Split-Dollar Life Insurance Plan Sample Contracts

MID PENN BANK SPLIT DOLLAR LIFE INSURANCE PLAN
Split Dollar Life Insurance Plan • November 10th, 2008 • Mid Penn Bancorp Inc • State commercial banks • Pennsylvania
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DUBUQUE BANK AND TRUST COMPANY SPLIT-DOLLAR LIFE INSURANCE PLAN
Split-Dollar Life Insurance Plan • May 12th, 2008 • Heartland Financial Usa Inc • State commercial banks • Iowa

THIS PLAN is made and entered into this 13th day of November, 2001, by and between Dubuque Bank and Trust Company, a state-chartered commercial bank with principal offices and place of business in the State of Iowa (hereinafter referred to as the “Corporation”), and the employee selected to participate in this Plan (the “Participant”), and amends and restates in its entirety any existing Universal Life Split-Dollar Agreement or Whole Life Split-Dollar Agreement previously executed by and between the Corporation and any Participant.

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