I understand that this Settlement Election Form will become effective and irrevocable as of 5:00 pm CT on ​, which is the Election Deadline. I acknowledge that, if I do not complete and timely submit this Settlement Election Form, the RSUs granted to me during ​ will be settled 40% in cash and 60% in shares of Stock (with Dividend Equivalents settled in cash).

I understand that my rights to the cash and shares of Stock underlying the RSUs (and cash in respect of any Dividend Equivalents) are subject to the rights of the general creditors of the Company in the event of its insolvency, and cash in respect of any Dividend Equivalents will not bear any interest owing to the passage of time. I further understand that this Deferral Election Form will become effective and irrevocable as of 5:00 pm CT on ​, which is the Election Deadline. Once I have elected the time of settlement of my RSUs by submitting this Deferral Election Form, I understand that # the settlement election will be irrevocable and # the settlement election will control over any contrary payment time or event specified in [Section 4] of the Agreement. I acknowledge that, if I do not complete and timely submit this Deferral Election Form, the cash and shares of Stock underlying my RSUs (and cash in respect of any Dividend Equivalents) will be paid to me at the default time specified in the Agreement.