Action Required: Must be
returned by December 9, 2005
CHS
Inc.
Share Option Plan Participants
2005 Plan Agreement and Election Form
Deferred Compensation Plan
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Social Security Number |
You may
use this form to:
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Indicate the amount, if any, of
vested Options you wish to exercise during the 2005 Plan Year. |
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Elect to receive one or more (not to
exceed 5) Scheduled Distributions or installment payments (Election
required if you are not an active CHS employee; optional
election if you are still an active employee) |
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Allocate your SOP Account among the
available investment options. |
Section 1:
Share Option Deferral
Election
Please
select all that apply; fill in the appropriate blanks with whole
percentages.
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o Payment in 2005
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I elect to exercise
% of my vested Options and receive payment in 2005. |
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o Defer Payment
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With respect to Options not exercised
in 2005, I elect to receive payment of such Options in accordance
with the terms of the CHS Inc. Deferred Compensation Plan and my
applicable payment elections made below. |
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If you are not an active CHS
employee and you elect to defer payment, you must complete a
Scheduled Distribution election below. If you fail to make a
Scheduled Distribution election, your SOP Account shall be paid
(minus the Exercise Price Credit) during the sixty (60) day
period commencing immediately after December 31, 2006. |
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If you are still an active CHS
employee and you elect to defer payment, you may (but need not)
complete a Scheduled Distribution election. If you fail to make a
Scheduled Distribution election, your SOP Account shall be paid
(minus the Exercise Price Credit) following your Termination of
Employment, Retirement or Disability, in accordance with the terms
of the CHS Inc. Deferred Compensation Plan (and the form of
Retirement Benefit or Disability Benefit payment you elected under
the Plan, as applicable). |
Action Required: Must be
returned by December 9, 2005
CHS
Inc.
Share Option Plan Participants
2005 Plan Agreement and Election Form
Deferred Compensation Plan
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Name (Last, First, Middle
Initial) |
Section 2:
Scheduled Distribution
Election*
Please
complete this section if you wish to receive a Scheduled
Distribution.
Former Employees: If you are a former employee of CHS Inc.
with an SOP Account, you must make a Scheduled Distribution
Election if you do not wish to receive payment of your SOP Account
in 2007.
Active Employees: This section is optional and should be
completed if you desire a scheduled distribution. If you do not
make an election under this section, your account balance will be
paid out at termination of employment, retirement, disability, or
death in accordance with the terms of the plan and your election
form.
Please
elect one of the following:
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Series of Payments. I irrevocably elect to receive one or more
(not to exceed 5) Scheduled Distributions of my SOP Account, as
well as any investment gains or losses attributable to such
amounts, in the manner indicated below. If you are an active
employee and you elect to receive a Scheduled Distribution on a
date following your Retirement, the Scheduled Distribution will be
paid on the date you have elected below, rather than as part of
your Retirement Benefit. |
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% payable within 60 days of January 1,
(must be 2007 or later) |
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% payable within 60 days of January 1,
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% payable within 60 days of January 1,
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% payable within 60 days of January 1,
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% payable within 60 days |
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