Statewide Life & Health, Inc. Sample Contracts

Amendment to Employment Agreement for Mary Jo Thiboult
Statewide Life & Health, Inc. • February 13th, 2012 • Insurance agents, brokers & service
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STATEWIDE LIFE & HEALTH, INC. WARRANT TO PURCHASE _______ SHARES OF COMMON STOCK, PAR VALUE $0.001 PER SHARE
Statewide Life & Health, Inc. • December 28th, 2011 • Florida

For VALUE RECEIVED, ____________________ (“Warrantholder”), is entitled to purchase, subject to the provisions of this Warrant, from STATEWIDE LIFE & HEALTH, INC., a Florida corporation (“Company”), from and after the date of this Warrant and at any time not later than 5:00 P.M., Eastern time, on ___________________, 2015 (“Expiration Date”), at an exercise price per share equal to $0.10 (the exercise price in effect being herein called the “Warrant Price”), ________________________________ (_______) shares (“Warrant Shares”) of the Company’s Common Stock, par value $0.001 per share (“Common Stock”). The number of Warrant Shares purchasable upon exercise of this Warrant and the Warrant Price shall be subject to adjustment from time to time as described herein.

Letter of Agreement To Serve as Agency of Record
Gerflo Agreement • February 13th, 2012 • Statewide Life & Health, Inc. • Insurance agents, brokers & service

This agreement made as of September 15, 2011 between Statewide Life and Health Insurance Agency, LLC, hereinafter, called the Client and Gerflo Asset Holdings, a Florida corporation, with its principal office in Boca Raton, FL, hereinafter called the agency.

FILE COPY* Time Insurance Company General Agent Sales Agreement
Agent Sales Agreement • February 13th, 2012 • Statewide Life & Health, Inc. • Insurance agents, brokers & service • Wisconsin

This General Agent Sales Agreement is between Time Insurance Company, by its current name or any new name or legal identity it may hold in the future, its subsidiaries and associated organizations (hereinafter referred to as the Company or We or Us or Our”) and

EMPLOYMENT CONTRACT
Employment Contract • December 28th, 2011 • Statewide Life & Health, Inc.

AGREEMENT, dated as of November 14, 2011, between Statewide Life and Health, Agency, Inc., a Florida corporation which maintains corporate offices at 1489 W. Palmetto Park Road, Suite 467, Boca Raton, FL 33486 (the “Company”) and Warren K. Trowbridge (“Employee”), residing at 2421 SE Bahia Way, Stuart, FL 34996.

EMPLOYMENT CONTRACT
Employment Contract • December 28th, 2011 • Statewide Life & Health, Inc.

AGREEMENT, dated as of November 14, 2011, between Statewide Life and Health, Agency, Inc., a Florida corporation which maintains corporate offices at 1489 W. Palmetto Park Road, Suite 467, Boca Raton, FL 33486(the “Company”) and Mary Jo Thiboult (“Employee”), residing at 4313 SW Cherokee Street, Palm City, Florida 34990.

Homeland
Statewide Life & Health, Inc. • February 13th, 2012 • Insurance agents, brokers & service

Please complete all documents, sign where indicated, and return this checklist filled out, with all the required documents attached. Please return all documents to the address listed below.

EMPLOYMENT CONTRACT
Employment Contract • December 28th, 2011 • Statewide Life & Health, Inc.

AGREEMENT, dated as of November 28, 2011, between Statewide Life and Health, Agency, Inc., a Florida corporation which maintains corporate offices at 1489 W. Palmetto Park Road, Suite 467, Boca Raton, Florida 33486 (the “Company”) and Merrewilned Mondesir (“Employee”), residing at 3649 Jackson Blvd., Fort Lauderdale, FL 33312.

Exhibit A to Employment Agreement for Warren K. Trowbridge
Statewide Life & Health, Inc. • February 13th, 2012 • Insurance agents, brokers & service
GENERAL AGENCY AGREEMENT
General Agency Agreement • February 13th, 2012 • Statewide Life & Health, Inc. • Insurance agents, brokers & service • New York

THIS AGREEMENT is made and entered into on the date indicated on the signature page of this agreement (“Effective Date”) by and between PATRIOT HEALTH, INC., a Delaware corporation with administrative offices at 160 Eileen Way, Syosset, NY 11791, (hereafter “Company”), end the General Agent, Daniel Mignone (hereafter “GA”) indicated on the signature page of this agreement. Located at 1489 W. Palmetto Park Rd., Boca Raton, Phone Number 561-756-8680, Fax number: 561-756-8667, Email Address statewideinsurance123@gmail.com.

Exhibit A to Employment Agreement for Mary Jo Thiboult
Statewide Life & Health, Inc. • February 13th, 2012 • Insurance agents, brokers & service
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