Exhibit 10.42*
(Form 10-K)
AMENDED AND RESTATED CHANGE IN CONTROL AGREEMENT
This Amended and Restated Change in
Control Agreement (“Agreement”) is made by and between
Citizens Republic Bancorp, Inc., a Michigan corporation
(“Corporation”), and
[ ]
(“Executive”).
The Executive and the Corporation are
parties to that certain Change of Control Agreement, dated as of
[ ]
(the “Original Agreement”). The Corporation now desires
to make certain amendments to the Original Agreement as deemed
advisable to prevent an inclusion of income or imposition of
penalties under Section 409A of the Internal Revenue Code of
1986, as amended (the “Code”) or as deemed advisable to
facilitate compliance with Code Section 409A.
The Corporation anticipates the
valuable services that the Executive will render on behalf of the
Corporation and its subsidiary banks and is desirous of having some
assurance that the Executive will continue as an employee and that,
in the event of a possible Change in Control of the Corporation,
the Executive will be able to perform the Executive’s duties
without undue concern for the Executive’s personal financial
well-being; and
The Executive is willing to serve as
an employee of the Corporation but desires assurance that in the
event of a Change in Control of the Corporation, the Executive will
continue to have the responsibility and status the Executive has
earned.
Accordingly, the Corporation and the
Executive agree as follows:
1. In order to protect the
Executive against the possible consequences of a Change in Control
of the Corporation, as defined in paragraph 2 of this Agreement,
and thereby to induce the Executive to serve as an officer of the
Corporation or a subsidiary bank the Corporation agrees that if
(a) there is such a Change in Control of the Corporation and
(b) the Executive experiences a “separation from
service” from the Corporation or a subsidiary thereof within
the meaning of Code Section 409A (a “Separation from
Service”) under the circumstances described in paragraph 3 of
this Agreement, then:
A. The Corporation shall pay the
Executive a lump sum amount in cash equal to the sum of (i) three
times the Executive’s annual base salary immediately prior to
the Change in Control (or if higher, the annual base salary on the
date the Executive’s employment is terminated) and
(ii) three times the greater of (x) the anticipated bonus
amount under the Citizens Banking Corporation Management Incentive
Plan to be earned in accordance with the plan in the year in which
the Separation from Service occurs or (y) the highest bonus
paid to the Executive in the last three full calendar years of such
employment (such amount, the “Severance Payment”). The
Severance Payment shall be payable within 60 days following
the date of the Executive’s Separation from Service, provided
that, except as provided with respect to an Anticipatory
Termination (as defined in paragraph 3 below), in the event that
the Executive is a “specified employee” within the
meaning of Code Section 409A (with such classification to be
determined in accordance with the methodology established by the
applicable employer) (a “Specified Employee”) as of the
date of the Executive’s Separation from Service, the
Severance Payment shall instead be paid, with interest on any
delayed payment at the applicable federal rate provided for in Code
Section 7872(f)(2)(A) (“Interest”), on the first
business day after the date that is six months following the
Executive’s Separation from Service (the “409A Payment
Date”). Notwithstanding the foregoing, in the event of an
Anticipatory Termination, the Severance Payment shall be paid as
follows: (i) if such Change in Control is a “change in
control event” within the meaning of Code Section 409A,
(A) except
as
provided in clause (i)(B), on the date of such Change in Control,
or (B) if the Executive is a Specified Employee as of the date
of the Executive’s Separation from Service, on the 409A
Payment Date, and (ii) if such Change in Control is not a
“change in control event” within the meaning of Code
Section 409A, (A) except as provided in clause (ii)(B), on the
first business day following the three-month anniversary of the
date of such Anticipatory Termination, or (B) if the Executive
is a Specified Employee as of the date of the Executive’s
Separation from Service, on the 409A Payment Date. Interest with
respect to the period, if any, from the date of the Change in
Control until the actual date of payment shall be paid on the
Severance Payment made in connection with an Anticipatory
Termination.
B. The Executive shall continue
to be covered, at the Corporation’s cost, by the medical,
dental and life insurance benefit plans that are in effect on the
date of the Executive’s Separation from Service and that
cover executive employees, for a period of thirty-six
(36) months (the “Benefit Continuation Period”)
after the Executive’s Separation from Service; provided,
however, that such medical and dental benefits provided during the
Benefit Continuation Period shall be provided in such a manner that
such benefits (and the costs and premiums thereof) are excluded
from the Executive’s income for federal income tax purposes
and, if the Corporation reasonably determines that providing
continued coverage under one or more of its health care benefit
plans contemplated herein could be taxable to the Executive, the
Corporation shall provide such benefits at the level required
hereby through the purchase of individual insurance coverage;
provided, however, that if during such time period the Executive
should enter into other employment providing comparable benefits,
the Executive’s participation in such plans of the
Corporation shall cease to the extent of the Executive’s
coverage by the Executive’s new employer’s plans. Any
such non-cash benefit that is tied to compensation shall be based
on the Executive’s annual compensation averaged over the same
period as applicable under paragraph 1.A of this Agreement.
C. If the Executive was
furnished with a club membership, that membership will be
transferred by the Corporation to the Executive at no cost to the
Executive on the date of the Executive’s Separation from
Service, in which case the Executive shall, immediately following
the transfer, become subject to the dues charges of the club.
Notwithstanding the foregoing, if the Executive is a Specified
Employee as of the date of the Executive’s Separation from
Service, the Corporation shall continue to maintain the
Executive’s club membership at the same level and rate as in
effect on the date of the Executive’s Separation from Service
until, and shall transfer such membership at no cost to the
Executive on, the 409A Payment Date, in which case the Executive
shall, during such period of delay, pay the dues charges of the
club on behalf of the Corporation and, immediately following such
delayed transfer, become subject to the dues charges of the
club.
D. All stock options and
restricted stock previously granted by the Corporation to the
Executive, whether or not then exercisable, shall become
immediately vested and exercisable.
E. For a period of one year
following Executive’s Separation from Service, the Executive
shall be entitled to outplacement services provided by an
outplacement service provider designated by the Corporation. The
cost of providing the outplacement services shall be borne solely
by the Corporation, and shall be equal to the lesser of
(i) 10% of the Executive’s annual base salary
immediately prior to the Change in Control (or, if higher, the
Executive’s annual base salary as of the date of the
Executive’s Separation from Service) and (ii) $20,000.
F. If the payment of any of the
foregoing amounts or benefits (when added to any other payments or
benefits provided to the Executive in the nature of compensation)
will result in the payment of an excess parachute payment as that
term is defined in Code Section 280G, then in such event, the
Corporation shall pay the Executive an additional amount for each
calendar year in which an excess parachute payment is received by
the Executive (the “Gross-Up Payment”). The Gross-Up
Payment is intended to cover the Executive’s liability for
any excise tax imposed under Code Section 4999, together with
any interest or penalties imposed with respect to such excise tax
(the “Excise Tax”) on such excess parachute payment, as
well as federal and state income taxes and parachute tax on the
additional amount, and shall be computed as follows:
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A = Pt/(1 - T — t),
where - |
-2-
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A |
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is the additional amount for any
calendar year; |
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P |
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is the amount of the excess parachute
payment for the calendar year in excess of the allocable base
amount as defined in Code Section 280G(b)(3); |
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T |
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is the effective marginal rate of
federal and state income tax applicable to the Executive for the
calendar year; and |
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t |
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is the rate of parachute tax under
Code Section 4999. |
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The effective marginal
rate of federal and state income tax shall be computed as
follows: |
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T = F + S(l - 0.8F) + m,
where - |
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F |
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is the highest marginal rate of
federal income tax applicable to the Executive for the calendar
year; |
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S |
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is the highest aggregate marginal
rate of state income tax applicable to the Executive for the
calendar year in the state or states and municipalities to which
the Executive is then required to pay income taxes as a result of
the Executive’s employment by the Corporation; and |
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m |
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is the employee’s portion of
the Medicare tax, currently 1.45%. |
Payment
of the Gross-Up Payment shall be made to the Executive on or before
December 31 of each calendar year for which an excess
parachute payment is received by the Executive, provided, that in
the event the Executive is a Specified Employee as of the date of
the Executive’s Separation from Service, the Gross-Up Payment
shall be made to the Executive on the 409A Payment Date, if
later.
G. Subject to the provisions of
paragraph 1.G, all determinations required to be made under these
paragraphs 1.E, 1.F and 1.G, including whether and when a Gross-Up
Payment is required and the amount of such Gross-Up Payment and the
assumptions to be utilized in arriving at such determination, shall
be made by Ernst & Young, LLP or such other certified public
accounting firm reasonably acceptable to the Corporation as may be
designated by the Executive (the “Accounting Firm”)
which shall provide detailed supporting calculations both to the
Corporation and the Executive within 15 business days of the
receipt of notice from the Executive that there has been an excess
parachute payment, or such earlier time as is requested by the
Corporation. All fees and expenses of the Accounting Firm shall be
borne solely by the Corporation. Any determination by the
Accounting Firm shall be binding upon the Corporation and the
Executive. As a result of the uncertainty in the application of
Code Section 4999 at the time of the initial determination by
the Accounting Firm hereunder, it is possible that Gross-Up
Payments which will not have been made by the Corporation should
have been made (“Underpayment”), consistent with the
calculations required to be made hereunder. In the event that the
Corporation exhausts its remedies pursuant to paragraph 1.G and the
Executive thereafter is required to make a payment of any Excise
Tax, the Accounting Firm shall determine the amount of the
Underpayment that has occurred and any such Underpayment shall be
promptly paid by the Corporation to or for the benefit of the
Executive.
H. The Executive shall notify
the Corporation in writing of any claim by the Internal Revenue
Service that, if successful, would require the payment by the
Corporation of the Gross-Up Payment. Such notification shall be
given as soon as practicable but no later than ten business days
after the Executive
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