Exhibit 10.4
FORM OF DEFERRAL ELECTIONS FOR [GRANT
YEAR]
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PERFORMANCE-BASED RESTRICTED SHARE UNIT
AWARD
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IN-SERVICE DISTRIBUTION:
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I elect to defer receipt of my entire
[Grant Year] grant of restricted share
units after they vest until
_______________________________________, which is a
specific date between the first
Compensation Committee meeting in January [one
year following Grant Year] and ten (10)
years after such meeting.
I understand that this election may only be
modified if, at least twelve (12)
months prior to the initial deferral date
indicated above, I elect to further
defer receipt of my entire grant to a
specific date between the first
Compensation Committee meeting in January
[one year following Grant Year] and
ten (10) years after such meeting that is
at least five (5) years after my
initial deferral date.
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Signature
Date
POST-TERMINATION DISTRIBUTION FOR