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 . BANK: UNITED LABOR BANK, F.S.B. By: Title: Acknowledged: PARTICIPANT: Xxxxx Xxxx United Labor Bank, F.S.B Performance Driven Plan Performance Targets Addendum A Performance Targets Percentage For Plan Year Commencing October 1, 2009 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 Form { } New Designation { } Change in Designation I, Xxxxx Xxxx, designate the following as Beneficiary under the Plan: Primary: % % Contingent: % % Notes: • 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 Xxxx Signature: Date: SPOUSAL CONSENT (Required if someone other than the spouse is named Beneficiary and Plan Administrator requests): I consent to the Beneficiary designation above, and acknowledge that if I am named Beneficiary and our marriage is subsequently dissolved, the designation will be automatically revoked. Spouse Name: Signature: Date: Received by the Plan Administrator this day of , 20 By:
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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 . BANK: UNITED LABOR BANK, F.S.B. By: Title: Acknowledged: PARTICIPANT: Xxxxx Xxxx Xxxxxx United Labor Bank, F.S.B Performance Driven Plan Performance Targets Addendum A Performance Targets Percentage For Plan Year Commencing October 1, 2009 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 Form { } New Designation { } Change in Designation I, Xxxxx XxxxXxxx Xxxxxx, designate the following as Beneficiary under the Plan: Primary: % % Contingent: % % Notes: • 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 Xxxx Xxxxxx Signature: Date: SPOUSAL CONSENT (Required if someone other than the spouse is named Beneficiary and Plan Administrator requests): I consent to the Beneficiary designation above, and acknowledge that if I am named Beneficiary and our marriage is subsequently dissolved, the designation will be automatically revoked. Spouse Name: Signature: Date: Received by the Plan Administrator this day of , 20 By:
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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 . BANK: UNITED LABOR BANK, F.S.B. By: Title: Acknowledged: PARTICIPANT: Xxxxxxx Xxxxx Xxxx United Labor Bank, F.S.B Performance Driven Plan Performance Targets Addendum A Performance Targets Percentage For Plan Year Commencing October 1, 2009 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 Form { } New Designation { } Change in Designation I, Xxxxx XxxxXxxxxxx Xxxxx, designate the following as Beneficiary under the Plan: Primary: % % Contingent: % % Notes: • 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 Xxxx Signature: Date: SPOUSAL CONSENT (Required if someone other than the spouse is named Beneficiary and Plan Administrator requests): I consent to the Beneficiary designation above, and acknowledge that if I am named Beneficiary and our marriage is subsequently dissolved, the designation will be automatically revoked. Spouse Name: Signature: Date: Received by the Plan Administrator this day of , 20 By:
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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 . BANK: UNITED LABOR BANK, F.S.B. By: Title: Acknowledged: PARTICIPANT: Xxxxxxx Xxxxx Xxxx United Labor Bank, F.S.B Performance Driven Plan Performance Targets Addendum A Performance Targets Percentage For Plan Year Commencing October 1, 2009 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 Form { } New Designation { } Change in Designation I, Xxxxx XxxxXxxxxxx Xxxxx, designate the following as Beneficiary under the Plan: Primary: % % Contingent: % % Notes: • 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 Xxxx Signature: Date: SPOUSAL CONSENT (Required if someone other than the spouse is named Beneficiary and Plan Administrator requests): I consent to the Beneficiary designation above, and acknowledge that if I am named Beneficiary and our marriage is subsequently dissolved, the designation will be automatically revoked. Spouse Name: Signature: Date: Received by the Plan Administrator this day of , 20 By:
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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 . BANK: UNITED LABOR BANK, F.S.B. By: Title: Acknowledged: PARTICIPANT: Xxxxx Xxxx Xxxxxxx X. Street United Labor Bank, F.S.B Performance Driven Plan Performance Targets Addendum A Performance Targets Percentage For Plan Year Commencing October 1, 2009 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% 0.000.00 % < 0.63% 0.000.00 % 7.50% 37.5037.50 % 0.63% or greater 25.0025.00 % 8.00% 56.2556.25 % 8.93% or greater 75.0075.00 % United Labor Bank, F.S.B Performance Driven Plan Beneficiary Designation Form { } New Designation { } Change in Designation I, Xxxxx XxxxXxxxxxx X. Street, designate the following as Beneficiary under the Plan: Primary: % % Contingent: % % Notes: • 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 Xxxx Xxxxxxx X. Street Signature: Date: SPOUSAL CONSENT (Required if someone other than the spouse is named Beneficiary and Plan Administrator requests): I consent to the Beneficiary designation above, and acknowledge that if I am named Beneficiary and our marriage is subsequently dissolved, the designation will be automatically revoked. Spouse Name: Signature: Date: Received by the Plan Administrator this day of , 20 By:
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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 . BANK: UNITED LABOR BANK, F.S.B. By: Title: Acknowledged: PARTICIPANT: Xxxxx Xxxx Xxxxxxx Xxxxxxxxx United Labor Bank, F.S.B Performance Driven Plan Performance Targets Addendum A Performance Targets Percentage For Plan Year Commencing October 1, 2009 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 Form { } New Designation { } Change in Designation I, Xxxxx XxxxXxxxxxx Xxxxxxxxx, designate the following as Beneficiary under the Plan: Primary: % % Contingent: % % Notes: • 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 Xxxx Xxxxxxx Xxxxxxxxx Signature: Date: SPOUSAL CONSENT (Required if someone other than the spouse is named Beneficiary and Plan Administrator requests): I consent to the Beneficiary designation above, and acknowledge that if I am named Beneficiary and our marriage is subsequently dissolved, the designation will be automatically revoked. Spouse Name: Signature: Date: Received by the Plan Administrator this day of , 20 By:
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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 . BANK: UNITED LABOR BANK, F.S.B. By: Title: Acknowledged: PARTICIPANT: Xxxxx Xxxx Xxxxxx Xxxxxxxx United Labor Bank, F.S.B Performance Driven Plan Performance Targets Addendum A Performance Targets Percentage For Plan Year Commencing October 1, 2009 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 Form { } New Designation { } Change in Designation I, Xxxxx XxxxXxxxxx Xxxxxxxx, designate the following as Beneficiary under the Plan: Primary: % % Contingent: % % Notes: • 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 Xxxx Xxxxxx Xxxxxxxx Signature: Date: SPOUSAL CONSENT (Required if someone other than the spouse is named Beneficiary and Plan Administrator requests): I consent to the Beneficiary designation above, and acknowledge that if I am named Beneficiary and our marriage is subsequently dissolved, the designation will be automatically revoked. Spouse Name: Signature: Date: Received by the Plan Administrator this day of , 20 By:
Appears in 1 contract
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 . BANK: UNITED LABOR BANK, F.S.B. By: Title: Acknowledged: PARTICIPANT: Xxxxx Xxxx Xxxxxxx Xxx United Labor Bank, F.S.B Performance Driven Plan Performance Targets Addendum A Performance Targets Percentage For Plan Year Commencing October 1, 2009 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 Form { } New Designation { } Change in Designation I, Xxxxx XxxxXxxxxxx Xxx, designate the following as Beneficiary under the Plan: Primary: % % Contingent: % % Notes: • 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 Xxxx Xxxxxxx Xxx Signature: Date: SPOUSAL CONSENT (Required if someone other than the spouse is named Beneficiary and Plan Administrator requests): I consent to the Beneficiary designation above, and acknowledge that if I am named Beneficiary and our marriage is subsequently dissolved, the designation will be automatically revoked. Spouse Name: Signature: Date: Received by the Plan Administrator this day of , 20 By:
Appears in 1 contract
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 . BANK: UNITED LABOR BANK, F.S.B. By: Title: Acknowledged: PARTICIPANT: Xxxxx Xxxx Xxxxxxx United Labor Bank, F.S.B Performance Driven Plan Performance Targets Addendum A Performance Targets Percentage For Plan Year Commencing October 1, 2009 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 Form { } New Designation { } Change in Designation I, Xxxxx XxxxXxxxxxx, designate the following as Beneficiary under the Plan: Primary: % % Contingent: % % Notes: • 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 Xxxx Xxxxxxx Signature: Date: SPOUSAL CONSENT (Required if someone other than the spouse is named Beneficiary and Plan Administrator requests): I consent to the Beneficiary designation above, and acknowledge that if I am named Beneficiary and our marriage is subsequently dissolved, the designation will be automatically revoked. Spouse Name: Signature: Date: Received by the Plan Administrator this day of , 20 By:
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