EXECUTIVE SALARY CONTINUATION AGREEMENT
Exhibit 10.27
THIS AGREEMENT, made and entered into this 7th day of September, 2005, by and
between Centra Bank, Inc., a bank organized and existing under the laws of the State of West
Virginia (hereinafter referred to as the “Bank”), and Xxxxx Xxxxxxxxxx an Executive of the Bank
(hereinafter referred to as the “Executive”).
WHEREAS, the Executive has been and continues to be a valued Executive of the Bank, and is now
serving the Bank;
WHEREAS, it is the consensus of the Board of Directors (hereinafter referred to as the
“Board”) that the Executive’s employment with the Bank in the past has been of exceptional merit
and has constituted an invaluable contribution to the general welfare of the Bank in bringing the
Bank to its present status of operating efficiency and present position in its field of activity;
WHEREAS, the Executive’s experience, knowledge of the affairs of the Bank, reputation, and
contacts in the industry are so valuable that assurance of the Executive’s continued employment is
essential for the future growth and profits of the Bank and it is in the best interests of the Bank
to arrange terms of continued employment for the Executive so as to reasonably assure the Executive
remains in the Bank’s employ during the Executive’s lifetime or until the age of retirement;
WHEREAS, it is the desire of the Bank that the Executive’s employment be retained as herein
provided;
WHEREAS, the Executive is willing to continue in the employ of the Bank provided the Bank
agrees to pay the Executive or the Executive’s beneficiary(ies), certain benefits in accordance
with the terms and conditions hereinafter set forth;
ACCORDINGLY, it is the desire of the Bank and the Executive to enter into this Agreement under
which the Bank will agree to make certain payments to the Executive at retirement or the
Executive’s beneficiary(ies) in the event of the Executive’s death pursuant to this Agreement;
FURTHERMORE, it is the intent of the parties hereto that this Executive Plan be considered an
unfunded arrangement maintained primarily to provide supplemental retirement benefits for the
Executive, and be considered a non-qualified benefit plan for purposes of the Employee Retirement
Income Security Act of 1974, as amended (“ERISA”). The Executive is fully advised of the Bank’s
financial status and has had substantial input in the design and operation of this benefit plan;
and
THEREFORE, in consideration of past employment performance and employment to be performed in
the future as well as the mutual promises and covenants herein contained it is agreed as follows:
| I. | EFFECTIVE DATE |
The Effective Date of this Agreement shall be June 13, 2005.
| II. | EMPLOYMENT |
The Bank agrees to employ the Executive in such capacity as the Bank may from time to time
determine. The Executive will continue in the employ of the Bank in such capacity and with
such duties and responsibilities as may be assigned to him, and with such compensation as
may be determined from time to time by the Board of Directors of the Bank.
| III. | FRINGE BENEFITS |
The salary continuation benefits provided by this Agreement are granted by the Bank as a
fringe benefit to the Executive and are not part of any salary reduction plan or an
arrangement deferring a bonus or a salary increase. The Executive has no option to take
any current payment or bonus in lieu of these salary continuation benefits except as set
forth hereinafter.
| IV. | DEFINITIONS |
| A. | Retirement Date: |
If the Executive remains in the continuous employ of the Bank, the Executive shall
retire from active employment with the Bank on the Executive’s sixty-fifth
(65th) birthday, unless by action of the Board of Directors this period
of active employment shall be shortened or extended.
| B. | Normal Retirement Age: |
Normal Retirement Age shall mean the date on which the Executive attains age
sixty-five (65).
| C. | Early Retirement Date: |
Early Retirement Date shall mean a retirement from service which is effective prior
to the Normal Retirement Age stated herein, provided the Executive has attained age
sixty-two (62).
| D. | Plan Year: |
2
Any reference to “Plan Year” shall mean a calendar year from January 1 to December
31. In the year of implementation, the term “Plan Year” shall mean the period from
the effective date to December 31 of the year of the effective date.
| E. | Termination of Employment: |
Termination of Employment shall mean voluntary resignation of employment by the
Executive or the Bank’s discharge of the Executive without cause prior to the
Normal Retirement Age (Subparagraph IV [B]).
| F. | Discharge for Cause: |
The term “for cause” shall mean (i) the willful and/or continued failure of the
Executive to perform substantially his duties with the Bank to the Bank’s
reasonable satisfaction (other than any such failure resulting from the Executive’s
incapacity due to illness; (ii) the willful engaging by the Executive in illegal
conduct, personal dishonesty, gross personal misbehavior, or gross misconduct that
is demonstrably injurious to the Bank, Centra Financial, or CFC; (iii) the
Executive’s conviction of, or plea of guilty or nolo contendere, to a felony
involving moral turpitude; (iv) breach of any fiduciary duty involving personal
profit; (v) failure to pass any legal drug test given by or on behalf of the Bank
pursuant to a drug testing policy applicable to the Bank’s employees generally; or
(vi) a material breach by the Executive of the Employment And Change of Control
Agreement or any employment agreement with the Bank. If a dispute arises as to
discharge “for cause,” such dispute shall be resolved by arbitration as set forth
in this Executive Plan.
| G. | Change of Control: |
Change of Control shall be defined as the occurrence of any one of the following:
| a. | the acquisition of more than fifty percent (50%) of the value or voting power of the Bank’s or the Holding Company Centra Financial’s stock by a person or group; | ||
| b. | the acquisition in a period of twelve months or less of at least thirty-five percent (35%) of the Bank’s or the Holding Company Centra Financial’s stock by a person or group; | ||
| c. | the replacement of a majority of the Bank’s Board or the Holding Company Centra Financial’s Board in a period of twelve months |
3
| or less by Directors who were not endorsed by a majority of the current board members; or |
| d. | the acquisition in a period of twelve months or less of forty percent (40%) or more of the Bank’s or the Holding Company Centra Financial’s assets by an unrelated entity. |
For the purposes of this Agreement, transfers made on account of deaths or gifts,
transfers between family members or transfers to a qualified retirement plan
maintained by the Bank or the Holding Company Centra Financial shall not be
considered in determining whether there has been a Change in Control.
| V. | RETIREMENT BENEFIT, EARLY RETIREMENT BENEFIT, AND POST-RETIREMENT DEATH BENEFIT |
| A. | Retirement Benefit: |
Upon said retirement, the Bank, commencing with the first day of the month
following the date of such retirement, shall pay the Executive an annual benefit
equal to Forty Thousand and 00/100th Dollars ($40,000.00). Said
benefit shall be paid in one hundred twenty (120) equal monthly installments
(1/12th of the annual benefit). If, upon the death of the Executive,
less than one hundred twenty (120) monthly installments have been paid, the
remaining balance shall be paid in equal monthly installments, until the full
number of one hundred twenty (120) installments have been paid, to the individual
or individuals the Executive may have designated in writing and filed with the
Bank. In the absence of any effective beneficiary designation, any such amount
becoming due and payable upon the death of the Executive shall be payable to the
duly qualified executor or administrator of the Executive’s estate. Said payments
due hereunder shall begin the first day of the second month following the decease
of the Executive.
If the Executive is a Key Employee, as defined by the Internal Revenue Service, and
said Bank is publicly traded at the time of retirement, any such benefit payment shall be
not be payable for six (6) months following such early retirement.
| B. | Early Retirement Benefit: |
Subject to Subparagraph IV (E), should the Executive elect Early Retirement or be
discharged without cause by the Bank subsequent to the Early Retirement Date (Subparagraph IV [C]), the Executive shall be entitled to
receive an Early Retirement Benefit payable from the accrued liability retirement
account. Should the Executive retire at age sixty-two
4
(62), the Bank shall pay the Executive an annual benefit equal to Twenty Eight Thousand Twenty Three and
00/100th Dollars ($28,023.00) in one hundred fifty-six (156) equal
monthly installments (1/12th of the annual benefit). Should the
Executive retire at age sixty-three (63), the Bank shall pay the Executive an
annual benefit equal to Thirty Thousand Eight Hundred Ninety Four and
00/100th Dollars ($30,894.00) in one hundred forty-four (144) equal
monthly installments (1/12th of the annual benefit). Should the
Executive retire at age sixty-four (64), the Bank shall pay the Executive an
annual benefit equal to Thirty Five Thousand Fifteen and 00/100th
Dollars ($35,015.00) in one hundred thirty-two equal monthly installments
(1/12th of the annual benefit). Payment of said benefit shall commence
on the first day of the month following the date of such early retirement. If,
upon the death of the Executive, less than the full number of equal monthly
installments, relative to the early retirement age hereinabove, has been paid, the
remaining balance shall be paid in equal monthly installments, until the full
number of installments, relative to the early retirement age hereinabove has been
paid, to the individual or individuals the Executive may have designated in
writing and filed with the Bank. In the absence of any effective beneficiary
designation, any such amount becoming due and payable upon the death of the
Executive shall be payable to the duly qualified executor or administrator of the
Executive’s estate. Said payments due hereunder shall begin the first day of the
second month following the decease of the Executive.
If the Executive is a Key Employee, as defined by the Internal Revenue Service, and
said Bank is publicly traded at the time of early retirement, any such benefit payment
shall be not be payable for six (6) months following such early retirement.
| VI. | DEATH BENEFIT PRIOR TO RETIREMENT |
In the event the Executive should die while actively employed by the Bank at any time after
the date of this Agreement but prior to the Executive attaining the age of sixty-five (65)
years, then this agreement shall terminate upon the death of the Executive and no benefit
shall be due to any beneficiary(ies) the Executive may have designated in writing and filed
with the Bank.
| VII. | BENEFIT ACCOUNTING/ACCRUED LIABILITY RETIREMENT ACCOUNT |
The Bank shall account for this benefit using the regulatory accounting principles of the
Bank’s primary federal regulator. The Bank shall establish an accrued
liability retirement account for the Executive into which appropriate reserves shall be
accrued.
| VIII. | VESTING |
5
The Executive shall be vested in the accrued liability retirement account in accordance
with the following schedule from the Effective Date of this Agreement to a maximum of 100%:
| Total Number of | ||||
| Years of Employment | ||||
| With the Bank | Vested (to a maximum of 100%) | |||
1 year |
0 | % | ||
2 years |
0 | % | ||
3 years |
0 | % | ||
4 years |
100 | % | ||
| IX. | TERMINATION OF EMPLOYMENT |
Subject to Subparagraph IV (F), in the event that the employment of the Executive shall
terminate prior to the Early Retirement Date, as provided in Subparagraph IV (C), by the
Executive’s voluntary action, or by the Executive’s discharge by the Bank without cause,
then this Agreement shall terminate upon the date of such termination of employment and the
Bank shall pay to the Executive an amount of money equal to the accrued balance of the
Executive’s accrued liability retirement account on the date of said termination. This
compensation shall be paid in a lump sum thirty (30) days following said termination of
employment.
If the Executive is a Key Employee, as defined by the Internal Revenue Service, and said
Bank is publicly traded at the time of termination of employment, any such benefit payment
shall not be payable for six (6) months following such termination of employment.
In the event the Executive’s death should occur after such termination but prior to the
payment provided for in this Paragraph IX, the balance shall be paid, in a lump sum to such
individual or individuals as the Executive may have designated in writing and filed with
the Bank. In the absence of any effective beneficiary designation, any such amount shall
be payable to the duly qualified executor or administrator of the Executive’s estate. Said
payment due hereunder shall be made the first day of the second month following the decease
of the Executive.
In the event the Executive should be discharged for cause at any time in accordance with
Subparagraph IV (F) or should the Executive leave the Bank prior to three (3) full years of
employment, from the Effective Date of this Agreement, in accordance with Paragraph VIII (Vesting), this Agreement shall terminate and
all benefits provided herein shall be forfeited by the Executive.
| X. | DISABILITY |
6
In the event that there is a finding of any qualified period of disability for the
Executive, the Bank will deposit into the Contingent Disability Trust (hereinafter “Trust”)
an amount equal to the accrued liability retirement account established on the Executive’s
behalf pursuant to this Agreement. No other benefits will be owed to the Executive under
this Agreement during the period of disability.
An Executive is considered disabled if he or she is: [1] unable to engage in any
substantial gainful activity by reason of any medically determinable physical or mental
impairment which can be expected to result in death or can be expected to last for a
continuous period of not less than twelve (12) months; or [2] by reason of any medically
determinable physical or mental impairment which can be expected to result in death or can
be expected to last for a continuous period of not less than twelve (12) months, receiving
income replacement benefits for a period of not less than three (3) months under an
accident and health plan covering the Executive of the Bank. If there is a dispute
regarding whether the Executive is disabled, such dispute shall be resolved by a physician
mutually selected by the Bank and the Executive and such resolution shall be binding upon
all parties to this Agreement.
If the Executive is under a Period of Disability on the date the Executive reaches Normal
Retirement Age (Subparagraph IV [B]), this Agreement shall automatically terminate and the
Executive shall not be entitled to any further benefits under this Agreement.
If the Period of Disability ends prior to Normal Retirement Age and the Executive returns
to active employment with the Bank, the Bank will pay the Executive a reduced retirement
benefit amount from the balance of the accrued liability retirement account. The retirement
benefit amount shall be reduced by the ten (10) year annual annuity that would be payable from
the Trust assuming the trust assets earned on a net of four percent (4%) annually starting from
the date of the existence of said Trust.
| XI. | CHANGE OF CONTROL |
If the Executive subsequently suffers a Termination of Employment (voluntarily or
involuntarily), except for cause, anytime subsequent to a Change of Control as defined in
Subparagraph IV (G), then the Executive shall receive the benefits in Paragraph V herein
upon attaining Normal Retirement Age (Subparagraph IV [B]), as if the Executive had been
continuously employed by the Bank until the Executive’s Normal Retirement Age.
| XII. | RESTRICTIONS ON FUNDING |
The Bank shall have no obligation to set aside, earmark or entrust any fund or money with
which to pay its obligations under this Executive Plan. The Executive, their
beneficiary(ies), or any successor in interest shall be and remain
7
simply a general creditor of the Bank in the same manner as any other creditor having a general claim for
matured and unpaid compensation.
The Bank reserves the absolute right, at its sole discretion, to either fund the obligations undertaken by this Executive Plan or to refrain from funding the same and to determine the extent, nature and method of such funding. Should the Bank elect to fund this Executive Plan, in whole or in part, through the purchase of life insurance, mutual funds, disability policies or annuities, the Bank reserves the absolute right, in its sole discretion, to terminate such funding at any time, in whole or in part. At no time shall any Executive be deemed to have any lien, right, title or interest in any specific funding investment or assets of the Bank.
The Bank reserves the absolute right, at its sole discretion, to either fund the obligations undertaken by this Executive Plan or to refrain from funding the same and to determine the extent, nature and method of such funding. Should the Bank elect to fund this Executive Plan, in whole or in part, through the purchase of life insurance, mutual funds, disability policies or annuities, the Bank reserves the absolute right, in its sole discretion, to terminate such funding at any time, in whole or in part. At no time shall any Executive be deemed to have any lien, right, title or interest in any specific funding investment or assets of the Bank.
If the Bank elects to invest in a life insurance, disability or annuity policy on the life
of the Executive, then the Executive shall assist the Bank by freely submitting to a
physical exam and supplying such additional information necessary to obtain such insurance
or annuities.
| XIII. | MISCELLANEOUS |
| A. | Alienability and Assignment Prohibition: |
Neither the Executive, nor the Executive’s surviving spouse, nor any other
beneficiary(ies) under this Executive Plan shall have any power or right to
transfer, assign, anticipate, hypothecate, mortgage, commute, modify or otherwise
encumber in advance any of the benefits payable hereunder nor shall any of said
benefits be subject to seizure for the payment of any debts, judgments, alimony or
separate maintenance owed by the Executive or the Executive’s beneficiary(ies), nor
be transferable by operation of law in the event of bankruptcy, insolvency or
otherwise. In the event the Executive or any beneficiary attempts assignment,
commutation, hypothecation, transfer or disposal of the benefits hereunder, the
Bank’s liabilities shall forthwith cease and terminate.
| B. | Binding Obligation of the Bank and any Successor in Interest: |
The Bank shall not merge or consolidate into or with another bank or sell
substantially all of its assets to another bank, firm or person until such bank,
firm or person expressly agree, in writing, to assume and discharge the duties and
obligations of the Bank under this Executive Plan. This Executive Plan shall be
binding upon the parties hereto, their successors, beneficiaries, heirs and
personal representatives.
| C. | Amendment or Revocation: |
Subject to Paragraph XV, it is agreed by and between the parties hereto that,
during the lifetime of the Executive, this Executive Plan may be amended or revoked
at any time or times, in whole or in part, by the mutual written consent of the
Executive and the Bank.
8
| D. | Gender: |
Whenever in this Executive Plan words are used in the masculine or neuter gender,
they shall be read and construed as in the masculine, feminine or neuter gender,
whenever they should so apply.
| E. | Effect on Other Bank Benefit Plans: |
Nothing contained in this Executive Plan shall affect the right of the Executive to
participate in or be covered by any qualified or non-qualified pension,
profit-sharing, group, bonus or other supplemental compensation or fringe benefit
plan constituting a part of the Bank’s existing or future compensation structure.
| F. | Headings: |
Headings and subheadings in this Executive Plan are inserted for reference and
convenience only and shall not be deemed a part of this Executive Plan.
| G. | Applicable Law: |
The laws of the State of West Virginia shall govern the validity and interpretation
of this Agreement.
| H. | Partial Invalidity: |
If any term, provision, covenant, or condition of this Executive Plan is determined
by an arbitrator or a court, as the case may be, to be invalid, void, or
unenforceable, such determination shall not render any other term, provision,
covenant, or condition invalid, void, or unenforceable, and the Executive Plan
shall remain in full force and effect notwithstanding such partial invalidity.
| I. | Not a Contract of Employment: |
This Agreement shall not be deemed to constitute a contract of employment between
the parties hereto, nor shall any provision hereof restrict the right of the Bank to discharge the Executive, or restrict the right of
the Executive to terminate employment.
| XIV. | ADMINISTRATIVE AND CLAIMS PROVISION |
| A. | Named Fiduciary and Plan Administrator: |
9
The “Named Fiduciary and Plan Administrator” of this Executive Plan shall be Centra
Bank, Inc. As Named Fiduciary and Plan Administrator, the Bank shall be responsible
for the management, control and administration of the Executive Plan. The Named
Fiduciary may delegate to others certain aspects of the management and operation
responsibilities of the Executive Plan including the employment of advisors and the
delegation of ministerial duties to qualified individuals.
| B. | Claims Procedure: |
In the event a dispute arises over benefits under this Executive Plan and benefits
are not paid to the Executive (or to the Executive’s beneficiary(ies) in the case
of the Executive’s death) and such claimants feel they are entitled to receive such
benefits, then a written claim must be made to the Named Fiduciary and Plan
Administrator named above within sixty (60) days from the date payments are
refused. The Named Fiduciary and Plan Administrator shall review the written claim
and if the claim is denied, in whole or in part, they shall provide in writing
within sixty (60) days of receipt of such claim the specific reasons for such
denial, reference to the provisions of this Executive Plan upon which the denial is
based and any additional material or information necessary to perfect the claim.
Such written notice shall further indicate the additional steps to be taken by
claimants if a further review of the claim denial is desired. A claim shall be
deemed denied if the Named Fiduciary and Plan Administrator fail to take any action
within the aforesaid sixty (60) day period.
If claimants desire a second review they shall notify the Named Fiduciary and Plan
Administrator in writing within sixty (60) days of the first claim denial.
Claimants may review this Executive Plan or any documents relating thereto and
submit any written issues and comments it may feel appropriate. In their sole
discretion, the Named Fiduciary and Plan Administrator shall then review the second
claim and provide a written decision within sixty (60) days of receipt of such
claim. This decision shall likewise state the specific reasons for the decision
and shall include reference to specific provisions of the Plan Agreement upon which
the decision is based.
| C. | Arbitration: |
If claimants continue to dispute the benefit denial based upon completed
performance of this Executive Plan or the meaning and effect of the terms and
conditions thereof, then claimants may submit the dispute to an Arbitrator for
final arbitration. The Arbitrator shall be selected by mutual agreement of the
Bank and the claimants. The Arbitrator shall operate
10
under any generally recognized set of arbitration rules. The parties hereto agree that they and their
heirs, personal representatives, successors and assigns shall be bound by the
decision of such Arbitrator with respect to any controversy properly submitted to
it for determination.
Where a dispute arises as to the Bank’s discharge of the Executive “for cause,”
such dispute shall likewise be submitted to arbitration as above described and the
parties hereto agree to be bound by the decision thereunder.
| XV. | TERMINATION OR MODIFICATION OF AGREEMENT BY REASON OF CHANGES IN THE LAW, RULES OR REGULATIONS |
The Bank is entering into this Agreement upon the assumption that certain existing tax
laws, rules and regulations will continue in effect in their current form. If any said
assumptions should change and said change has a detrimental effect on this Executive Plan,
then the Bank reserves the right to terminate or modify this Agreement accordingly. Upon a
Change of Control (Subparagraph IV [G]), this paragraph shall become null and void
effective immediately upon said Change of Control.
IN WITNESS WHEREOF, the parties hereto acknowledge that each has carefully read this Agreement
and executed the original thereof on the first day set forth hereinabove, and that, upon execution,
each has received a conforming copy.
| CENTRA BANK, INC. | ||||||||||||
| Morgantown, West Virginia | ||||||||||||
| By: | ||||||||||||
| Witness | (Bank Officer other than Insured) Title | |||||||||||
| Witness | Xxxxx Xxxxxxxxxx | |||||||||||
11
BENEFICIARY DESIGNATION FORM
FOR THE EXECUTIVE SALARY CONTINUATION
AGREEMENT
FOR THE EXECUTIVE SALARY CONTINUATION
AGREEMENT
| I. | DESIGNATIONS |
(Please refer to the beneficiary designation instructions prior to completion of this form.)
| A. | Person(s) as a Primary & Secondary Designation: | |||||||||||||||||||||||
| (Please indicate the percentage for each beneficiary.) | ||||||||||||||||||||||||
| 1. | Name: | Relationship: | SS#: | % if living: | ||||||||||||||||||||
| Address: | ||||||||||||||||||||||||
| If deceased, designate | % to: | Relationship: | SS#: | |||||||||||||||||||||
| Address: | ||||||||||||||||||||||||
| (Street) | (City) | (State) | (Zip) | |||||||||||||||||||||
| 2. | Name: | Relationship: | SS#: | % if living: | ||||||||||||||||||||
| Address: | ||||||||||||||||||||||||
| If deceased, designate | % to: | Relationship: | SS#: | |||||||||||||||||||||
| Address: | ||||||||||||||||||||||||
| (Street) | (City) | (State) | (Zip) | |||||||||||||||||||||
| 3. | Name: | Relationship: | SS#: | % if living: | ||||||||||||||||||||
| Address: | ||||||||||||||||||||||||
| If deceased, designate | % to: | Relationship: | SS#: | |||||||||||||||||||||
| Address: | ||||||||||||||||||||||||
| (Street) | (City) | (State) | (Zip) | |||||||||||||||||||||
| 4. | Name: | Relationship: | SS#: | % if living: | ||||||||||||||||||||
| Address: | ||||||||||||||||||||||||
| If deceased, designate | % to: | Relationship: | SS#: | |||||||||||||||||||||
| Address: | ||||||||||||||||||||||||
| (Street) | (City) | (State) | (Zip) | |||||||||||||||||||||
| B. | Estate as a Primary Designation: | |||||||||||||||||||||||
| My Primary Beneficiary is The Estate of as set forth in the last will and Testament dated the day of , 200__ and any codicils thereto. | ||||||||||||||||||||||||
12
| C. | Trust as a Primary 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.) | ||||||||||||||||||||||||||
II. |
SECONDARY (CONTINGENT) DESIGNATION | |||||||||||||||||||||||||
| A. | Estate as a Secondary (Contingent) Designation: | |||||||||||||||||||||||||
| My Primary Beneficiary is The Estate of as set forth in the last will and Testament dated the day of , 200__ and any codicils thereto. | ||||||||||||||||||||||||||
| B. | 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.) | ||||||||||||||||||||||||||
III.
|
SIGN AND DATE | |||||||||||||||||||||||||
| All sums payable under the Executive Salary Continuation Agreement by reason of my death shall be paid to the Primary Beneficiary(ies), if he or she survives me, and if no Primary Beneficiary(ies) shall survive me, then to the Secondary (Contingent) Beneficiary(ies). This beneficiary designation is valid until the participant notifies the bank in writing. | ||||||||||||||||||||||||||
| Xxxxx Xxxxxxxxxx | Date | |||||||||||||||||||||||||
13
