Split-Dollar Insurance Agreement Sample Contracts

ARTICLE I
Split Dollar Insurance Agreement • March 31st, 2005 • Ems Technologies Inc • Radio & tv broadcasting & communications equipment • Georgia
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FORM OF SPLIT-DOLLAR INSURANCE AGREEMENT
Split-Dollar Insurance Agreement • March 4th, 2005 • Source Interlink Companies Inc • Services-direct mail advertising services
SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • October 15th, 2008 • Jo-Ann Stores Inc • Retail-miscellaneous shopping goods stores

THIS AGREEMENT made this 15th of October 2008 , by and between JO-ANN STORES, INC., an Ohio corporation (the “Company”) and Kenneth Haverkost (the “Employee”),

Split-Dollar Insurance Agreement
Split-Dollar Insurance Agreement • November 13th, 2008 • Valley Financial Corp /Va/ • Savings institution, federally chartered • Virginia

This Agreement is entered into this 12th day of November 2008, by and between Valley Bank, a Virginia banking corporation (“Valley Bank”) and Kimberly B. Snyder (“Employee”);

BROOKLYN FEDERAL SAVINGS BANK SPLIT DOLLAR INSURANCE AGREEMENT Amendment Number One
Split Dollar Insurance Agreement • December 6th, 2007 • Brooklyn Federal Bancorp, Inc. • Savings institution, federally chartered

The Brooklyn Federal Savings Bank Split Dollar Insurance Agreement with Marilyn Alberici (“Employee”) dated as of November 3, 1994 (the “Agreement”) is hereby amended in accordance with the following, effective as of December 1, 2007:

COLLATERAL ASSIGNMENT SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • September 13th, 2005 • Argo Tech Corp • Aircraft engines & engine parts • Ohio

This Split Dollar Agreement (the “Agreement”) is established and effective between ARGO-TECH CORPORATION, organized and existing under the laws of the State of Delaware (the “Company”), and Paul R. Keen, a key employee and executive of the Company (the “Participant”), as of the 1st day of January, 1996.

AGREEMENT
Split Dollar Insurance Agreement • April 28th, 2000 • TJX Companies Inc /De/ • Retail-family clothing stores • Massachusetts
EX-10.24 4 a06-15961_1ex10d24.htm EX-10 Composite Form of SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • May 5th, 2020 • Illinois

This Split Dollar Agreement (the “Agreement”) is made and entered into as of the day of , by and between AAR CORP., a corporation duly organized and existing under the laws of the State of Delaware (the “Corporation”) and (the “Employee”).

FIRST AMENDMENT TO SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • September 27th, 2002 • Speizman Industries Inc • Wholesale-industrial machinery & equipment
AGREEMENT
Split Dollar Insurance Agreement • November 29th, 1999 • TJX Companies Inc /De/ • Retail-family clothing stores • Massachusetts
Exhibit 10.25 Split Dollar Insurance Agreement between the Company, William H. Brenton Crummy Trust and William H. Brenton Crummy Trust II, dated November 23, 1994. This Split Dollar Insurance Agreement is incorporated by reference from Form 10-K of...
Split Dollar Insurance Agreement • March 29th, 1996 • Brenton Banks Inc • State commercial banks

Split Dollar Insurance Agreement between the Company, William H. Brenton Crummy Trust and William H. Brenton Crummy Trust II, dated November 23, 1994. This Split Dollar Insurance Agreement is incorporated by reference from Form 10-K of Brenton Banks, Inc., for the year ended December 31, 1994. 86

SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • March 16th, 2007 • Abington Community Bancorp, Inc. • Savings institutions, not federally chartered • Pennsylvania

2005, by and between Abington Bank, a Pennsylvania banking corporation, located in Jenkintown, PA (the “Bank”), and ____________, an employee of Abington Bank, residing at __________________________ (hereinafter referred to as the “Employee”).

FORM OF SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • November 14th, 2007 • Abington Bancorp, Inc./Pa • Savings institutions, not federally chartered • Pennsylvania

THIS AGREEMENT, is made and entered into this 13th day of November, 2007, by and between Abington Bank, a Pennsylvania banking corporation, located in Jenkintown, PA (the “Bank”), and _______________, an employee of Abington Bank, residing at ________________, Pa. (hereinafter referred to as the “Employee”).

Amendment to Split Dollar Insurance Agreement
Split Dollar Insurance Agreement • May 12th, 2008 • Valley Financial Corp /Va/ • Savings institution, federally chartered

This Amendment (“Amendment”) to Split Dollar Insurance Agreement is dated as of the 31st day of January, 2008, by and between Valley Bank, a Virginia banking corporation (“Valley Bank”) and Ellis L. Gutshall (“Employee”);

SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • March 5th, 2008 • Bancinsurance Corp • Fire, marine & casualty insurance • Ohio

This Agreement is entered into at Columbus, Ohio, this 20th day of June, 1994, between BANCINSURANCE CORPORATION, a corporation organized and existing under the laws of the State of Ohio (hereinafter called “Employer”), and FIFTH THIRD BANK OF COLUMBUS, as Trustee of the Si and Barbara K. Sokol Irrevocable Trust dated May 6, 1994 (hereinafter called “Trust”).

Exhibit 10.22 Split Dollar Insurance Agreement between the Company, William H. Brenton Crummy Trust and William H. Brenton Crummy Trust II, dated November 23, 1994. This Split Dollar Insurance Agreement is incorporated by reference from Form 10-K of...
Split Dollar Insurance Agreement • March 30th, 1998 • Brenton Banks Inc • National commercial banks

Split Dollar Insurance Agreement between the Company, William H. Brenton Crummy Trust and William H. Brenton Crummy Trust II, dated November 23, 1994. This Split Dollar Insurance Agreement is incorporated by reference from Form 10-K of Brenton Banks, Inc. for the year ended December 31, 1994. 159

SPLIT-DOLLAR INSURANCE AGREEMENT (Collateral Assignment)
Split-Dollar Insurance Agreement • February 24th, 2011 • Gulfmark Offshore Inc • Oil & gas field machinery & equipment • Louisiana

THIS AGREEMENT is entered into this 1st day of January, 2000, effective as of January 1, 2000, by and between GM Offshore, Inc., a Delaware corporation, hereinafter call “the Company,” and John E. Leech, hereinafter call “Employee.”

Exhibit 10.25 Split Dollar Insurance Agreement between the Company and Brenton Life Insurance Trust for the benefit of Junius C. Brenton, dated January 12, 1997. This Split Dollar Insurance Agreement is incorporated by reference from Form 10-K of...
Split Dollar Insurance Agreement • March 30th, 1999 • Brenton Banks Inc • National commercial banks

Split Dollar Insurance Agreement between the Company and Brenton Life Insurance Trust for the benefit of Junius C. Brenton, dated January 12, 1997. This Split Dollar Insurance Agreement is incorporated by reference from Form 10-K of Brenton Banks, Inc. for the year ended December 31, 1996. 168

SPLIT DOLLAR INSURANCE AGREEMENT ENDORSEMENT METHOD
Split Dollar Insurance Agreement • August 2nd, 2016 • Huttig Building Products Inc • Wholesale-lumber & other construction materials • Missouri

This Agreement is entered into this 18th day of May, 2016 by and between Huttig Building Products, Inc., hereafter called the "Company," and Jon P. Vrabely, hereafter called the "Executive."

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Exhibit 10.26 Split-Dollar Insurance Agreement between the Company and Brenton Life Insurance Trust for the benefit of Junius C. Brenton, dated January 12, 1997. This Split-Dollar Insurance Agreement is incorporated by reference from Form 10-K of...
Split-Dollar Insurance Agreement • March 29th, 2000 • Brenton Banks Inc • National commercial banks

Split-Dollar Insurance Agreement between the Company and Brenton Life Insurance Trust for the benefit of Junius C. Brenton, dated January 12, 1997. This Split-Dollar Insurance Agreement is incorporated by reference from Form 10-K of Brenton Banks, Inc. for the year ended December 31, 1996. 223

SPLIT-DOLLAR INSURANCE AGREEMENT (Collateral Assignment)
Split-Dollar Insurance Agreement • February 24th, 2011 • Gulfmark Offshore Inc • Oil & gas field machinery & equipment • Louisiana

THIS AGREEMENT is entered into this 1st day of January, 2000, effective as of January 1, 2000, by and between GM Offshore, Inc., a Delaware corporation, hereinafter call “the Company,” and Bruce A. Streeter hereinafter call “Employee.”

FORM OF SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • February 29th, 2012 • Susquehanna Bancshares Inc • National commercial banks • Pennsylvania

THIS AGREEMENT, is made and entered into this 8th day of November, 2007, by and between Abington Bank, a Pennsylvania banking corporation, located in Jenkintown, PA (the “Bank”), and , an employee of Abington Bank, residing at . (hereinafter referred to as the “Employee”).

SPLIT-DOLLAR INSURANCE AGREEMENT (Endorsement Method)
Split-Dollar Insurance Agreement • April 11th, 2008 • Lithia Motors Inc • Retail-auto dealers & gasoline stations

This is an Agreement between Lithia Motors, Inc., an Oregon corporation, (the “Employer”), and Sidney B. DeBoer, (the “Employee”) dated effective December 20, 2007.

Exhibit 10.24 Split Dollar Insurance Agreement between the Company and Brenton Life Insurance Trust for the benefit of C. Robert Brenton, dated August 12, 1994. This Split Dollar Insurance Agreement is incorporated by reference from Form 10-K of...
Split Dollar Insurance Agreement • March 30th, 1999 • Brenton Banks Inc • National commercial banks

Split Dollar Insurance Agreement between the Company and Brenton Life Insurance Trust for the benefit of C. Robert Brenton, dated August 12, 1994. This Split Dollar Insurance Agreement is incorporated by reference from Form 10-K of Brenton Banks, Inc. for year ended December 31, 1994. 167

SPLIT DOLLAR INSURANCE AGREEMENT COLLATERAL ASSIGNMENT
Split Dollar Insurance Agreement • March 5th, 2008 • Bancinsurance Corp • Fire, marine & casualty insurance • Ohio

This agreement made this 21st day of June, 1994, by and between BANCINSURANCE CORPORATION, an Ohio corporation, (hereinafter called “Corporation”) and FIFTH THIRD BANK OF COLUMBUS, Trustee of the Si and Barbara K. Sokol Irrevocable Life Insurance Trust dated May 6, 1994, (hereinafter called “Trust”).

AMENDMENT TO SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • January 2nd, 2009 • Interface Inc • Carpets & rugs

This Amendment to Split Dollar Insurance Agreement (this “Amendment”) is made and entered into on the 29 day of December, 2008, by and between DANIEL T. HENDRIX (hereinafter called “Employee”) and INTERFACE, INC. (hereinafter called “Employer”).

SPLIT-DOLLAR INSURANCE AGREEMENT NOTICE OF TERMINATION AND PURCHASE AGREEMENT
Split-Dollar Insurance Agreement • April 27th, 2022 • Sanfilippo John B & Son Inc • Sugar & confectionery products • Illinois

THIS SPLIT-DOLLAR INSURANCE AGREEMENT NOTICE OF TERMINATION AND PURCHASE AGREEMENT (this “Agreement”), dated as of December 24, 2021 (the “Effective Date”), is entered into by and between John E. Sanfilippo, on behalf of and as sole trustee (the Trustee”) of the Jasper and Marian Sanfilippo Irrevocable Trust, dated September 23, 1990 (the “Trust”), Marian R. Sanfilippo, an individual (“Buyer”), and John B. Sanfilippo & Son, Inc., a Delaware corporation (the “Company”).

SPLIT-DOLLAR INSURANCE AGREEMENT
Split-Dollar Insurance Agreement • December 24th, 2015 • Westbury Bancorp, Inc. • State commercial banks • Wisconsin

THIS AGREEMENT made and entered into this 18th day of December, 2015, between WESTBURY BANK, a corporation with its principal office located in the State of Wisconsin (hereinafter referred to as the "Employer"), and GREG J. REMUS, (hereinafter referred to as the "Employee").

SAMPLE ENDORSEMENT METHOD SPLIT-DOLLAR INSURANCE AGREEMENT (Employer-Pay-All Agreement)
Split-Dollar Insurance Agreement • May 4th, 2006 • Encore Capital Group Inc • Short-term business credit institutions

This Agreement, entered into this day of , 20 , by and between Midland Credit Management, Inc, hereafter called the “Employer,” and (Name) , hereafter called the “Employee,” WITNESSETH:

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