Election InformationSection II.
Pursuant to section 3(b)(1) and section 3(c)(2) of Announcement 2005-19, the Corporation elects to claim the allowable
compensation deduction in its taxable year that includes ("X" only one):
the date(s) the stock options were transferred to the Related Person, or
December 31, 2004, or
December 31 of the year in which the Executive recognizes the compensation, or
Did the Corporation already claim a compensation deduction for any stock options or restricted stock that its Executives transferred
in Notice 2003-47 transactions?
NoYes (See instructions below.)
If "Yes," please attach a schedule listing the amounts and years of such deductions.
Did the Corporation already claim any deductions for transaction costs (i.e., fees paid to promoters, attorneys, accountants,
appraisers, or others) concerning Notice 2003-47 transactions?
Yes (See instructions below.)
If "Yes", please attach a schedule listing the amounts and years of such deductions. If the Corporation wishes to claim deductions
for such costs that have not been previously deducted, also attach a schedule\ listing the amounts and years of such fees and
attach documents substantiating payment.
Section III. Executive Information
For each Executive (Officer, Director, employee) who participated in a Notice 2003-47 transaction using either stock
options granted or restricted stock issued by the Corporation, please provide the following information. If you need
additional space for your answers, please attach additional sheets and identify the continued answers by item number.
Name and address (Street, City, State, ZIP code) of Executive Executive identification
number (SSN)
Name and address (Street, City, State, ZIP code) of Related Person to which the Executive
transferred the options or stock
Related Person identification
number (EIN)
Date(s) Executive transferred options or restricted stock to
Related Person
Date(s) such options were exercised or date(s) such
restricted stock vested
Was a Form 1099 or Form W-2 issued to the Executive upon the Executive's transfer of the options or the restricted stock to the
Related Person?
NoYes (See instructions below.)
If "Yes," please attach copies of the form and specify the amount representing the option or restricted stock value
included on the Form 1099 or Form W-2.
Was a Form 1099 or Form W-2 issued to the Executive upon the exercise of the options or the vesting of the restricted stock?
Yes (See instructions below.) No
If "Yes," please attach copies of the form and specify the amount representing the option or restricted stock value included on the
Form 1099 or Form W-2.
1.
2.
3.
1.
a.
b.
c.
d.
e.
the date(s) the options were exercised or the restricted stock vested, or
December 31 of the year determined under IRC section 3(c)(2) of Announcement 2005-19.
No
2.
3. 4.
5. 6.
7.
8.
Department of the Treasury – Internal Revenue Service
Catalog No. 39566V
Sheet 2 of 3
Form 13657 (3-2005)
www.irs.gov