Authorizes payroll deductions for participation in the company's Employee Stock Purchase Plan (ESPP) during an offering period. Covers contribution rate, purchase limitations, and tax treatment under Section 423.
The ESPP Enrollment & Payroll Deduction Authorization is a ready-to-use employment & hr template you can send for signature in minutes. It is written for 1 signer (employee) and, by default, expires 30 days after it is sent if left unsigned. It covers espp, employee stock purchase, payroll deduction, benefits. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
Document Preview
# ESPP Enrollment & Payroll Deduction Authorization This ESPP Enrollment and Payroll Deduction Authorization Form (this "Enrollment Form") is submitted by the employee identified below for participation in the ___________ Employee Stock Purchase Plan (the "Plan") for the Offering Period beginning ___________ and ending ___________. --- ## 1. Employee Information **Full Legal Name:** ___________ **Employee ID:** ___________ **Department:** ___________ **Work Location / State:** ___________ **Employment Status:** ___________ **Date of Hire:** ___________ --- ## 2. Plan Overview The Plan is intended to qualify as an "employee stock purchase plan" under Section 423 of the Internal Revenue Code of 1986, as amended (the "Code"). Under the Plan, eligible employees may authorize payroll deductions from their compensation each pay period during an Offering Period. Accumulated deductions are used to purchase shares of the Company's Common Stock at a discounted purchase price on the Purchase Date(s) within each Offering Period. **Discount:** Shares will be purchased at ___________% of the lower of (i) the fair market value of the Common Stock on the first day of the Offering Period or (ii) the fair market value on the Purchase Date (the "Purchase Price"). The maximum discount permitted under Section 423 is 15%. **Offering Periods:** ___________ --- ## 3. Payroll Deduction Authorization By signing this Enrollment Form, the undersigned employee hereby authorizes the Company to withhold the following amount from each paycheck during the applicable Offering Period and apply such deductions toward the purchase of Company Common Stock on the applicable Purchase Date(s): **Deduction Type:** ___________ **Deduction Amount:** ___________ (enter a whole percentage, e.g. "5%", or a fixed dollar amount per pay period)