0001104659-04-007063 Sample Contracts

BROOKLINE BANK CHANGE IN CONTROL AGREEMENT
Brookline Bank Change in Control Agreement • March 11th, 2004 • Brookline Bancorp Inc • Savings institutions, not federally chartered • Massachusetts

This Agreement is made effective as of the day of , by and between (“Executive”) and Brookline Bank, a federally chartered stock savings bank (the “Bank”).

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