Disability While Employed. I understand that in the event of my --------------------------- Disability prior to my Benefit Age, I will be entitled to the Disability Benefit calculated as set forth in Section 3.6 of the Plan. My Disability Benefit will be paid in a Lump Sum unless I elect another form of benefit. I elect to receive my Disability Benefit in the following form: |_| Annuity (with 20 years certain) |_| ____% Lump Sum with 20 Annual Installments |_| Other ________________________________________________________ My Disability Benefit shall be payable: |_| Upon the determination of my Disability |_| Upon the attainment of my Benefit Age This Participation Agreement shall become effective upon execution (below) by both Executive and a duly authorized officer of the Bank. Dated this _____ day of ______________________, 2008. GEORGETOWN SAVINGS BANK EXECUTIVE ____________________________________ ___________________________ (Bank's duly authorized Officer) Joseph W. Kennedy Exhibit A SUPPLEMENTAL RETIREMENT PLAN FOR SENIOR EXECUTIVES BENEFICIARY DESIGNATION Executive, under the terms of the Supplemental Retirement Plan for Senior Executives executed by the Bank and effective June 30, 2008, hereby designates the following Beneficiary to receive any guaranteed payments or death benefits under such Plan, following his death: PRIMARY BENEFICIARY: -------------------------------------------------------------------------------- In the event the Primary Beneficiary set forth above has predeceased me, I designate the person set forth below as my Secondary Beneficiary.
Appears in 1 contract
Sources: Supplemental Retirement Plan (Georgetown Bancorp, Inc.)
Disability While Employed. I understand that in the event of my --------------------------- Disability prior to my Benefit Age, I will be entitled to the Disability Benefit calculated as set forth in Section 3.6 of the Plan. My Disability Benefit will be paid in a Lump Sum unless I elect another form of benefit. I elect to receive my Disability Benefit in the following form: |_| Annuity (with 20 years certain) |_| ____% Lump Sum with 20 Annual Installments |_| Other ________________________________________________________ My Disability Benefit shall be payable: |_| Upon the determination of my Disability |_| Upon the attainment of my Benefit Age This Participation Agreement shall become effective upon execution (below) by both Executive and a duly authorized officer of the Bank. Dated this _____ day of ______________________, 2008. GEORGETOWN SAVINGS BANK EXECUTIVE ____________________________________ ___________________________ (Bank's duly authorized Officer) Robert E. Balletto ▇▇▇▇▇▇▇▇NTAL RETIREMENT PLAN PARTICIPATION AGREEMENT I, Joseph W. Kennedy Exhibit A SUPPLEMENTAL RETIREMENT PLAN FOR SENIOR EXECUTIVES BENEFICIARY DESIGNATION ExecutiveKennedy, under and GEORGETOWN SAVINGS BANK hereby agree, for ▇▇▇▇ ▇▇▇ ▇▇▇▇▇▇▇▇ consideration, the terms value of which is hereby acknowledged, that I shall participate in the Supplemental Retirement Plan for Senior Executives executed by the Bank and effective ("Plan") established as of June 30, 2008, hereby designates by GEORGETOWN SAVINGS BANK, as such Plan may now exist or hereafter be modified, and do further agree to the following Beneficiary terms and conditions thereof. The Supplemental Retirement Plan replaces and supersedes the Executive Supplemental Compensation Agreement in which I previously participated. I understand that I must execute this Supplemental Retirement Plan Participation Agreement ("Participation Agreement") as well as notify the Administrator of such execution in order to receive any guaranteed payments or death benefits under such participate in the Plan, following his death: PRIMARY BENEFICIARY: -------------------------------------------------------------------------------- . The provisions of the Plan are incorporated herein by reference. In the event of an inconsistency between the Primary Beneficiary set forth above has predeceased meterms of this Participation Agreement and the Plan, I designate the person set forth below as terms of the Plan shall control. The following provisions relate to a determination of my Secondary BeneficiarySupplemental Benefit under the Plan.
Appears in 1 contract
Sources: Supplemental Retirement Plan (Georgetown Bancorp, Inc.)