Employee Stock Purchase Plan Template

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Employee Stock Purchase Plan Template Powered By Docstoc
					This form sets forth a generic template for an employee to make changes to their stock
purchase plan. This form allows an employee to initiate, change, or stop participation in
a company's existing employee stock purchase plan. This form can be customized to
include additional information a company may need regarding the employee's changes
to their stock purchase plan selections. Companies with an existing employee stock
purchase plan and with an existing employee stock purchase agreement should use this
form to record employee changes.
COMPANY NAME / LOGO                                                   Employee Stock Purchase Plan
Company Tag Line                                                                      (ESPP) Form

COMPANY ADDRESS 1
COMPANY ADDRESS 2
COMPANY PHONE #
COMPANY WWW ADDRESS                                                                  DATE: XXXXXXX



 Use this form to initiate, change or stop participation in the Employees Stock Purchase Plan
 New ________ Change _______ Withdrawal ________ Joint Owner Add / Change / Delete


 Hardcopy Forms are required for:
 •     Employees who are married and living in California, Louisiana, Nevada, Texas,
 Washington, Puerto Rico and any foreign country.
 •     Supplemental Employees
 •     Employees with no access to electronic forms

 ALL OTHER EMPLOYEES ARE EXPECTED TO SUBMIT FORMS ELECTRONICALLY


 Employee Name:                                           Employee E-Mail Address:   Employee
                                                                                     Number:
 Salary Deduction Percent : Whole Number Only -10% Maximum                           %
 Other Compensation Percent: Whole Number Only - 10% Maximum
 (overtime, awards, variable pay, commission)                                      %
 Shares may be held in your name alone, or jointly with a family member
 Joint Owner Name:
 Street Address:
 City:                             State:                           Zip Code:
 Employee’s Signature:                                                       Date:
 If you are married and living in California, Louisiana, Nevada, Texas, Washington or Puerto Rico,
 have your spouse sign this card.
 Spouse’s Signature:                                                         Date:




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DOCUMENT INFO
Description: This form sets forth a generic template for an employee to make changes to their stock purchase plan. This form allows an employee to initiate, change, or stop participation in a company's existing employee stock purchase plan. This form can be customized to include additional information a company may need regarding the employee's changes to their stock purchase plan selections. Companies with an existing employee stock purchase plan and with an existing employee stock purchase agreement should use this form to record employee changes.
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