Common use of Person(s) as a Primary Designation Clause in Contracts

Person(s) as a Primary Designation. (Please indicate the percentage for each beneficiary.) Name___________________________________ Relationship___________________ / _______% Address:_______________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ / _______% Address:_______________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ / _______% Address:_______________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ / _______% Address:_______________________________________________________________________ (Street) (City) (State) (Zip)

Appears in 3 contracts

Samples: Executive Supplemental Compensation Agreement (Pacific Financial Corp), Executive Supplemental Compensation Agreement (Pacific Financial Corp), Executive Supplemental Compensation Agreement (Pacific Financial Corp)

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Person(s) as a Primary Designation. (Please indicate the percentage for each beneficiary.) Name___________________________________ Relationship___________________ / _______% Address:_________________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ / _______% Address:_______________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ / _______% Address:_______________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ / _______% Address:_________________________________________________________________________ (Street) (City) (State) (Zip)

Appears in 2 contracts

Samples: Supplemental Executive Retirement Plan (North Bay Bancorp/Ca), Supplemental Executive Retirement Plan (Venture Financial Group Inc)

Person(s) as a Primary Designation. (Please indicate the percentage for each beneficiary.) Name___________________________________ Relationship___________________ / _______% Relationship__________________/__________% Address:_______________________________________________________________________ (StreetState) (City) (State) (ZipState)(Zip) Name___________________________________ Relationship___________________ / _______% Relationship__________________/__________% Address:_______________________________________________________________________ (StreetState) (City) (State) (ZipState)(Zip) Name___________________________________ Relationship___________________ / _______% Relationship__________________/__________% Address:_______________________________________________________________________ (StreetState) (City) (State) (ZipState)(Zip) Name___________________________________ Relationship___________________ / _______% Relationship__________________/__________% Address:_______________________________________________________________________ (StreetState) (City) (State) (ZipState)(Zip)

Appears in 2 contracts

Samples: Endorsement Method Split Dollar Plan Agreement (Heritage Commerce Corp), Endorsement Method Split Dollar Plan Agreement (Heritage Commerce Corp)

Person(s) as a Primary Designation. (Please indicate the percentage for each beneficiary.) Name___________________________________ RelationshipRelationship ___________________ / _______% Address:_______________________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ RelationshipRelationship ___________________ / _/_______% Address:_______% Address:________________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ RelationshipRelationship ___________________ / ________ % Address:: _______________________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ RelationshipRelationship ___________________ / _______% Address:_______________________________________________________________________________ (Street) (City) (State) (Zip)

Appears in 2 contracts

Samples: Split Dollar Life Insurance Agreement (Venture Financial Group Inc), Participation Agreement (Venture Financial Group Inc)

Person(s) as a Primary Designation. (Please indicate the percentage for each beneficiary.) Name___________________________________ Relationship___________________ / _______% Address:_________________________________________________________________________ (Street) (City) (State) (ZipState)(Zip) Name___________________________________ Relationship___________________ / _______% Address:_________________________________________________________________________ (Street) (City) (State) (ZipState)(Zip) Name___________________________________ Relationship___________________ / _______% Address:_________________________________________________________________________ (Street) (City) (State) (ZipState)(Zip) Name___________________________________ Relationship___________________ / _______% Address:_________________________________________________________________________ (Street) (City) (State) (ZipState)(Zip)

Appears in 1 contract

Samples: Supplemental Compensation Agreement (Columbia Banking System Inc)

Person(s) as a Primary Designation. (Please indicate the percentage for each beneficiary.) NameName _______________________________________________________________________________________ RelationshipRelationship ___________________ / _______% Address:: __________________________________________________________________________________________________________________________________ (Street) (City) (State) (Zip) NameName _______________________________________________________________________________________ RelationshipRelationship ___________________ / _______% Address:: __________________________________________________________________________________________________________________________________ (Street) (City) (State) (Zip) NameName _______________________________________________________________________________________ RelationshipRelationship ___________________ / _______% Address:: __________________________________________________________________________________________________________________________________ (Street) (City) (State) (Zip) NameName _______________________________________________________________________________________ RelationshipRelationship ___________________ / _______% Address:: __________________________________________________________________________________________________________________________________ (Street) (City) (State) (Zip)

Appears in 1 contract

Samples: Supplemental Compensation Agreement (Columbia Banking System Inc)

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Person(s) as a Primary Designation. (Please indicate the percentage for each beneficiaryBeneficiary.) Name___________________________________ Relationship___________________ / _______% Address:_________________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ / _______% Address:_________________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ / _______% Address:_________________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ / _______% Address:_________________________________________________________________________ (Street) (City) (State) (Zip)

Appears in 1 contract

Samples: Split Dollar Agreement (Heritage Financial Corp /Wa/)

Person(s) as a Primary Designation. (Please indicate the percentage for each beneficiary.) Name___________________________________ Relationship___________________ / _______% Address:_________________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ / _______% Address:_________________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ / _______% Address:_________________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ / _______% Address:_________________________________________________________________________ (Street) (City) (State) (Zip)

Appears in 1 contract

Samples: Executive Supplemental Compensation Agreement (Pacific Financial Corp)

Person(s) as a Primary Designation. (Please indicate the percentage for each beneficiary.) Name________________) 1. Name:___________________Relationship:___________________SS#:___________________%___________________ Relationship___________________ / _______% Address:_______________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ / _______% Address:_______________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ / _______% Address:_______________________________________________________________________ (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ / _______% Address:_______________________________________________________________________ (Street) (City) (State) (Zip) 2. Name:___________________Relationship:___________________SS#:___________________%____________________ Address:____________________________________________________________________________________________ (Street) (City) (State) (Zip) 3. Name:___________________Relationship:___________________SS#:___________________%___________________ Address:____________________________________________________________________________________________ (Street) (City) (State) (Zip) 4. Name:___________________Relationship:___________________SS#:___________________%___________________ Address:____________________________________________________________________________________________ (Street) (City) (State) (Zip)

Appears in 1 contract

Samples: Executive Salary Continuation Plan (Origin Bancorp, Inc.)

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