PART I, LINES 4A-C |
THE FOLLOWING INDIVIDUAL RECEIVED A PAYMENT PER A SEPARATION AGREEMENT. THE AMOUNT IS TAXABLE TO THE EMPLOYEE AND INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). KEVIN M. LOCKETT $143,000 THIS ENTITY OR ITS AFFILIATE HAS A SUPPLEMENTAL RETIREMENT PLAN (SRP) DESIGNED TO ROUGHLY APPROXIMATE AN EXTENSION OF THE BENEFITS UNDER THE MAYO PENSION PLAN TO INCOME ABOVE THE INTERNAL REVENUE CODE QUALIFIED PLAN LIMIT IN SECTION 401(A)(17). STARTING JANUARY 1, 2011, ALL SRP BENEFITS ARE PAID AS AN ANNUAL TAXABLE CASH PAYMENT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN OR RECEIVED A PAYMENT FROM THE SUPPLEMENTAL RETIREMENT PLAN. AMOUNTS ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). AMMASH M.D., NASER M. $110,604 BERRY M.D., DANIEL J. $124,881 BOLTON, JEFFREY W. $282,321 BROWN M.D., MICHAEL J. $62,718 CALLSTROM M.D., MATTHEW R. $133,069 CAMILLERI M.D., MICHAEL $113,750 CIMA M.D., ROBERT R. $72,802 CLARKE M.D., MICHELLE J. $120,609 DAHLEN, DENNIS E. $127,530 DIASIO M.D., ROBERT B. $102,628 DIDEHBAN, ROSHANAK $38,556 DIETER, HEIDI L. $15,388 DOWDY M.D., SEAN C. $60,388 FARRUGIA M.D., GIANRICO $501,999 FONSECA M.D., RAFAEL $111,719 FRANCIS, JAMES R. $48,724 FRANK M.D., IGOR $55,848 GALANIS M.D., EVANTHIA $61,872 GAZELKA M.D., HALENA M. $31,799 GERTZ M.D., MORIE A. $82,949 GORES M.D., GREGORY J. $196,939 GORMAN, PAUL A. $107,872 GOSTOUT M.D., BOBBIE S. $349,763 GRAY M.D., RICHARD J. $242,622 GREENE M.D., EDDIE L. $28,491 HADAWAY, CHERYL J. $79,468 HAEFLINGER, RICKY J. $26,220 HARPER JR., M.D., CHARLES M. $255,639 HAYES M.D., SHARONNE N. $77,118 HEBL M.D., JAMES R. $119,791 HOFFMAN III, HARRY N. $130,201 HORLOCKER M.D., TERESE T. $60,829 HUBERT, SHERRY L. $5,318 KENDRICK M.D., MICHAEL L. $88,590 KHAN M.D., AMIR R. $63,627 KHAN, RITA G. $20,750 KRAHN M.D., LOIS E. $43,748 KRAUSS M.D., WILLIAM E. $242,338 LANZINO M.D., GIUSEPPE $180,914 LEIBOVICH M.D., BRADLEY C. $80,989 LOFTUS M.D., CONOR G. $70,402 LUCCHINETTI M.D., CLAUDIA F. $36,598 LUETMER M.D., PATRICK H. $105,489 MARSH M.D., W. RICHARD $220,919 MCLAUGHLIN M.D., SARAH A. $36,681 MENKOSKY, PAULA E. $131,599 MEYER M.D., FREDRIC B. $223,653 MORICE M.D., WILLIAM G. $76,931 MURPHY, JOSHUA B. $205,357 NARR M.D., BRADLY J. $65,373 NORBY, SUSAN M. $13,028 OKUNO M.D., SCOTT H. $63,463 OTLEY M.D., CLARK C. $164,567 PETERS M.D., STEVE G. $64,189 PICHELMANN M.D., MARK A. $180,947 RIHAL M.D., CHARANJIT S. $111,369 SHAH M.D., VIJAY $129,107 THIELEN M.D., KENT R. $242,622 WALD M.D., JOHN T. $102,689 WARNER M.D., MARK A. $59,908 WHITED M.D., BRIAN L. $54,614 WILLIAMS M.D., AMY W. $133,003 WILLIAMSON, MARY J. $149,659 ZORN, CHRISTINA K. $90,970 UNDER MAYO CLINIC'S ROYALTY SHARING POLICY, INVENTORS, INCLUDING LISTED PERSONS, ARE ENTITLED TO SHARE IN A PORTION OF ROYALTIES RECEIVED BY MAYO INCLUDING INSTANCES WHERE SUCH ROYALTIES ARE IN THE FORM OF EQUITY-BASED INSTRUMENTS SUCH AS STOCK, WARRANTS, OR PARTNERSHIP INTERESTS. THE FOLLOWING INDIVIDUALS PARTICIPATED IN AN EQUITY-BASED COMPENSATION ARRANGEMENT: CAMILLERI M.D., MICHAEL DOWDY M.D., SEAN C. FARRUGIA M.D., GIANRICO MEYER M.D., FREDRIC B. RIHAL M.D., CHARANJIT S. PART II: COMPENSATION PAID TO BOARD MEMBERS IS PRIMARILY FOR PROFESSIONAL RESPONSIBILITIES AS PHYSICIANS, ADMINISTRATORS, OR EMPLOYEES OF THE ORGANIZATION. |