Trust as a Secondary (Contingent) Designation. Name of the Trust: Execution Date of the Trust: Name of the Trustee: Beneficiary(ies) of the Trust: (please indicate the percentage for each beneficiary): Name(s): Name(s): Is this an Irrevocable Life Insurance Trust? ¨ Yes ¨ No (If yes and this designation is for a Joint Beneficiary Designation Agreement, an Assignment of Rights form must be completed.)
Appears in 2 contracts
Samples: Executive Salary Continuation Agreement (Peoples Bancorp of North Carolina Inc), Executive Salary Continuation Agreement (Peoples Bancorp of North Carolina Inc)
Trust as a Secondary (Contingent) Designation. Name of the Trust: Execution Date of the Trust: Name of the Trustee: Beneficiary(ies) of the Trust: (please indicate the percentage for each beneficiary): Name(s): Name(s): Is this an Irrevocable Life Insurance Trust? ¨ o Yes ¨ o No (If yes and this designation is for a Joint Beneficiary Designation Agreement, an Assignment of Rights form must be completed.)
Appears in 1 contract
Samples: Executive Salary Continuation Agreement (Centra Financial Holdings Inc)
Trust as a Secondary (Contingent) Designation. Name of the Trust: Execution Date of the Trust: Name of the Trustee: Beneficiary(ies) Beneficiary of the Trust: (please indicate the percentage for each beneficiary): Name(s): Name(s): Is this an Irrevocable Life Insurance Trust? ¨ Yes ¨ No (If yes and this designation is for a Joint Beneficiary Designation Agreement, an Assignment of Rights form must be completed.)
Appears in 1 contract
Samples: Executive Salary Continuation Agreement (New Hampshire Thrift Bancshares Inc)
Trust as a Secondary (Contingent) Designation. Name of the Trust: Execution Date of the Trust: Name of the Trustee: Beneficiary(ies) of the Trust: (please indicate the percentage for each beneficiary): Name(s): Name(s): Is this an Irrevocable Life Insurance Trust? ¨ Yes ¨ No oYes oNo (If yes and this designation is for a Joint Beneficiary Designation Agreement, an Assignment of Rights form must be completed.)
Appears in 1 contract
Samples: Executive Supplemental Retirement Plan Agreement (Merrill Merchants Bancshares Inc)
Trust as a Secondary (Contingent) Designation. Name of the Trust: Execution Date of the Trust: Name of the Trustee: Beneficiary(ies) Beneficiary of the Trust: (please indicate the percentage for each beneficiary): Name(s): Name(s): Is this an Irrevocable Life Insurance Trust? ¨ □ Yes ¨ □ No (If yes and this designation is for a Joint Beneficiary Designation Agreement, an Assignment of Rights form must be completed.)
Appears in 1 contract
Samples: Joint Beneficiary Designation Agreement (Southcrest Financial Group Inc)
