EX-10 5 doc4.txt DEF. COMP. PLAN ELECTION FORM ENERGIZER HOLDINGS, INC. Deferred Compensation Plan 2001 Election Form -------------------- --------------------------------------------- ---------------------------- Participant Name (Last, First, Middle Initial) Social Security Number I have been offered an opportunity to participate in the Energizer Holdings, Inc., Deferred Compensation Plan (the "Plan"). I hereby elect to participate in the Plan and irrevocably authorize the Company to deduct from my compensation the amounts specified below: ================================================================================ DEFERRAL ELECTION PLEASE COMPLETE THE DEFERRAL ELECTION BELOW. YOU MUST DEFER A TOTAL OF AT LEAST $1,000 TO PARTICIPATE IN THE PLAN. ================================================================================ BASE SALARY I elect to defer _______% of my calendar 2001 Base Salary (maximum deferral is 75%). ================================================================================ INCENTIVE PLAN BONUS I elect to defer _______%, OR all up to $_______, OR defer all in excess of $_______ of my Year 2001 Incentive Plan Bonus. ================================================================================ NON-PARTICIPATION I elect not to defer calendar 2001 Base Salary or Fiscal Year Incentive Plan Bonus. ================================================================================ ================================================================================ CALENDAR 2001 BASE SALARY INVESTMENT ELECTION (PLEASE SELECT IN WHOLE PERCENTAGE INCREMENTS; TOTAL MUST EQUAL 100%) ================================================================================ I elect to invest my calendar 2001 Base Salary deferrals in the following Measurement Funds: ================================================================================ CALENDAR 2001 BASE SALARY INVESTMENT ELECTION (PLEASE SELECT IN WHOLE PERCENTAGE INCREMENTS; TOTAL MUST EQUAL 100%)
I elect to invest my calendar 2001 Base Salary deferrals in the following Measurement Funds: Energizer Holdings, Inc. Common Stock ____% Vanguard International Growth Fund ____% Prime Rate Fund ____% Vanguard Life Strategy Income Fund ____% Vanguard Wellington Fund ____% Vanguard Life Strategy Conservative Vanguard 500 Index ____% Growth Fund ____% Vanguard Windsor II Fund ____% Vanguard Life Strategy Moderate Growth ____% Vanguard Small-Cap Index ____% Vanguard Life Strategy Growth Fund ____%
================================================================================ FISCAL YEAR 2001 INCENTIVE PLAN BONUS INVESTMENT ELECTION (PLEASE SELECT IN WHOLE PERCENTAGE INCREMENTS; TOTAL MUST EQUAL 100%) ================================================================================
I elect to invest my Fiscal Year 2001 Incentive Plan Bonus deferrals in the following Measurement Funds: Energizer Holdings, Inc. Common Stock ____% Vanguard International Growth Fund ____% Prime Rate Fund ____% Vanguard Life Strategy Income Fund ____% Vanguard Wellington Fund ____% Vanguard Life Strategy Conservative Vanguard 500 Index ____% Growth Fund ____% Vanguard Windsor II Fund ____% Vanguard Life Strategy Moderate Growth ____% Vanguard Small-Cap Index ____% Vanguard Life Strategy Growth Fund ____%
(OVER) ELECTION OF DATE AND FORM OF PAYMENT FOR 2001 DEFERRALS (PLEASE SELECT A DATE AND FORM OF PAYMENT) ================================================================================ I elect to receive _______% of my calendar 2001 Base Salary Deferrals and/or my Fiscal Year 2001 Incentive Plan Bonus Deferrals and the associated earnings, on ___________________(cannot be sooner than January 1, 2005). I understand that if my employment terminates for any reason prior to the date I elected above, my benefit will be paid to me upon my termination of employment. I elect to receive my calendar 2001 Base Salary Deferrals and/or my Fiscal Year 2001 Incentive Plan Bonus Deferrals upon the termination of my employment for any reason. ================================================================================ Upon termination of my employment for any reason, I elect to receive payment of my entire Account Balance in the following form (check one below): ________ Lump Sum ________ 5 Annual Payments ________ 10 Annual Payments I understand that if my vested account balance is less than $50,000 my account will be paid to me in a lump sum. ================================================================================ ACCEPTED AND ACKNOWLEDGED: ----------------------------- ------------------------------------------------- SIGNATURE OF PARTICIPANT DATE FOR ENERGIZER PLANS ADMINISTRATIVE COMMITTEE DATE MAIL OR FAX TO: CLARK/BARDES CONSULTING - COMPENSATION RESOURCE GROUP ATTN: LAURA POPE 633 WEST FIFTH STREET, 52ND FLOOR LOS ANGELES, CA 90071 FAX (213) 438-6600 ENERGIZER HOLDINGS, INC. Deferred Compensation Plan 2001 Election Form for Directors ------------------------------------ ------------------------------------------------ --------------------------- Participant's Name (Last, First, Middle Initial) Social Security Number I have been offered an opportunity to participate in the Energizer Holdings, Inc., Deferred Compensation Plan (the "Plan"). I hereby elect to participate in the Plan and irrevocably authorize the Company to deduct from my calendar 2001 Director's Fees the amount specified below: ================================================================================ DIRECTOR'S FEE DEFERRAL ELECTION PLEASE COMPLETE THE DEFERRAL ELECTION BELOW. YOU MUST DEFER A TOTAL OF AT LEAST $ 1,000 TO PARTICIPATE IN THE PLAN. ================================================================================ FEES I elect to defer _______%, or all up to $____________, or all in excess of $____________, or _____% in excess of $____________ of my remaining calendar 2001 Director's Fees ================================================================================ NON-PARTICIPATION I elect not to defer my remaining calendar 2001 Director's Fees ================================================================================ DIRECTOR'S FEE INVESTMENT ELECTION (PLEASE SELECT IN WHOLE PERCENTAGE INCREMENTS; TOTAL MUST EQUAL 100%) ================================================================================
I elect to invest my calendar 2001 Director's Fee Deferrals in the following Measurement Funds: Energizer Holdings, Inc. Common Stock ____% Vanguard International Growth Fund ____% Prime Rate Fund ____% Vanguard LifeStrategy Income Fund ____% Vanguard Wellington Fund ____% Vanguard LifeStrategy Conservative Vanguard 500 Index ____% Growth Fund ____% Vanguard Windsor II Fund ____% Vanguard LifeStrategy Moderate Growth ____% Vanguard Small-Cap Index ____% Vanguard LifeStrategy Growth Fund ____%
ACCEPTED AND ACKNOWLEDGED: ------------------------------ -------------------------------------------- Signature of Participant Date for the Nominating and Executive Date Compensation Committee PLEASE COMPLETE AND RETURN FORMS TO: CLARK/BARDES CONSULTING - COMPENSATION RESOURCE GROUP ATTN: LAURA POPE 633 WEST FIFTH STREET, 52ND FLOOR LOS ANGELES, CA 90071 FAX: (213) 438-6600