SECONDARY (CONTINGENT) DESIGNATION. A. Person(s) as a Secondary (Contingent) 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)
SECONDARY (CONTINGENT) DESIGNATION. A. Person(s) as a Secondary (Contingent) Designation: (Please indicate the percentage for each beneficiary.) Name___________________________________ Relationship___________________ Name Relationship / _______% ------------------------------ ----------------- ------- Address:_______________________________________________________________________ : ------------------------------------------------------------------- (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ Name Relationship / _______% ------------------------------ ----------------- ------- Address:_______________________________________________________________________ : ------------------------------------------------------------------- (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ Name Relationship / _______% ------------------------------ ----------------- ------- Address:_______________________________________________________________________ : ------------------------------------------------------------------- (Street) (City) (State) (Zip) Name___________________________________ Relationship___________________ Name Relationship / _______% ------------------------------ ----------------- ------- Address:_______________________________________________________________________ : ------------------------------------------------------------------- (Street) (City) (State) (Zip)
Appears in 1 contract
Samples: Carolina Bank Holdings Inc
SECONDARY (CONTINGENT) DESIGNATION. A. Person(s) as a Secondary (Contingent) 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/)
SECONDARY (CONTINGENT) DESIGNATION. A. Person(s) as a Secondary (Contingent) 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)
