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HomeMy WebLinkAbout95-00677 cV ~ <h -}l J' ([ ~ ( ~ j " i .c:'''J'SI'<lI'....lody'~rl,pcl Rio' 4517-94.01 CARL THOMAS MACY, Plaintiff/Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNlY, PENNSYLVANIA v. NO. 95. &- 7) IN CUSTODY CIVIL TERM CARRIE ANDREA SNOKE, Defendant/Respondent AND now, this --.L -:l,'th day of -(-- (I.... , 1995, upon consideration of the attached Motion, it~hereb"y directed that the parties and t eir respective coun~1 appear befQre l=)L'" hP.t 'J...' b\\~/ t ';}'/. ,the conciliator, at LIth t:..1ODr Lv-Mh. C-" ( 0.... (-\ho~' ~I' ,on the ? I S t day of (\/)...... r r.., , 1995, at <;?"\<,u o'clock -4-. m. for a pre-hearing custody conference. At such conference, an effort will be made to resolve the Issues In dispute; or If this cannot be accomplished, to define and narrow the Issues to be heard by the court, and to enter Into a temporary order. All children age five or older may/. also be present at the conference. Failure to appear at the conference may provide grounds for entry of a temporary or permanent order. For the Court, By: -W,-~~(I-Y ~J~~~. Custocy Conciliator ~ YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Office of the Court Administrator Courthouse, 4th Floor Carlisle, Pennsylvania 17013 (717) 240-6200 f I', I" " '95 EU" ~ I;~ .Ii ," , 1;. , , . ,; ,ill .;;2'I3.9r; ~ ~'"", +I'~~of! ~'1395 ~ I~ ~ DI1;/-. a. 13 '95 ~().p:u,) 11\c4A( 1:;; c4 ~~ . . ...........p,sov 5661 II Z NVr 03^1333~ ( r EXlnBIT "A" I, it ,i IN THE COURT OF COMMON PLEAS OF CIVIL ACTION - CUSTODY COUNTY, PENNSYLVANIA 10 , CARL THOMAS MACY . No. . Ii vs. . Attorney I.D. No. 16532 Ii . liCARRIE ANDREA MACY . . I, i STIPULATION Ii II AND NOW, this day of , 1992, it is hereby stipulated and agreed by and between Carl Thomas Macy, ,i Plaintiff, and Carrie Andrea Macy, Defendant, as follows: " II 1. The parties shall have joint legal custody of their !! , two children: Carl T. Macy, II, who was born on January 30r 1985, "and Mallory A. Macy, who was born on July 31, 1986. I! 2. Defendant, Carrie Andrea Macy, shall have primary I ;: physical custody of the children. II 3 Plaintiff, Carl Thomas Macy, shall have partial I/PhYSiCal c~stodY of the children as follows: 1/ I!evening and ending on Sunday evening. I I IChildren during each year which ends with an even number for the entire Easter break (that time the children have off for Easter livacatiOn), July 4 and Thanksgiving and Plaintiff having the children during the years with an odd number for the entire I, " I,Christmas break (that time the children have off for Christmas , I vacation)r Memorial Day and Labor Day. I (a) Every other weekend commencing on Friday (b) Every other holiday with Plaintiff having the " Ii I! I i~giving notice to the Defendant as to the six weeks he desires to ~: have the children at least three months in advance. (c) six weeks during the summer with plaintiff 4. Both parties agree to notify the other of any change ,in address or telephone numbers where the children may be reached. I I S. The parties agree that this stipulation shall be lentered as a court Order and the Court then has jurisdiction over , the custody matter by motion of either party. I./A_q'L iDZ~cI- Witness c.~~ ./ Cl!frl T1iomas~.ey (SEAL) , 4- /.f~t),~ Date (./~ I/~ ,w1tn:~' /-- vlJlJJi//') 1ii/A.IIl/ tma;!f carrie An rea Macy ( (SEAL) -2- 11 IN THE COURT OF CO~ION PLEAS CUMBERLAND COUNTY, PENNA. NO. 95 - CIVIL TEID1 IN CUSTODY fEa 7 3 41 ;'11 '95 CARL THOMAS MACY, Plaintiff/Petitioner v; ('jl '~ ; ~ l; L :itl .-.11' d\' i':i", v. ~.5ZJ~'~ -' ,5M /a/. /+tL-v! CARRIE ANDREA SNOKE, Defendant/Respondent PETITION FOR MODIFICATION d-=t4' /9.s-?7 l;&::#- d::J. 6 J h FLOWER, MORGENTHAL, FLOWER &. LINDSAY A PROFESSIONAL CORPORATION ATTORNEYS AT LAW 11 EAST HIGH STREET CARLISLE, PENNSYLVANIA 17013 ( ) JAMES D. FLOWER 06272 ( ) ROGER M. MORGENTHAL 17143 ( ) JAMES D. FLOWER, JR. 27742 IX ) CAROL J. LINDSAY 44693 , CARL 'l'HOHAS HACY, Plaintiff : IN 'l'HE COUll'l' OF COMMON PLEAS OF :CUMBERLAND COUN'l'Y, PENNSYLVANIA : :NO. 677 - CIVIL - 1995 : v CARRIE ANDREA SNOKE, Defendant . . :CIVIL ACTION - CUS'l'ODY COt1R'l' ORDER AND NOW, this 10 day of ~, 1995, upon consideration of the attacheacustody Conci1.iation Report, it is ordered and directed as follows: 1. 'l'he parties shall submit themselves and the minor children to an evaluation performed by a professional agreed upon by legal counsel for the parties. The Father, Carl Thomas Macy, shall pay $500 towards the cost of this evaluation, with the Mother, Carrie Andrea Snoke, paying the remainder of the cost. 'l'he parties shall endeavor to have the Father's involvement in the evaluation taken care of near the Easter holiday so that the Father will have an opportunity to travel to Pennsylvania once for the evaluation and also for visitation with the minor children as set forth below. Upon conclusion of the evaluation and if the parties are unable to reach an agreement on a permanent Order at that time, counsel for either party may contact the Custody Conciliator to again schedule a Conciliation Conference. This Conference may be done by telephone conference. 2. Pending further Order of this Court, the Mother, Carrie A. Snoke, shall enjoy legal and primary physical custody of Mallory A. Macy, born July 32, 1986, and Carl 'l'. Macy, II, born January 30, 1985. 3. The Father shall have temporary physical custody of the minor children as follows: A. Over the Easter 1995 holiday while the Father is in Pennsylvania. Father shall have temporary physical custody from 9 A.M. each day until 8 P.M. This custody shall be under a supervised arrangement. Father's counsel shall suggest the names of a number of people to Mother's counsel, which people will act as a third party supervisor during the times of custody. In the event Mother rejects all of these names, Mother shall have the responsibility of affording to Father a third party non-family member who shall provide supervision 4p,f .. 5 1.995 .I,~ CARL THOMAS MACY, Plaintiff :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA v . . :NO. 677 - CIVIL - 1995 : CARRIE ANDREA SNOKE, Defendant . . :CIVIL ACTION - CUSTODY CONCILIATION CONFERENCE SUMMARY REPORT IN ACCORDANCE WITH CUMBERLAND COUNTY CIVIL RULE OF PROCEDURE 1915.3-8(b), the undersigned Custody Conciliator submits the following report: 1. The pertinent information pertaining to the children who are the subject of this litigation is as follows: Mallory Andrea Macy, born July 32, 1986, and Carl Thomas Macy, II, born January 30, 1985. 2. A Conciliation Conference was held on March 31, 1995, with the following individuals in attendance: The Mother, Carrie Andrea Snoke, with her counsel, Taryn Goldstein of the Family Law Clinic, and counsel for the Father, Carol J. Lindsay, Esquire. 3. The Father resides in Tucson, Arizona. He hasn't seen the children since Christmas of 1992. The parties agree that some type of arrangement should be accomplished to have a custody evaluation by a professional. There was an agreement with respect to the cost on that issue. 4. The parties were unable to agree on how to handle some type of temporary custody with the Father pending further Hearings in this matter. The Conciliator recommends a custody arrangement as set forth in the attached proposed Order which should address the concerns of the Mother with respect to providing supervision for the Father during custody. t//5!lfr DATE I Judy Magray . ADDRESS CHANGE Page 1 From: To: Date: Subject: Karen Hecox JUdy Magray; Marla Leon 12/5/00 5:49PM ADDRESS CHANGE The following Is an address change for Carl Macy: 810 North Alvemon Tuscan, AZ 85711 Ph: (520) 795-2918 r~~ ,eM \~i POLAR AI R ,,~~ . . CARGO . PERSONNEL CHANGE NOTICE 'f'LlAS[ np[ OR I''''NTI ~ STATUS EFF. DATE DEPT. CODE JOB CODE LOC CODE pAT CODE DE". CODE JO' CODE lOC CODE ,AY CODE NEW HIItE lASE R"TE USE""lt RE.HIRE LOCATION LOCATION RECALL rI'O" FURLOUGH JOll'lTLE JOB TlTU: SALAIlYIRATE CHANGE SEPARATION INFORMATION TRANSFER D"'YS NOTICE GIVEN EliGIBLE. FOItREHIA! SICIt LEAYE OAyS/HOURS USlO SICIC lEAVE OAYSlHRS REMAIHIHG SICKUAII[ REASON rOR SE'ARATlON VACATION DAYS/HOURS USED VACATION OA"StHRS REMAINING UTEHDEO LOVE WIO''''' RETURN TO WORK YOLUN"'''' TtRNIHATlOH .5i ..;.. V /I{!.I} VE DISCHARGE FURLOUGH L REDUCTION CHANGE Of AOoRESS OTHER PERSONNEL i_ . 11A.l0l IR[V lV'J71 nr-n~"""'I"Ir-. ~1"'!:'...~ (m) POLAR AIR CARGO .....J.tiI." . PERSONNEL CHANGE NOTICE '''liAS( tYPE OR "'INfI ["'Lo,n NO H"ME (SHOW un H"'Wl fiRst) MOO>{ Of[" s STATUS EFF. DATE HEW HIIIi[ 'An RATE BASE un lIE-HUt! LOC"1'I0" LOCAflON RECALL fRON rUflLOUGH JOITITU JOB TITLE SALAIlY"'Ayt CHANGE , SEPARATION INFORMATION PAn NOTICE GIVEN EUGIIU rOR REHIRE TRANSfER SICK LrAY! OAYM40URS USlO SICK LEAVE Q"YSlHRS IlEMAINING REASON rOA 5[,,,"A,1'I0H VACATION OA'SItlOURS USED SICII.UAYE VACATION O"YSlHA5 AUIA'NINe VACAnON HUMBER AND STREET nW'ORA'n U"'VE WIO.....' SrArE ZIP CODE flTEHOED UAVE WIO 'AT RETURN TO WORK <'0 V VOLUNTARY TERM'NATION DISCHARGE fURLOUGH REDUCTION CHANGE or ADDRESS orHER, DAft CITY FOR OFFICE USE"fNLY , '1~.'I.', ' " .r:z: :-, .".~~-~-';' I ~G:.~6 ',':' ',. t' ", -,\.~.:' " ;. ::.r"_;:;~l '.' , ,-... ::f "'':':.' .....;. .i""" . :-::.~:.. ":',', ... 0... "'., ,: '~(f';:~:.;;\:it;;,~~~',' ,. : " . .-~.. " .. ,., ~ ", .,' "~' '7' ,.... .... ..... .. " " HR 101 .RlV 11f"JH "r-"...,.....I..Ir-1 ~11":.."""'" (G) POLAR AIR CARGO ~~I . PERSONNEL CHANGE NOTICE IPLlASf: O'[OR "t1HTI ENPLOYEE NO NAME (SHOW LAST filAME rUlSf) STATUS' EFF DATE HEW HIRE US[ RAT( USE "An: R[.HUIE lOCATION LOCATION "'tCALL FROM fURLOUGH JCI TilL( JOI Till[ SAUA'nfAtE CHANGE . SEPARA'rION INFORMATION OAfS NOTICE GIVEN ELIGIBLE fOR REHIRE T""'NSHA SICK LEAH; DAYS/HOUAS USED SICII. LEAVE P"'SlHRS REMAINING ;L H: ..-:> SICK LEAVE REASON fOR SEPARAYION V",CAnON DAYS/HOURS USED ......C...TlON OAYSlHAS RENA'NINO NEW ADDRESS . . , ' , VACATION NUMI[R AND STREET PHONE NUMBER TEMPORA"Y U:AVE WIO P...y em srATE liP CODE UTENOED LEAVE WIO 'A' EXPLANATION RETURN TO WORK VOLUNTARY TERMINATION DISCHARGE fURLOUGH REDUCTION CHANGE or ADDRESS OTHER "R<O"'~ '. FOR OFFICE USE ONLY Ylt.. ? '; ;~ .. ':'.':.~:~:~!~:' \-~' '.'~~~~:'F~. . . ;-.. '-11 \:\' ...."').;'~+'l'. . \' .' . ,'.' ,.",'~~;~(' '. . ; ~~~,".:'~. " IIIf 101 'AI.V 11/'111 ~~~ (G) POLAR AIR CARGO ~...:} . PERSONNEL CHANGE NOTICE I'LUSl: n'tOR "liNn OU". COOE JOI CODE lOC CODE .....y CODE , \ NEW STATUS oE'T. COOl: 'AY COOt NEW HIR[ USE ....TE lASE RATE "[.HlItE lOCATION LOCATION RECAll FROM FURLOUGH JOI TITLE Joe TITLE SALAIl'IRAn CHANGE . SEPARATION INFORMATION DAYS NOTICE GIVEN ELlGIIU: FOR R[HIRE TRAHSf'U SICK LEAVE DAYSlHOUAS USED SICK LEAVE O"'SlHAS AE"'A'HING REASON FDA S[PARA nON VACATION DAYs/HOURS USED VACATION DAl'5fHRS AUI....HI,.G SICK LU\/E VACATION NUNDER AND STREET TEMPORARY LEAn WIO 'Ar CITf STAlE liP CODE (ITENDED LEAVE W/O 'A' RETURN TO WORK .,......-/. 10Pt:f!; "~~ ","; /.r.~ .'1 VOLUNTARY k TUN.NATIOH :. 3'<.0 DISCHARGE FURLOUGH AEOUCnOH CHANGE or AOORUS OlH[R DATE " :," DIVISION AUTHOIUlArto PEASONNEl FOR OFFICE USE ONLY ~~' c-t .... ~ ,...." ",' .:'~~' "':.:., ~~ ... ",', - ",::" '>.~J ~'. .:'1.. . ,~:>~.< J~>;'. \, 1 '.v .., ~ : ,'.: ::~ ':.I.f,~/, <:~~;>.'" . .~~ .!;.;;':t~-..:..7:,: '.'.:! .~- ~.(,,'.- f}~j~~~)~::i~U~-;~:~ ' ;.';-: '''~:~'t'1i~l(:'.~l:'~~''1!:~ . ..'.'..-....'....~r.~o1It:-{'r~~~.,. w';'~; }....;.;:1!'~~i"ii1(t~;}~?/~~:~ "i':.: ;':'1~;t~'~~1'<}f~~:~~~,,~}~~. .,'._,..,:.... ". "':. :' Hit IOlllfEY 121911 ~"' . (G) POLAR AIR CARGO ,~~ . . PERSONNEL CHANGE NOTICE IPUASETYPEORPRll'lfl [WPlOY[f NO I~O NA.'MA<:r:>i fiRS" lAi2J OAn PREPARED 'PRESENT STATUS NEW STATUS DEPT. CODE PU CODE STATUS EFF. DATE flEW HIRE DEP'T. CaOE ,AY CODE lASE UTE USE RAl[ AE.HIRE LOCATION LOCATIO" RECALL fROM fURLOUGH JOII TIll!. Joe TITLE SALAA'tI1lATE CHANGE SEPARATION INFORMATION SICK LEAVE I VACATION ' TRANSfER DAYS HOTleE GIVEN lLlGlBLf fOR REHIRE SICK lEAVE OAYS/HOUAS USED SICK LEAVE O""SlHRS IlEIU,IHIHG SICIt LLAYE REASON FOR SlPARAnOH VACATION [lA'fSIHOURS USfD VACATION OAYSlHAS AEMAINING 'ACAnON NEW ADDRESS ~" ,HONE HUMIER lENPORAA'f UAVE WIO PAY STAlE lIP CODE UTEHOEO LUYE WIO,A' RElUA,. 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FAa'" fURLOUGH JOI TITLE Joe TITLE SALAAY/ftAt[ CHANGE SEPARATION INFORMATION TRANSFER CAn NOTICE GIVEN ELlGIIlE FOR REHIRE SICK L[",VE OAYS/HOURS USED SICK LEAVE OA'SlHRS AEI....INING SICK LEAVE REASON fOR SEPAR"'TlON VACATION DAnlHOUAS USED VAC...TlON D"SlHIlS REMAINING VACATION TEMPOR"'RY U....VE WIO PAY 14t-. #~O.z ST...n: lIP CODE UlEHDED LEAVE WIO 'AY Ill- 8 7/0 UPLANATlOH cf6. RETURN TO WORK t, C2. d_d!'C(.,~4./ e~ .>2/IS/t..O VOLUNTARY TERMINATION DISCHAAGE rURLOUGH REDUctiON CHANGE OF" ADDRUS ~ OTHER DIVISION AUTHOllIIATlOH \:j..aCit/ e../ <0. DATE DATE PUSONHtL .",..., .,..,...,........_-,'11"" ~ ~?i'."lI-"...'." '.'..'.'.8 '....",.,I.~F,\..'~;;y:;...J(' '-...~, .~~, h"~"";I'::':'jf:'7,;a:''''''',,'';;'''''''''"'''' F.:O;~.~,~r~~Jr,:!~/:1_f~~~?,~~!v-a;;,\~ ,.irt:,~,~,~,::t~"~;i~:',":1}f.i,~'I""1:. '~~';'~"~~irjf1.~';\D~i~~O"'OiV;fj~:,:;;~\;',f.{~~~",~",:tPi~t'1r.l,a,'~.""" ~:~" ". "t{.IM"<'f~;~~;~-,C,\~ ;'j""~ .-.;.;. "<:IY' ,..., , ''f/iiJ. ' \,jrJ.",' ~ ""- U" .',.. 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" """, -V-" "'~~\' ,...,.,..'." ,~"...;~".. ~d'i~"'~'''..." ,""'.. '",".. .~- ".,,'- ,'''',~ ."::.' .:~:t'~;~"~I~~~"~ \.\~~g~JI.tl:'~"t:~W \~~~},- .. .: ~~ .~;;'~~~.~--+..~I..:J'~;~~~r~.;~"if;-,: ,," ::'t:~~:"~~"'!;;.'.1 ..JI'o,.:"'I" '~,"~~'::~iTi,.~~~ ,,~~j!'.itf ~.(~; ~~,;. ;;:-~....,.~~..,~.:t.~J.~:fi~'" . \0. ;!-rJ;~ ~;;....~'r~~~'~,;)~,,1;~ ..... /"r~:...;tSI~'. :::~. :':'. '. ,.....,~ ~ l';-r'~'!~~~"""~l ~.Af;l~1.:~:'~~/,(5 1 l' f).~C{J'l.~"'i' '~~~~ENTE'" -~,,~l~~I':r;,....Bv~~t.P.:~";":\":~/r1"~;tt"'&;~'....; ~ r,: ,., ..".' .";," ,.: ,.,;..~ ,,(".,.,,!'1,./,.,;'<_f;;~...,.,i'.,.,l ';...~i!") RED'SEP 2..9'1999,..,' I.'..,'~'.'" n . ' !'" -T'".:~'~::."'.,;'.-;;,:';::~~:!"':.:.""..<,:-:;'~,M':'" ":':':';".\~~,'~:':;";' "~ " ':---' IHI 101 "It... I~I'''' As of Pay CI.1iI' Printed ADP 10 4684 02119/99 oetl0/99 $ oyer GUA FIT Hire Dale STATUS Lo. ...,allon Oale Descrl lion Accrual Avail 311199-12131/99 Vae Days ~s ACCR 00 Ava'lJ'-...... 10.00 Days Taken Days Remain .': ~ ,~~~rf2.f} :$WiWt%~. 10,00 10,00 Acerual M/\lWllltlll$k', lii$iirt'riIWi: TOTAL 0.00 '" 'x' ,: .""\~t%~~t$$:#l ':~fhttitWl_ 'i~%~~fti~M%~ tW$0&hW#iMi tWMr'.' 10.00 10,00 0,00 "_'~_'''Y';;i,"Ji;W,*i'**~!li\'l'''''''''_''''''''''''~''''>%'''-'~''-''''4tl'lt~*ti\.'>''i",,s.-' .....,: .m~~~~~~~''!4#,~~~,~~:H.it.::l.l:,..~~,*~~~l?~~~:;;-~;:~w.:.-....,~x~..,,~.~,:x:>>'m(::.m::m1$ Days Taken _;i\kWA", "''''W~;~~~~:~~:'il1%iM&tt~l!idmt;;;;';I~~i:7~~;~~\~tI1MCREW* wa:li~1~,f98!if '".' :~J}t~~ ~tow~$;@ti$'~if4Mt"4*:$tk~: :: ?~, ;~.:':;"" ':rJ.#.U~:*$MKMtt~?-@%l&~Ji:m#'m$'" :.:" . :_"~:,:. ....:. . ~mfi1,_~ii$Rf@_r&l%illr;;j!fJifM%@_:, "."i",~:tM111..-.*#lMjHmW$1\~!tw~~ Dale Hours Hours Hours Hours Descrlnllon ACCR 89 Avail Taken Remain Accrual Avail 07/31-12131197 10,07 10,07 Accrual Avail 01101-12131198 24,00 34,07 SIL 1 1115$198 0,00 34,07 Accrual Avail 01101-12131199 14.00 14,00 48,07 SIL 5/1/99$ ~itN* liijm>ioW~tJ%\$W*MW;iJNi~I!&W$I*MR% 4J;W1A\iWiiM\# '*ltM~ I~~ :;;t:.:__' ,.':0: "'<'__'" __' .n',__'" ' TOTAL I 14.00 48,07 0,00 48,07 mwl!l!ii1#1""'mwm'iWfmOOlOOtlWijNWiiW\m&Jllmi$fMJ\fw, " "~ilil-'.,$,_~ ".'..,. .. ~,."4t~.>>;,:",<.~,,. . ,:, " ...,.",." ~". w~ ..t~,L:" :<,/~io .~., ,,' .' V,"_ .. .. Dale Vac Days Days Days Days DescriDllon ACCR 00 Avail Taken Remain Accrual Avail 07131-12131197 5,85 5,85 Vae 10107-10119198 5,85 0,00 Accrual Avail 01101-12131/98 14,00 14,00 Accrual Avail 01101-12131/99 8.19 8,19 22,19 Final pav Resloned 7120199 22.19 0,00 w~t*:t:&Vih:'\~W fMeit:iOfttt#~~g;f~:f~Wt,'Ui%~~~:;hS~:~;,:Ki~li~.$.i ,$#4f.$MiM$?$ *}j~1HWif~~\htj: $iMttk$$~ m,'1M\%l'.*** TOTAL 8.19 28,04 28,04 0,00 ~S@~]:~;~>:~"'i$*:ti~a~~%l~{@tW%]WW#.Yf.Pli\~jWCCAVE//:;OTHER@~$~@EM;'$1n*WM~1:1~~@:~@@1i#lli~.wjf.*'~~{t~. ',Y.-. ....'-"".".,~~%..~~.,.'" l.,W"w.-~<,."..A"J.""":''(.,,''''''''''<~'f;,.,,,. ',,',''', ,,__',''', ,,~,: ",,' ,,' ".,.,.""".(.:::.",..""..,,,,,*.,,..x._...~:-;,,.,~,,-:::,.,~..,,->>-,;-....,.,...,., B:.,.". w:.~~,.,,, ,;l.,." Dale Days Hours Descrlnllon Taken Taken VLWOP 110119198 Ume used ~ ~ 4,80 .gW~~~:W.t..r$l%~ TOTAL 0,001 4,80 ~~...... (G) POLAR AIR CARGO ......;I"JI? . PERSONNEL CHANGE NOTICE ~ NEWt STATUS SEPARATION INFORMATION DEn CODE ,,,y CODE H[WHIRI: ....SE RAff; A[.KIRf LOCATION RECAU. rAO" FURLOUGH JOB YlTlt SALARYIRAt[ CHANGE TIlANSfER SICK LEAVE O""$lHOURS USED Sltll. UAV[ OAYS/HAS REMAINING SICICLUVE ...ACA'ION O...'SMOURS USED VACAnON D"YS/ttRS REMAINING VACATION lASE "ATE LOCATION JOITlTU DAYS HOTICE GIVEN ELIGIBLE rOR REHIRE R[ASO", rOA U.....UTlON . NEW ADDRESS . HV/olIIU AND "REET PHONE HUNIER TE....ORARY LEAVE WIO ,...y elll STAt[ ZIP CODE EUEHDED LEAVE WIO'", RETURN TO WORK VOLUNTARY TERM'NATION DISCHARGE fURLOUGH REDUCTION CHANGE or ADDIlESS OTHER , ~ j . 0.... '-,' ~ . ~-;"""'_.II' .,-~... ....,v.......,-...-..~.....-. .~r....'. ~.--. ........ ..:"'. e....... .... .,."...... ...." .... ~. F.ICE USE ONLY' '.' : ","'J ....; 0" ';!..'.'I' f. .?':'>-.l.....!t~ ~"';t"'.t:. t. :4; {,1 ;.t'~ \. .:. .~': "': ~.,\,\ .,....':.r..,,_.'/~~ ,... ,...., ~~ '--:i'\IO,,~";~\., r.l '.. ;:.........1)..; '"",'. ...':,.....\'...tt;..4.."~1-~.r' .;"~.\,:;...,;-.'. ,-'. .4t' ...:,<;....~.,.... ~ I ;""I'~.\'~:"" ........".~~;" :~1..''"...<l...5''. .....,' ',..l.(i'ol"l".~ '-. ..,.,.r~ "':.1.'':j:.,,~ Y':~~" '",'.'~~i::"'..,.:. ~;-.' .'f', J '. '..1' '.'~r.'" 10,',(' "'..':of '.4' ..~\. !. I I.!,,~f~'rl~"': r Y.l:,~", ~~. ~. .'.l........I':~:. "..u..~ .I.~~ ",'.. ..'.:;. .." ..tHW....i"': ~ ...... ..,,".I'f'~"..J "'\:r~"'''l l...f. "..<'f'_ \......., ,.'t..-.; ,\~.r:..a'....(""" ",t. .... '..' 't.;.c'~ .t~ ~l'l'lIo.. '.... .':"",'l-<:,\!...-,. t;.:" ',' . "'V.....-.I ~..... f " .: l..... ...,' --..., ... /.. '1' I., .t~ .. "'.01 ..:0 ..,...." .~r,":,....,"',<..if.'i':....:.,','~"'..'(., ..~.'."'~ENTERE' ..' ,> 'D..."..A'Y..l.)l'1999..'" ;.<::i!t!:'!i.r'.:l '. I .' .,' '..~ 1.l.,.'1"~~".'f"f..~!'~'_'..-I,'::lf~1f~:~ ..... ".4" In ,.' ,,' I. ... .~--!.'~..l:~,)~ . '.l ~. '. Of;,'. ,':;. . '., -- '.fi..., . . (, .' .....~} ~ '." ..,";i ..... >," ,'. . ..,. ~V ".,' ~:~!~.-. Ilflfll.',At>' llf'J71 ''','L'" PERSONNEL CHANGE NOTICE ~~........ (m) POLAR AIR CARGO ,,~I . ,"LUS[ OPE OR "RINT) I.....LQ.U NO. .'.:k~y' "'Sl1t;1~L STATUS EFr OATr. HIW HlI'l 'r/yj'? ME,HUII LOCATION LOCATION IIECAlL '"0'" 'URlOUGH JOI Tint JOI1'lTLI IAUIIMIATE CHANGI . SEPARATION INFORMATION TIIAN!lru DA.S HOTlCE GIVEN EUGI8LE 'OR REHIRE SICK LEAVE DA.S/HOURS USED SICK lEAVE DA.s/HltS IIE...AINING liCit lEAVE RUSON 'OR U"AItATlON VACATION DA.SlHOURS USED VACATION OA.5fHRS RE...AINING VACAfIO,. NEW ADDRESS NUMeu "'ND STREIET "HOHE HUM,ER u:.....OMA'n LEAVE W/O "A. en. SIAn II" CODE (lTEHDED LE"'VE w/O...... RElUAH 10 WORK t4/.PfA e;./~ q;; :.?...../V/..-v ( VOlUNTAII. TUMIN"'TlOH ,r. ..........) -"":', .~ , \,....... .. . ,I'., \.... OllCH"'''OE 'URlOUGIl "',QuCllOH 3-1 CH"rtGt 0' "DORUS D"1I owu "ERSOHN[l D"IE FOR'ciF CE ~~j~~" \ ,,";~.~'-~~J;n;j~r.~~,):~lrr~.;'''''\~,'.-' f":~ ,;,I...~".,4 "':r-',...~:.,~~",, .">.~,:/: ,",.".. 'I "./~~f''''{~(,i..l(, . tl . '.. \'j..~.~. l:"l ~",., '. . -',..~ {'( *,'" Ii" ~ ;.{.' '~.{ .,'!; ..... ....,~~~. ;,~ 'I,,'. <,','" ~'~o~"":r~;!.." !.t~;,<o:-',;:(;: 1 C,:. 0..",7...r.~ '~"'".I\: "~"';i f!. tri"'~ .J'"Pt...J ".i1j'[.:~ W 4' " ~(.~-r". + ~,'\~ll~~..tt:~:r~);j:t"'!f~.;:"~ ;.<)(,~~:,.~;:''': ". '.,:.':' i.: ;'''~~~'.'4h~ "1';-4*~1V., t...~~!~ "" ~:I.<!~::,~~~",,,,;, ,," t&l~\ r;'!1 '... I (" .. '..'t-' k"#I(U,;.1 '~~'1'\'1""" ""'J~~'.;:J"'/jfttt,,;tWJf....,.l,"~f;t~"'f ..... .~ .:,,1 ~ /.,. ..-;.. ~A~~'M'.,,' '~'Y'...~\,,:,,/'.'... '1>''''' .",. if:.l)~-'''''');I~~'fi'~!I. 1.,1 .I-'(~ ).....~'i~~f;,..~I.:(~~...H~:. ,!.t;{:fwJff,':,!J;, :.!'''~r'''',,\'' "'~ AJ~t~I'>':" ,.\ ~,~ (', ~.,../"" . "lltJY~; ""v~.P,'.t\TI ~ l,;' .". .. .... . .jII,H f.. '\......t\',~1I: ~i ',' ',. .~t.....:....::,t'",~:, ~'.... '.,,'..,.~;'~""; '.,-~\. .. ... " ..':.. : .""1"1"" .,'" ',~ /", ' "'\I,~",,,,,v"""'~'''~'~I~'''''''(.''''::\~' ...:...... '. I" ',.\ ~.' ..," -- "f't' 1" ,,~~'" :,\,. -.~"."';",j :J::';',' -: " ,:.-~:.~~~~..~;~~>' ....i~.':. . ". .. ,,:.: .. . 0 r, '. ., '0"" ..' IIlIllll,"'''' 11'1" P....on.. A1lowancos Worksheel (Keep lor your records.) A Enler "1" fOt yourself if no one else can claim you as a dependenl . . . . . . . . . . . . . { . You are single and have only one Job; or } B Enler "1" If: . You are married. have only ono job. and your spouse does not work: ot . Your wages from a second job or your spouse's wages lor the toIaI of both) are $1.000 or less. Center "1" fO/' your spouse. But. you may choose to enter -0- If you are married and have enher a worldng spouse or more than one job. (Entering -0- may help you avoid having too li"le tax withheld.). . . . . . . . . . . o Enter number of dependents (other than your spouse 0/' yourselO you will claim on your tax retum. . . . . . E Enter '1' if you will me as head at household on your tax return (see conditions under Head of household above) F Enter 'I' if you have at least $1,500 of child or dependent care expenses for which you plan to claim a credit Q Child Tax Credit: . If your total income will be between $18,000 and SSO.OOO ($23,000 and $63,000 if married), ent... "I" for each el . If your total Income will be between $50,000 and $80,000 ($63,000 and $115.000 if married). enler "1"1f you 0 eligible children, enler "2" If you have three or four eligible children. ot enter "3" If you have fIVe or more eligible children. Q- H Add lines A Uvaugh G and enter talal here. Note: This maybe diffetenl Irom fhe numberal exemptions yau claim 011 yo<1I'tax l1!/Um. ~ H_ . If you plan to Itemize or ctalm adjustments to Income and want to reduce your wllhholding. see the Deductions and Adjustments Worksheet on page 2. . If you are single, have more than one jab and your combined eamlngs from all lobs exceed $34,000, OR If you are married and have a working spouse or mare than one jab and the combined earnings from a1t jobs exceed $60.000. see the Twa.EamerlTwa.Jab Worksheet on page 2 to avoid having too Ii"'e tax withheld. . If neither of the above siluatlons applies, stop here and enter the number from line H an line 5 of Farm W-4 belew. Form W-4 (2000) Purpo... Camplell Form W-4 10 your employer can witIlhold the eooect Federal income tax lrom your pay. !leuuse 'fO'J' tax situalion may chang., you may wanlto ..r'lluro your witIlholding oacl1 yoar, Ex.mpllon from withholding. II you are ..omp~ complet. only lines 1. 2, 3. 4. and 7. and sign the tonn to validate it. Yovt exemption lor 2000 ..pites F.bruary 16. 2001. Nate: You e.",.,' claim exemption from -11 It fl} your Income ..coed, S700 IlId /nclIdoO mono ftwI S2SO 01 unearned ..,eom. (..11.. Int""''' _ dMdondsJ _ (2) IlIIOlhor penon can elalm you .. . depenclenr OIIlh.1r tOJI rwlUnl. Betic Inltrucdan.. tf you are not exempt. complete the Penonaf Allowance. Workshut below. Tho works/lHts on page 2 adjust your witIlholdlng a1lowanc.. based 011 homlzed For accuracy, complele all wor1<sheets that apply. dod_, ad~ 10 Incamo. or _ltM>-jab IilualionL ~let. all warkshools that apply. 7hoy wII help you figure 1M ....- alwi1hhald1ng aJIawsnc.. you ora entitled 10 claim. However, you may dalm 1._ (or zero) a1lowanc... Child laX lInd higher education crwdlb. For d.teils on adjusting witIlholdlng for 111_ and other c:rodits. ... Pub. gIg. How Do I Adjust My Tax Withholding? H." 01 household. Generally. you may claim head.ol household filing status 011 your tax r.lum only W you are uMWried and pay more than SO,. 01 the costs of keeping up . home lor yourse~ _ your dopondenl(s' or ather qualifying individuals. See Ilno E below. Honwage Income. If you hI.~ . large ImOUf1t of nonwage income. such .. interest or dividends. you should considor maldng estimated tax payments using Form I040-ES, estimated Tax for Individuals. 0lheIw1so, you may OWl additional taJc. .... .omonItwo Job.. If you have I wort<i1Q" ' __ or mare than .... jab. fIgwo Ihe Ialal number 01 aIIowlllCOl you arl entltlod to elUft '; on all jabe using -. fram only one . Form W-4. Ywr witIlholdlng usually wi. be ~ aceural. _ all _anc:" .... c_ on the Form W-4 proparod la' the hlghosl paying job and ."" .lIowances are elalmed lor tho others. Check your withholding. Mil your Farm W~ lakes ."eel. use Pub. 9,9 10 ... how the dolor amount you ora having wllhheld comi>aros 10 your prajoclod loW lax for 2000. Gel Pub. 919 ..poc:laIIy H you used tha Twa-EamerlTwo-.lob Wurkshotl an page 2 and your MmIngs oxeotd SISO,ooo (Single' ot $200.000 (Maniodl. ROC:lnt name eh_.? II your name an line 1 diffors lrom that shawn on your IOdaIlICurity card. call 1.800-772-1213 lor. now soclaI security card. . -A B C D Cut herw Ind give Fonn W-4 to your .mplaye,. Keep the top plrt lor your record.. Employee's Withholding Allowance Certificate Fonn W-4 I 0IIl_1o._4 olIN r,...., ...... ....... SoNa ~ Far Privacy Act .nd Paperwork Roductlan Act N lice.... pa I ' TYI'! or print your /ltst NmO and _ Ir'OlIa/ and~l or nnI?,AI' ~". Slal.."..,ZIP.- ,q~.f)q!/ ;Z, 5 Talal numb... 01 allowances you are claiming (from line H above OR from the applicable worksheet on page 2) 6 Additional amount, H any. you want withheld from each paycheck. . . . . . . . . . . . .. 6 7 t claim exemption from withholding for 2000, and I certify that I meet BOTH of the following conditions fO/' exemption: . Last year I had a right to a refund of ALL Federal income tax withheld because I had NO tax liability AND . This year I expect a refund of ALL Federal income lax withheld because' expect 10 have NO tax lIabill . If ou meet bolh condilions. write 'EXEMPT" here. . . . . . . . . . . . . . ~ 7 Under penalties of perjury. I Certlfy tN.t I am entitl~pr lhe~bef W\thho&ding al'owaN:es daim8d an this cenrrlClle. Of I am entided 10 claim exempt stiluS. Employee'. signature ~, /-1~, (Form is not valid L_ / unless you . n ~l ~ a Employe(' "'"" and Id<nss (Employer. Campi ,. ""es 8 0I1d 10 only ;1 send;"g to "'" IRS) Dat. .. g Oftice code (opllo...., Cat. No. 102200 ~~" {~, POL.AR AIR CARGO -...;.:..l AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS Please read this form carefully and write clearly.' If this is a new account, you must: 1. Already have the account set up at your bank. 2. Find out if they accept direct deposits. Verify bank's transit number and your account number (including dashes). 3, Notify the bank that you are going to set up direct deposit through Payroll. Make sure that there is not anything special you need to do as far as Ihey are concerned. Please check the action and fill out form below: o Canceling account (complete item C below). Do not close account unless you cancel it through Payroll first o Direct deposit already set up, Changing S amount only (complete C through E below). o A new account (complete A Ihrough E below), o A new account to replace a direct deposit already set up (complete A through E below). Which account are you replacing? o An additional account for direct deposit, ie: one account for partial, second one for net (complete A through E below) A. Bank Name tcJE'/k ;Z:;;-R-bt"'J B. Bank TransiURouting # for direct deposits: 000000000 C, Bank Account #: ~!lIrz;) all B1BH3Il!IlIDlII 000 DO 0 D B" Checking 0 Savings E, 0 Full Net Deposits 0 Partial Deposit (amount per payroli - not %) . Please relurn to the Payroll Department with a voided check from vour checklnQ account or a deposit form from your savings account. . The process of establiShing a direct deposit takes two (2) pay periods, . I authorize Polar Air Cargo and the bank listed above to deposit my net payor portion thereof as indicated above into my account each payday. . If funds to which I am not entitled are deposited to my account. I authorize Polar Air Cargo to direct the bank to return said funds, . I acknowledge and understand that Polar Air Cargo cannot guarantee the date on which my paycheck will be credited to my account. I am responsible for verifying with my bank. the date and time of ACH transfer credits, I am aware that funds are wired the day before each pay day and that it could lake one (1) to tree (3) business days for my account to be credited. /? ~ \..s~...~ ~ -.2. <2- 99 Olle tOOC-:C"1"~!. I"" '.:10' + L:I".. 1(';",:4 lC,~C: U i' .. r(~ ""!, "J~'."~l .. '.I, ''54:. ")4.11J] + ,,~. '1':;"""_,, OfC-OI-1III al141PM PROlI- r"" TO O"'j T-114 p.aal/aal ~e~ 6 z. 4 -z:r::rr rom ~< It:: J~' (~) ~~ POLA.R A.lR <:ARGo AUTHORIZA TION AGReEMENT FOR AUTOMATIC DEPOSITS . Plea.. rud Illis lorm cllfllrully and wrtte clearly. 1/ rhllllll a new accolln!. YOII mllst , Already have me 'ccount let up Bl yOur bank. 2. Find eM if 1hll'/lICCept direct dopOcits. Verily bank', Inn,il numbsr and your aCcount number (/ncluolng daenllll). 3. NotiIY the bank IIW you are going 10 set lip direct depclitlhrough Payrall. 1.I1Ika Iura lhallhcra la not aflylhlng apedal YOII nced ta do u C::Ir 11$ IIllly are conclmed. - - Plaa.. chick tho action and 1111 0111 10m -.'. . . -.- f!.~ nur u;- 1tL<v #- tJ 7 Rl{J"s 1175'5' lie" )'QU ClII1Ce/ it Itf/IIJ I Pl./ () (J(J ~<;/ I' lrough e below). S-hw. PI! C?i'of' ,lhrough Ebelow). b.Puf ?t j) j) Jew.. iCOnd one ler nat a o o .Q CI Canceling account (compfets ilsm through Payrolllir1t O~ d.pclllit already Ht up, eIlar A new Qccollnt (c:omplela A lhroug A new account to replace a direct c Which aCCOunl are you rep/aelnll? Mac!dlllOn.' account lor direct de, (COmplata A through e belOw) A. Bank Name W IE' 1/ (' r:-.;, P. g t!:> a, BankTranait/RoutingIHordlreCldapoGlts: lD~jZlGJl!JriJ~ra~ I 7.. { 1) 't>(n_-I-~ C, BankAcc:ount#: f'lJri!]lm~l!Z1~ImIi9~mOD(JD[JO O;Z:Pof-8~~rS-s- D. :8 Cne':~ing D SavinSI e, :J Full Nel DepoSIts 0 Partial Depoall (amollnl per payroll, not %) · P:eas~ I'tllim ta me PlI'Jf~1 Deperwr.enl wftI1 a yarded chIck rrom "'our checklno accou"l or 8 c!e~ca)llerrn frcr.. yOUr savln~ aCCOunt . The precess 01 astabliahlng ;a dlract oeposlt takes NlC (2) pay periods. · Ilulherize Po/;ar Air Cargo 1In<llllt IlIInk listed abQ1'8 to deposlt my nat plly or portion Ihete<ll as Inaicatad abQve fnta my IIc:counteach payday. . It funds to which I am not entilled are doposillld ta rrrl ac:::ount , authorize Polar Air Cargo ta c/l'eCllt1o bank to retum aald funds. . I acknowledge and onders:and that Polar Air Cargo ear.roOt guarancae lhe dale on which my payelllCk Will be credited ta my account' am respons/t't (or verll')'/ng WIth my bank. IIle dais .".0 tInoe o( ACH lransfer credits. '1m aware lIlat funds lira wIred the day t:efota eaclI pay dB'1 ;ar.d lI:allt CO\lI<l taka one (1) to :ree (3) bullinass ceys for my account ta be credIted. C/~~ 8.~ra.... ~ r:",,~ L 'H4,.4.v p.o."r ~~~ / /2/ P/9.p elll f' .,......- N~~~~.~ .> 1!,.\",., ' . .~ '" toa acc..c..... i.,. ,..,.,. ... "'''~ II.:., CA 'lno: liS" + fn. .t",. ......,..., ... '''' _,.,. 4J'.UJ) + I". ta..u#lQ Form W-4 (1999) deductions. adjustments Co income. or l'NO-eamerllwo-job IllllationS. Compleee all wCtl<sh.... IhatIllPIy. They will help you lIllure the number of withnoldlno IIlowancttS you ar, entitled Co ct.am. How..,.r_ you mlY claim ,'W" IlIow.nclL Child lax .nd hl;h.r educltion eredl... For details on adjusting witht10lding ler these and other credits. see Pub. 819, Is My Withholding Correel fer 1999? Held at hausehold. Generally, you may claim h..d ef hou.""eld mitl; .lalU. en your lax retum only it )'Ou lie unmarried and pay mer. Ch.n 50% ef Che co... 01 k..pin; up . home for youmlllnd your dependent(., or eCher qu.llfy1n; itldIvtdUal', See line E below, Nonwag. Incom.. It you have I large amount 0' nonwage income. SUCh as incereSI or dividends, you Should consider making eseunlted lax p.ymen.. usln; Ferm 104D-ES. Otherwise. you may owe additional tax. Two lImen/two lobs. II you ha.. I working spous. or more Chin one job, lIllure Che telal number er allowances you ere entitled 10 claim en all job. usitl; workshee" lrom only en. Form W,.. Your wllhholdln; WIll usually b. moll accurate when III allowances 1111 dalmed on Ch. Form W.. prepared for Che hl;hes' poy!n; job and zero allowance. II. clllmed fer Ch. ct!lenl. Ch.ek your wlthholdln;. After your Form W.4 takes .IIeel, use Pub. 919to see how Che dollet amounl you lie havln; wiChheld comperes to your estimlled lolalInnuallax. Get Pub. 919 especially II you usod Che Two-EamorlTwo-Job Workshoellnd your oamitl;. e'Ceed S150,000 (Single) or 5200,000 (M1Ir1ed). Roc.nt ""m. chin;.? II your nam. en line 1 dill.... lrom IIlat shown on your soclal socul1ly Card. call 1,800-772.1213 for I new social security card. Pvtpo... Complete Form W.4 10 your employer can wIthhold the COf'recl FederaJ income t&.1 from your pay. Because your tax situation may ctwlge. you may want to rer~ur. your withholding each year. exlmptlon fram withholding. II you are ...mpl. complete only litles 1,2.3, '. Ind 1. and sign the lonn to validaee il Your exemption for 1999 ..pires F.bruary 18. 2000. Noll: You cannal cJ~m ~empfjon from wifMolding il (7) your income UCee<l. $700 Ind incilK1eJ more INn 5250 el unel/l1fld income (..g., 1r11.....,1nd rJlvldondsJ I1ld I2J anolller person ..n claim you IS . dependenl on //lei, tax filum. Ballc In.truc:tlana. II you are noe exempr. compleee the Pel'SOnal Allowances Wotksheer. Th. workshee.s en PI;' 2 Idjust your withholding allowanc.s based on Itemized Personal Allowanc:e. Worklh..t A Enler "I" tor yourself It no one el.e can claim you as a dependenl . { · You are .Ingle and have only on. lob; or } B Enler "I" If: . You are married. have onfy one lob, and your .pou.e does not work; or · Yeur wages lrom I second lob or your e?Ouse's wage. (or lhe Iotal at bolh) 87e $1,000 or I.... C Enler "I" tor your spouse. Bul, you may choo.e to anter -0- Ir you are married and have either a working spouse or mar. than one lob. (This may help you avoid having 100 IIltle lax withheld.). . . . . . . . . . o Enter number at dependenls (olher Chan your spouse or you....elQ you will claim on your tax return . .... E Enler "I" It you will file as head 01 hous.hold on your lax retum (.ee conditions under H.ed ot household above) F Enler "I" il you have alleasl $1,500 at child or depend.nt car. expenses tor which you plan 10 claim a credit G Child Tax Crldlt · It yourtolaJ income WIll be between 520.000 and SSO.OOO (523.000 and 563.000 il married), enter "I" tor each eligible child. 0 It your 10lal Incom. will be between 550.000 and 580.000 (563,000 and 5115,000" mllr1ed), enler "1"lt you have two ellglbl. children, enter "2" it you have lhree or four elig'ble children, or enter "3" It you have fIVe er more eligible children. a H Add lines A Chrough G and enter total here. Hot.: This amounl may be dilleren' from lIle number 01 exemptions you claim en your reeurn, .. H I · It you plan to 11emlze or claim adjustments to Income and want to reduce your wllhholdlng. see the Oeduellons and Adjustmenls Worksheet on page 2. · It you are single, have more than one job and your combined earnings trom all jobs exceed 532,000, OR it you are married and have a working spou.e or mar. than one jab and the combined earnings trom all jobs exceed 555,000, see lhe Two-Eamerrrwo-Job Worksheel on page 2 10 avoid having 100 IIltle tax wllhheld. · It neither of lhe above situatlen. aoolles, .top here and enler Che number 'rom line H on IIn. 5 or Form W-4 below. A B -1- c o t E -L- F For accuracy, complete all worksheets Chae apply, ......................... Cut here and ;ivethe certificate to yeur .mployer. Keep Chelep part loryeur reconl.. ,........................ Form W-4 Otoanment of en. Truar.rt """"" - ....... .. For PrivICY Act and Paperwork Reductfon Aet Notice, lee po;e 2- 1 T. Of pnnt )'Cut finl naml and ~ inibll Last name Employee's Withholding Allowance Certificate OMa No, 1545-1Xll0 ~@99 v"'" soeJaJ .oeunty numbot 4i~/i 1S4,:L 3 5,nvlo 0 arried 0 Memed. but w;lhllCld .t hi;hor Sln;1e _. H.lo:1.._Il<irJogxfll~or_.._..c/Iodrlllo~lla< 4 lt)'Our lat name dlfflrs from tN.t on your sociat lecunty card, check "er,. You musl cad 1.8OO.772.12f3 fer a new card ... 5 Total number of allowances you lie claiming (from line H above or from Che werl<sheets en page 2 it Chey apply) . 8 Addieional amounl, it any, you want withheld 'rom each paycheck. . . . . . 7 I claim ..emption from wiChholdlng for 1999, and I certify lhall meet eOTH 01 Che (onowing COndition. tor exemption: · Lasl year I had a righllo a refund 0' ALL Federal income lax wllhheld becau.e I had NO tax liability AND · Thi. year I e.pecl a refund at ALL Federal Income lax withheld because I expect to hay. NO lax IIabill . If au meet bot" conditions. write "EXEMPT" here. . . ... 7 U(I(i!tt Pen&lties or pel)Uty. I Cll'tlty that I am entltled 10 number~' Nltht1old~ allowances cla,med on tros certltlcale. or I am .ntltled to cl&lm ..empt statui. Employee'l sl,onaturet2. (Form II notvaJld . A unless '(au '1<3" II) ... . Dale" G" Z ~- - I Employ.,'S ".1m' and ad"'". (Etnptoo,oer. Com g OtrlCe code 10 Emptoyw idtntJ1lc.aUon number (o~hon&l) C.lI. No. 102200 o CO , o ... , '" '" .. .. ... ... ~ ., en N o '" -, -, '" .. I. o :\ " l>l ... ~ o ... ~Oao-'" . . Cllr"~.:~ WELLS FARGO BANK - '-IlIr~,1OU\1WIIO 1UC1OM.U."I1I I/o/~ .. r--'~.J I $1-.. ~" "__ CARL T. IIACY PH. ~sr.B47B TBIlS H. "'OIlA LISA, NO. 1204 TUCSON, AZ 15741 IIDIlIID I: & ~ BO & &1'1&1:0773 0 7 ~8 ....S30Sh. ,~-.... o o ... ""I ;~"","'";,:"".,...ii~,.;A;"j;.;;,i,.wy~~""",",;~.",,,,",""''''''' : ;""~'~'-'" <i;.'(_";"",. ......~,_,. , , '..' - ....-.. -~':"--"'~'._""'---."~' 2438 E. 23rd Street Tucson, AZ 85713 (520) 292-9758 home (888) 502-5633 pager Carl T. Macy OBJECfIVE Professional Flight Engineer 4,500 hours 00 \~ \019 \,\ ./\ ..........." / L-188, L-382, DC-8, B-727, B-747 FLIGHT TIME AIRCRAFf FLOWN CERTIFICATES TRAINING Flight Engineer B-747 Flight Engineer DC-8 Flight Engineer L.382 Flight Engineer B-727 Flight Engineer B-188 PROFESSIONAL EXPERIENCE 09/95 to 09/98: Flight engineer for Southern Air Transport. Served on the L-382, DC-8, and B-747. 07/77 to 09/95: Flight engineer for U.S. Navy, active duty and reserve. Flewanti- submarine warfare, drug interdiction, and fleet support missions. 02/93 to 09/95: A&P Mechanic/Contmctor for Tucson Aerospace, Lockheed, Dynair Tech, McDonnell Douglas PERSONAL Excellent health, willing to relocate, available immediately I.~"""" \.~) POL.AR AIR CARGO ~........ !?LEASE PAINT) Polar Air Cargo AlJtJlication for Employmerll DATE OF APPLICATION "ersonal Data: 0 Position not available (HR onl,/) ,ame: Lasl ~c..V FirSI eA~L -......liddle;~.J.f4~5SociaISecurity#~.f.1/I.f?~ Z 7 ,lUluvA "'KZO'f- 'ddress: Slreet -;Z:r?~ A..&'~ ~/S.# City -r-;.It"!.5dd Slale and Zip Code ~ ~~4:/ "~Iephone: (Check which preferred) ~Home: (52D) 5'3 I c:z,1+(o 0 Business: ( ) ')SIUon Preference: .F I E ~me I Part.Time I Other (Circle One) Availability: Number of Hours: IJ.PF/f) Tlmes:O?eA/ _ate: 2. ~ 2 C(l''1 'J Salary/Compensallon Desired: A/ ~ /or Referral Source: 0 Employment Agency ~a'k"n Applicant o Employee Referral ., Government Employment Agency (NaIM) . 0 Newspaper Ad o School/College o Other IN....".......' 'Nam. 01 -'g.nqol (....I~ Have you e_er been employed by Polar Air Cargo before? DYes lH.ameJ ~NO yes. when? Which facility? In what position? hal interests you about Polar Air Cargo? Fh5/-r/lo'E (At..K. Alhrrr fO~ :? you know anyone who works for or has in the past worked for Polar Air Cargo? 0 Ye~ ~ ': les. please identify: Name: ~'" you currenUy employed? ~s Facility: Position: o No Educational Data School Prlnt Full Name. City. and State for each School ~~S F:L/AM~S ~ 1I tt..t..1fi C-.II. Number of Years Com leled Degree Major Courses of Stud I b~J(C'~ GPA/Scholasllc Honors n Igo School 1'2- fII" P )?' Z.r ,~oUege tV .:Jraduate School 7rade. Business. ,ighlor ~orrespondence Jther Training " Educalion (Incl. Iilitary Exp.) AI ",-HI( ;I'/.>t:/tevt- p. ~ ,e-/~ ;./- "2- ~t14P '5.<6 Employment History . the following spaces, give a complete record or of your employment for the lasl len years, Including periods of unemploymenl and lell,employment. It any, Begin with your most recent employment and work backwards. II additional space Is needed. anach a supplementary ~eel. Company: Z:;;6'.e..~6J Address: 7uC!.sl'IrJ A?: Stan,ng Position: J... € Ail 7fi-"",J." Other Positions Held: "./>f?Vy Name and Title of Supervisor In Last PosWon Held: -r I/A.. J Stanlng Salery: "3 r K Reason tor Leaving: ;tI/ .e e-}., Employed Fr~ /-1.7- 9 9 Mo,tyr. to ~<;'F.,p-Mo,tyr, Telephone: (S-20')' . - Last POSllion: / ~A'A ,e. / EC/-' Of <;" /E',.) ":?.s- /<; Final Salary: 13)/ FbLAR-- 2. . Company: Ai>. ~~?~.,--Z-;;;~r Address: L" T7'2F ~v ,,4 .e. Slar1Jng Position: /~.II".Y ~/1'I..Ir" t: E:P Other Positions Held: " )/7><...71< Mo,tyr. Employed From: ~ Mo.tyr. to / - 7'? Telephone: f?",..,., z c;<Y' Z.8-(-~i{)' Last Position: <;;' "'" rl4t:: . Name end Title of Supervisor In Last Position Held: Stanlng Salary: ~ 1Z 1<' Reason lor Leaving: --111 e en Oh'IHb ~9"..A'17~E Final Salary: "'? "7 IC.. EVtE"e~R.tP€A.J 'j) I.e.~cro/:; I/":-Ao/ I'IA ~y , 3. Company: ~1r-11gp ILl Address: ('~L ~"'n<St.l.. Slanlng Position: F /6"" Other Posillons Held: t: / IE' ~R- . 01-1. c::; -/ sO hc..-1f . Mo,tyr, Employed From: <? /9..r Mo,tyr. to .:; /9 g' Telephone: ~QO +2.J no';f- Last Posilion: r /.tE a r~:r ~ "'''',v >?n. ,.oVl'. /?, JulF F Final Salar/: ~ k... 1'91:-11 0 F B uk /1..7 ~s i1LcJ-I- . Name and Tille of Supervisor In Last Position Held: Staning Salary: '2..s- k Reason lor Leaving: CtJ 1'Z1.,P"~V , 4. Company: ~""? I L 1ihJ /t~ 111171) J Address: r;:; e {' b7o.l A 7!. Stanlng Position: ;; .,t-p .n-1"ECA . Other Positions Held: 67 t'.. /,v S:PFC17) It'.. Name and Tille ot Supervisor in Last Position Held: ~K~ h~A'S"f'".::: ~A,PEL/.J/S'/!).e- Staning Salary: ./,/. eN p,l! ~~ Final Salary: / 3 .p~- /h'... Reason lor Leaving: M!? ,,0~11 Lr,V' S'br...lrH&..v 1l"R- Mo,tyr. to I -ef 5 +-~+g I Mob':. Telephone: Last Position: ~ S,-v~E , Company: L-/.s: /1/;/v,l Employed From: 7~.;z: Mo,tyr.to 7' /9f- Address: ,,1/4 <; /4/''I.L,01toJ (,R-OVlr Telephone: /~A.JKA/~~ Stanlng Position: A'f-? ,n-fFO-A , Last Position: r:. r r c;: Other Positions Held: /(J(', /,OS'pIF"t".7CiJC-. Name anc Title ef Su~er/isor In Lasl Pesiticn Held: ~/ L /. #4 ~ELve:V Staning Salary: f k Final Salary: "'C..s- /<" . Reason for Leaving: E-v,{J ~rr t'!~rl~A~ Mo,fYr. ..~) POI.AR AIR CARGO ..~. (;>LEASE PRINT) Polar Air Cargo A~tllicatjon for Employmerll: DATE OF APPLICATION 'ersonal Data: 0 Position not available (HR only) ,ame: Last ~c..V First eAl'L-L ,.Middle'~.H4~>SociaISecurity#~4-1//Jt Z 7 /H'M~A ~~G) ~ 'jdress: Street ;Z::~t:- A..,{,'~ L.I!:.# City -r;~S.d~ Slate and Zip Code ~ ~~r?/ ;~Iephone: (Cheek which pre/erred) u,t'Home: (52D) 5'3 I ""/.1+(0. 0 Business: ( ) . Jsillon Preference: ,r / E ~me I Part.Time I Other (Circle One) Availability: Number of Hours: ;P':-...) T1mes:Of'€AI - ate: 2. - :2 1(" 99 Salary/Compensation Desired: A/ ~ "r Referral Source: 0 Employment Agency ~a1k'ln Applicant o Employee Referral Government Employment Agency '_I . 0 Newspaper Ad o SchooVColiege o Other IN....." ......, (Name 01 "'gel'C'II IN.*.~ ,..;ave you ever been employed by Polar Air Cargo before? DYes INMMI ~o yes. when? Which facility7 hat inlerests you about Polar Air Cargo? Ph.:; 1 nilE (AL/C In what position? Albrrr .FO~ o Ye~ ~ ." you know anyone who works for or has in lhe past worked for Polar Air Cargo? : /es, please identily: Name: ,.. you currenlly employed? ~s Facility: Position: o No Educational Data School Print Full Name, City. and Number 0/ Degree Major Courses of GPA/Scholastlc Stale lor each School Years Com reted Stud Honors '''gh School '/",fS F7/AM~S ',t!.b {.I tL. t. ~ C-//. 1'2- nI" P j? bE/llte'~ 2. f{ ,:;oliege tV Jraduate School 7rade. Business. .ighlor ~orrespondence Jlher Training j( Educalion (Incl. lilitary Exp,) ,A/ ;( rH 1/ It ./ .>t:./rrA:J l.- p. ~ F'/~ ;./-"3. ~MP 5.<[ Employment History . Che lollowlng spaces. give a complele record or 01 your employment for Ihe last len years. Including periods of unemployment and lell.employment. II any. Begin wllh your most recenl employment and work backwards. If additional space Is needed. anach a supplementary neel. Company: 66R..&!JO&} - Address: lut'!..SI'I,v A%!: Staning Position: J.. t5 A r. 7Fi-r." Other Positions Held: "./A?\/jI' Name and Tille of Supervisor In Last Posillon Held: -r.-, / A.. } Slarting Salary: ':s r K Reason for Laaving: hI/)?e-}., If)/ R,LAR- . .. Company: AI'. ~ ~'pb;(!"- ~r Address: L I '77'Zi- ~" A /1. Starting Position: /-M..IO,Y ~ IIVI t:: rs p OCher Posillons Held: ")/h</~ Employed Fro~ /-1.7-99 Mo.tyr.to ~<:"E'~MO.('fr. Telephone: C$-20')' . - Last PosItion: / II""-,,}j ,D.. I E'er-. OI<:'#JA) ~.s- k; Final Salary: Employed From: ~ Mo.tyr. 10 / - 7' '1 Telephone: J?;,.17? Z ~ z8-t-/o '9 - Last Position: <;' ^' rl<1E Mo.tyr. . Name and Title of Supervisor In Last PosUlon Held: Slanlng Salary: ~ '7 I~ Reason lor Leaving: --111 e !f"/) O.#o/l:~ ;:;kS"t"..A'~g Final Salary: "?7Z K EV.€e/7R.t9t<# ]) II!.-~Crot:.- I*~l/f I'U BY , 3. Company: ~..rr1lEP,u Address: {'~L ,.ouSU~ Startlng Posillon: .fC' / C Other Positions Held: ~ / IJf" ~~. 0(-/. ~ -/ sO h~-g>" . Employed From:? /9 r Mo.tyr.to 9/~f:r' Telephone: <;<-UO +2:1' fX6o:+- Lasl Position: r/,tF IX -r-f-::r Mo.tyr. Name and Tille of Supervisor In Last Position Held: Slartlng Salary: '2 S- K Reason for Leaving: (2(J fflP"~V . , ~A'''''.,v ~"u/V/.., ~~flIFF Final Salar/: ~ k.- f?tA."'I t:'J F B uK- N /R:'S 'i1L.cJ1- . 4. Company: ~"':'IL 1it;J /t~ll1f7n~ Address: r;; e ~ h7Il /1 ~ Startlng Position: ;f ,t-p .n~EC.A Other Positions Held: 6? t'.. I A/ ~ P FC7'7J A?- Name and Title of Supervisor in Last Position Held: ~R~ h~A'Se/i: <:>"b(PELI.J/<;,aL- Startlng Salary: ./ /: tH P,I!. /,,, Final Salary: /:5 ,p,e, /u,. Reason for Leaving: ~ ,,0~/J J:ry S"uumtfL. -v IIlIe_ Mo.tyr. 10 I -'1 J +--::s+C I Mo.-Yr. Company: dS' /l/JllI,'I Employed From: '7#.;z: Mo.tyr.to 7' /p.f- Address: .01/4 ~ /A-hl.t.t:tr-J /"/l-otJti' Telephone: /..//UKA/uz-J~ Slaning Position: .A 'f-,P J1-1Ft.J.,t, . Last Position: r:- T r- ,!(' Other Posillons Held: If' (' / A.J SOP.€I". ~ Name and Title ct Super/isor in Last Position Held: ,.t> / ./. /. #4. ~ &' L (.I u::V Slaning Salary: f k Final Salary: "Z. f-' k' Reason lor Leaving: r.: p /) ,rr ~-'1.n-,e~ Mo.tyr. 1.8 Any messages or information sent by an emplo>'ee to one or more individuals via an ..Iectronic network (e.g., bulletin board, on-line service, or [ntemet) are statements identiliable and attributable to our company. While some users include personal "disclaimers" in electronic messages, it should be noted that there would still be a connection with the company, and the statement might still be legally imputed to the company. All communications sent by employees via a network must comply with this and other company policies, and may not disclose any conlidential or proprietary company information. Failure to adhere to this policy may result in disciplinary action up to and inClUding termination. 2.9 Network services and World Wide Web sites can and do monitor access and usage and can identify at least which company.. and often which specilic individual _. is accessing their services. Thus accessing a particular bulletin board or Website leaves compan>'-identiliable electronic "tracks" even if the employee merely reviews or downloads the material and does not post any message. The company strongly discourages the storage of large numbers of non-business critical electronic media (e.g.. e-mail, voice mail, spreadsheets, documents). Excessive storage of this media may cause system performance issues as well as incremental costs for storage. Any employee found to be abusing the privilege of company-facilitated access to electronic media or services will be subject to corrective action andlor risk having the privilege removed for himlherself and possibly other employees. x. - . . - - - . - . - - - . - . - . . - . . - . . - . . . . . . . . . - . . . _ . _ . _ . _ . _ . _ . _ . _ . _ . _ X Please cut on the doned line and return this portion to: Human Resources AUn. Sonia DeLuna Acknowledgment I acknowledge that I have read and \\;11 abide by the company's policies regarding electronic media and services. Dated: Z. 2. ~ -99 Name (please print): Signature: 7. Olher Aareements. The Employee represents and warrants that he/she has no olher agreements or commitments that would hinder his/her performance of obligations under this Agreement. other than those that he/she has disclosed in advance to Company and that he/she will not enter into any others. 8. No Solicitation. During. and for a period of one (1) year after termination from the employment of the Company. the Employee will not directly or indirectly attempt to call on. solicit or take away suppliers. customers. employees or consultants of Company for Employee's own or for anyone else's benefit. 9. Disclosure of this Aareement. Before or after termination of the Employee. Company may disclose the substance and supply copies of this Agreement to any person. including any actual and prospective future employers of Employee and its employees. consultants and contractors. 10. Severabilitv. If a court finds any provision of this Agreement invalid or unenforceable, that provision shall be enforced to the maximum extent permitted by law. and the other provisions of this Agreement will remain in full force and effect. I 11. Governina Law. This Agreement will be governed by and construed in accordance with the laws of the State of California without regard to or application of choice of law rules or principles. 12. Assianment: Successor and Assians. This Agreement may be assigned by Company and will inure to the benefit of any successor or assign of Company. 13. Entire Aareement. This Agreement represents the entire agreement between the parties with respect to the subject matter hereof, and no changes or deletions may be made except in writing bearing the authorized signatures of both parties to this Agreement. IN WITNESS WHEREOF. the parties hereto have caused this Agreement to be executed in duplicate by their signatures as of the day and year first written above. POLAR AIR CARGO, INC, By; ~. ~1MnvL Name;~n,a De.-LuV\t1 Title: U.R.- AV"..;rt"": EMPLOYE~ ~~~e~ ~ L "fIt'll Title: ~eturn this page to the Human Resources Department (c) has been rightfully received by Employee from a third party not under obligation of confidentiality to Company and without breach of this Agreement; or (d) is independently developed by Employee without use of or access to any Confidential Information of Company. 4. Reoresentations and Warranties with Resoectto Tainted Information. (a) For purposes of this Section 4, "Tainted Information" shall mean any trade secret or other nonpublic technical or business information of any kind of a third party, including but not limited to designs, computer programs, techniques, interfaces, protocols, file structures, marketing plans, product plans, business strategies. financial information, forecasts. personnel informatinn, customer lists and information relating to research. design. development, manufacturing or pricing, which such third party has not intentionally made generally and publicly available or disclosed through official announcement or disclosure. (b) Employee represents and warrants that he/she has not or will not: (i) use. rely upon or obtain any benefit from any Tainted Information in rendering services to Company; (Ii) provide or disclose to Company any information which Employee believes or has reason to believe may be Tainted Information; and (ili) induce any other persons to use. rely upon or disclose to Company Tainted Information in rendering services to Company. (c) Employee represents and warrants that he/she shall maintain and exert hislher best efforts to enforce such company policies and procedures as are reasonably necessary and appropriate to ensure he/she comply with the obJ:gations and warranties set forth in Section 4(b) above. 5. Related Richts. To the extent that Employee has copyrights ( including audiovisual copyrights). patent rights. mask work rights. trade secret rights, or other rights related to the work to be performed under this Agreement (coUectively, "Related Richts") and that might otherwise be infringed by Company's use in any manner of any of such work or the results thereof, Employee grants or will cause to be granted to Company, and to Company's parent. subsidiaries and customers, a royalty-free. irrevocable, worldwide. nonexclusive license to make, have made. sell. use. disclose. reproduce, modify. distribute, perform and display such Related Rights. 6. Return of Comeanv Materials. Upon termination of the employment by the Company, Employee will promptly return to Company. and will not take or use, all items of any nature that belong to the Company and all records (in any form, format or medium) containing or relating to Innovations or Confidential Information belonging to Company. I."~ \.~, POL.A R A I R CARGO ~.-I') Employee Intellectual Property and Non-Compete Agreement of Polar Air Cargo, Inc, Employee: r?..4'~L. T ~~y , Address: -;r.59~..J #/~I/ 1. I!:"A pi- %20+ 1"i:dJSIM./ lie i s-'l-4( This Agreement is entered into and made effective as of this _ day of , 19 _ by and between the" mployee" identified above and Polar Air Cargo, Inc., a corporation with offices at ca ("Company.). In consideration of being paid a salary for the rendering of se ices to Company and for access to confidential information of Company in connection with the rendering of such services, Employee and Company agree as follows: 1. Term and Terms of Service. Employee will use best efforts to render for Company the services described in hislher job descriptions. performance objectives and/or addendum job description to which the parties may from time to time mutually agree. However, at any time and in its sole discretion, Company may elect to terminate the rendering of services by employee at-will, for any reason or for no reason. The provisions and obligations of Section 2 through 13 of this Agreement will survive any termination of the Employee. During the period Employee is rendering services to Company, Employee will be paid in accordance with the terms of his/her original offer lelter or as amended on a duly authorized and signed Company .Personnel Change Notice", 2. Innovations. In rendering services to the Company, Employee may create or develop technical, and/or business innovations. (a) Employee will disclose in writing to Company all inventions, improvements, works of authorship, and other innovations of any kind that Employee may make, conceive. develop or reduce to practice, alone or jointly with others, in the course of performing work for Company or as a result of that work, whether or not they are eligible for patent, copyright, trademark, trade secret, or other legal protection ("'nnovations.). Examples of Innovations include but are not limited to: original works of authorship, formulas. processes, databases, mechanical and electrical hardware, electronic components, computers and their parts, computer languages, computer programs and their documentation, user interfaces, encoding techniques, marketing and new product plans, production processes, advertising, packaging and marketing techniques, books. manuals, documentation. and improvements to anything. ,. (b) Employee acknowledges that all Innovations will be the sole and exclusive property of Company and hereby transfers and assigns to Company all rights in the Innovations and in all related patents. patent applications, copyrights, mask work rights. trademarks, trade secrets. rights of priority. and other proprietary rights. At Company's request and expense, during and after the period during which Employee is rendering services to Company. Employee will assist and cooperate with Company in all respects and will execute documents, give testimony, and take such further acts reasonably requested by Company to acquire, transfer, maintain, perfect. and enforce patent, copyright, trademark, mask work, trade secret, and other legal protection for the Innovations. (c) Employee also hereby. irrevocably transfers and assigns to Company, and waives and agrees never to assert. any and all "Moral Rights" (as defined below) he/she may have in or respect to any Innovation. even after termination of Employee's work on behalf of Company. "Moral Riohts" means any rights to claim authorship of an Innovation, to object to or prevent any modification of any Innovation, to withdraw from circulation or control the publication or distribution of any Innovation. and any similar right. existing under Judicial or statutory law of any country in the world, or under any treaty, regardless of whether of not such right is called or generally referred to as a "moral right." 3, Confidential Information. Employee's rendering of services to Company creates a relationship of confidence and trust between Company and its Employees. During and after Employee's rendering of services to Company, Employee will not use or disclose or allow anyone else to use or disclose any "Confidential Information" (as defined below) relating to Company, its products. suppliers, or customers except as may be necessary in the performance of services for the benefit of Company or as may be authorized in writing and in advance by appropriate officials of Company. Employee represents and warrants that he/she will restrict disclosure of Confidential Information to those of the Company's employees, consultants and contractors with a need to know to render services as contemplated hereunder and who have agreed to be bound by the restrictions set forth in this Section, and that he/she will not reproduce any Confidential Information other than as needed for such purpose. "Confidential Information" includes innovations, marketing plans. product plans, business strategies. financial information, forecasts, personnel information. customer lists. trade secrets and any other nonpublic technical or business information. whether in writing or given to Employee orally, which Employee knows or has reason to know Company would like to treat as confidential for any purpose. such as maintaining a competitive advantage or avoiding undesirable publicity, Employee will keep Confidential Information secret and will not allow any unauthorized use of the same whether or not any document containing it is marked as confidential. These restrictions, however, will not apply to any information which (a) was already rightfully known to Employee prior to the time that it is. disclosed to Employee hereunder: (b) is in or has entered the public domain through no breach of this Agreement or other wrongful act of Employee; . I."'~ l~) POI.A R AIR CARGO 'f;;...I , Polar Air Cargo (liThe Company") Employee Confidential Information 1. Confidential Information. As used in this Agreement, the term "Confidential Information" Includes the Company's trade secrets. marketing strategies, account and financial information, present and prospective customer lists and' files, any other Company information regarding its customers (including. without limitation, customer purchasing preferences and requirements, credit terms and status, promotional programs, pricing policies, sales totals and sales allowances and discounts) and any other Company information that is not generally known or available to third parties as part of the business operations of the Company. Employee agrees that during the term of employment and at all times thereafter, Employee will not in any way, directly or indirectly, divulge, disclose or communicate to any person, firm or corporation (other than the Company or any persons employed or designated by the Company), or use for the benefit of any party other than the Company, any such Confidential Information. Employee understands and agrees that all such Confidential Information is and shall remain the sole property of the Company, and upon any termination of employment, Employee will not in any way make, copy or retain records or summaries of such Confidenliallnformation. 2. Breach b'l Emolo'lee. The Company and the Employee recognize and agree that a breach by Employee of this Agreement will cause the Company great and irreparable injury and damage. Employee therefore expressly agrees that in the event of any breach or threatened breach of this Agreement by Employee, the Company shall be entitled, if it so elects, to the remedies of injunction and specific performance. as well as to all other available legal and equitable remedies (including. without limitation, damages and reasonable attorneys' fees). . 3. Waiver. No delay or failure on the part of the Company or the Employee to exercise any right. power or privilege as specified in the Agreement shall operate as a waiver, nor shall any waiver on the part of the Company or the Employee of any right. power or privilege, as specified, operate as a waiver of any other right, power or privilege as specified in this Agreement. No delay or failure on the part of the Company or the Employee in regards to a single or partial exercise of any right. power or privilege as specified preclude any other or further exercise of those rights or the exercise of any other right. power or privilege as specified in this Agreement. ~ D D D D D D D D D D D D D D D I.,....~ \~, POLAR AIR CARGO ~_/I NEW HIRE CHECKLIST ( Today's Date: z.-Z 9-99 Employee Name: L3A'....e L- 7jb; .I'U'~.s ~ y Social Security #: 5"'~+ .::r / - / .5Z-? Department: Hire Date: Employee #: Reporting To: Pre-employment Drug Screen Results Date: CONTENTS: Personnel RequlsitlonlPelSonnel Change NoUce Maintenance Required Documents Applicallon D Previous Training Records" D A&P License" D Repalnnan's Certificate" D Restricted or General Radio license" D FCC Radio Licenses (Class 1 Etc.)" D Previous Run-upfTaxl Authorization" D A&P License Verification Fonn' Resume Applicant Data Survey (10 be filed) Offer Letter (signed) W.4 Form I-g Fonn and Copy or Identification (original 10 be filed) IT-2104 (NY only) Employee Inronnation Sheet Operations Required Documents Mandatory Business Practices D 5 Year Background'" D Customs Appl/callon"" D 'Badge Lener- D Customs Lette"" Confidentiality Agreement Inlelleclual Property Agreemenl Electronic Media Policy Acknowledgment (signed) Inronnatian Systems Access Request Fonn Other Telecommunications Access Raquest Fonn D D D D D D Anti-Crug/Alcohol Program Papers D NADE Enrollment Form" D Drug and Alcohol Quiz" D Drug and Alcohol Receipt" D Consent Release" D Pre. Employment Drug Screen Date" . Onglnals to manage, ""Inte~nce tralnrngoCQptes ta be "led '" emplOyee "Ie .. These Ilems to be "led In contldenlial d"'9 I'll. ... If Agplic.able