0001193125-07-227501 Sample Contracts

ELECTION FORM AND WAIVER AGREEMENT
Election Form and Waiver Agreement • October 29th, 2007 • Winn Dixie Stores Inc • Retail-grocery stores • Florida

This Election Form and Waiver Agreement (“Agreement”) is made and entered into between Thomas P. Robbins (“Employee”) and Winn-Dixie Stores, Inc., its officers, agents, employees, successors and assigns and any affiliated company, parent, or subsidiary, and their past and present directors, officers, employees, representatives, successors and assigns (“Winn-Dixie”) with reference to the following facts:

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