The Board of Directors has approved an annual incentive plan for the operating executives of the Company. An incentive pool will be created equivalent to $5,000 per executive for each one-half point increase in the stock price from the opening to the closing price for the year. At the end of the year, the operating executives may determine the amount of the incentive pool to be paid each executive. This determination should be made on the basis of each executive's contribution to the Company's performance. The following factors have been approved for rating the performance of each participating executive.

Rate each executive, including yourself, and place the rating number in the appropriate column below. Sum these columns and enter the total. Then award a recommended dollar amount of incentive to pay the executive. The amounts should not be less than $1,000 increments.

Stock price change: Closing price $_______ minus beginning price $ _______ = +/- $________

(The recommended incentive amounts received from the participating executives will be averaged to determine the final amount. If the sum of the average recommendations exceeds the incentive pool, the averages will be prorated and reduced so as not to exceed the incentive pool amount.)

Company name _____________________________ Rater's name _____________