FORM OF DEFERRAL AND CHANGE OF CONTROL ELECTION
Published on October 1, 2004
Exhibit 10.7 |
EMERSON ELECTRIC CO. |
I. | Deferral Election: (Only U.S. paid participants are eligible to defer) |
I hereby elect my Extra Salary Award under the Emerson Electric Co. Extra Salary Program be paid to me as follows: |
% Payment |
A. |
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In the month of November 20--; |
B. |
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In the month of January 20-- (complete Section II); |
C. |
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Specific future year (indicate year payment is to be made) ___________ (complete Section II), or; |
D. |
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Upon my retirement or termination of employment, Note: (you must be at Emerson or a subsidiary on the normal payment date or if you choose "B" above, on January 15 following the fiscal year); whichever occurs first (complete Section II). |
II. | Change of Control (All participants may elect) |
In the event of a Change of Control as defined in the Plan, I hereby elect to receive any payment due under the Plan as follows: (check either A or B) |
A. |
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Upon the Change of Control in a single lump sum; or |
B. |
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Upon termination of Employment occurring after a Change of Control, in
the form of: (check either 1 or 2) (1) ______ a lump sum distribution; or (2) ______ in substantially equal installments not exceeding ten years. |
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Date | Signature |
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Print or Type Name |
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Corporate |
Return Form to: | --------------------------- Emerson Electric Co. 8000 W. Florissant Ave. St. Louis, MO 63136 |