EXHIBIT 4.4
DEFERRED COMPENSATION PLAN [photographs of faces omitted]
ROLLINS, INC.
2007 ANNUAL BONUS PAYMENTS DEFERRAL & DISTRIBUTION ELECTION FORM
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First Name Middle Initial Last Name
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Street Address City State Zip Code
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Social Security Number Date of Birth Date of Hire
(NOTE: THIS FORM MUST BE COMPLETED AND RETURNED TO WESTPORT WORLDWIDE NO LATER THAN JUNE 30, 2006.)
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> DEFERRAL ELECTION PLEASE MAKE your elections by checking the applicable circle and completing any
applicable blank. You must defer in 1% increments, and you must defer at least $2,000
from Annual Bonus Payments earned in 2006 and payable in 2007 ("2007 Annual Bonus
Payments") to participate in the Plan with respect to such payments.
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o 2007 ANNUAL BONUS I ELECT to defer _________% (maximum of 100%) of my 2007 Annual Bonus Payments
PAYMENTS DEFERRAL ELECTION earned by me for services performed from January 1, 2006 through December 31, 2006.
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o NON-PARTICIPATION I ELECT not to defer any of my 2007 Annual Bonus Payments to the Plan.
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> SHORT-TERM PAYOUT ELECTION PLEASE CHECK applicable circles below and complete
applicable blanks.
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2007 ANNUAL BONUS PAYMENTS o I ELECT to receive a lump-sum SHORT-TERM PAYOUT of my 2007 Annual Bonus Payments
SHORT-TERM PAYOUT deferrals, and earnings or losses thereon (based on my Measurement Fund selections),
(Please Select ONE Option) payable in JANUARY OF 20____ (MUST BE AT LEAST 2011), in accordance with Article Four
of the Plan. I understand that I may make a subsequent election to further postpone
payment beyond this date, subject to the terms and limitations of Section 4.1 of the
Plan.
o I ELECT NOT to receive a SHORT-TERM PAYOUT of my 2007 Annual Bonus Payments
deferrals, and earnings or losses thereon (based on my Measurement Fund selections).
I understand that regardless of my election above, the Plan provisions governing the
Retirement Benefit, Termination Benefit, Pre-Retirement Survivor Benefit or Plan
termination payout will apply if they become operative before the date elected above.
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2007 ANNUAL BONUS PAYMENTS DEFERRAL & DISTRIBUTION ELECTION FORM CONTINUED...
> RETIREMENT DISTRIBUTION ELECTIONS PLEASE CHECK applicable circles below and complete
applicable blanks.
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NOTE: YOU MUST COMPLETE A RETIREMENT DISTRIBUTION ELECTION DURING THIS ENROLLMENT PERIOD REGARDLESS OF YOUR SHORT-TERM PAYOUT
ELECTION ABOVE.
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2007 ANNUAL BONUS PAYMENTS o I ELECT to receive a lump-sum RETIREMENT BENEFIT PAYOUT of my 2007 Annual Bonus
RETIREMENT BENEFIT PAYOUT Payout Payments deferrals, and earnings or losses thereon (based on my Measurement
(Please Select ONE Option) Fund selections), payable during the January or July of the Plan Year following my
Retirement, in accordance with Article Five of the Plan.
o I ELECT to receive a RETIREMENT BENEFIT PAYOUT of my 2007 Annual Bonus Payments
deferrals, and earnings or losses thereon (based on my Measurement Fund selections),
IN ____ ANNUAL PAYMENTS (ENTER BETWEEN 2 AND 15), commencing during the January or
July of the Plan Year following my Retirement, in accordance with Article Five of the
Plan.
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ACKNOWLEDGMENT AND AGREEMENT PLEASE SIGN below.
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The Plan is subject to Internal Revenue Code Section 409A, which was added by
the recently enacted American Jobs Creation Act of 2004 (the "Jobs Act"). The
Jobs Act regulates deferral and distribution elections and many other aspects
of the Plan. As of November 2006, there are many legal issues that are yet
unresolved, and it is expected that the IRS will issue further guidance to
address some of these issues. Please note that Rollins, Inc. has reserved the
right to amend the Plan to comply with the Jobs Act. Such amendments might be
retroactive - meaning that they might apply to amounts already contributed
before the amendments are adopted.
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I ACKNOWLEDGE that I have been offered an opportunity to participate in the
Rollins, Inc. Deferred Compensation Plan. I will participate (or not
participate) in the Plan in accordance with my elections on this form and
authorize the Company to make the appropriate deductions (if any), as indicated
on this form, from my 2007 Annual Bonus Payments, and the Plan Committee to
apply the distribution elections, as indicated on this form, to the appropriate
portion of my Account Balance. I understand that the Plan Committee has the
discretion to select the Annual Bonus Payments that I may defer under the Plan.
I further understand that I may not change the above deferral election for the
2007 Annual Bonus Payments (except that the above deferral election may be
reduced if necessary to cover FICA taxes and/or other payroll reductions), that
the above deferral election will apply only for 2007 Annual Bonus Payments,
that a new election will be required if I wish to defer 2008 Annual Bonus
Payments, and that amounts deferred under the Plan are unfunded and unsecured,
and subject to the claims of the Company's creditors in the event of the
Company's insolvency. I further understand that I may change the above
distribution elections solely as permitted under the Plan and under the Jobs
Act. I further understand that the amounts subject to deferral under this
election shall be subject to such rules as are necessary to preserve the
tax-deferred status of these amounts under the Jobs Act. Unless otherwise
defined herein, capitalized terms used in this form shall have the same
meanings given them in the Plan.
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Signature of Employee _____________________________________________________ Date__________
Signature of Plan Committee Member
Or Duly Authorized Agent __________________________________________________ Date__________
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