0001564590-21-000165 Sample Contracts

AMENDMENT TO SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AGREEMENT
Supplemental Executive Retirement Plan Agreement • January 4th, 2021 • Mid Penn Bancorp Inc • State commercial banks

THIS AMENDMENT TO SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN AGREEMENT (“Amendment”) is made as of the 29th day of December, 2020, by and between _____________________ (“Executive”) and MID PENN BANK (the “Bank”).

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