Exhibit 10.1

                               QCR HOLDINGS, INC.
                    EXECUTIVE DEFERRED COMPENSATION AGREEMENT

         THIS  AGREEMENT is made this 1st day of January,  2002,  by and between
QCR Holdings,  Inc., a Delaware corporation (the "Company"),  and TODD A. GIPPLE
(the "Executive").

                                  INTRODUCTION

         To encourage  the  Executive to remain an employee of the Company,  the
Company  is  willing  to  provide  to  the  Executive  a  deferred  compensation
opportunity  together with matching  contributions  by the Company.  The Company
will pay the Executive's benefits from the Company's general assets.

                                    AGREEMENT

         The Executive and the Company agree as follows:

                                    Article 1
                                   Definitions

         Whenever used in this Agreement,  the following words and phrases shall
have the meanings specified:

         1.1  "Anniversary Date" means June 30 of each year.

         1.2  "Change of Control" means:

         a) The  consummation  of the acquisition by any person (as such term is
         defined in Section  13(d) or 14(d) of the  Securities  Exchange  Act of
         1934, as amended (the "1934 Act")) of beneficial  ownership (within the
         meaning of Rule 13d-3  promulgated under the 1934 Act) of 33 percent or
         more of the  combined  voting  power  of the  then  outstanding  voting
         securities of the Company; or

         b) The individuals who, as of the date hereof, are members of the Board
         of  Directors  of the  Company  (the  "Board")  cease for any reason to
         constitute a majority of the Board, unless the election,  or nomination
         for election by the stockholders, of any new director was approved by a
         vote of a  majority  of the Board,  and such new  director  shall,  for
         purposes of this Agreement, be considered a member of the Board; or

         c)  Approval  by  stockholders  of  the  Company  of  (1) a  merger  or
         consolidation if the stockholders,  immediately before such a merger or
         consolidation,  do not,  as a result of such  merger or  consolidation,
         own,  directly  or  indirectly,  more than 67 percent  of the  combined
         voting power of the then  outstanding  voting  securities of the entity
         resulting from such merger or consolidation,  in substantially the same
         proportion  as their  ownership  of the  combined  voting  power of the
         voting  securities  outstanding   immediately  before  such  merger  or
         consolidation,  or (2) a  complete  liquidation  or  dissolution  or an
         agreement  for the sale or other  disposition  of two-thirds or more of
         the consolidated assets of the Company.

         Notwithstanding the foregoing,  a Change of Control shall not be deemed
         to occur solely because 33 percent or more of the combined voting power
         of the then outstanding securities of the Company are acquired by (1) a
         trustee  or  other  fiduciary  holding  securities  under  one or  more
         employee benefit plans  maintained for employees of the entity,  or (2)
         any corporation which, immediately prior to such acquisition,  is owned
         directly or indirectly by the  stockholders  in the same  proportion as
         their ownership of stock immediately prior to such acquisition.

         1.3  "Code" means the Internal Revenue Code of 1986, as amended.

         1.4  "Company" means QCR Holdings, Inc.

         1.5  "Compensation"  means  the  total  salary  and  bonus  paid to the
Executive during a Plan Year.

         1.6  "Deferral   Account"   means  the  Company's   accounting  of  the
Executive's accumulated Deferrals plus accrued interest.

         1.7 "Deferrals" means the amount of the Executive's  Compensation which
the Executive elects to defer according to this Agreement.

         1.8  "Disability"  means,  if the  Executive  is  covered  by a Company
sponsored  disability policy, total disability as defined in such policy without
regard to any waiting period.  If the Executive is not covered by such a policy,
Disability means the Executive  suffering a sickness,  accident or injury which,
in the  judgment  of a  physician  satisfactory  to the  Company,  prevents  the
Executive from performing substantially all of the Executive's normal duties for
the Company. As a condition to any Disability benefits,  the Company may require
the Executive to submit to such physical or mental  evaluations and tests as the
Company's Board of Directors deems appropriate.

                                       1


         1.9 "Effective Date" means January 1, 2002.

         1.10 "Election Form" means the Form attached as Exhibit 1.

         1.11 "Fiscal Year" means a twelve-month  period commencing on July 1 of
one year and ending June 30 of the following year.

         1.12 "Normal Retirement Age" means the Executive's 65th birthday.

         1.13 "Normal  Retirement Date" means the later of the Normal Retirement
Age or Termination of Employment.

         1.14 "Plan Year" means Fiscal Year.

         1.15  "Termination of Employment" means that the Executive ceases to be
employed  by the  Company  for any reason  whatsoever  other than by reason of a
leave  of  absence  which is  approved  by the  Company.  For  purposes  of this
Agreement,  if there is a dispute over the employment status of the Executive or
the date of the  Executive's  Termination of Employment,  the Company shall have
the sole and absolute right to decide the dispute.

                                    Article 2
                                Deferral Election

         2.1 Initial  Election.  The  Executive  shall make an initial  deferral
election under this Agreement by filing with the Company a signed  Election Form
within thirty (30) days after the Effective Date of this Agreement. The Election
Form  shall set forth the amount of  Compensation  to be  deferred  and shall be
effective to defer only Compensation  earned after the date the Election Form is
received by the Company.

         2.2 Election Changes

                  2.2.1 Generally.  Upon the Company's  approval,  the Executive
         may modify the amount of Compensation to be deferred annually by filing
         a new Election Form with the Company prior to the beginning of the Plan
         Year in which the Compensation is to be deferred. The modified deferral
         election  shall not be effective  until the Fiscal Year  following  the
         year in which the subsequent  Election Form is received and approved by
         the Company.

                  2.2.2  Hardship.  If  an  unforeseeable   financial  emergency
         arising from the death of a family member, divorce,  sickness,  injury,
         catastrophe  or similar  event  outside  the  control of the  Executive
         occurs,  the Executive,  by written  instructions  to the Company,  may
         reduce future deferrals under this Agreement.

                                    Article 3
                                Deferral Account

         3.1 Establishing and Crediting.  The Company shall establish a Deferral
Account on its books for the Executive and shall credit to the Deferral  Account
the following amounts:

                  3.1.1 Deferrals. The Compensation deferred by the Executive as
         of the time the  Compensation  would  have  otherwise  been paid to the
         Executive.

                  3.1.2 Matching Contribution.  A matching contribution equal to
         (and credited to the Deferral  Account at the same time as) the amounts
         credited to the Deferral  Account  under Section  3.1.1,  subject to an
         annual maximum matching contribution of 100 percent of the Compensation
         deferred by the  Executive,  said matching  contribution  not to exceed
         $10,000 (Ten Thousand Dollars)  annually;  provided however,  that with
         respect to the short fiscal year  beginning  January 1, 2002 and ending
         June 30, 2002, the matching  contribution shall not exceed $5,000 (Five
         Thousand Dollars).

                  3.1.3 Interest. On each Anniversary Date of this Agreement and
         continuing  until all benefit  payments  under this Agreement have been
         made,  interest is to be accrued on the account  balance and compounded
         at an annual  rate equal to the Wall Street  Journal  Prime Rate on the
         first  business day of the Plan Year.  This  interest rate shall have a
         minimum or floor of 6% and shall not exceed 12%.

         3.2 Statement of Accounts.  The Company shall provide to the Executive,
within one hundred  twenty (120) days after each  Anniversary  Date, a statement
setting forth the Deferral Account balance.

                                       2


         3.3 Accounting Device Only. The Deferral Account is solely a device for
measuring amounts to be paid under this Agreement. The Deferral Account is not a
trust fund of any kind.  The  Executive is a general  unsecured  creditor of the
Company for the payment of  benefits.  The benefits  represent  the mere Company
promise to pay such  benefits.  The  Executive's  rights are not  subject in any
manner  to  anticipation,   alienation,  sale,  transfer,   assignment,  pledge,
encumbrance, attachment, or garnishment by the Executive's creditors.

                                    Article 4
                                Lifetime Benefits

         4.1 Normal  Retirement  Benefit.  Upon the Normal  Retirement Date, the
Company shall pay to the Executive the benefit  described in this Section 4.1 in
lieu of any other benefit under this Agreement.

                  4.1.1 Amount of Benefit. The benefit under this Section 4.1 is
         the Deferral Account balance at the Executive's Normal Retirement Date.

                  4.1.2 Payment of Benefit. The Company shall pay the benefit to
         the Executive in 180 equal monthly installments commencing on the first
         day of the month following the Executive's  Normal Retirement Date. The
         Company  shall  credit  interest  pursuant  to  Section  3.1.3  on  the
         remaining account balance during any applicable installment period.

         4.2 Early Retirement  Benefit.  Upon Termination of Employment prior to
the Normal  Retirement  Age for reasons  other than death,  Change of Control or
Disability, the Company shall pay to the Executive the benefit described in this
Section 4.2 in lieu of any other benefit under this Agreement.

                  4.2.1 Amount of Benefit. The benefit under this Section 4.2 is
         the  Deferral  Account  balance  at  the  Executive's   Termination  of
         Employment.

                  4.2.2 Payment of Benefit. The Company shall pay the benefit to
         the Executive in 180 equal monthly installments commencing on the first
         day of the month following the  Executive's  Termination of Employment.
         The Company  shall  credit  interest  pursuant to Section  3.1.3 on the
         remaining account balance during any applicable installment period.

         4.3 Disability Benefit. If the Executive  terminates  employment due to
Disability  prior  to  Normal  Retirement  Age,  the  Company  shall  pay to the
Executive the benefit described in this Section 4.3 in lieu of any other benefit
under this Agreement.

                  4.3.1 Amount of Benefit. The benefit under this Section 4.3 is
         the  Deferral  Account  balance  at  the  Executive's   Termination  of
         Employment.

                  4.3.2 Payment of Benefit. The Company shall pay the benefit to
         the Executive in 180 equal monthly installments commencing on the first
         day of the month following the  Executive's  Termination of Employment.
         The Company  shall  credit  interest  pursuant to Section  3.1.3 on the
         remaining account balance during any applicable installment period.

         4.4 Change of Control  Benefit.  Upon a Change of Control,  the Company
shall pay to the Executive the benefit  described in this Section 4.4 in lieu of
any other benefit under this Agreement.

                  4.4.1  Amount of Benefit.  The benefit  under this Section 4.4
         shall be the  greater  of:  (a) the  Deferral  Account  balance  at the
         Executive's  Termination of Employment;  or (b) $1,288,000 (One Million
         Two Hundred Eighty-Eight Thousand Dollars).

                  4.4.2 Payment of Benefit. The Company shall pay the benefit to
         the Executive in a lump sum within 60 days  following  the  Executive's
         Termination of Employment.

                  4.4.3 Obligation to Fund. Notwithstanding any provision to the
         contrary  contained  herein,  no later  than  the  date of a Change  of
         Control,  the  Company  shall  fund a "Rabbi  Trust"  (as such  term is
         described  in Revenue  Procedure  92-64) in the  amount of the  payment
         required  under  Section  4.4.1,  with the  trustee of such trust being
         designated by the Board in its sole and absolute discretion.

         4.5 Hardship Distribution.  Upon the Board of Director's  determination
(following  petition  by the  Executive)  that the  Executive  has  suffered  an
unforeseeable  financial  emergency as described in Section  2.2.2,  the Company
shall  distribute  to the  Executive  all or a portion of the  Deferral  Account
balance as determined by the Company,  but in no event shall the distribution be
greater than is necessary to relieve the financial hardship.

                                       3


                                    Article 5
                                 Death Benefits

         5.1 Death During Active  Service.  If the  Executive  dies while in the
employment of the Company, the Company shall pay to the Executive's  beneficiary
the benefit  described  in this Section 5.1 in lieu of any other  benefit  under
this Agreement.

                  5.1.1 Amount of Benefit.  The benefit under Section 5.1 is the
         greater of: (a) the Deferral  Account  balance;  or (b) $1,288,000 (One
         Million Two Hundred Eighty-Eight Thousand Dollars).

                  5.1.2 Payment of Benefit. The Company shall pay the benefit to
         the  beneficiary in the manner elected by the Executive on the attached
         Beneficiary  Designation form, or as such form may have been amended by
         the Executive  prior to his death.  In the event that the death benefit
         hereunder is paid in  installments,  the Company shall credit  interest
         pursuant to Section 3.1.3 on the remaining  account  balance during any
         applicable installment period.

         5.2 Death During Payment of a Lifetime  Benefit.  If the Executive dies
after any Lifetime  Benefit  payments have  commenced  under this  Agreement but
before receiving all such payments, the Company shall pay the remaining benefits
to the  Executive's  beneficiary  at the same time and in the same  amounts they
would have been paid to the Executive had the Executive survived.

         5.3 Death  After  Termination  of  Employment  But Before  Payment of a
Lifetime Benefit  Commences.  If the Executive is entitled to a Lifetime Benefit
under  this  Agreement,  but dies  prior  to the  commencement  of said  benefit
payments,  the  Company  shall  pay  the  Lifetime  Benefit  to the  Executive's
beneficiary  that the  Executive  was entitled to prior to death except that the
benefit payments shall commence on the first day of the month following the date
of the Executive's death.

                                    Article 6
                                  Beneficiaries

         6.1   Beneficiary   Designations.   The  Executive  shall  designate  a
beneficiary by filing a written designation with the Company.  The Executive may
revoke  or  modify  the  designation  at any time by  filing a new  designation.
However,  designations  will only be  effective if signed by the  Executive  and
accepted  by the  Company  during  the  Executive's  lifetime.  The  Executive's
beneficiary designation shall be deemed automatically revoked if the beneficiary
predeceases  the Executive or if the Executive names a spouse as beneficiary and
the marriage is  subsequently  dissolved.  If the Executive dies without a valid
beneficiary designation, all payments shall be made to the Executive's estate.

         6.2  Facility  of  Payment.  If a benefit is  payable to a minor,  to a
person  declared  incompetent,   or  to  a  person  incapable  of  handling  the
disposition  of his or her  property,  the Company  may pay such  benefit to the
guardian,  legal  representative  or person  having  the care or custody of such
minor,  incompetent person or incapable person. The Company may require proof of
incompetence,  minority  or  guardianship  as it may deem  appropriate  prior to
distribution of the benefit.  Such distribution  shall completely  discharge the
Company from all liability with respect to such benefit.

                                    Article 7
                               General Limitations

         7.1  Termination  for  Cause.  Notwithstanding  any  provision  of this
Agreement  to the  contrary,  the Company  shall not pay any benefit  under this
Agreement that is attributable to the Company match credited under Section 3.1.2
of this Agreement and the interest earned on the Deferral Account if the Company
terminates the Executive's employment for:

                  (a) A material  violation by the  Executive of any  applicable
         material law or regulation respecting the business of the Company;

                  (b) The  Executive  being found guilty of a felony,  an act of
         dishonesty  in  connection  with the  performance  of his  duties as an
         officer  of the  Company,  or which  disqualifies  the  Executive  from
         serving as an officer or director of the Company or the Company; or

                  (c) The  willful  or  negligent  failure of the  Executive  to
         perform  his duties  for the  Company  or the  Company in any  material
         respect.

         7.2  Suicide  or  Misstatement.  The  Company  shall  not pay any death
benefit under this  Agreement  exceeding  the Deferral  Account if the Executive
commits  suicide  within two years after the date of this  Agreement,  or if the
Executive has made any material misstatement of fact on any application for life
insurance purchased by the Company.

                                       4


         7.3 Excess Parachute  Payment.  If it is determined,  in the opinion of
the Company's independent accountants,  in consultation,  if necessary, with the
Company's  independent legal counsel,  that any amount paid under this Agreement
due to a Change of Control,  either  separately or in conjunction with any other
payments,  benefits and  entitlements  received by the Executive in respect of a
Change of Control  under any other plan or agreement  under which the  Executive
participates or to which he is a party,  would  constitute an "Excess  Parachute
Payment"  within the meaning of Section 280G of the Code, and thereby be subject
to the excise tax imposed by Section 4999 of the Code (the "Excise  Tax"),  then
in such event the  Company  shall pay to the  Executive a  "grossing-up"  amount
equal to the amount of such  Excise Tax,  plus all  federal and state  income or
other  taxes with  respect to the  payment  of the  amount of such  Excise  Tax,
including all such taxes with respect to any such grossing-up  amount.  If, at a
later date,  the Internal  Revenue  Service  assesses a  deficiency  against the
Executive for the Excise Tax which is greater than that which was  determined at
the time such amounts were paid, then the Company shall pay to the Executive the
amount  of such  unreimbursed  Excise  Tax  plus  any  interest,  penalties  and
reasonable  professional  fees or expenses incurred by the Executive as a result
of such assessment, including all such taxes with respect to any such additional
amount.  The highest  marginal tax rate applicable to individuals at the time of
the payment of such amounts will be used for purposes of determining the federal
and state  income and other  taxes  with  respect  thereto.  The  Company  shall
withhold from any amounts paid under this Agreement the amount of any Excise Tax
or other federal, state or local taxes then required to be withheld with respect
to the amount  paid  hereunder.  Computations  of the amount of any  grossing-up
supplemental  compensation  paid under this  subparagraph  shall be conclusively
made by the Company's independent  accountants,  in consultation,  if necessary,
with the Company's  independent legal counsel.  If, after the Executive receives
any  gross-up  payments  or other  amount  pursuant  to this  Section  7.3,  the
Executive  receives  any refund with  respect to the Excise Tax,  the  Executive
shall promptly pay the Company the amount of such refund within ten (10) days of
receipt by the Executive.

                                    Article 8
                          Claims and Review Procedures

         8.1 Claims  Procedure.  The Company  shall  notify any person or entity
that makes a claim against the Agreement (the "Claimant") in writing,  within 90
days of Claimant's written  application for benefits,  of his or her eligibility
or non-eligibility  for benefits under the Agreement.  If the Company determines
that the  Claimant is not eligible  for  benefits or full  benefits,  the notice
shall  set  forth (1) the  specific  reasons  for such  denial,  (2) a  specific
reference to the provisions of the Agreement on which the denial is based, (3) a
description of any additional information or material necessary for the Claimant
to perfect his or her claim,  and a description of why it is needed,  and (4) an
explanation of the  Agreement's  claims review  procedure and other  appropriate
information as to the steps to be taken if the Claimant wishes to have the claim
reviewed.  If the  Company  determines  that  there  are  special  circumstances
requiring  additional  time to make a  decision,  the Company  shall  notify the
Claimant  of the  special  circumstances  and the  date by which a  decision  is
expected to be made, and may extend the time for up to an additional 90 days.

         8.2 Review Procedure.  If the Claimant is determined by the Company not
to be eligible  for  benefits,  or if the  Claimant  believes  that he or she is
entitled  to  greater  or  different  benefits,  the  Claimant  shall  have  the
opportunity  to have such claim reviewed by the Company by filing a petition for
review with the Company within 60 days after receipt of the notice issued by the
Company.  Said  petition  shall state the  specific  reasons  which the Claimant
believes  entitle him or her to benefits  or to greater or  different  benefits.
Within 60 days after receipt by the Company of the  petition,  the Company shall
afford the Claimant (and counsel,  if any) an  opportunity to present his or her
position to the Company  verbally or in writing,  and the  Claimant (or counsel)
shall have the right to review the pertinent documents. The Company shall notify
the  Claimant  of its  decision  in writing  within the 60-day  period,  stating
specifically  the basis of its  decision,  written in a manner  calculated to be
understood by the Claimant and the specific provisions of the Agreement on which
the decision is based. If, because of the need for a hearing,  the 60-day period
is not sufficient, the decision may be deferred for up to another 60 days at the
election  of the  Company,  but  notice of this  deferral  shall be given to the
Claimant.

                                       5


                                    Article 9
                           Amendments and Termination

         This Agreement may be amended or terminated only by a written agreement
signed by the Company and the Executive.

       Notwithstanding  the  previous  paragraph,   the  Company  may  amend  or
terminate this Agreement at any time if,  pursuant to  legislative,  judicial or
regulatory action,  continuation of the Agreement would (i) cause benefits to be
taxable to the Executive prior to actual receipt,  or (ii) result in significant
financial  penalties or other  significantly  detrimental  ramifications  to the
Company (other than the financial  impact of paying the  benefits).  In no event
shall this  Agreement be terminated  under this section  without  payment to the
Executive  of the  Deferral  Account  balance  attributable  to the  Executive's
Deferrals and interest credited on such amounts.

                                   Article 10
                                  Miscellaneous

         10.1 Binding  Effect.  This Agreement  shall bind the Executive and the
Company,  and their  beneficiaries,  survivors,  executors,  administrators  and
transferees.

         10.2 No Guarantee of  Employment.  This Agreement is not a contract for
employment.  It does not give the  Executive  the right to remain an employee of
the Company,  nor does it interfere with the shareholders' rights to replace the
Executive.  It also does not require  the  Executive  to remain an employee  nor
interfere with the Executive's right to terminate employment at any time.

         10.3 Non-Transferability. Benefits under this Agreement cannot be sold,
transferred, assigned, pledged, attached or encumbered in any manner.

         10.4 Tax  Withholding.  The Company  shall  withhold any taxes that are
required to be withheld from the benefits provided under this Agreement.

         10.5  Applicable  Law. The Agreement and all rights  hereunder shall be
governed by the laws of the State of Iowa, except to the extent preempted by the
laws of the United States of America.

         10.6  Unfunded   Arrangement.   The   Executive  and  the   Executive's
beneficiary  are general  unsecured  creditors of the Company for the payment of
benefits under this  Agreement.  The benefits  represent the mere promise by the
Company to pay such  benefits.  The rights to  benefits  are not  subject in any
manner  to  anticipation,   alienation,  sale,  transfer,   assignment,  pledge,
encumbrance,  attachment,  or  garnishment  by  creditors.  Any insurance on the
Executive's  life is a general  asset of the Company to which the  Executive and
the Executive's beneficiary have no preferred or secured claim.

         10.7 Reorganization. The Company shall not merge or consolidate into or
with another Company, or reorganize,  or sell substantially all of its assets to
another company,  firm, or person unless such succeeding or continuing  company,
firm, or person agrees to assume and  discharge the  obligations  of the Company
under this Agreement.

         10.8 Entire Agreement.  This Agreement constitutes the entire agreement
between the Company and the Executive as to the subject matter hereof. No rights
are  granted  to the  Executive  by virtue of this  Agreement  other  than those
specifically set forth herein.

         10.9 Administration.  The Company shall have powers which are necessary
to administer this Agreement, including but not limited to:

                  (a) Interpreting the provisions of the Agreement;

                  (b) Establishing and revising the method of accounting for the
         Agreement;

                  (c) Maintaining a record of benefit payments; and

                  (d) Establishing  rules and prescribing any forms necessary or
         desirable to administer the Agreement.

                                       6


         10.10 Named Fiduciary.  For purposes of the Employee  Retirement Income
Security Act of 1974, if  applicable,  the Company shall be the named  fiduciary
and plan administrator under the Agreement.  The named fiduciary may delegate to
others certain aspects of the management and operation  responsibilities  of the
plan  including  the  employment of advisors and the  delegation of  ministerial
duties to qualified individuals.

       IN WITNESS WHEREOF,  the Executive and a duly authorized  Company officer
have signed this Agreement.

                                     COMPANY:

                                     QCR HOLDINGS, INC.

                                     By:
                                          --------------------------------------
                                     Title:
                                             -----------------------------------


                                     EXECUTIVE:

                                     -------------------------------------------
                                     TODD A. GIPPLE


                                       7



                                    EXHIBIT 1
                                       TO

                               QCR HOLDINGS, INC.
                    EXECUTIVE DEFERRED COMPENSATION AGREEMENT

                                Deferral Election

I  elect  to  defer  my  Compensation  received  under  the  Executive  Deferred
Compensation Agreement with the Company, as follows:

- --------------------------------------------- ----------------------------------
               Amount of Deferral                              Duration
============================================= ==================================
- --------------------------------------------- ----------------------------------

[Initial and Complete one]                    [Initial One]

____  I elect to defer ____% of my            ____   One Year only
      Compensation.
                                              ____   For  ______ [Insert
____  I elect to defer $______ of all                Number] Years
      Compensation.
                                              ____   Until
                                                     Termination
____  I elect not to defer any of my                 of Employment
      Compensation.
                                              ____   Until ___________,
                                                     ___________ (date)

- ---------------------------------------------- ---------------------------------

Upon the  Company's  approval,  I  understand  that I may  change the amount and
duration  of my  deferrals  by  filing a new  election  form  with the  Company;
provided,  however, that any subsequent election will not be effective until the
Fiscal  Year  following  the year in which the new  election  is received by the
Company.

Signature
          ---------------------------------------
Date
      -------------------------------------------

Accepted by the Company this _____ day of ______________, 2002.

By
    ---------------------------------------------
Title
       ------------------------------------------


                                       8




                             Beneficiary Designation

                               QCR HOLDINGS, INC.
                    EXECUTIVE DEFERRED COMPENSATION AGREEMENT

I  designate  the  following  as  beneficiary  of benefits  under the  Executive
Deferred Compensation Agreement payable following my death:

Primary:
         -----------------------------------------------------------------------

- --------------------------------------------------------------------------------

Contingent:
             -------------------------------------------------------------------

- --------------------------------------------------------------------------------

Note: To name a trust as  beneficiary,  please  provide the name of the
      trustee(s)  and the exact name and date of trust agreement.

I understand  that I may change these  beneficiary  designations by filing a new
written designation with the Company. I further understand that the designations
will be automatically  revoked if the beneficiary  predeceases me, or, if I have
named my spouse as beneficiary and our marriage is subsequently dissolved.

FORM OF PRE-RETIREMENT DEATH BENEFIT, Article 5, Section 5.1.2

I elect to have my beneficiary receive benefits under the Agreement in the
following form: [Initial One]

            Lump Sum                 Equal monthly installments for 180 months
- -----------               ---------

Signature
           -----------------------------------------
Date
      ----------------------------------------------

Accepted by the Company this ____ day of ___________, 2002.

By
    ------------------------------------------------

Title
       ---------------------------------------------


                                       9