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Issue Date: October 13, 2014 <br />PHILIP MORRIS USA INC. <br />2015 RETAIL LEADERS PROGRAM AGREEMENT <br />(Fixture Plan) <br />This 2015 Retail Leaders Program Agreement (as such agreement may be amended from time to time, <br />the "Agreement"), by and between Philip Morris USA Inc., a Virginia corporation ("PM USA"), and the <br />party identified below ("Retailer"), sets forth the terms and conditions of the PM USA 2015 Retail Leaders <br />Program (the "Program"). <br />HQ M.A.#: <br />Territory #: <br />Retailer Name: <br />Retail Control #: <br />Street Address - Line 1: <br />Mgmt. Acct, #: <br />Indep: - ' <br />Street Address - Line 2: <br />' New Retailer <br />Chain:.. <br />City, State, Zip: <br />Merchandising Payments <br />Last 4 digits of Tax td#: is Tax id# correct? Yes S No 1: <br />Effective Date of Agreement: <br />When executing this Agreement, Retailer must select the Plan, Participation Level and PMO Election for each of its <br />Stores, as indicated below, If Retailer is a Chain, it may execute this Agreement only with respect to the entire Chain <br />or a Chain division. In consideration of Retailer's participation in the Program and performance under this <br />Agreement, PM USA will pay Retailer a Merchandising Payment per Store based on the rates set forth below. For <br />each Store's current Program participation and payment information, please refer to the Website located at <br />www.insightsc3m.com or such other website as may be specified by PM USA from time to time (the `Website"), <br />Number of <br />Stores <br />Plan <br />Participation Level <br />PMO Election <br />Rate per PM USA Carton <br />0 <br />0 <br />0 <br />This Agreement includes the following exhibits, which are incorporated by reference and attached to this Agreement <br />and which PM USA may amend at any time (the "Exhibits"). <br />Exhibit <br />Description of Exhibit <br />Exhibit A <br />PM USA Potion Configurations <br />Exhibit B <br />Definitions <br />Exhibit C <br />Participation Level Requirements <br />Exhibit 0 <br />Additional Program Incentives <br />Exhibit E <br />Merchandising Payments <br />Exhlblt F <br />Termination and Remedies <br />Exhibit G <br />General Terris and Conditions <br />Exhibit H <br />PM USA Signage Zones <br />Exhibit 1 <br />General Terms and Conditions of PM USAPromotlons <br />ExhibitJ <br />STARS Calendar <br />Exhibit K <br />Retail Reporting Requirements <br />Page 1 of 4 <br />23 <br />