---------------------------------- ------------------------- Signature Date -------------------------------------------------------------------- -------------------------------------------------------------------------------- Address -------------------------------------------------------------------------------- --------------------------------INTERNAL USE ONLY------------------------------- * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * COMPENSATION COMMITTEE Received [CHECK ONEcheck one]: |_| [ ] By Hand |_| [ ] By Mail Post Marked ----------------- DATE OF POST MARK By ---------------------------------------------- ----------------- AUTHORIZED SIGNATURE DATE OF RECEIPT -------------------------------------------------------------------------------- HUDSON CITY BANCORP------------------ Date of Post Mark Xx ---------------------------------------- ------------------ Authorized Signature Date of Receipt 6 TAPPAN ZEE FINANCIAL, INC. APPENDIX B TO 1996 STOCK XXXXXX OPTION PLAN FOR OUTSIDE DIRECTORS NON-QUALIFIED STOCK OPTION AGREEMENT FOR DENIS J. SALAMONE BENEFICIARY DESIGNATION XXXX XXXXXXX INFORMATION USE THIS FORM TO DESIGNATE THE BENEFICIARY(IES) WHO WILL RECEIVE SHARES AVAILABLE FOR DISTRIBUTION AT THE TIME OF YOUR DEATH. - - ----------------------------------------- ------ -------- ------ Name of Award Optionee Social Security Number Recipient -- -- ----------------------------------------- ---------------------- COMPLETE SECTIONS -------------------------------------------------------------------------------- Street Address -------------------------- -------------------- ---------------------------- City State ZIP Code This Non-Qualified Stock Option Agreement is intended to set forth the terms and conditions on which a Non-Qualified Stock Option has been granted under the Tappan Zee Financial, Inc. 1996 Stock Option Plan for Outside Directors. Set forth below are the specific terms and conditions applicable to this Non-Qualified Stock Option. Attached as Exhibit A are its general terms and conditions. The Agreement set forth herein shall be effective as of July 11, 1996 and shall amend and supersede, in its entirety, any other Non-Qualified Stock Option Agreement issued to the Optionee as of such date. ======================================================================================================================== Option Grant (A) (B) (C) (D) (E) ======================================================================================================================== Grant Date: ------------------------------------------------------------------------------------------------------------------------ Class of Optioned Shares* Common Common Common Common Common ------------------------------------------------------------------------------------------------------------------------ No. of Optioned Shares* ------------------------------------------------------------------------------------------------------------------------ Exercise Price Per Share* ------------------------------------------------------------------------------------------------------------------------ VESTING ------------------------------------------------------------------------------------------------------------------------ Earliest Exercise Date* ------------------------------------------------------------------------------------------------------------------------ Option Expiration Date* ======================================================================================================================== *Subject to adjustment as provided in the Plan and the General Terms and Conditions. By signing where indicated below, Tappan Zee Financial, Inc. (the "Company") grants this Non-Qualified Stock Option upon the specified terms and conditions, and the Optionee acknowledges receipt of this Non-Qualified Stock Option Agreement, including Exhibit A, and agrees to observe and be bound by the terms and conditions set forth herein. TAPPAN ZEE FINANCIAL, INC. OPTIONEE By ------------------------------- ---------------------------- Name: Title: -------------------------------------------------------------------------------- INSTRUCTIONS: This page should be completed by or on behalf of the Compensation Committee. Any blank space intentionally left blank should be crossed out. An option grant consists of a number of optioned shares with uniform terms and conditions. Where options are granted on the same date with varying terms and conditions (for example, varying exercise prices or earliest exercise dates), the options should be recorded as a series of grants each with its own uniform terms and conditions. EXHIBIT A TAPPAN ZEE FINANCIAL, INC. 1996 STOCK OPTION PLAN FOR OUTSIDE DIRECTORS NON-QUALIFIED STOCK OPTION AGREEMENT GENERAL TERMS AND B. IF NO PERCENTAGE SHARES ARE SPECIFIED, EACH BENEFICIARY IN THE SAME CLASS (PRIMARY OR CONTINGENT) SHALL HAVE AN EQUAL SHARE. IF ANY BENEFICIARY BENEFICIARY DESIGNATED BENEFICIARY PREDECEASES YOU, THE DESIGNATION SHARES OF EACH REMAINING BENEFICIARY IN THE SAME CLASS (PRIMARY OR CONTINGENT) SHALL BE INCREASED PROPORTIONATELY.CONDITIONS

Appears in 1 contract

Samples: Qualified Stock Option Agreement (Tappan Zee Financial Inc)

COMPLIANCE WITH TAX AND SECURITIES LAWS. S H I understand that I must rely on, and consult with, my own tax and legal I E legal counsel (and not Hudson City Bancorp, Inc.Astoria Financial Corporation) regarding the application G R application of xxx xxws all laws -- particularly tax and securities laws -- N E to the transactions N E to be effected pursuant to my Option and this Notice. I understand that I will be responsible for paying any federal, state and local taxes that may become due upon the sale (including a sale pursuant to a "cashless exercise") or other disposition of Shares shares of AFC Common Stock issued pursuant to this Notice and that I must consult with my own tax advisor regarding how and when such income will be reportable. ------------------------------------ -------------- ______________________________________________ ________________________ Signature Date -------------------------------------------------------------------- _______________________________________________________________________________ Address -------------------------------------------------------------------------------- --------------------------------INTERNAL USE ONLY------------------------------- -------------------------------------------------------------------------------- ASTORIA FINANCIAL CORPORATION Received [CHECK ONE]: |_| / / By Hand |_| / / By Mail Post Marked ----------------- ______________________ DATE OF POST MARK XXXX By ---------------------------------------------- ----------------- _________________________________________________ ______________________ AUTHORIZED SIGNATURE DATE OF RECEIPT -------------------------------------------------------------------------------- HUDSON CITY XXXXXXXX X TO STOCK OPTION CONVERSION AGREEMENT STOCK OPTIONS GRANTED PURSUANT TO SECTION 1.04 OF THE AGREEMENT AND PLAN OF MERGER, DATED AS OF THE 2ND DAY OF APRIL, 1998, AS AMENDED, BY AND BETWEEN ASTORIA FINANCIAL CORPORATION AND LONG ISLAND BANCORP, INC. APPENDIX B TO STOCK XXXXXX AGREEMENT FOR DENIS J. SALAMONE BENEFICIARY DESIGNATION XXXX XXXXXXX FORM -------------------------------------------------------------------------------- GENERAL Use this form to designate the Beneficiary(ies) who may exercise INFORMATION USE THIS FORM TO DESIGNATE THE BENEFICIARY(IES) WHO WILL RECEIVE SHARES AVAILABLE FOR DISTRIBUTION AT THE TIME OF YOUR DEATHConverted Options outstanding to you at the time of your death under the Option Conversion Agreement dated September 30, 1998 between Astoria Financial Corporation and the Option Holder named below. Name of Award Person Making Designation ________________________ Social Security Number Recipient -- -- ----------------------------------------- ---------------------- COMPLETE SECTIONS ___-___-____ Name of Option Holder _____________________________ Social Security Number ___-___-____ BENEFICIARY Complete sections A AND and B. IF NO PERCENTAGE SHARES ARE SPECIFIEDIf no percentage shares are specified, EACH BENEFICIARY IN THE SAME CLASS DESIGNATION each beneficiary in the same class (PRIMARY OR CONTINGENTprimary or contingent) SHALL HAVE AN EQUAL SHAREshall have an equal share. IF ANY BENEFICIARY BENEFICIARY DESIGNATED BENEFICIARY PREDECEASES YOUIf any designated Beneficiary predeceases you, THE DESIGNATION SHARES OF EACH REMAINING BENEFICIARY IN THE SAME CLASS the shares of each remaining Beneficiary in the same class (PRIMARY OR CONTINGENTprimary or contingent) SHALL BE INCREASED PROPORTIONATELYshall be increased proportionately.

Appears in 1 contract

Samples: Astoria Financial Corp

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COMPLIANCE WITH TAX AND SECURITIES LAWS. S H I understand that I must rely on, and consult with, my own tax and I E legal counsel (and not Hudson City BancorpU.S.B. Holding Co., Inc.) regarding the G R I E application of xxx xxws all laws -- particularly tax and securities laws -- N E to the transactions to be effected pursuant to my Option and this Notice. G R I understand that I will be responsible for paying any federal, state and local taxes that may become due upon the sale (including a sale N E pursuant to a "cashless exercise") or other disposition of Shares issued pursuant to this Notice and that I must consult with my own tax advisor regarding how and when such income will be reportable. ------------------------------------ -------------- --------------------------------------------------- ----------------- Signature Date -------------------------------------------------------------------- ----------------------------------------------------------------------- Address INTERNAL USE ONLY -------------------------------------------------------------------------------- --------------------------------INTERNAL USE ONLY------------------------------- Received [CHECK ONE]: |_| By Hand |_| By Mail Post Marked ----------------- DATE OF CHIEF FINANCIAL OFFICER - STOCK OPTION PLANS RECEIVED - DATE______________ BY HAND__________ BY MAIL POST MARK By ---------------------------------------------- ----------------- MARKED__________________________ BY____________________________________ __________________ AUTHORIZED SIGNATURE DATE OF RECEIPT -------------------------------------------------------------------------------- HUDSON CITY BANCORPAPPENDIX B U.S.B. HOLDING CO., INC. APPENDIX B TO ., 2005 EMPLOYEE STOCK XXXXXX AGREEMENT FOR DENIS J. SALAMONE OPTION PLAN BENEFICIARY DESIGNATION XXXX XXXXXXX INFORMATION FORM -------------------------------------------------------------------------------- GENERAL USE THIS FORM TO DESIGNATE THE BENEFICIARY(IES) WHO WILL RECEIVE SHARES AVAILABLE FOR DISTRIBUTION MAY EXERCISE INFORMATION OPTIONS OUTSTANDING TO YOU AT THE TIME OF YOUR DEATH. Name of Award Social Security Number Recipient -- -- ----------------------------------------- ---------------------- BENEFICIARY COMPLETE SECTIONS A AND B. IF NO PERCENTAGE SHARES ARE DESIGNATION SPECIFIED, EACH BENEFICIARY IN THE SAME CLASS (PRIMARY OR CONTINGENT) SHALL HAVE AN EQUAL SHARE. IF ANY BENEFICIARY BENEFICIARY DESIGNATED BENEFICIARY PREDECEASES YOU, THE DESIGNATION SHARES OF EACH REMAINING BENEFICIARY IN THE SAME CLASS (PRIMARY OR CONTINGENT) SHALL BE INCREASED PROPORTIONATELY.. A PRIMARY BENEFICIARY(IES). I hereby designate the following person as my primary Beneficiary under the Plan, reserving the right to change or revoke this designation at any time prior to my death: NAME ADDRESS RELATIONSHIP BIRTHDATE SHARE ________________________ ___________________ ____________ _________ ______% ___________________ ________________________ ___________________ ____________ _________ ______% ___________________ ________________________ ___________________ ____________ _________ ______% ___________________ Total = 100% B CONTINGENT BENEFICIARY(IES). I hereby designate the following person(s) as my contingent Beneficiary(ies) under the Plan to receive benefits only if all of my primary Beneficiaries should predecease me, reserving the right to change or revoke this designation at any time prior to my death as to all outstanding Options: NAME ADDRESS RELATIONSHIP BIRTHDATE SHARE ________________________ ___________________ ____________ _________ ______% ___________________ ________________________ ___________________ ____________ _________ ______% ___________________ ________________________ ___________________ ____________ _________ ______% ___________________ Total = 100%

Appears in 1 contract

Samples: Option Agreement (Usb Holding Co Inc)

COMPLIANCE WITH TAX AND SECURITIES LAWS. S H I understand that I must rely on, and consult with, my own tax and I E legal counsel (and not Hudson City BancorpBridge Street Financial, Inc.) regarding the G R application of xxx xxws all laws -- particularly tax and securities laws -- N E to the transactions to be effected pursuant to my Option and this Notice. I understand that I will be responsible for paying any federal, state and local I E taxes that may become due upon the sale (including a sale pursuant to a "cashless exercise") or other disposition of Shares issued pursuant to this Notice and that I must consult with my own tax advisor regarding how and when such income will be reportable. ------------------------------------ -------------- SIGN HERE _______________________________________ _________________________________ Signature Date -------------------------------------------------------------------- Address Internal Use Only -------------------------------------------------------------------------------- --------------------------------INTERNAL USE ONLY------------------------------- -------------------------------------------------------------------------------- Received [CHECK ONEcheck one]: |_| By Hand |_| By Mail Post Marked ----------------- DATE OF POST MARK Date of Post Mark By ---------------------------------------------- ----------------- AUTHORIZED SIGNATURE DATE OF RECEIPT Authorized Signxxxxe Date of Receipt -------------------------------------------------------------------------------- HUDSON CITY BANCORP, INC. APPENDIX B TO STOCK XXXXXX AGREEMENT FOR DENIS J. SALAMONE BENEFICIARY DESIGNATION XXXX XXXXXXX OPTION CERTIFICATE BRIDGE STREET FINANCIAL, INC. 2003 STOCK OPTION PLAN Beneficiary Designation Form -------------------------------------------------------------------------------- GENERAL INFORMATION USE THIS FORM TO DESIGNATE THE BENEFICIARY(IESUse this form to designate the Beneficiary(ies) WHO WILL RECEIVE SHARES AVAILABLE FOR DISTRIBUTION AT THE TIME OF YOUR DEATHwho will receive vested stock options outstanding to you at the time of your death. Name of Award Recipient ______________________ Social Security Number Recipient -- -- ----------------------------------------- ---------------------- COMPLETE SECTIONS _____-_____-______ BENEFICIARY Complete sections A AND and B. IF NO PERCENTAGE SHARES ARE SPECIFIEDIf no percentage shares are DESIGNATION specified, EACH BENEFICIARY IN THE SAME CLASS each Beneficiary in the same class (PRIMARY OR CONTINGENTprimary or contingent) SHALL HAVE AN EQUAL SHAREshall have an equal share. IF ANY BENEFICIARY BENEFICIARY DESIGNATED BENEFICIARY PREDECEASES YOUIf any designated Beneficiary predeceases you, THE DESIGNATION SHARES OF EACH REMAINING BENEFICIARY IN THE SAME CLASS the shares of each remaining Beneficiary in the same class (PRIMARY OR CONTINGENTprimary or contingent) SHALL BE INCREASED PROPORTIONATELYshall be increased proportionately.

Appears in 1 contract

Samples: Bridge Street Financial Inc

COMPLIANCE WITH TAX AND SECURITIES LAWS. S H I understand that I must rely on, and consult with, my own I E tax and I E legal counsel (and not Hudson City Bancorp, Inc.) G X regarding the G R application of xxx xxws all laws -- particularly tax and N E securities laws -- N E to the transactions to be effected pursuant to my Option and this Notice. I understand that I will be responsible for paying any federal, state and local taxes that may become due upon the sale (including a sale pursuant to a "cashless exercise") or other disposition of Shares issued pursuant to this Notice and that I must consult with my own tax advisor regarding how and when such income will be reportable. ------------------------------------ -------------- ------------------------------------------ ---------------- Signature Date -------------------------------------------------------------------- --------------------------------------------------------------- Address -------------------------------------------------------------------------------- --------------------------------INTERNAL INTERNAL USE ONLY------------------------------- ONLY Received [CHECK ONE]: |_| | | By Hand |_| | | By Mail Post Marked ----------------- _________________ DATE OF POST MARK By ---------------------------------------------- -------------------------------------------- ----------------- AUTHORIZED SIGNATURE DATE OF RECEIPT -------------------------------------------------------------------------------- HUDSON CITY BANCORP, INC. APPENDIX B TO STOCK XXXXXX OPTION AGREEMENT FOR DENIS J. SALAMONE BENEFICIARY DESIGNATION XXXX XXXXXXX INFORMATION FORM GENERAL USE THIS FORM TO DESIGNATE THE BENEFICIARY(IES) WHO WILL RECEIVE SHARES AVAILABLE FOR DISTRIBUTION INFORMATION VESTED STOCK OPTIONS OUTSTANDING TO YOU AT THE TIME OF YOUR DEATH. Name of Award Social Security Number Recipient -- -- ----------------------------------------- ---------------------- Recipient____________________________________________ _______--_____--_______ BENEFICIARY COMPLETE SECTIONS A AND B. IF NO PERCENTAGE SHARES ARE DESIGNATION SPECIFIED, EACH BENEFICIARY IN THE SAME CLASS (PRIMARY OR CONTINGENT) SHALL HAVE AN EQUAL SHARE. IF ANY BENEFICIARY BENEFICIARY DESIGNATED BENEFICIARY PREDECEASES YOU, THE DESIGNATION SHARES OF EACH REMAINING BENEFICIARY IN THE SAME CLASS (PRIMARY OR CONTINGENT) SHALL BE INCREASED PROPORTIONATELY.

Appears in 1 contract

Samples: Stock Option Agreement (Hudson City Bancorp Inc)

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