GRANT OF DEFERRED COMPENSATION. Pursuant to Section 2.1.1 of the Performance Driven Plan between the Bank and the Participant, the Bank hereby makes a Grant to the Participant’s Deferral Account in the amount of $ . The Bank makes this Grant effective as of , 20 . By: Title: Acknowledged: PARTICIPANT: United Labor Bank, F.S.B Performance Driven Plan Performance Targets ROAE Component of Award (75% of Total) ROAA Component of Award (25% of Total) Total Award Earned Percentage is... United Labor Bank, F.S.B Performance Driven Plan Beneficiary Designation { } New Designation { } Change in Designation I, Xxxxx Xxxxxxx, designate the following as Beneficiary under the Plan: Primary: % % Contingent: % % • Please PRINT CLEARLY or TYPE the names of the beneficiaries. • To name a trust as Beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement. • To name your estate as Beneficiary, please write “Estate of [your name]”. • Be aware that none of the contingent beneficiaries will receive anything unless ALL of the primary beneficiaries predecease you. I understand that I may change these beneficiary designations by delivering a new written designation to the Plan Administrator, which shall be effective only upon receipt and acknowledgment by the Plan Administrator prior to my death. I further understand that the designations will be automatically revoked if the Beneficiary predeceases me, or, if I have named my spouse as Beneficiary and our marriage is subsequently dissolved. Name: Xxxxx Xxxxxxx Signature: Date:
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GRANT OF DEFERRED COMPENSATION. Pursuant to Section 2.1.1 of the Performance Driven Plan between the Bank and the Participant, the Bank hereby makes a Grant to the Participant’s Deferral Account in the amount of $ . The Bank makes this Grant effective as of , 20 . By: Title: Acknowledged: PARTICIPANT: United Labor Bank, F.S.B Performance Driven Plan Performance Targets ROAE Component of Award (75% of Total) ROAA Component of Award (25% of Total) Total Award Earned Percentage is... United Labor Bank, F.S.B Performance Driven Plan Beneficiary Designation Form { } New Designation { } Change in Designation I, Xxxxx XxxxxxxXxxxxxx Xxx, designate the following as Beneficiary under the Plan: Primary: % % Contingent: % % • Please PRINT CLEARLY or TYPE the names of the beneficiaries. • To name a trust as Beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement. • To name your estate as Beneficiary, please write “Estate of [your name]”. • Be aware that none of the contingent beneficiaries will receive anything unless ALL of the primary beneficiaries predecease you. I understand that I may change these beneficiary designations by delivering a new written designation to the Plan Administrator, which shall be effective only upon receipt and acknowledgment by the Plan Administrator prior to my death. I further understand that the designations will be automatically revoked if the Beneficiary predeceases me, or, if I have named my spouse as Beneficiary and our marriage is subsequently dissolved. Name: Xxxxx Xxxxxxx Xxx Signature: Date:
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GRANT OF DEFERRED COMPENSATION. Pursuant to Section 2.1.1 of the Performance Driven Plan between the Bank and the Participant, the Bank hereby makes a Grant to the Participant’s Deferral Account in the amount of $ . The Bank makes this Grant effective as of , 20 . By: Title: Acknowledged: PARTICIPANT: United Labor Bank, F.S.B Performance Driven Plan Performance Targets ROAE Component of Award (75% of Total) ROAA Component of Award (25% of Total) Total Award Earned Percentage is... If ROAE is … % of Total Target Award Earned is … If ROAA is … % of Total Target Award Earned is … < 7.50% 0.00 % < 0.63% 0.00 % 7.50% 37.50 % 0.63% or greater 25.00 % 8.00% 56.25 % 8.93% or greater 75.00 % United Labor Bank, F.S.B Performance Driven Plan Beneficiary Designation { } New Designation { } Change in Designation I, Xxxxx XxxxxxxXxxxxxx X. Street, designate the following as Beneficiary under the Plan: Primary: % % Contingent: % % • Please PRINT CLEARLY or TYPE the names of the beneficiaries. • To name a trust as Beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement. • To name your estate as Beneficiary, please write “Estate of [your name]”. • Be aware that none of the contingent beneficiaries will receive anything unless ALL of the primary beneficiaries predecease you. I understand that I may change these beneficiary designations by delivering a new written designation to the Plan Administrator, which shall be effective only upon receipt and acknowledgment by the Plan Administrator prior to my death. I further understand that the designations will be automatically revoked if the Beneficiary predeceases me, or, if I have named my spouse as Beneficiary and our marriage is subsequently dissolved. Name: Xxxxx Xxxxxxx X. Street Signature: Date:
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GRANT OF DEFERRED COMPENSATION. Pursuant to Section 2.1.1 of the Performance Driven Plan between the Bank and the Participant, the Bank hereby makes a Grant to the Participant’s Deferral Account in the amount of $ . The Bank makes this Grant effective as of , 20 . By: Title: Acknowledged: PARTICIPANT: United Labor Bank, F.S.B Performance Driven Plan Performance Targets ROAE Component of Award (75% of Total) ROAA Component of Award (25% of Total) Total Award Earned Percentage is... If ROAE is … % of Total Target Award Earned is … If ROAA is … % of Total Target Award Earned is … United Labor Bank, F.S.B Performance Driven Plan Beneficiary Designation { } New Designation { } Change in Designation I, Xxxxx XxxxxxxXxxxxxx Xxxxx, designate the following as Beneficiary under the Plan: Primary: % % Contingent: % % • Please PRINT CLEARLY or TYPE the names of the beneficiaries. • To name a trust as Beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement. • To name your estate as Beneficiary, please write “Estate of [your name]”. • Be aware that none of the contingent beneficiaries will receive anything unless ALL of the primary beneficiaries predecease you. I understand that I may change these beneficiary designations by delivering a new written designation to the Plan Administrator, which shall be effective only upon receipt and acknowledgment by the Plan Administrator prior to my death. I further understand that the designations will be automatically revoked if the Beneficiary predeceases me, or, if I have named my spouse as Beneficiary and our marriage is subsequently dissolved. Name: Xxxxxxx Xxxxx Xxxxxxx Signature: Date:
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GRANT OF DEFERRED COMPENSATION. Pursuant to Section 2.1.1 of the Performance Driven Plan between the Bank and the Participant, the Bank hereby makes a Grant to the Participant’s Deferral Account in the amount of $ . The Bank makes this Grant effective as of , 20 . By: Title: Acknowledged: PARTICIPANT: United Labor Bank, F.S.B Performance Driven Plan Performance Targets ROAE Component of Award (75% of Total) ROAA Component of Award (25% of Total) Total Award Earned Percentage is... United Labor Bank, F.S.B Performance Driven Plan Beneficiary Designation { } New Designation { } Change in Designation I, Xxxxx XxxxxxxXxxx Xxxxxx, designate the following as Beneficiary under the Plan: Primary: % % Contingent: % % • Please PRINT CLEARLY or TYPE the names of the beneficiaries. • To name a trust as Beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement. • To name your estate as Beneficiary, please write “Estate of [your name]”. • Be aware that none of the contingent beneficiaries will receive anything unless ALL of the primary beneficiaries predecease you. I understand that I may change these beneficiary designations by delivering a new written designation to the Plan Administrator, which shall be effective only upon receipt and acknowledgment by the Plan Administrator prior to my death. I further understand that the designations will be automatically revoked if the Beneficiary predeceases me, or, if I have named my spouse as Beneficiary and our marriage is subsequently dissolved. Name: Xxxxx Xxxxxxx Xxxx Xxxxxx Signature: Date:
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GRANT OF DEFERRED COMPENSATION. Pursuant to Section 2.1.1 of the Performance Driven Plan between the Bank and the Participant, the Bank hereby makes a Grant to the Participant’s Deferral Account in the amount of $ . The Bank makes this Grant effective as of , 20 . By: Title: Acknowledged: PARTICIPANT: United Labor Bank, F.S.B Performance Driven Plan Performance Targets ROAE Component of Award (75% of Total) ROAA Component of Award (25% of Total) Total Award Earned Percentage is... If ROAE is … % of Total Target Award Earned is … If ROAA is … % of Total Target Award Earned is … United Labor Bank, F.S.B Performance Driven Plan Beneficiary Designation Form { } New Designation { } Change in Designation I, Xxxxx XxxxxxxXxxxxx Xxxxxxxx, designate the following as Beneficiary under the Plan: Primary: % % Contingent: % % • Please PRINT CLEARLY or TYPE the names of the beneficiaries. • To name a trust as Beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement. • To name your estate as Beneficiary, please write “Estate of [your name]”. • Be aware that none of the contingent beneficiaries will receive anything unless ALL of the primary beneficiaries predecease you. I understand that I may change these beneficiary designations by delivering a new written designation to the Plan Administrator, which shall be effective only upon receipt and acknowledgment by the Plan Administrator prior to my death. I further understand that the designations will be automatically revoked if the Beneficiary predeceases me, or, if I have named my spouse as Beneficiary and our marriage is subsequently dissolved. Name: Xxxxx Xxxxxxx Xxxxxx Xxxxxxxx Signature: Date:
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