Stock Appreciation Right Plan

Report your participation in a stock appreciation right plan in Part 3.  In addition, report the stock appreciation rights in Part 2 (see Part 2 of this guide for details).

Employer or Party


Status and Terms


Steamship Taxi Co.

St. Louis, MO

All unvested stock appreciation rights will be forfeited upon my separation.  I will exercise or forfeit my vested rights.  Payment of any exercised rights will be in the form of a cash lump sum.


For You

Part 3

Report your participation in a stock appreciation right planIn addition, if you are an Annual or Termination filer, report a stock appreciation right plan in which you participated at any point during the reporting period.

Employer or Party:  Provide the name of the employer.

City/State:  Provide the city and state in which the employer is located.

Status and Terms:  Identify the plan as a stock appreciation right plan and describe what will happen (or has happened) to your stock appreciation rights (e.g., retention of stock appreciation rights, exercise of vested rights, forfeiture of unvested rights, or accelerated payout of unvested rights).  If applicable, specify the timeframe in which these actions will occur and the form that any payout will take (e.g., cash or stock).

Date:  Provide the month and year in which you began participating in the stock appreciation right plan.