EMPLOYEE REIMBURSEMENT AGREEMENT

The undersigned employee of _________________________, (Company), agrees to repay to the Company all compensation payments or reimbursements that are disallowed, in whole or in part, as a deductible expense by the Internal Revenue Service. The reimbursement shall be made to the full extent of the disallowance.

Signed and sealed this ________ day of ______________ (month), ___ (year).

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Signature