EXHIBIT A
RELEASE OF CLAIMS
In exchange for the promises contained in the Change in Control Severance Agreement dated as of , 2017 (“CIC Agreement”) by and between LIFETOUCH INC. (“Lifetouch” or “Company”) and (“You” or “Employee”), the parties agree as follows:
1. Your employment has terminated under circumstances that make you eligible for benefits under the CIC Agreement. Your last date of employment is 20 (the “Termination Date”) and separation of employment is effective at the close of business on the Termination Date.
2. In consideration of your Release of Claims, the Company will pay to you a lump sum payment as provided for in the CIC Agreement, in the amount of dollars ($ ), which includes the following benefits and offsets described in Sections 2 and 3(c) of the CIC Agreement:
a. dollars ($ ), which is equal to [two (2)] times the sum of (i) your Base Salary plus (ii) your Target Incentive Bonus (with Base Salary and Target Incentive Bonus having the meanings set forth in the CIC Agreement); plus
b. dollars ($ ), which is equal to [twenty-four (24)] times the Company’s portion of the monthly premiums for group medical, group dental and basic group life insurance coverage, to the extent you are participating in such group plans as of the Termination Date, at the coverage level and premium rates in effect immediately prior to the Termination Date or at the time of the Change in Control (as defined in the CIC Agreement), whichever is more favorable to you; less
c. dollars ($ ), which is equal to the aggregate cash severance pay that you are eligible to receive from the Company or any successor under any policy, plan or agreement, other than the CIC Agreement, in the event of the termination of your employment with the Company (but not reduced by anyin-kind benefits available to you thereunder such as outplacement or group benefit plan premiums).
3. Except as set forth in Paragraph 4 below, you agree to, and by signing this Release of Claims do, hereby release and forever discharge the Company, its affiliates, and their current and former officers, directors, employees, agents and representatives, both individually and in their business capacities, their employee benefit plans and programs and their administrators and fiduciaries (collectively “Released Parties”) from and of any and all claims and demands you have or might have against them, whether in law or equity, contract, tort, by statute, or by operation of law, arising out of or in connection with your employment by the Company or any of its affiliates, or separation of that employment. This release includes and covers, without limiting the generality of the foregoing, any claim you may have for wages, bonuses, incentive plans, vacation pay, benefits, retirement plan contributions, employment discrimination, harassment, defamation, retaliation or improper discharge. This release shall be deemed to include any claim arising under any federal, state or local statute or ordinance prohibiting discrimination in employment, including without limitation claims arising under the Age Discrimination in Employment Act.