Life Insurance Endorsement Method Split Dollar Plan Agreement Sample Contracts

LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • December 27th, 2006 • Westbank Corp • State commercial banks • Massachusetts
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SECOND AMENDMENT TO LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • May 13th, 2008 • Santa Lucia Bancorp • State commercial banks

THIS SECOND AMENDMENT TO THE LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT (the “Second Amendment”) is entered into as of March 19, 2008 between Larry Putnam (the “Insured”)and Santa Lucia Bank, a banking company organized under the laws of California, (the “Bank”) located in Atascadero, California.

AMENDMENT TO THE WILSON BANK AND TRUST AMENDED AND RESTATED LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • November 29th, 2012 • Wilson Bank Holding Co • National commercial banks

WHEREAS, Wilson Bank and Trust (the “Bank”) and John C McDearman III, (the “Executive”) established the Wilson Bank and Trust Life Insurance Endorsement Method Split Dollar Plan Agreement (the “Agreement”), originally effective as of January 1, 2006; and

AMENDED AND RESTATED LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • November 29th, 2012 • Wilson Bank Holding Co • National commercial banks • Tennessee

This Agreement shall supersede the Life Insurance Endorsement Method Split Dollar Plan Agreement originally effective the 30th day of March, 1995, and shall constitute the entire agreement of the parties pertaining to this particular Amended and Restated Life Insurance Endorsement Method Split Dollar Plan Agreement.

AMENDED AND RESTATED LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • April 27th, 2018 • Origin Bancorp, Inc. • State commercial banks • Louisiana

This Amended and Restated Life Insurance Endorsement Method Split Dollar Plan Agreement shall replace and supercede that certain Life Insurance Endorsement Split Dollar Plan Agreement, dated March 30, 2001, as amended.

LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 10th, 2016 • Community Financial Corp /Md/ • State commercial banks • Maryland

The respective rights and duties of the Bank and the Insured in the above referenced policy shall be pursuant to the terms set forth below:

AMENDED LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 29th, 2007 • Central Valley Community Bancorp • State commercial banks • California

This Amended Life Insurance Endorsement Method Split Dollar Plan Agreement (the “Agreement”) is made effective as of December 31, 2006, and is entered into by and between Central Valley Community Bank (the “Bank”) and Shirley Wilburn (the “Insured”), each a “Party” and together the “Parties.” This Agreement amends in its entirety that certain Life Insurance Endorsement Method Split Dollar Plan Agreement dated April 17, 2001 by and between the Bank and Insured, which was subsequently amended by the Parties on February 1, 2005 (as amended, the “Prior Agreement”).

EXECUTIVE COMPENSATION
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 11th, 2024

Mr. Mills has (i) an Amended and Restated Life Insurance Endorsement Method Split Dollar Plan Agreement, effective February 7, 2001, with the Bank (the “2001 Agreement”), and (ii) an Amended and Restated Life Insurance Endorsement Method Split Dollar Plan Agreement, effective May 1, 2008, with the Bank. Under both agreements, Origin Bank has agreed to pay the premiums under life insurance policies issued with respect to Mr. Mills, and his designated beneficiaries will be entitled to 65% of the net-at-risk insurance portion of the proceeds upon his death. Under the 2001 Agreement, upon a Change of Control, if Mr. Mills is subsequently terminated without Cause, his designated beneficiaries will be entitled to the benefits under the 2001 Agreement as if he had died while employed by the Bank. On February 27, 2020, the Bank entered into an Amended and Restated Endorsement Split Dollar Life Insurance Agreement with Mr. Mills (the “2020 Agreement”) that amended and restated the Endorsement M

Form of Life Insurance Endorsement Method Split Dollar Plan Agreement] LIFE INSURANCE
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 16th, 2005 • Netbank Inc • Savings institutions, not federally chartered • Georgia

The respective rights and duties of the Bank and the Insured in the above-referenced policy shall be pursuant to the terms set forth below:

DOLLAR PLAN AGREEMENT FOR M. LANCE HALL
Life Insurance Endorsement Method Split Dollar Plan Agreement • April 19th, 2018 • Origin Bancorp, Inc. • State commercial banks

THIS AMENDMENT, made and entered into this 8th day of December, 2008, by and between Community Trust Bank, a bank organized and existing under the laws of the State of Louisiana (hereinafter referred to as the “Bank”), and M. Lance Hall, an Executive of the Bank (hereinafter referred to as the “Executive”), shall effectively amend the Community Trust Bank Life Insurance Endorsement Method Split Dollar Plan Agreement dated September 4, 2002 (hereinafter referred to as the “Agreement”) as specifically set forth herein. Pursuant to Paragraph XVI of the Agreement, the Bank and the Executive hereby adopt the following amendment:

EXHIBIT ITEM 10(ii)A(6) Amendment to the Life Insurance Endorsement Method Split Dollar Plan Agreement Dated January 6, 2000
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 29th, 2002 • Northern California Bancorp Inc • State commercial banks

This Amendment, made and entered into this 16th day of August, 2001 by and between Monterey County Bank, a Bank organized and existing under the laws of the State of California, hereinafter referred to as the, “Bank”, and Charles T. Chrietzberg, Jr., a Key Employee and Executive of the Bank, hereinafter referred to as the, “Executive”, shall effectively amend the Life Insurance Endorsement Method Split Dollar Plan Agreement dated January 6, 2000 as specifically set forth herein. Said agreement shall be amended as follows:

AMENDMENT TO THE LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT FOR STEPHEN V. DERADDO
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 15th, 2016 • Lyons Bancorp Inc • National commercial banks

THIS AMENDMENT, made and entered into this 20th day of January, 2009, by and between The Lyons National Bank, a bank organized and existing under the laws of the United States of America (hereinafter referred to as the “Bank”), and Stephen V. DeRaddo, an Executive of the Bank (hereinafter referred to as the “Executive”), shall effectively amend the Lyons National Bank Life Insurance Endorsement Method Split Dollar Plan Agreement dated (hereinafter referred to as the “Agreement”) as specifically set forth herein. Pursuant to Section XVI of the Agreement, the Bank and the Executive hereby adopt the following amendment:

FIRST AMENDMENT TO THE LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT BY AND BETWEEN SOUTHWEST COMMUNITY BANK AND STUART McFARLAND
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 31st, 2005 • Southwest Community Bancorp • National commercial banks

This First Amendment (“Amendment”) is made and entered into effective this October 29, 2004, by and between Southwest Community Bank, with its principal offices located in the City of Carlsbad, California, (hereinafter the “Bank”) and Stuart F. McFarland, (hereinafter “the Executive”). This First Amendment hereby amends the Life Insurance Endorsement Method Split Dollar Plan Agreement, effective as of January 6, 2003, by and between the Bank and the Executive, as follows:

AMENDMENT NO. 2 TO LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 29th, 2007 • Central Valley Community Bancorp • State commercial banks

This Amendment No. 2 to Life Insurance Endorsement Method Split Dollar Plan Agreement (the “Amendment”) is made effective as of December 20, 2006, and is entered into by and between Central Valley Community Bank (the “Bank”) and Gayle Graham (the “Insured” or “Executive”), each a “Party” and together the “Parties.”

DOLLAR PLAN AGREEMENT FOR M. LANCE HALL
Life Insurance Endorsement Method Split Dollar Plan Agreement • April 19th, 2018 • Origin Bancorp, Inc. • State commercial banks

THIS AMENDMENT, made and entered into this 18th day of December, 2009, by and between Community Trust Bank, a bank organized and existing under the laws of the State of Louisiana (hereinafter referred to as the “Bank”), and M. Lance Hall, an Executive of the Bank (hereinafter referred to as the “Executive”), shall effectively amend the Community Trust Bank Life Insurance Endorsement Method Split Dollar Plan Agreement dated September 4, 2002 (hereinafter referred to as the “Agreement”) as specifically set forth herein. Pursuant to Paragraph XVI of the Agreement, the Bank and the Executive hereby adopt the following amendment:

AMENDMENT TO THE LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT FOR THOMAS L. KIME
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 15th, 2016 • Lyons Bancorp Inc • National commercial banks

THIS AMENDMENT, made and entered into this 20th day of Jan, 2009, by and between The Lyons National Bank, a bank organized and existing under the laws of the United States of America (hereinafter referred to as the “Bank”), and Thomas L. Kime, an Executive of the Bank (hereinafter referred to as the “Executive”), shall effectively amend the Lyons National Bank Life Insurance Endorsement Method Split Dollar Plan Agreement dated December 27, 2007 (hereinafter referred to as the “Agreement”) as specifically set forth herein. Pursuant to Section XVI of the Agreement, the Bank and the Executive hereby adopt the following amendment:

AMENDMENT NO. 1 TO LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • August 15th, 2005 • Central Valley Community Bancorp • State commercial banks

This Amendment No. 1 to Life Insurance Endorsement Method Split Dollar Plan Agreement (the “Amendment”) is made effective as of February 1, 2005, and is entered into by and between Central Valley Community Bank, formerly named Clovis Community Bank (the “Bank”) and (the “Insured” or “Executive”), each a “Party” and together the “Parties.”

AMENDMENT TO THE LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 29th, 2002 • Northern California Bancorp Inc • State commercial banks

This Amendment, made and entered into this 16th day of August, 2001, by and between Monterey County Bank, a Bank organized and existing under the laws of the State of California, hereinafter referred to as the, “Bank”, and Charles T. Chrietzberg, Jr., a Key Employee and Executive of the Bank, hereinafter referred to as the, “Executive”, shall effectively amend the Life Insurance Endorsement Method Split Dollar Plan Agreement as specifically set forth herein.

Exhibit
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 11th, 2024
LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 8th, 2019 • Wilson Bank Holding Co • National commercial banks • Tennessee

This Agreement shall constitute the entire agreement of the parties pertaining to this particular Life Insurance Endorsement Method Split Dollar Plan Agreement.

AMENDMENT TO THE LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT FOR ROBERT A. SCHICK
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 15th, 2016 • Lyons Bancorp Inc • National commercial banks

THIS AMENDMENT, made and entered into this 14th day of May, 2014, by and between The Lyons National Bank, a bank organized and existing under the laws of the United States of America (hereinafter referred to as the “Bank”), and Robert A. Schick, an Executive of the Bank (hereinafter referred to as the “Insured”), shall effectively amend The Lyons National Bank Life Insurance Endorsement Method Split Dollar Plan Agreement dated September 26, 2001 (hereinafter referred to as the “Agreement”) as specifically set forth herein. Pursuant to Section XVI of the Agreement, the Bank and the Insured hereby adopt the following amendment:

Exhibit
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 23rd, 2023
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AMENDMENT NO. 1 TO LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • August 15th, 2005 • Central Valley Community Bancorp • State commercial banks

This Amendment No. 1 to Life Insurance Endorsement Method Split Dollar Plan Agreement (the “Amendment”) is made effective as of February 1, 2005, and is entered into by and between Central Valley Community Bank, formerly named Clovis Community Bank (the “Bank”) and Shirley Wilburn (the “Insured” or “Executive”), each a “Party” and together the “Parties.”

Exhibit
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 12th, 2021
EXECUTIVE COMPENSATION TABLES
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 14th, 2022

also no longer be entitled to the benefits under the agreement if he were subject to a final removal or prohibition order issued by a federal banking agency or his beneficiaries are denied coverage under the terms of the life insurance policies.

FIRST AMENDMENT TO THE LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT EFFECTIVE SEPTEMBER 12, 2001
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 15th, 2016 • Lyons Bancorp Inc • National commercial banks

This Amendment, made and entered into this 5th day of February, 2007, by and between The Lyons National Bank, a banking corporation organized and existing under the laws of the United States of America, hereinafter referred to as the, “Bank”, and Clair J. Britt, a Key Employee and Executive of the Bank, hereinafter referred to as the, “Executive”, shall effectively amend the Life Insurance Endorsement Method Split Dollar Plan Agreement, effective September 12, 2001, as follows:

AMENDMENT TO THE LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT EFFECTIVE SEPTEMBER 12, 2001
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 15th, 2016 • Lyons Bancorp Inc • National commercial banks

THIS AMENDMENT, made and entered into this 26th day of December, 2007, by and between The Lyons National Bank, a bank organized and existing under the laws of the United States of America, (hereinafter referred to as the “Bank”), and Robert A. Schick, an Executive of the Bank, (hereinafter referred to as the “Executive”), shall effectively amend the Life Insurance Endorsement Method Split Dollar Plan Agreement effective September 12, 2001 as follows:

SECOND AMENDED AND RESTATED LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • November 14th, 2011 • Central Valley Community Bancorp • State commercial banks • California

This Second Amended and Restated Life Insurance Endorsement Method Split Dollar Plan Agreement (the “Agreement”) is made effective as of July 1, 2011, and is entered into by and between Central Valley Community Bank (the “Bank”) and Daniel J. Doyle (the “Insured”), each a “Party” and together the “Parties.” This Agreement amends and restates in its entirety that certain Amended and Restated Life Insurance Endorsement Method Split Dollar Plan Agreement dated December 31, 2006 by and between the Bank and Insured (as amended, the “Prior Agreement”).

AMENDMENT TO THE LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT EFFECTIVE SEPTEMBER 12, 2001
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 15th, 2016 • Lyons Bancorp Inc • National commercial banks

THIS AMENDMENT, made and entered into this 27th day of December, 2007, by and between The Lyons National Bank, a bank organized and existing under the laws of the United States of America, (hereinafter referred to as the “Bank”), and Clair J. Britt, Jr., an Executive of the Bank, (hereinafter referred to as the “Executive”), shall effectively amend the Life Insurance Endorsement Method Split Dollar Plan Agreement effective September 12, 2001 as follows:

AMENDMENT TO LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • May 9th, 2008 • FedFirst Financial CORP • Savings institution, federally chartered • Pennsylvania

THIS AMENDMENT TO LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT (this “Amendment”) is made as of the 19th day of July, 2002, by and between FIRST FEDERAL SAVINGS BANK, Sixth and Donner Streets, Monessen, Pennsylvania, its successors and assigns (the “Bank”) and RICHARD BOYER, an individual (“Boyer”).

LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • February 28th, 2020 • Origin Bancorp, Inc. • State commercial banks • Louisiana

If the Bank and the Insured are parties to any previous split dollar benefit plans or agreements that provide for the payment of certain benefits, then this Life Insurance Endorsement Method Split Dollar Plan Agreement the benefits provided hereunder shall replace and supercede any existing split dollar plans or agreements and the benefits provided thereby.

DOLLAR PLAN AGREEMENT FOR DRAKE D. MILLS
Life Insurance Endorsement Method Split Dollar Plan Agreement • April 19th, 2018 • Origin Bancorp, Inc. • State commercial banks

THIS AMENDMENT, made and entered into this ____ day of __________, 2009, by and between Community Trust Bank, a bank organized and existing under the laws of the State of Louisiana (hereinafter referred to as the “Bank”), and Drake D. Mills, an Executive of the Bank (hereinafter referred to as the “Executive”), shall effectively amend the Community Trust Bank Life Insurance Endorsement Method Split Dollar Plan Agreement dated September 10, 2008 (hereinafter referred to as the “Agreement”) as specifically set forth herein. Pursuant to Paragraph XVI of the Agreement, the Bank and the Executive hereby adopt the following amendment:

AMENDMENT TO THE LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT FOR CLAIR J. BRITT, JR.
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 15th, 2016 • Lyons Bancorp Inc • National commercial banks

THIS AMENDMENT, made and entered into this 20th day of January, 2009, by and between The Lyons National Bank, a bank organized and existing under the laws of the United States of America (hereinafter referred to as the “Bank”), and Clair J. Britt, Jr., an Executive of the Bank (hereinafter referred to as the “Executive”), shall effectively amend the Lyons National Bank Life Insurance Endorsement Method Split Dollar Plan Agreement dated September 26, 2001 (hereinafter referred to as the “Agreement”) as specifically set forth herein. Pursuant to Section XVI of the Agreement, the Bank and the Executive hereby adopt the following amendment:

AMENDMENT TO THE LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT FOR ROBERT A. SCHICK
Life Insurance Endorsement Method Split Dollar Plan Agreement • March 15th, 2016 • Lyons Bancorp Inc • National commercial banks

THIS AMENDMENT, made and entered into this 15th day of December, 2015, by and between The Lyons National Bank, a bank organized and existing under the laws of the United States of America (hereinafter referred to as the “Bank”), and Robert A. Schick, an Executive of the Bank (hereinafter referred to as the “Executive”), shall effectively amend the Lyons National Bank Life Insurance Endorsement Split Dollar Plan Agreement dated September 26, 2001 (hereinafter referred to as the “Agreement”) as specifically set forth herein. Pursuant to Section XVI of the Agreement, the Bank and the Executive hereby adopt the following amendment:

AMENDED AND RESTATED LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR PLAN AGREEMENT
Life Insurance Endorsement Method Split Dollar Plan Agreement • April 27th, 2018 • Origin Bancorp, Inc. • State commercial banks • Louisiana

Insurer: Great-West Life & Annuity Insurance Company Policy Number: 85279612 Bank: Origin Bank (formerly Community Trust Bank) Insured: Drake D. Mills Relationship of Insured to Bank: Executive

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