APPLICATION AND APPROVAL FOR TRADING BY SECTION 16 INDIVIDUALS AND KEY EMPLOYEES
Proposed Trade Date:
Type of Security to be Traded:
Type of Trade (Purchase/Sale):
Number of Shares to be Traded:
EXAMPLES OF MATERIAL NONPUBLIC INFORMATION
While it is not possible to identify all information that would be deemed ?material nonpublic information,? the following types of information ordinarily would be included in the definition if not yet publicly released by the Company:
-- Financial performance, especially quarterly and year-end earnings, and significant changes in financial performance or liquidity.
-- Company projections and strategic plans.
-- Potential mergers and acquisitions or the sale of Company assets or subsidiaries.
-- New major contracts, orders, suppliers, customers, or finance sources, or the loss thereof.
-- Major discoveries or significant changes or developments in products or product lines, research or technologies.
-- Significant changes or developments in supplies or inventory, including significant product defects, recalls or product returns.
-- Significant pricing changes.
-- Stock splits, public or private securities/debt offerings, or changes in Company dividend policies or amounts.
-- Significant changes in senior management.
-- Significant labor disputes or negotiations.
-- Actual or threatened major litigation, or the resolution of such litigation.
I, ____________________________, hereby certify that I am not in possession of any ?material nonpublic information? concerning the Company (as defined in the Company?s ?Procedures and Governing Insider Trading and Tipping?) and (ii) to the best of my knowledge , the proposed trade(s) listed above do not violate the trading restrictions of Section 16 of the Securities Exchange Act of 1934 or Rule 144 under the Securities Act of 1933. I understand that if I trade while possessing such information or in violation of such trading restrictions, I may be subject to severe civil and/or criminal penalties, and may be subject to discipline by the Company up to and including termination for cause.
REVIEW AND DECISION
The undersigned hereby certifies that the Insider Trading Compliance Committee has reviewed the foregoing application and ____ APPROVES ____ PROHIBITS the proposed trade(s).
Insider Trading Compliance Officer Date