Electronic Acceptance. By logging into and accepting this Agreement through Grantee’s account with the Agent, Grantee (a) understands, represents, acknowledges and agrees to be bound by this Agreement as if Grantee had manually signed this Agreement, (b) agrees that Agent or its designee shall obtain and retain custody of the shares of Stock issuable upon settlement of vested Performance Stock Units until such time as all withholding obligations have been satisfied, (c) elects to conduct a Sell to Cover to satisfy the Withholding Obligation in accordance with Section 7(b) of the Agreement, (d) represents and warrants that (i) Grantee has carefully reviewed Section 7(b) of this Agreement, (ii) Grantee is not subject to any legal, regulatory or contractual restriction that would prevent the Agent from conducting sales and does not have, and will not attempt to exercise, authority, influence or control over any sales of Stock effected by the Agent and (iii) as of the date Grantee accepts this Agreement, Grantee is not aware or in possession of any material, nonpublic information with respect to the Company or its affiliates or any of their respective securities. In the event that Grantee does not accept this Agreement through the Agent’s online grant acceptance system within 90 days of the Grant Date, the Company shall have the option, but not the obligation, to cancel and revoke the Award represented by this Agreement, and the Award shall be forfeited by Grantee without any further consideration. I hereby designate the following person or persons as primary Beneficiaries of my Account under the Plan payable in the event of my death. Name: Name: Social Security Number: Social Security Number: Address: Address: Date of Birth: Date of Birth: Relationship to Participant: Relationship to Participant: Percentage: Percentage: The total of the percentages cannot exceed 100%. When more than one Beneficiary is designated, and no percentage is specified, payment will be made in equal shares to each surviving Beneficiary, or all to the last surviving Beneficiary.
Appears in 6 contracts
Sources: Performance Stock Unit Agreement (Civitas Resources, Inc.), Performance Stock Unit Agreement (Civitas Resources, Inc.), Performance Stock Unit Agreement (Bonanza Creek Energy, Inc.)
Electronic Acceptance. By logging into and accepting this Agreement through Grantee’s account with the Agent, Grantee (a) understands, represents, acknowledges and agrees to be bound by this Agreement as if Grantee had manually signed this Agreement, (b) agrees that Agent or its designee shall obtain and retain custody of the shares of Stock issuable upon settlement of vested Performance Restricted Stock Units until such time as all withholding obligations have been satisfied, (c) elects to conduct a Sell to Cover to satisfy the Withholding Obligation in accordance with Section 7(b) of the Agreement, (d) represents and warrants that (i) Grantee has carefully reviewed Section 7(b) of this Agreement, (ii) Grantee is not subject to any legal, regulatory or contractual restriction that would prevent the Agent from conducting sales and does not have, and will not attempt to exercise, authority, influence or control over any sales of Stock effected by the Agent and (iii) as of the date Grantee accepts this Agreement, Grantee is not aware or in possession of any material, nonpublic information with respect to the Company or its affiliates or any of their respective securities. In the event that Grantee does not accept this Agreement through the Agent’s online grant acceptance system within 90 days of the Grant Date, the Company shall have the option, but not the obligation, to cancel and revoke the Award represented by this Agreement, and the Award shall be forfeited by Grantee without any further consideration. I hereby designate the following person or persons as primary Beneficiaries of my Account under the Plan payable in the event of my death. Name: Name: Social Security Number: Social Security Number: Address: Address: Date of Birth: Date of Birth: Relationship to Participant: Relationship to Participant: Percentage: Percentage: The total of the percentages cannot exceed 100%. When more than one Beneficiary is designated, and no percentage is specified, payment will be made in equal shares to each surviving Beneficiary, or all to the last surviving Beneficiary.
Appears in 5 contracts
Sources: Restricted Stock Unit Agreement (Civitas Resources, Inc.), Restricted Stock Unit Agreement (Bonanza Creek Energy, Inc.), Restricted Stock Unit Agreement (Bonanza Creek Energy, Inc.)
Electronic Acceptance. By logging into and accepting this Agreement through Grantee▇▇▇▇▇▇▇’s account with the Agent, Grantee (a) understands, represents, acknowledges and agrees to be bound by this Agreement as if Grantee had manually signed this Agreement, (b) agrees that Agent or its designee shall obtain and retain custody of the shares of Stock issuable upon settlement of vested Performance Restricted Stock Units until such time as all withholding obligations have been satisfied, (c) elects to conduct a Sell to Cover to satisfy the Withholding Obligation in accordance with Section 7(b) of the Agreement, (d) represents and warrants that (i) Grantee has carefully reviewed Section 7(b) of this Agreement, (ii) Grantee is not subject to any legal, regulatory or contractual restriction that would prevent the Agent from conducting sales and does not have, and will not attempt to exercise, authority, influence or control over any sales of Stock effected by the Agent and Agent, (iii) as of the date Grantee accepts this Agreement, Grantee is not aware or in possession of any material, nonpublic information with respect to the Company or its affiliates or any of their respective securitiessecurities and (iv) Grantee’s election to conduct Sell to Cover to satisfy the Withholding Obligation is being adopted in good faith and not as part of a plan or scheme to evade the prohibitions of Rule 10b5-1 under the Exchange Act. In the event that Grantee does not accept this Agreement through the Agent’s online grant acceptance system within 90 days of the Grant Date, the Company shall have the option, but not the obligation, to cancel and revoke the Award represented by this Agreement, and the Award shall be forfeited by Grantee without any further consideration. I hereby designate the following person or persons as primary Beneficiaries of my Account under the Plan payable in the event of my death. Name: Name: Social Security Number: Social Security Number: Address: Address: Date of Birth: Date of Birth: Relationship to Participant: Relationship to Participant: Percentage: Percentage: The total of the percentages cannot exceed 100%. When more than one Beneficiary is designated, and no percentage is specified, payment will be made in equal shares to each surviving Beneficiary, or all to the last surviving Beneficiary.
Appears in 2 contracts
Sources: Restricted Stock Unit Agreement (Civitas Resources, Inc.), Restricted Stock Unit Agreement (Civitas Resources, Inc.)
Electronic Acceptance. By logging into and accepting this Agreement through Grantee’s account with the Company’s designated broker E*TRADE Securities LLC, or such other broker as the Company may select, that is irrevocably appointed as Grantee’s agent (the "Agent"), Grantee (a) understands, represents, acknowledges and agrees to be bound by this Agreement as if Grantee had manually signed this Agreement, (b) agrees that the Agent or its designee shall obtain and retain custody of the shares of Stock issuable upon settlement of vested Performance Restricted Stock Units until such time as all withholding obligations have been satisfied, and (c) elects to conduct a Sell to Cover to satisfy the Withholding Obligation in accordance with Section 7(b) of the Agreement, (d) represents and warrants that (i) Grantee has carefully reviewed Section 7(b) of this AgreementAgreement and the Plan, (ii) Grantee is not subject to any legal, regulatory or contractual restriction that would prevent the Agent from conducting sales and does not have, and will not attempt to exercise, authority, influence or control over any sales of Stock effected by the Agent and (iii) as of the date Grantee accepts this Agreement, Grantee is not aware or in possession of any material, nonpublic information with respect to the Company or its affiliates or any of their respective securities. In the event that Grantee does not accept this Agreement through the Agent’s online grant acceptance system within 90 days of the Grant Date, the Company shall have the option, but not the obligation, to cancel and revoke the Award represented by this Agreement, and the Award shall be forfeited by Grantee without any further consideration. I hereby designate the following person or persons as primary Beneficiaries of my Account under the Plan payable in the event of my death. Name: Name: Social Security Number: Social Security Number: Address: Address: Date of Birth: Date of Birth: Relationship to Participant: Relationship to Participant: Percentage: Percentage: The total of the percentages cannot exceed 100%. When more than one Beneficiary is designated, and no percentage is specified, payment will be made in equal shares to each surviving Beneficiary, or all to the last surviving Beneficiary.
Appears in 2 contracts
Sources: Restricted Stock Unit Agreement (Bonanza Creek Energy, Inc.), Restricted Stock Unit Agreement (Bonanza Creek Energy, Inc.)
Electronic Acceptance. By logging into and accepting this Agreement through Grantee’s account with the AgentSolium Capital account, Grantee (a) understands, represents, acknowledges and agrees to be bound by this Agreement as if Grantee had manually signed this Agreement, (b) agrees that Agent or its designee shall obtain and retain custody of the shares of Stock issuable upon settlement of vested Performance Stock Units Covered Shares until such time as they have vested and all withholding obligations have been satisfied, (c) elects to conduct a Sell to Cover to satisfy the Withholding Obligation in accordance with Section 7(bparagraph 6(b) of the Agreement, (d) agrees to the amendment of the withholding provisions of all other restricted stock awards held by Grantee in accordance with Section 6(d) above and elects to conduct a Sell to Cover to satisfy the withholding obligations in respect to those other restricted stock awards, and (e) represents and warrants that (i) Grantee has carefully reviewed Section 7(bparagraph 6(b) of this Agreement, (ii) Grantee is not subject to any legal, regulatory or contractual restriction that would prevent the Agent from conducting sales and does not have, and will not attempt to exercise, authority, influence or control over any sales of Stock effected by the Agent and (iii) as of the date Grantee accepts this Agreement, Grantee is not aware or in possession of any material, nonpublic information with respect to the Company or its affiliates or any of their respective securities. In the event that Grantee does not accept this Agreement through the Agent’s online grant acceptance Solium Capital Shareworks system within 90 days of the Grant Date, the Company shall have the option, but not the obligation, to cancel and revoke the Award award of Covered Shares represented by this Agreement, Agreement and the Award any such award shall be forfeited by Grantee without any further consideration. I hereby designate the following person or persons as primary Beneficiaries of my Account under the Plan payable in the event of my death. Name: Name: Social Security Number: Social Security Number: Address: Address: Date of Birth: Date of Birth: Relationship to Participant: Relationship to Participant: Percentage: Percentage: The total of the percentages cannot exceed 100%. When more than one Beneficiary is designated, and no percentage is specified, payment will be made in equal shares to each surviving Beneficiary, or all to the last surviving Beneficiary.
Appears in 2 contracts
Sources: Restricted Stock Agreement (Bonanza Creek Energy, Inc.), Restricted Stock Agreement (Bonanza Creek Energy, Inc.)
Electronic Acceptance. By logging into and accepting this Agreement through Grantee’s account with the Agent, Grantee (a) understands, represents, acknowledges and agrees to be bound by this Agreement as if Grantee had manually signed this Agreement, (b) agrees that Agent or its designee shall obtain and retain custody of the shares of Stock issuable upon settlement exercise of vested Performance Stock Units the Award until such time as all withholding obligations have been satisfied, (c) elects to conduct a Sell to Cover to satisfy the Withholding Obligation in accordance with Section 7(b8(b) of the Agreement, and (d) represents and warrants that (i) Grantee has carefully reviewed Section 7(b8(b) of this Agreement, (ii) Grantee is not subject to any legal, regulatory or contractual restriction that would prevent the Agent from conducting sales and does not have, and will not attempt to exercise, authority, influence or control over any sales of Stock effected by the Agent and (iii) as of the date Grantee accepts this Agreement, Grantee is not aware or in possession of any material, nonpublic information with respect to the Company or its affiliates or any of their respective securities. In the event that Grantee does not accept this Agreement through the Agent’s online grant acceptance system within 90 days of the Grant Date, the Company shall have the option, but not the obligation, to cancel and revoke the Award represented by this Agreement, and the Award shall be forfeited by Grantee without any further consideration. I hereby designate the following person or persons as primary Beneficiaries of my Account under the Plan payable in the event of my death. Name: Name: Social Security Number: Social Security Number: Address: Address: Date of Birth: Date of Birth: Relationship to Participant: Relationship to Participant: Percentage: Percentage: The total of the percentages cannot exceed 100%. When more than one Beneficiary is designated, and no percentage is specified, payment will be made in equal shares to each surviving Beneficiary, or all to the last surviving Beneficiary.
Appears in 1 contract
Sources: Non Qualified Stock Option Agreement (Bonanza Creek Energy, Inc.)
Electronic Acceptance. By logging into and accepting this Agreement through Grantee’s account with the Company’s designated broker E*TRADE Securities LLC, or such other broker as the Company may select, that is irrevocably appointed as Grantee’s agent (the “Agent”), Grantee (a) understands, represents, acknowledges and agrees to be bound by this Agreement as if Grantee had manually signed this Agreement, (b) agrees that the Agent or its designee shall obtain and retain custody of the shares of Stock issuable upon settlement of vested Performance Restricted Stock Units until such time as all withholding obligations have been satisfied, and (c) elects to conduct a Sell to Cover to satisfy the Withholding Obligation in accordance with Section 7(b) of the Agreement, (d) represents and warrants that (i) Grantee has carefully reviewed Section 7(b) of this AgreementAgreement and the Plan, (ii) Grantee is not subject to any legal, regulatory or contractual restriction that would prevent the Agent from conducting sales and does not have, and will not attempt to exercise, authority, influence or control over any sales of Stock effected by the Agent and (iii) as of the date Grantee accepts this Agreement, Grantee is not aware or in possession of any material, nonpublic information with respect to the Company or its affiliates or any of their respective securities. In the event that Grantee does not accept this Agreement through the Agent’s online grant acceptance system within 90 days of the Grant Date, the Company shall have the option, but not the obligation, to cancel and revoke the Award represented by this Agreement, and the Award shall be forfeited by Grantee without any further consideration. I hereby designate the following person or persons as primary Beneficiaries of my Account under the Plan payable in the event of my death. Name: Name: Social Security Number: Social Security Number: Address: Address: Date of Birth: Date of Birth: Relationship to Participant: Relationship to Participant: Percentage: Percentage: The total of the percentages cannot exceed 100%. When more than one Beneficiary is designated, and no percentage is specified, payment will be made in equal shares to each surviving Beneficiary, or all to the last surviving Beneficiary.
Appears in 1 contract
Sources: Restricted Stock Unit Agreement (Bonanza Creek Energy, Inc.)
Electronic Acceptance. By logging into and accepting this Agreement through Grantee▇▇▇▇▇▇▇’s account with the Agent, Grantee (a) understands, represents, acknowledges and agrees to be bound by this Agreement as if Grantee had manually signed this Agreement, (b) agrees that Agent or its designee shall obtain and retain custody of the shares of Stock issuable upon settlement of vested Performance Stock Units until such time as all withholding obligations have been satisfied, (c) elects to conduct a Sell to Cover to satisfy the Withholding Obligation in accordance with Section 7(b) of the Agreement, (d) represents and warrants that (i) Grantee has carefully reviewed Section 7(b) of this Agreement, (ii) Grantee is not subject to any legal, regulatory or contractual restriction that would prevent the Agent from conducting sales and does not have, and will not attempt to exercise, authority, influence or control over any sales of Stock effected by the Agent and Agent, (iii) as of the date Grantee accepts this Agreement, Grantee is not aware or in possession of any material, nonpublic information with respect to the Company or its affiliates or any of their respective securitiessecurities and (iv) Grantee’s election to conduct Sell to Cover to satisfy the Withholding Obligation is being adopted in good faith and not as part of a plan or scheme to evade the prohibitions of Rule 10b5-1 under the Exchange Act. In the event that Grantee does not accept this Agreement through the Agent’s online grant acceptance system within 90 days of the Grant Date, the Company shall have the option, but not the obligation, to cancel and revoke the Award represented by this Agreement, and the Award shall be forfeited by Grantee without any further consideration. I hereby designate the following person or persons as primary Beneficiaries of my Account under the Plan payable in the event of my death. Name: Name: Social Security Number: Social Security Number: Address: Address: Date of Birth: Date of Birth: Relationship to Participant: Relationship to Participant: Percentage: Percentage: The total of the percentages cannot exceed 100%. When more than one Beneficiary is designated, and no percentage is specified, payment will be made in equal shares to each surviving Beneficiary, or all to the last surviving Beneficiary.
Appears in 1 contract
Sources: Performance Stock Unit Agreement (Civitas Resources, Inc.)