EX-99.(A)(6) 8 tformoptionee-29095.txt FORM OF OPTIONEE STATEMENT
FORM OF OPTIONEE STATEMENT ----------------------------------------------------------------------------------------------------------------------------- Name Address SSN Options Options/Date Grant Expiration Plan Grant granted or Option Transferred Options Options Date Date ID Type Transferred to Price Out Outstanding Vested ---------- --------------- ------- ---------- ------------------- ---------- ----------------- ---------------- ------------- ---------- --------------- ------- ---------- ------------------- ---------- ----------------- ---------------- ------------- ---------- --------------- ------- ---------- ------------------- ---------- ----------------- ---------------- ------------- ---------- --------------- ------- ---------- ------------------- ---------- ----------------- ---------------- ------------- ---------- --------------- ------- ---------- ------------------- ---------- ----------------- ---------------- ------------- ---------- --------------- ------- ---------- ------------------- ---------- ----------------- ---------------- ------------- ---------------------------------- ---------- ------------------- ---------- ----------------- ---------------- ------------- Optionee Totals: ---------------------------------- ---------- ------------------- ---------- ----------------- ---------------- -------------