SHOE CARNIVAL, INC. |
(Exact name of registrant as specified in its charter)
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Indiana
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0-21360
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35-1736614
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(State or other jurisdiction
of incorporation)
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(Commission
File Number)
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(I.R.S. Employer
Identification No.)
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7500 East Columbia Street, Evansville, Indiana 47715 |
(Address of principal executive offices and zip code)
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Registrant’s telephone number, including area code:
(812) 867-6471
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Not applicable |
(Former name or former address, if changed since last report)
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☐ | Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
☐ | Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
☐ | Pre-commencement communications pursuant to Rule 14d-2(b) under The Exchange Act (17 CFR 240.14d-2(b)) |
☐ | Pre-commencement communications pursuant to Rule 13e-4(c) under The Exchange Act (17 CFR 240.13e-4(c)) |
Percentage of Annual Salary
|
||||||
Name
|
Threshold
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Target
|
Maximum
|
|||
Clifton E. Sifford
|
15
|
%
|
100
|
%
|
200
|
%
|
W. Kerry Jackson
|
9
|
%
|
60
|
%
|
120
|
%
|
Timothy T. Baker
|
9
|
%
|
60
|
%
|
120
|
%
|
Carl N. Scibetta
|
9
|
%
|
60
|
%
|
120
|
%
|
Name
|
Target Number of Performance-Based Restricted Shares Awarded
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Service-Based Restricted Shares Awarded
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Clifton E. Sifford
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24,068
|
8,022
|
W. Kerry Jackson
|
15,193
|
5,064
|
Timothy T. Baker
|
12,184
|
4,061
|
Carl N. Scibetta
|
12,184
|
4,061
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Exhibit No.
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Exhibit
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10.1
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Form of 2017 Award Agreement for service-based restricted stock granted to executive officers under the Shoe Carnival, Inc. 2000 Stock Option and Incentive Plan, as amended
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10.2
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Form of 2017 Award Agreement for restricted stock with both performance-based and service-based restrictions granted to executive officers under the Shoe Carnival, Inc. 2000 Stock Option and Incentive Plan, as amended
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SHOE CARNIVAL, INC. | |||
(Registrant) | |||
Dated: April 24, 2017
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By:
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/s/ W. Kerry Jackson | |
W. Kerry Jackson | |||
Senior Executive Vice President | |||
Chief Operating and Financial Officer and Treasurer |
Notice of Grant of Award
and Award Agreement
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Shoe Carnival, Inc.
ID: 35-1736614
7500 E. Columbia Street
Evansville, IN 47715
|
[
Name]
[Address
]
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Award Number:
Plan: 2000 Stock Option and Incentive Plan, as amended (the "2000 Plan")
ID:
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·
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If and to the extent that this Award is not continued, assumed or replaced in connection with the Change in Control,
the Restricted Period on all Shares shall expire and all Shares shall become fully vested.
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·
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If and to the extent that this Award is continued, assumed or replaced in connection with the Change in Control (with such adjustments as may be required or permitted by the 2000 Plan), this Award or replacement therefor shall remain outstanding and shall vest subject to your Continuous Service through the Restricted Period; provided, however, that if within 24 months after the Change in Control you cease to maintain Continuous Service due to a termination by the Company without Cause or by you for Good Reason, the Restricted Period on all Shares shall expire and all Shares shall become fully vested.
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By your signature and the Company's signature below, you and the Company agree that this award is granted under and governed by the terms and conditions of the 2000 Plan and the Award Agreement. A copy of the 2000 Plan has been provided or otherwise made available to you and is incorporated herein by reference and made a part of this document.
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______________________________________________________
Shoe Carnival, Inc.
______________________________________________________
[Name of Award Recipient]
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_____________________________________________
Date
_____________________________________________
Date
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Notice of Grant of Award
and Award Agreement
|
Shoe Carnival, Inc.
ID: 35-1736614
7500 E. Columbia Street
Evansville, IN 47715
|
[
Name]
[Address
]
|
Award Number:
Plan: 2000 Stock Option and Incentive Plan, as amended (the "2000 Plan")
ID:
|
Threshold
|
Target
|
Maximum
|
|
Cumulative Earnings Per Share (Fiscal 2017 and Fiscal 2018)
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$[ ]
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$[ ]
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$[ ]
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Number of Shares Vesting
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[ ]
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[ ]
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[ ]
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(1)
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If the Change in Control occurs prior to the Determination Date, the Company's fully diluted cumulative earnings per share as of the effective time of the Change in Control, with the threshold, target and maximum levels of fully diluted cumulative earnings per share appropriately adjusted to reflect the portion of fiscal 2017 and fiscal 2018 that has elapsed as of the effective time of the Change in Control, will be used to determine the number of Shares that will be converted to time-vesting Shares (the "Converted Award").
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(a)
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If and to the extent that this Converted Award is not continued, assumed or replaced in connection with the Change in Control,
the Restricted Period on all Shares underlying the Converted Award will expire and all such Shares will become fully vested.
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(b)
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If and to the extent that this Converted Award is continued, assumed or replaced in connection with the Change in Control (with such adjustments as may be required or permitted by the 2000 Plan), this Converted Award or replacement therefor will remain outstanding and will vest subject to your Continuous Service through the Restricted Period; provided, however, that if within 24 months after the Change in Control you cease to maintain Continuous Service due to a termination by the Company without Cause or by you for Good Reason
(each as defined
in your [Amended and Restated] Employment and Noncompetition Agreement dated [ ]
)
, the Restricted Period on all Shares underlying the Converted Award will expire and all such Shares will become fully vested.
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(2)
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If the Change in Control occurs after the Determination Date but prior to the Final Vesting Date, any Shares that remain unvested at the time of such Change in Control will be treated the same as a Converted Award, as described in (1)(a) and (b) above.
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By your signature and the Company's signature below, you and the Company agree that this Award is granted under and governed by the terms and conditions of the 2000 Plan and the Award Agreement. A copy of the 2000 Plan has been provided or otherwise made available to you and is incorporated herein by reference and made a part of this document.
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_________________________________________
Shoe Carnival, Inc.
_________________________________________
[Name of Award Recipient]
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_________________________________________
Date
_________________________________________
Date
|