PACIFIC STATE BANK SPLIT DOLLAR LIFE INSURANCE AGREEMENTPacific State Bank Split Dollar Life Insurance Agreement • March 31st, 2008 • Pacific State Bancorp • Savings institution, federally chartered • California
Contract Type FiledMarch 31st, 2008 Company Industry JurisdictionTHIS SUPPLEMENTAL LIFE INSURANCE AGREEMENT (the “Agreement”) is adopted this _______ day of___________________, 2007, by and between PACIFIC STATE BANK, a bank organized under the laws of the State of California, located in Stockton, California (the “Bank”), and _________________ (the “Executive”).