1.
|
To
elect two Class A Directors for terms expiring at the 2009 Annual
Meeting
of Shareholders.
|
2. |
To
elect one Class B Director for a term expiring at the 2007 Annual
Meeting
of Shareholders.
|
3. |
To
approve the Company’s Shareholder Value Added (SVA) Executive Officers
Incentive Compensation Plan.
|
4. |
To
ratify the appointment of Deloitte & Touche LLP as the independent
auditors for the Company for the year ending December 31, 2006.
|
5. |
To
transact such other business as may properly come before the meeting
or
any adjournment or postponement
thereof.
|
Beneficial
Ownership of
Company
Stock As of
December
31, 2005
|
||||||||
Principal
Occupation, Business
|
Director
|
Number
|
Percent
of
|
|||||
Name
and Age
|
Experience
and Other Directorships
|
Since
|
of
Shares
|
Class
|
||||
Class
A Directors
|
||||||||
Term
Expires in 2009:
|
||||||||
HENRY
W. KNUEPPEL - 57
(1)
(3)
(4) (5)
[Nominee
for Election]
|
Chief
Executive Officer of the Company since April 2005; served as President
from April 2002 to December 2005 and Chief Operating Officer from
April
2002 to April 2005; served as Executive Vice President from 1987
to April
2002; joined the Company in 1979.
|
1987
|
525,651
|
1.70%
|
||||
DEAN
A. FOATE - 47 (1)
[Nominee
for Election]
|
Director,
CEO and President of Plexus Corporation since 2002; served as Chief
Operating Officer of Plexus Corporation from 2001 to 2002.
|
2005
|
3,000
|
*
|
||||
Class
B Directors
|
||||||||
Term
Expires in 2007:
|
||||||||
JAMES
L. PACKARD - 63
(1)
(2)
(3) (4) (5) (6)
[Nominee
for Election]
|
Elected
Executive Chairman of the Company 2005; Chairman 1986; Chief Executive
Officer 1984 to April 2005; served as President from 1980 to April
2002;
joined the Company in 1979. Director,
Clarcor Inc. and The Manitowoc Company, Inc.
|
1980
|
924,622
|
2.98%
|
||||
JOHN
A. MCKAY - 72
(1)
[Retiring as of the date of the Annual Meeting]
|
Former
President & COO, Harnischfeger Industries, Inc.
|
1992
|
33,704
|
*
|
Beneficial
Ownership of
Company
Stock As of
December
31, 2005
|
||||||||
Principal
Occupation, Business
|
Director
|
Number
|
Percent
of
|
|||||
Name
and Age
|
Experience
and Other Directorships
|
Since
|
of
Shares
|
Class
|
||||
G.
FREDERICK KASTEN, JR.
-
66
(1)
|
Former
Chairman and Director, Robert W. Baird & Co., Inc.
|
1995
|
63,088
|
*
|
||||
CHRISTOPHER
L. DOERR - 56
(1)
|
Co-CEO
Passage Partners, LLC; Former President and Co-CEO, LEESON Electric
Corporation.
|
2003
|
15,075
|
*
|
||||
CURTIS
W. STOELTING - 46 (1)
|
Director
and CEO of RC2 Corporation 2003; served as Chief Operating Officer
2000 to
2003.
|
2005
|
1,000
|
*
|
||||
Class
C Directors
|
||||||||
Term
Expires in 2008:
|
||||||||
J.
REED COLEMAN - 72
(1)
[Retiring as of the date of the Annual Meeting]
|
Chairman,
CEO and Director, Madison-Kipp Corporation.
|
1981
|
92,354
|
*
|
||||
STEPHEN
N. GRAFF - 71
(1)
(3)
|
Former
Managing Partner, Arthur Andersen LLP - Milwaukee Office and Andersen
Worldwide S.C.; Director, Northwestern Mutual Series Fund, Inc.
and Mason
Street Funds, Inc.
|
1996
|
30,000
|
*
|
||||
THOMAS
J. FISCHER - 58
(1)
(3)
|
Corporate
Financial and Accounting Consultant; former Managing Partner, Arthur
Andersen LLP - Milwaukee Office; Director, Badger Meter Inc., Actuant
Corporation and Wisconsin Energy Corporation.
|
2004
|
11,000
|
*
|
||||
Total
Directors as a Group
|
1,699,494
|
5.41%
|
(1)
|
Included
in both the numerator and denominator of the Percent of Class calculation
are option shares which are vested and exercisable within 60 days
of
December 31, 2005 as follows: Mr. Coleman, 25,400 shares; Mr. Doerr,
11,000 shares; Mr. Fischer, 8,000 shares; Mr. Graff, 21,800 shares;
Mr.
Kasten, 14,600 shares; Mr. Knueppel, 263,000 shares; Mr. McKay,
25,400
shares; Mr. Packard, 397,500 shares; Mr. Foate, 2,000 shares and
Mr.
Stoelting, 1,000 shares.
|
(2) |
The
amount shown for Mr. Packard includes 1,416 shares held by his
spouse as
to which he disclaims beneficial
ownership.
|
(3)
|
The
amounts shown for Messrs. Graff, Fischer, Packard and Knueppel
include
8,200 shares, 1,000 shares, 354,136 shares and 149,930 shares,
respectively, as to which they share voting and investment power
with
their spouses.
|
(4)
|
The
amounts shown for Messrs. Packard and Knueppel include 30,452 shares
and
25,360 shares, respectively, which are held in trust under the
Company’s
Personal Savings Plan (401(k)) or a non-Company sponsored IRA.
|
(5) |
Included
are shares related to the exercise of stock options in 2002, the
delivery
of which shares was delayed until normal retirement as follows: Mr.
Packard 139,702 shares and Mr. Knueppel 83,821
shares.
|
(6) |
Mr.
Packard will retire as a Director upon his retirement as an officer
of the
Company effective December 31, 2006.
|
· |
Is
not, or has not been within the last three years, an employee of
the
Company, or an immediate family member is not, or has not been within
the
last three years, an executive officer of the Company;
|
· |
Has
not received, nor has an immediate family member received, during
any
twelve-month period within the last three years, more than $100,000
in
direct compensation from the Company, other than the standard compensation
paid to directors generally (provided such compensation is not contingent
in any way on continued service);
|
· |
Is
not, or an immediate family member is not, a current partner of a
firm
that is the Company’s internal or external auditors; is not a current
employee of such a firm; does not have an immediate family member
who is a
current employee of such a firm and who participates in the firm’s audit,
tax compliance (but not tax planning) practice; or has not been,
or an
immediate family member has not been, within the last three years
(but is
no longer) a partner or employee of such a firm and personally worked
on
the Company’s audit within that time;
|
· |
Has
not been employed, or an immediate family member has not been employed,
within the last three years, as an executive officer of another company
where any of the Company’s current executives serve or served on that
company’s compensation committee;
|
· |
Is
not a current employee, or an immediate family member is not a current
executive officer, of a company that has made payments to, or received
payments from, the Company for property or services in an amount
which, in
any of the last three fiscal years, exceeds the greater of $1 million,
or
2% of such other company’s consolidated gross revenues;
and
|
· |
Does
not serve as an executive officer of a tax exempt organization if,
within
the preceding three years, contributions in any single fiscal year
from
the Company to the organization exceeded the greater of $1 million,
or 2%
of such tax exempt organization’s consolidated gross revenues.
|
Mail:
|
REGAL-BELOIT
CORPORATION
200
State Street
Beloit,
WI 53511-6254
Attn:
Board of Directors
|
E-mail:
|
board.inquiry@regalbeloit.com
|
Year
|
Audit
Fees (1)
|
Audit
Related Fees (1)
|
Tax
Fees (1)
|
All
Other Fees
|
Total
|
2005
|
$1,180,000
|
$205,130
|
$489,674
|
-0-
|
$1,874,804
|
2004
|
$
706,950
|
$535,552
|
$225,335
|
-0-
|
$1,467,835
|
(1) |
Audit
fees include fees and expenses, related to the 2005 and 2004 audits
of the
Company’s financial statements, including quarterly reviews, foreign
statutory audits and the 2005 and 2004 audits of the effectiveness
of the
Company’s internal control over financial reporting. Audit related fees
include audits of employee benefit plans, acquisition financial
due
diligence, audit support for public debt or stock offerings and
miscellaneous other audit related projects. Tax fees include tax
return
preparation and reviews, tax consultations and other tax related
projects.
|
Name
and Address of Beneficial Owner
|
Number of
Shares
|
Percent of
Class
|
||||||||
Dimensional
Fund Advisors, Inc.
|
2,228,466
|
7.27%
|
||||||||
1299
Ocean Avenue, 11th
Floor
|
||||||||||
Santa
Monica, CA 90401
|
||||||||||
NFJ
Investment Group L.P.
|
1,568,400
|
5.12%
|
||||||||
2100
Ross Avenue, Suite 1840
|
||||||||||
Dallas,
TX 75201
|
||||||||||
James
L. Packard (1) (3)
|
924,622
|
2.98%
|
||||||||
Henry
W. Knueppel (1) (3)
|
525,651
|
1.70%
|
||||||||
Mark
J. Gliebe (2)
|
141
|
*
|
||||||||
David
L. Eisenreich (2)
|
51,829
|
*
|
||||||||
David
A. Barta
|
0
|
|||||||||
Total
Directors & Officers as a Group (14 persons) (3)
|
1,817,531
|
5.76%
|
(1) |
Beneficial
ownership information is set forth on page
3.
|
(2) |
The
amount shown for Mr. Eisenreich includes 46,000 shares, pursuant
to
outstanding grants, which shares are vested and exercisable within
60 days
of December 31, 2005. For Messrs. Gliebe and Eisenreich the amount
also
includes 141 shares and 5,829 shares, respectively, held in trust
under
the Company’s 401(k) plans.
|
(3) |
This
total includes an aggregate of 877,367 shares subject to options
that were
then exercisable or exercisable within 60 days of December 31,
2005.
|
2000
|
2001
|
2002
|
2003
|
2004
|
2005
|
|
REGAL-BELOIT
CORPORATION
|
100
|
131
|
127
|
139
|
184
|
232
|
S&P
Small Cap 600 Index
|
100
|
107
|
91
|
126
|
155
|
167
|
S&P
600 Electrical Components & Equipment
|
100
|
82
|
65
|
82
|
99
|
110
|
Annual
Compensation
|
||||||||||||||||
Long-Term
Compensation
|
||||||||||||||||
Salary
|
Bonus
($)
|
Other
Annual
Comp.
|
Restricted
Stock
Awards ($)
|
Securities
Underlying
|
All
Other
Comp.
($)
|
|||||||||||
Name
|
Principal
Position
|
Year
|
($)
|
(1)
|
(2)
|
(3)
|
Options
|
(4)
|
||||||||
James
L. Packard
|
Executive
Chairman
|
2005
|
650,000
|
898,950
|
(2)
|
148,750
|
50,000
|
80,406
|
||||||||
(5)
(6)
|
2004
|
607,500
|
516,679
|
(2)
|
101,500
|
45,000
|
77,332
|
|||||||||
2003
|
587,000
|
147,924
|
(2)
|
-0-
|
50,000
|
76,847
|
||||||||||
Henry
W. Knueppel
|
Chief
Executive
|
2005
|
466,667
|
656,800
|
(2)
|
148,750
|
50,000
|
50,214
|
||||||||
Officer
(5)
|
2004
|
375,000
|
255,150
|
(2)
|
81,200
|
36,000
|
48,434
|
|||||||||
2003
|
362,700
|
73,210
|
(2)
|
-0-
|
40,000
|
48,074
|
||||||||||
Mark
J. Gliebe
|
President
and Chief
|
2005
|
400,000
|
401,280
|
(2)
|
58,000
|
50,000
|
12,228
|
||||||||
Operating
Officer
(5)
(7)
|
||||||||||||||||
David
L. Eisenreich
|
Vice
President
|
2005
|
272,000
|
272,870
|
(2)
|
74,375
|
15,000
|
8,725
|
||||||||
and
President,
|
2004
|
247,500
|
140,333
|
(2)
|
42,630
|
23,250
|
5,724
|
|||||||||
Mechanical
Components &
|
2003
|
241,200
|
40,522
|
(2)
|
-0-
|
15,000
|
5,580
|
|||||||||
Power
Generation
|
||||||||||||||||
David
A. Barta
|
Vice
President,
|
2005
|
265,000
|
245,655
|
(2)
|
74,375
|
10,000
|
7,470
|
||||||||
Chief
Financial
Officer
(7)
|
2004
|
122,769
|
62,608
|
(2)
|
-0-
|
25,000
|
90
|
(1) |
Includes
amounts earned in fiscal year, whether or not deferred or
payable.
|
(2)
|
The
Company also provides certain additional non-cash benefits that
are not
described in this Proxy Statement. Such compensation is below the
SEC’s
required disclosure thresholds.
|
(3)
|
Restricted
stock was granted on January 21, 2005 to four of the Officers which
vests
three years from the date of the grant. Messrs. Packard, Knueppel,
Eisenreich and Barta received 5000, 5000, 2500 and 2500 restricted
shares,
respectively. Mr. Gliebe received a restricted stock grant of 2000
shares
on January 3, 2005. His grant has a performance goal related to
sales
levels of the Company’s HVAC and Capacitor products, which if met as of
January 3, 2007 would result in the restriction being lifted; if
not met,
the restriction would end on January 3, 2008, as long as Mr. Gliebe
is
still an employee of the Company. Quarterly payments, equal to
the per
share dividend paid to shareholders, are paid to the recipients
on the
cumulative amount of restricted stock granted to them. Payments
commenced
with the dividend paid to shareholders on April 15, 2005. The cumulative
restricted stock Messrs. Packard, Knueppel, Gliebe, Eisenreich
and Barta
had outstanding on December 31, 2005 was 10000, 9000, 2000, 4600
and 2500
shares, respectively, with a value based on the year-end closing
price of
the Company’s stock of $35.40 of $354,000, $318,600, $70,800, $162,840 and
$88,500, respectively.
|
(4)
|
The
amounts shown for 2005 for Messrs. Packard, Knueppel and Barta
each
include $7,350 for vested or non-vested contributions to the REGAL-BELOIT
CORPORATION Personal Savings Plan (a 401(k) plan). The amount shown
for
Mr. Eisenreich includes $5,250 for vested contributions to the
Marathon
Electric Salaried Employees 401(k) Savings Plan and $2,854 for
taxable
moving expenses. The amounts shown also include for Messrs. Packard,
Knueppel, Gliebe, Eisenreich and Barta $3,205, $954, $432, $621
and $120,
respectively, for life insurance premiums. The amount shown for
Mr. Gliebe
includes $11,796 for taxable moving expenses. The amounts shown
for
Messrs. Packard and Knueppel also include $69,851 and $41,910,
respectively, for payments in lieu of dividends on shares related
to the
2002 exercise of stock options, the delivery of which shares has
been
delayed until retirement.
|
(5)
|
Mr.
Packard served as Chairman and Chief Executive Officer until April
22,
2005, when he was elected Executive Chairman by the Board of Directors.
Mr. Knueppel served as President and Chief Operating Officer until
April
22, 2005, when the Board elected him to the position of President
and
Chief Executive Officer. On December 19, 2005, the Company announced
that
the Board had approved Mr. Gliebe as President and Chief Operating
Officer
effective December 31, 2005 (see footnote 7 below).
|
(6)
|
On
March 6, 2006, the Board of Directors granted to Mr. Packard the
right to
receive a cash bonus equal to 50,000 times any increase in the
closing
sale price of one share of the Company’s Common Stock from January 26,
2006 to December 29, 2006. Any cash bonus earned pursuant to this
arrangement will be paid in January 2007. The Company’s Board of Directors
also agreed to purchase the automobile currently leased by the
Company for
use by Mr. Packard and to transfer ownership of the automobile
to Mr.
Packard for no additional consideration upon his retirement. The
Company
will also pay any taxes resulting from the transfer of the automobile
to
Mr. Packard. Mr. Packard has provided notice to the Company that
he
intends to retire as an Officer and as a Director effective as
of December
31, 2006.
|
(7)
|
Mr.
Gliebe joined the Company as Vice President and President - Electric
Motors Group on January 3, 2005, following the Company’s 2004 acquisitions
of GE’s Commerical AC and HVAC Motors and Capacitors businesses. Mr.
Gliebe had been with GE for 22 years, most recently as General
Manager of
GE Motors and Controls. Mr. Gliebe became President and Chief Operating
Officer in December 2005. Mr. Barta joined the Company in June
2004 and
was elected to his current position in July 2004. Prior to joining
the
Company, Mr. Barta served in various financial management positions
for
Newell Rubbermaid Inc. for 9 years, most recently as Division Chief
Financial Officer for the Levolor/Kirsch Division.
|
Number
of
|
Percent
of
|
Potential
Realizable Value
|
|||||||||||||||
Securities
|
Total
Options
|
at
Assumed Annual Rates
|
|||||||||||||||
Underlying
|
Granted
to
|
Exercise
|
of
Stock Price Appreciation
|
||||||||||||||
Option
|
Employees
in
|
or
Base
|
Expiration
|
for
Option Term(2)
|
|||||||||||||
Name
|
Granted(1)
|
Fiscal
Year
|
Price
($/Sh)
|
Date
|
5%
|
10%
|
|||||||||||
James
L. Packard
|
50,000
|
14.49%
|
$
29.75
|
1/21/15
|
$
2,422,981
|
$
3,858,192
|
|||||||||||
Henry
W. Knueppel
|
50,000
|
14.49%
|
$
29.75
|
1/21/15
|
$
2,422,981
|
$
3,858,192
|
|||||||||||
Mark
J. Gliebe
|
50,000
|
14.49%
|
$
29.00
|
1/3/15
|
$
2,361,897
|
$
3,760,927
|
|||||||||||
David
L. Eisenreich
|
15.000
|
4.34%
|
$
29.75
|
1/21/15
|
$
726,894
|
$
1,157,458
|
|||||||||||
David
A. Barta
|
10,000
|
2.90%
|
$
29.75
|
1/21/15
|
$
484,596
|
$
771,638
|
(1) |
Options
granted to James L. Packard on January 21, 2005 vested 100% in 2005;
options granted to Henry W. Knueppel on January 21, 2005 vest 50%
in 2006
and 50% in 2007; options granted to Mark J. Gliebe on January 3,
2005 vest
40% in 2007 and 20% per year thereafter; options granted to David
L.
Eisenreich on January 21, 2005 vest 50% in 2007 and 50% in 2008;
and
options granted to David A. Barta on January 21, 2005 vest 50% in
2007 and
50% in 2008.
|
(2) |
This
presentation is intended to disclose a potential value which would
accrue
to the optionee if the option were exercised the day before it would
expire and if the per share value had appreciated at the compounded
annual
rate indicated in each column. The assumed rates of appreciation
of 5% and
10% are prescribed by the rules of the SEC regarding disclosure of
executive compensation. The assumed annual rates of appreciation
are not
intended to forecast future appreciation, if any, with respect to
the
price of the Common Stock.
|
Number
of Securities Underlying
Unexercised
Options
At
Fiscal Year-End
|
Value
of
Unexercised,
In-the-Money
Options
at Fiscal Year-End
|
||||||||||||
Name
|
Exercisable
|
Unexercisable
|
Exercisable
(1)
|
Unexercisable
(1)
|
|||||||||
James
L. Packard
|
397,500
|
22,500
|
$
|
4,780,125
|
$
|
339,750
|
|||||||
Henry
W. Knueppel
|
218,000
|
128,000
|
$
|
2,869,100
|
$
|
1,283,300
|
|||||||
Mark
J. Gliebe
|
-0-
|
50,000
|
$
|
-0-
|
$
|
320,000
|
|||||||
David
L. Eisenreich
|
46,000
|
42,250
|
$
|
687,138
|
$
|
467,125
|
|||||||
David
A. Barta
|
-0-
|
35,000
|
-0-
|
$
|
395,250
|
(1) |
Total
value of exercisable and unexercisable options is based on the
difference
between the fair market value ($35.40 as of December 31,
2005) of the Common Stock and the exercise price of the options
at fiscal
year-end.
|
Years
of Credited Service
|
||||||||||||
Average
Annual
|
||||||||||||
Earnings
For The
|
||||||||||||
Final
Applicable
|
||||||||||||
Years
Of Service
|
10
|
15
|
20
|
25
|
30
|
|||||||
$
|
500,000
|
100,000
|
150,000
|
200,000
|
250,000
|
300,000
|
||||||
700,000
|
140,000
|
210,000
|
280,000
|
350,000
|
420,000
|
|||||||
900,000
|
180,000
|
270,000
|
360,000
|
450,000
|
540,000
|
|||||||
1,100,000
|
220,000
|
330,000
|
440,000
|
550,000
|
660,000
|
|||||||
1,300,000
|
260,000
|
390,000
|
520,000
|
650,000
|
780,000
|
|||||||
1,500,000
|
300,000
|
450,000
|
600,000
|
750,000
|
900,000
|
|||||||
1,700,000
|
340,000
|
510,000
|
680,000
|
850,000
|
1,020,000
|
|||||||
1,900,000
|
380,000
|
570,000
|
760,000
|
950,000
|
1,140,000
|
Final
Average
Pay
including all
|
Years
of Service
|
||||||
compensation
|
25
|
30
|
|||||
$
300,000
|
96,600
|
115,900
|
|||||
400,000
|
131,600
|
157,900
|
|||||
500,000
|
166,600
|
199,900
|
|||||
600,000
|
201,600
|
241,900
|
|
2005
Award
($)
(1)
|
|||
James
L. Packard - Executive Chairman
|
$
|
898,950
|
||
Henry
W. Knueppel - Chief Executive Officer
|
$
|
656,800
|
||
Mark
J. Gliebe - President and Chief Operating Officer
|
$
|
401,280
|
||
David
L. Eisenreich - Vice President and President,
Mechanical
Components & Power Generation
|
$
|
272,870
|
||
David
A. Barta - Vice President, Chief Financial Officer
|
$
|
245,655
|
||
Executive
officers as a group (6 persons)
|
$
|
2,628,451
|
Your
Board of Directors Recommends That You
Vote
FOR
Approval of the Shareholder Value Added (SVA)
Executive
Officers Incentive Compensation Plan.
|
PROPOSAL 4: |
RATIFICATION
OF THE APPOINTMENT OF DELOITTE & TOUCHE LLP AS THE
COMPANY'S INDEPENDENT REGISTERED PUBLIC
ACCOUNTING FIRM
(INDEPENDENT
AUDITORS)
|
Your
Board of Directors Recommends That You
Vote
FOR
The Ratification Of Appointment Of
Deloitte
& Touche LLP As The Company’s Registered Independent
Auditors.
|
(a) |
the
integrity of the Company’s financial statements and the financial
reporting process;
|
(b) |
the
systems of internal accounting and financial controls;
|
(c) |
the
Company’s internal audit function (“Internal
Audit”);
|
(d)
|
the
qualifications, independence, performance, retention and termination
of a
qualified public accounting firm (the “Independent
Auditors”);
|
(e)
|
the
annual independent audits of the Company’s financial statements and
internal controls over financial reporting;
and
|
(f) |
the
Company’s compliance with legal and regulatory
requirements.
|
1. |
Review
the Company’s annual audited financial statements and results of the
audit, and quarterly, interim financial statements and results of
the
quarterly review, prior to filing or distribution. Review should
include
discussion with Management and the Independent Auditors of significant
issues, and changes regarding accounting principles, practices, and
judgments. Review material written communications between the Independent
Auditors and Management including but not limited to annual or other
Management letters, audit adjustments and schedules of unadjusted
differences. Also review and consider with the Independent Auditors
matters required to be discussed by Statement of Auditing Standards
No.
61.
|
2. |
Review
with Management and the Independent Auditors the Company’s annual audited
and quarterly interim financial results, its earnings press release
and
financial information and earnings guidance provided to analysts
and
ratings agencies, prior to the public release of earnings. The Chair
of
the Committee or his/her designee may represent the entire Committee
for
purposes of the earnings press release
approval.
|
3. |
Review,
comment on and approve the filing of the Company’s periodic 10-Q and 10-K
reports to the SEC.
|
4. |
Review
the effects of regulatory and accounting initiatives, as well as
off-balance sheet structures, on the financial
statements.
|
5. |
Review
and discuss Management’s report on internal control and the Independent
Auditors’ attestation on Management’s required
assertion.
|
6. |
In
consultation with Management, the Independent Auditors, and Internal
Audit, review:
|
(a) |
as
required, but not less than annually, the adequacy and integrity
of the
Company’s disclosure controls and procedures and system of internal
controls;
|
(b) |
quarterly,
any Management disclosed significant deficiencies or material weaknesses
in internal controls or any fraud by employees with a significant
role in
internal control; and
|
(c) |
annually,
the internal audit function and internal audit
plan.
|
7. |
Discuss
the Company’s policies with respect to risk assessment and risk
management, and significant financial risk exposures and the steps
Management has taken to monitor, control and report exposures. Review
significant findings prepared by the Independent Auditors and Internal
Audit on these matters together with Management’s responses.
|
8. |
The
Independent Auditors are accountable to the Audit Committee of the
Board
of Directors. Review the independence and performance of the Independent
Auditors and annually appoint the Independent Auditors and report
such
appointment to the Board. Obtain a report from the Independent Auditors
describing the firm’s internal quality control procedures and any material
issues raised by the peer or PCAOB reviews, or by any inquiry or
investigation by governmental or professional authorities during
the
preceding five years with respect to the firm’s independent audits,
including steps taken to address any such
issues.
|
9. |
Review
annually, with Management, Internal Audit, and the Independent Auditors,
the audit plan - discussing scope, staffing, locations, internal
audit
functions, reliance upon Management, audit assistance from the Company
and
general audit approach, among other items.
|
10. |
Review
with the Independent Auditors any audit problems or difficulties
and
Management’s response. Review any unresolved disagreement or disputes
between Management and the Independent
Auditors.
|
11. |
Review
and approve the fees and other significant compensation to be paid
to the
Independent Auditors. Pre-approve non-audit services provided by
the
Independent Auditors, including tax services and other services not
prohibited by law or SEC rules, which exceed the de minimis exceptions
of
the Act. A Committee member designated by the Committee may represent
the
entire Committee for these approvals.
|
12. |
Review
the experience and qualifications of senior audit team members of
the
Independent Auditors annually and ensure that all partner rotation
requirements, in accordance with applicable rules and regulations,
are
executed.
|
13. |
Establish
hiring policies which comply with rules and regulations for employees
or
former employees of the Independent
Auditors.
|
14. |
Review
Internal Audit staff functions with Management and the Independent
Auditors, including: (i) purpose, authority and organizational reporting
lines; (ii) the annual audit plan budget and staff; and (iii) the
appointment or replacement of the senior internal auditing
manager.
|
15. |
Review
significant reports to Management prepared by Internal Audit and
Management’s responses.
|
16. |
The
Committee shall establish and maintain procedures
for:
|
(a) |
the
receipt, retention and treatment of complaints received by the Company
regarding accounting or auditing matters or controls,
and
|
(b) |
the
confidential, anonymous submission by the Company’s employees of concerns
regarding accounting or auditing matters.
|
17. |
Review
and approve prior to filing, Management’s responses to various regulatory
bodies, such as the SEC, relating to matters for which the Committee
has
oversight responsibilities.
|
18. |
Review
and approve the Audit Committee proxy disclosure required by the
SEC
annually.
|
19. |
Ensure
that a performance assessment of the Committee is performed
annually.
|
20. |
Review
and reassess the adequacy of this Charter at least annually, submitting
changes to the Charter to the Board for approval and publish the
Charter
publicly as required by regulations.
|
1. |
To
review and monitor compliance with all Corporate Governance rules
and
requirements as issued by the regulators and governing organizations;
i.e., Securities and Exchange Commission, Stock Exchange and shareholder
monitoring groups.
|
2. |
To
serve as the Nominating Committee of the Board, re-nominating incumbent
directors and officers and identifying and nominating new directors
to the
Board of Directors to fill existing or expected vacancies on the
Board.
See Nomination Process below.
|
3. |
To
monitor and make recommendations in respect to matters relating to
director’s services; such as independence, retainers, fees, benefits,
board committee structure, stock ownership targets for directors,
compulsory retirement age for directors, director term limits, and
to
annually recommend the assignments of Committee members and
chairpersons.
|
4. |
To
conduct an annual assessment of its own performance, and to establish
and
manage a process whereby the full Board conducts an annual assessment
of
its effectiveness and performance and its committees’ performance and
effectiveness.
|
5. |
To
make recommendations in respect to Board Meetings, such as meeting
frequency, date, and place, agenda subjects, Board visits, Board
size and
other similar matters.
|
6. |
To
periodically review the Corporation’s Bylaws and policies of the Board to
assure compliance with accepted practices and rules. Maintain the
content
and appropriateness of the Directors Handbook and new Directors
Orientation Program.
|
7. |
To
identify and direct special projects, hold special meetings or perform
any
other actions it believes necessary to perform its oversight
functions.
|
8. |
To
meet as circumstances of the Corporation require and report its activities
to the full Board of Directors on a regular
basis.
|
9. |
To
facilitate for the Board a meeting in executive session (non-Management
Directors, without Management) at each regular Board Meeting and
along
with at least one other Director communicate as appropriate to Management
any observations or comments the Board deems
necessary.
|
1.1
|
The
purpose of the REGAL-BELOIT CORPORATION Shareholder Value Added
(SVA)
Executive Officers Incentive Compensation Plan (the “Plan”) is to provide
a system of incentive compensation which will promote the maximization
of
shareholder value over the long term. In order to align executive
management incentives with shareholder interests, incentive compensation
will reward the creation of value. This Plan will tie incentive
compensation to Shareholder Value Added (“SVA”) and, thereby, reward
executive management for creating value and penalize management
for
diminishing value.
|
1.2
|
SVA
is the performance measure of value creation. SVA reflects the
benefits
and costs of capital employment. Executive officers create value
when they
employ capital in an endeavor that generates a return that exceeds
the
cost of the capital employed. By imputing the cost of capital upon
the
operating profits generated by the Company, SVA measures the total
value
created by executive management.
|
1.3
|
Each
Participant has a prescribed target bonus. The bonus earned in
any one
year is the result of multiplying the Actual Bonus Percentage times
the
Participant’sTarget Bonus Value. Bonuses earned in any one Fiscal Year up
to the Target Bonus Value will be fully paid out shortly after
the end of
that Fiscal Year. Bonuses earned above the Target Bonus Value are
deferred, with one-third of the deferred balance paid out after
the end of
each of the following three Fiscal
Years.
|
2.1
|
“Participant“
is defined as a REGAL-BELOIT employee who serves as a Corporate
Officer of
the Company and is so designated by the
Committee.
|
2.2 |
“Capital”
is defined as the net investment employed in the operations of the
Company. The components of Capital are as
follows:
|
2.3
|
Each
component of Capital will be measured by computing a thirteen month
average beginning with the last month of the prior Fiscal Year
and the
twelve months of the current Fiscal
Year.
|
2.4
|
“Cost
of Capital”
is
defined as the weighted average of the after tax cost of debt and
equity.
|
2.5
|
“Capital
Charge”
is defined as the opportunity cost of employing Capital in the
Company.
The Capital Charge is computed as
follows:
|
2.6 |
“Fiscal
Year”
or “Plan Year” is January 1 through December 31 of each calendar
year.
|
2.7 |
“Net
Operating Profit After Tax”
or “NOPAT”
|
(1) |
Adjustments
to NOPAT for special items, if any, shall be established within
the first
ninety (90) days of the Company’s Fiscal Year by the Committee. A few
examples are: gains and losses on sales of land and buildings,
gains and
losses on sales of businesses and first year impact of
acquisitions.
|
(2) |
The
Corporate tax rate will vary as a percent of Net Operating Profit
Before
Tax on the actual effective book tax rate of the Company. Adjustments
for
specific non-book tax items may be considered on a case by case
basis and
established within the first ninety (90) days of the Company’s Fiscal
Year.
|
2.8 |
|
“Shareholder
Value Added” or “SVA” is defined as the NOPAT that remains after
subtracting the Capital Charge from NOPAT. SVA may be positive
or
negative.
|
3.1
|
“Actual
SVA” is defined as the SVA as calculated for the Company for the Fiscal
Year in question.
|
3.2
|
“Target
SVA” is defined as the level of SVA that is required in order for a
Participant to receive the Target Bonus
Value.
|
3.3
|
“Target
Bonus Value” is defined as the “Target Bonus Percentage” times a
Participant’s Base Pay.
|
3.4
|
“Target
Bonus Percentage” is determined for each Participant by the Committee
within the first ninety (90) days of the Company’s Fiscal Year.
|
3.5
|
“Actual
Bonus Value” is defined as the bonus earned by a Participant and is
computed as the Actual Bonus Percentage times a Participant’s Target Bonus
Value. A portion of the Actual Bonus Value may be placed in the
Participant’s Deferred Account. See Article IV Deferred
Account.
|
3.6
|
“Actual
Bonus Percentage” is determined by multiplying the Target Bonus Percentage
by the Bonus Performance Value.
|
3.7
|
“Bonus
Performance Value” is defined as the difference between the Actual SVA and
the Target SVA divided by the Leverage Factor, plus
1.0.
|
3.8
|
“Leverage
Factor” is the negative (positive) deviation from Target SVA necessary
before a zero (two times Target) bonus is earned.
|
3.9
|
“Base
Pay” is defined as the annual salary of a Participant as of the date
specified by the Committee within the first ninety (90) days of
the
Company’s fiscal year.
|
3.10
|
“Maximum
Bonus” is defined as 200% of Target Bonus Value. A Participant cannot
earn
an Actual Bonus Value in any year more than twice his/her Target
Bonus
Value.
|
3.11
|
“Minimum
Bonus” means zero bonus. A Participant may earn an Actual Bonus Value
of
zero (-0-), but the Actual Bonus Value cannot be
negative.
|
4.1
|
Establishment
of a Deferred Account. To serve as an incentive for Participants
to remain
employed by the Company, amounts above the Target Bonus Value shall
be
credited to the Plan Participant’s deferred account (“Deferred
Account”).
|
4.2
|
“Deferred
Account” is defined as, with respect to each Participant, an unfunded
account to which amounts are credited, or debited (paid out), under
the
Plan.
|
4.3
|
Payment:
Any amounts earned above the Target Bonus Value are paid in three
equal
amounts after the end of each of the three Fiscal Years following
the year
in which such deferred amount was earned, subject to the conditions
in
Article V.
|
4.4 |
No interest will be earned or paid on amounts in the Participant’s
Deferred Account.
|
5.1
|
Eligibility.
The Compensation and Human Resources Committee of the Board of
Directors
(the “Committee”) will have sole discretion in determining who shall
participate in the Plan. Employees designated for Plan participation
by
the Committee shall be members of executive management. In order
for a
Participant to receive or be credited with his or her Actual Bonus
Value
for a Plan Year, the Participant must have (i) remained employed
by the
Company or an affiliate through the last day of such Plan Year,
(ii)
retired from the Company within the meaning of Section 5.2 during
the Plan
Year, (iii) suffered a disability within the meaning of Section
5.2 during
the Plan Year, or (iv) died during the Plan Year. A Participant
whose
employment terminates involuntarily without cause after June 30
of any
year will be entitled to a prorata Actual Bonus Value for the year
in
which his/her employment so ends, payable as soon as practical
after
calendar year end. In all other cases of termination of employment
prior
to the last day of the Plan Year, a Participant shall not be entitled
to
any Actual Bonus Value for such Plan Year. In the case of items
(ii),
(iii) and (iv), the Actual Bonus Value will be prorated for the
portion of
the Plan Year worked.
|
5.2
|
Retirement
or Disability.
A
Participant who retires from the Company in accordance with Company
retirement programs, or suffers a “disability,” as such term is defined in
the Company’s long-term disability benefits program, while in the
Company’s employ, shall be eligible to receive the balance of his/her
Deferred Account. Such payments shall be made as soon as practical
after
the retirement or after qualifying for benefit payments under the
Company’s long-term disability benefits
program.
|
5.3
|
Involuntary
Termination Without Cause or Death.
A
Participant, or a Participant’s estate, respectively, who is terminated
without cause or who dies shall receive the balance in his/her
Deferred
Account. Such payments will be made as soon as is
practical.
|
5.4
|
Voluntary
Termination.
In the event that a Participant voluntarily terminates employment
with the
Company, the right of the Participant to the balance in, and any
payments
from, his/her Deferred Account shall be
forfeited.
|
5.5
|
Termination
for Cause.
In the event of termination of employment for Cause, the right
of the
Participant to his/her Deferred Account shall be declared forfeited.
“Cause” shall mean:
|
5.6
|
Breach
of Agreement.
Notwithstanding any other provision of the Plan or any other agreement,
in
the event that a Participant shall breach any noncompetition agreement
with the Company or breach any agreement with respect to the
postemployment conduct of such Participant, any remaining payment
otherwise due to the Participant hereunder shall be
forfeited.
|
5.7
|
No
Guarantee.
Other than as provided in this Plan document, (i) participation
in the
Plan provides no guarantee that a payment under the Plan will be
paid;
(ii) selection as a Participant is no guarantee that payments under
the
Plan will be paid; or, (iii) that selection as a Participant will
be made
in the subsequent Fiscal Year.
|
6.1
|
Withholding
of Taxes.
The Company shall have the right to withhold the amount of taxes,
which in
the determination of the Company, is required to be withheld under
available law with respect to any amount due or paid under the
Plan.
|
6.2
|
Expenses.
All expenses and costs in connection with the adoption and administration
of the Plan shall be borne by the
Company.
|
6.3
|
No
Prior Right or Offer.
Except and until expressly granted pursuant to the Plan, nothing
in the
Plan shall be deemed to give any employee any contractual or other
right
to participate in the benefits of the
Plan.
|
6.4
|
Claims
for Benefits.
In the event a Participant desires to make a claim with respect
to any of
the benefits provided hereunder, the Participant shall submit evidence
satisfactory to the Committee of facts establishing his entitlement
to a
payment under the Plan. Any claim with respect to any of the benefits
provided under the Plan shall be made in writing within ninety
(90) days
of the event which the Participant asserts entitles him to benefits.
Failure by the Participant to submit his claim within such ninety
(90) day
period shall bar the Participant from any subsequent claim for
benefits
under the Plan.
|
6.5
|
In
the event that a claim which is made by a Participant is wholly
or
partially denied, the Participant will receive from the Committee
a
written explanation of the reason for denial and the Participant
or
his/her duly authorized representative may appeal the denial of
the claim
to the Committee at any time within ninety (90) days after the
receipt by
the Participant of written notice from the Committee of the denial
of the
claim. In connection therewith, the Participant or his/her duly
authorized
representative may request a review of the denied claim; may review
pertinent documents; and may submit issues and comments in writing.
Upon
receipt of an appeal, the Committee shall make a decision with
respect to
the appeal and, not later than sixty (60) days
after
|
6.6
|
Action
Taken in Good Faith; Indemnification.
The Committee may employ attorneys, consultants, accountants or
other
advisors and the Company’s directors and officers shall be entitled to
rely upon the advice, opinions or valuations of any such persons.
All
actions taken and all interpretations and determinations made by
the
Committee in good faith shall be final and binding upon all Participants,
the Company and all other interested parties. No member of the
Committee,
nor any officer, director, employee or representative of the Company,
or
any of its affiliates acting on behalf of or in conjunction with
the
Committee, shall be personally liable for any action, determination,
or
interpretation, whether of commission or omission, taken or made
with
respect to the Plan, except in circumstances involving actual bad
faith or
willful misconduct. In addition to such other rights of indemnification
as
they may have as members of the Board, as members of the Committee
or as
officers or employees of the Company, all members of the Committee
and any
officer, employee or representative of the Company or any of its
subsidiaries acting on their behalf shall be fully indemnified
and
protected by the Company with respect to any such action, determination
or
interpretation against the reasonable expenses, including attorneys’ fees
actually and necessarily incurred, in connection with the defense
of any
civil or criminal action, suit or proceeding, or in connection
with any
appeal therein, to which they or any of them may be a party by
reason of
any action taken or failure to act under or in connection with
the
establishment and administration of the Plan or an award granted
thereunder, and against all amounts paid by them in settlement
thereof
(provided such settlement is approved by independent legal counsel
selected by the Company) or paid by them in satisfaction of a judgment
in
any action, suit or proceeding. Expenses (including attorney’s fees)
incurred in defending a civil or criminal action, suit or proceeding
shall
be paid by the Company if such person claiming indemnification
is entitled
to be indemnified as provided in this
Section.
|
6.7
|
Rights
Personal to Participant.
Any rights provided to a Participant under the Plan shall be personal
to
such Participant, shall not be transferable (except by will or
pursuant to
the laws of descent or distribution), and shall be exercisable,
during
his/her lifetime, only by such
Participant.
|
6.8
|
Distribution
of Deferred Accounts Upon Termination or Suspension of the Plan.
Upon
termination of the Plan, or suspension for a period of more than
90 days,
the Deferred Account of each Participant shall be distributed as
soon as
practicable but in no event later than 90 days from such event.
The
Committee, in its sole discretion, may accelerate distribution
of the
Deferred Account, in whole or in part, at any time. In the event
of such
acceleration of payment for any reason, the amount to be paid shall
be
discounted to reasonably reflect the time value of money, using
the
mid-term applicable federal rate as defined in Section 1274(d)
of the
Internal Revenue Code in effect as of the first day of the calendar
quarter preceding the quarter in which such acceleration will
occur.
|
7.1
|
No
Continued Employment.
Nothing contained herein shall provide any Participant with any
right to
continued employment or in any way abridge the rights of the Company
and
its Participants to determine the terms and conditions of employment
and
whether to terminate employment of any
Participant.
|
7.2
|
No
Vested Rights.
Except as otherwise provided herein, no Participant or other person
shall
have any claim of right (legal, equitable, or otherwise) to any
award,
allocation, or distribution or any right, title, or vested interest
in any
amounts in his/her Deferred Account and no Officer of the Company
or any
other person shall have any authority to make representations or
agreements to the contrary. No interest conferred herein to a Participant
shall be assignable or subject to claim by a Participant’s creditors. The
right of the Participant to receive a distribution hereunder shall
be an
unsecured claim against the general assets of the Company and the
Participant shall have no rights in or against any specific assets
of the
Company as the result of participation
hereunder.
|
7.3
|
Not
Part of Other Benefits.
The benefits provided in this Plan shall not be deemed a part of
any other
benefit provided by the Company to its employees. The Company assumes
no
obligation to Plan Participants except as specified herein. This
is a
complete statement, along with any Exhibits, Schedules and Appendices
attached hereto, of the terms and conditions of the
Plan.
|
7.4
|
Other
Plans.
Nothing contained herein shall limit the Company or the Committee’s power
to grant bonuses to the Officers of the Company, whether or not
Participants in this Plan.
|
7.5
|
Limitations.
Neither the establishment of the Plan nor the grant of an award
hereunder
shall be deemed to constitute an express or implied contract of
employment
for any period of time or in any way abridge the rights of the
Company to
determine the terms and conditions of employment or to terminate
the
employment of any Participant with or without cause at any
time.
|
7.6
|
Unfunded
Plan.
This Plan is unfunded and is maintained by the Company in part
to provide
incentive compensation to the Participants. Nothing herein shall
create or
be construed to create a trust of any kind, or a fiduciary relationship
between the Company and any
Participant.
|
8.1
|
Compensation
and Human Resources Committee Authority.
Except as otherwise expressly provided herein, full power and authority
to
interpret and administer this Plan shall be vested in the Compensation
and
Human Resources Committee. The Committee may from time to time
make such
decisions and adopt such rules and regulations for implementing
the Plan
as it deems appropriate for any Participant under the Plan. Any
decision
taken by the Committee arising out of or in connection with the
construction, administration, interpretation and effect of the
Plan shall
be final, conclusive and binding upon all Participants and any
person
claiming under or through them.
|
9.1
|
Any
notice to be given pursuant to the provisions of the Plan shall
be in
writing and directed to the appropriate recipient thereof at his/her
business address or office
location.
|
10.1 |
This
Plan shall be effective as of January 1, 2006 subject to receipt
of
Shareholders approval.
|
11.1
|
Amendment.
This Plan may be suspended or terminated at any time or amended
in
accordance with the terms and conditions hereof at the sole discretion
of
the Board of Directors upon the recommendation of the Committee.
Any
action which suspends the bonus accruals for more than twelve months
shall
be deemed a termination of the
Plan.
|
11.2
|
Protected
Benefits.
No amendment, suspension or termination of the Plan shall be effective
to
eliminate or diminish the entitlement of a Participant to any award
for an
applicable year, unless such amendment, suspension or termination
has been
made and dated within ninety (90) days of the beginning of such
Fiscal
Year.
|
11.3
|
Notice.
Notice of any amendment, suspension or termination shall be given
promptly
to each Participant.
|
12.1
|
This
Plan shall be construed in accordance with the laws of the State
of
Wisconsin to the extent not preempted by Federal
law.
|
Risk Free Rate = |
Average
Daily closing yield on U.S. Government 30 Year. Bonds or similar
long-term
instruments if a U.S. Government 30 Year Bond yield is not
available
.
|
PROXY
REGAL-BELOIT
CORPORATION
PROXY
FOR ANNUAL MEETING ON APRIL 26, 2006
The
undersigned hereby appoints H.W. Knueppel and K.F. Kaplan or either
of
them as Proxies, each with the power to appoint his substitute,
and hereby
authorizes them to represent and to vote, as designated on the
reverse
side, all shares of common stock of REGAL-BELOIT CORPORATION (the
“Company”) held on record by the undersigned on February 28, 2006, at the
Annual Meeting of Shareholders to be held on April 26, 2006, at
9:30 A.M.
Central Daylight Time, at the American Industrial Art Gallery,
655
3rd Street, Suite 302, Beloit, WI 53511, or any adjournment
thereof.
THIS
PROXY IS SOLICITED ON BEHALF OF THE BOARD OF DIRECTORS. If you
wish to vote in accordance with the Board of Directors' recommendations,
just sign on the reverse side. You need not mark any boxes. Please
mark,
sign, date and return this card promptly using the enclosed
envelope.
Address
Changes/Comments:
_______________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
(If
you
noted any address changes/comments above, please mark corresponding
box on
reverse side.)
Continued
and to be signed on Reverse Side
SEE
REVERSE
SEE REVERSE
SIDE
SIDE
|
REGAL-BELOIT
CORPORATION
200
STATE STREET
BELOIT,
WI 53511-6254
|
VOTE
BY INTERNET -
www.proxyvote.com
Use
the
Internet to transmit your voting instructions and for electronic
delivery
of information up until 11:59 P.M. Eastern Time the day before
the meeting
date. Have your proxy card in hand when you access the web site
and follow
the instructions to obtain your records and to create an electronic
voting
instruction form.
|
|
ELECTRONIC
DELIVERY OF FUTURE SHAREHOLDER COMMUNICATIONS
If
you would
like to reduce the costs incurred by REGAL-BELOIT CORPORATION in
mailing
proxy materials, you can consent to receiving all future proxy
statements,
proxy cards and annual reports electronically via e-mail or the
Internet.
To sign up for electronic delivery, please follow the instructions
above
to vote using the Internet and, when prompted, indicate that you
agree to
receive or access shareholder communications electronically in
future
years.
|
||
VOTE
BY PHONE - 1-800-690-6903
Use
any
touch-tone telephone to transmit your voting instructions up until
11:59
P.M. Eastern Time the day before the meeting date. Have your proxy
card in
hand when you call and then follow the instructions.
|
||
VOTE
BY MAIL
Mark,
sign and
date your proxy card and return it in the postage-paid envelope
we have
provided or return it to REGAL-BELOIT CORPORATION, c/o ADP, 51
Mercedes
Way, Edgewood, NY 11717.
|
TO
VOTE, MARK
BLOCKS BELOW IN BLUE OR BLACK INK AS FOLLOWS:
|
RGBEL
1
KEEP THIS PORTION FOR YOUR RECORDS
|
|
DETACH
AND
RETURN THIS PORTION ONLY
|
REGAL-BELOIT
CORPORATION
This
Proxy when executed will be voted in the manner directed
herein. If no
direction is made, this Proxy will be voted FOR Proposals
1, 2, 3 and
4.
The
Board of Directors recommends a vote FOR Proposals 1, 2,
3 and
4.
|
For
All
|
Withhold
All
|
For
All
Except
|
To
withhold
authority to vote for any individual nominee, mark “For All Except” and
write the nominee’s name on the line below.
_____________________________________________
|
|||||||||
1.
Election of
Class A Directors. Nominees:
(01) Henry W. Knueppel
(02) Dean A. Foate
|
¨
|
¨
|
¨
|
||||||||||
2.
Election of
Class B Director. Nominee:
(01)
James L.
Packard
|
For
¨
|
Withhold
¨
|
|||||||||||
3.
To approve
the Company’s Shareholder Value Added
(SVA) Executive Officers Incentive Compensation Plan.
|
For
¨
|
Against
¨
|
Abstain
¨
|
||||||||||
4.
Ratification of the appointment of Deloitte & Touche LLP
as the independent certified public accountants of the
Company for the fiscal year ending December 31, 2006.
|
¨
|
¨
|
¨
|
||||||||||
5.
To act on
other business that properly comes before the
meeting or any adjournment and matters incident to
conduct thereof.
|
|||||||||||||
For
address
changes and/or comments, please check
this
box and
write them on the back where
indicated.
|
¨
|
|
|||||||||||||
Signature [PLEASE SIGN WITHIN BOX] |
Date
|
Signature
(Joint Owners)
|
Date
|