Plan Participation Agreement Sample Contracts

MONROE BANCORP DIRECTORS' 2005 DEFERRED COMPENSATION PLAN PARTICIPATION AGREEMENT
Plan Participation Agreement • March 15th, 2006 • Monroe Bancorp • State commercial banks
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BLOOMFIELD HILLS SCHOOLS
Plan Participation Agreement • March 14th, 2013

In order to make deferrals from my Compensation to the trust or custodial account designated below pursuant to the Bloomfield Hills Schools §457 Eligible Deferred Compensation Plan (hereinafter “the Plan”) and Section 457(b) of the Internal Revenue Code of 1986, as amended, (hereinafter "the Code") it is hereby agreed by and among (Employee) and

Alternative Plan Participation Agreement – Health Plan & HRA
Plan Participation Agreement • June 6th, 2023
Contract
Plan Participation Agreement • February 18th, 2019

MULTIPLE EMPLOYER PLAN PARTICIPATION AGREEMENT ADDENDUM To be completed only in the event this is a Multiple Employer Plan. 1. Name of Plan Sponsor: Brethren in Christ Pension Fund 2. Each Participating Employer that agrees to adopt this Plan shall agree to the following terms: (a) Each Participating Employer of the Plan Sponsor’s Plan shall be required to use the same Custodian as provided in the Plan.(b) The Custodian may, but shall not be required to, commingle, hold and invest in one Group Custodial Account all contributions made by Participating Employers, as well as all increments thereof.(c) Participating Employer’s (1) may; or (2) may not make modifications to certain provisions as specified in Item 9 below. 3. DESIGNATION OF AGENT Each Participating Employer shall be deemed to be a party to this Plan; provided, however, that with respect to all of its relations with the Custodian for the purpose of this Plan, each Participating Employer shall be deemed to have designated irrev

DEFERRED COMPENSATION § 457 PLAN PARTICIPATION AGREEMENT
Plan Participation Agreement • August 26th, 2014

Read the reverse side of this form and the Plan document carefully before completing this agreement. Please type or print clearly in ink. The Office of the State Comptroller must approve all requests. You may not alter any of the printed information on this document. If you make a mistake, you must complete a new form.

AMENDMENT NO. 1 TO EXCUTIVE SUPPLEMENTAL RETIREMENT PLAN PARTICIPATION AGREEMENT
Plan Participation Agreement • May 16th, 2023 • First Financial Northwest, Inc. • State commercial banks

THIS AMENDMENT No. 1 (the “Amendment”) is adopted effective as of May 12, 2023 by and between First Financial Northwest Bank, a Washington state chartered commercial bank (the “Bank”), and Joseph W. Kiley III (“the “Participant”).

HIDEAWAY BEACH CLUB PREMIUM CONVERSION PLAN PARTICIPATION AGREEMENT
Plan Participation Agreement • April 27th, 2018

As an Eligible Employee in the above Plan, I acknowledge that I have received and read the Summary Plan Description and understand the benefits available to me, as well as the other rights and obligations which I have under the Plan.

Contract
Plan Participation Agreement • December 1st, 2021 • Colorado

REAL PROPERTY NOTICE: This Agreement provides a water supply to the real property located at 7362 and 7364 US Hwy. 40, Empire, CO 80438, which is assigned Clear Creek County Assessor Parcel Numbers 1839-212-01-200. This Agreement will be recorded with the Clear Creek County Clerk and Recorder and should be associated with the aforementioned property for purposes of all future title searches.

JLG Industries, Inc. Executive Severance Plan Participation Agreement
Plan Participation Agreement • October 17th, 2006 • JLG Industries Inc • Construction machinery & equip • Pennsylvania

THIS AGREEMENT is by and between JLG Industries, Inc., a Pennsylvania corporation having its principal office at McConnellsburg, Pennsylvania (the “Company”), and , an individual residing at (the “Executive”).

SEIU AFFILIATES’ 401(k) PLAN PARTICIPATION AGREEMENT
Plan Participation Agreement • March 22nd, 2018

This SEIU Affiliates’ 401(k) Plan (the “Plan”) is only available to Employers that are affiliated with the Service Employees International Union (“SEIU”). By executing this Participation Agreement, an eligible Employer agrees to abide by the terms of this Agreement and by the terms of the SEIU Affiliates’ 401(k) Plan and Trust Document, which is incorporated by reference, both as it currently appears and as it may be amended in the future. The Employer further agrees that it shall provide whatever information and documentation as may be requested by the SEIU and/or the Trustees of the Plan (and/or their delegates) for the purpose of determining the compliance of the Plan with applicable legal requirements. Finally, the employer agrees that it shall be solely responsible for payment of any fees in accordance with the schedule below, and that the Employer’s continued participation in the Plan is dependent upon its paying all fees that become due and owing, including any future increases.

MEAL PLAN PARTICIPATION AGREEMENT
Plan Participation Agreement • April 8th, 2021

This agreement is made between Florida A&M University, Business and Auxiliary Services, Tallahassee, Florida and the student recipient of the meal plan. The meal plan is mandatory for students residing in Polkinghorne Village East and West, FAMU Towers North and South, Sampson, Young Halls. The meal plan recipient agrees to the following terms and conditions:

EMPLOYER NAME] PREMIUM CONVERSION PLAN PARTICIPATION AGREEMENT
Plan Participation Agreement • May 28th, 2021

As an Eligible Employee in the above Plan, I acknowledge that I have received and read the Summary Plan Description and understand the benefits available to me, as well as the other rights and obligations which I have under the Plan.

PERA 401(k) Plan Participation Agreement
Plan Participation Agreement • September 25th, 2015

WHEREAS, PERA’s 401(k) and Defined Contribution Plan and Trust Document (the “PERA 401(k) Plan” or the “Plan”), offers a Roth option which permits employees to make contributions to the Plan on a tax-paid basis to a designated Roth account;

STRUCTURE MEDICAL PREMIUM CONVERSION PLAN PARTICIPATION AGREEMENT
Plan Participation Agreement • July 31st, 2017

As an Eligible Employee in the above Plan, I acknowledge that I have received and read the Summary Plan Description and understand the benefits available to me, as well as the other rights and obligations which I have under the Plan.

Openwave Systems Inc. Executive Compensation Deferral Plan Plan Participation Agreement
Plan Participation Agreement • February 8th, 2006 • Openwave Systems Inc • Services-prepackaged software

THIS AGREEMENT, made the day of , 20 , by and between Openwave Systems Inc., a Delaware corporation (“the Company”), and , an employee of the Company (the “Participant”).

GREENE COUNTY BANCSHARES, INC. CHANGE IN CONTROL PROTECTION PLAN Participation Agreement
Plan Participation Agreement • March 13th, 2009 • Green Bankshares, Inc. • State commercial banks

WHEREAS, Greene County Bancshares, Inc. (the “Company”) sponsors and maintains the Greene County Bancshares, Inc. Change in Control Protection Plan (the “Plan”), and has executed this agreement (the “Participation Agreement”) in order to offer William C. Adams (the “Employee”) the opportunity to participate in the Plan;

JLG Industries, Inc. Executive Severance Plan Participation Agreement
Plan Participation Agreement • November 14th, 2008 • Oshkosh Corp • Motor vehicles & passenger car bodies • Pennsylvania

THIS AGREEMENT is by and between JLG Industries, Inc., a Pennsylvania corporation having its principal office at McConnellsburg, Pennsylvania (the “Company”), and Craig E. Paylor, an individual residing at 422 West Dutch Corner Road, McConnellsburg, PA 17233 (the “Executive”).

EXPRO GROUP HOLDINGS N.V. U.S. EXECUTIVE RETENTION AND SEVERANCE PLAN PARTICIPATION AGREEMENT INCLUDING CONFIDENTIALITY AND RESTRICTIVE COVENANT AGREEMENT
Plan Participation Agreement • March 8th, 2022 • Expro Group Holdings N.V. • Oil & gas field services, nec • Texas

This U.S. Executive Retention and Severance Plan Participation Agreement (the “Participation Agreement” or this “Agreement”) is entered into effective as of _______________, (the “Participation Date”), by and between ____________________ (the “Employer”) and you (the “Participant”), pursuant to the Expro Group Holdings N.V. U.S. Executive Retention and Severance Plan (the “Plan” or the “Executive Retention and Severance Plan”).

CHIROPRACTIC WELLNESS PLAN PARTICIPATION AGREEMENT
Plan Participation Agreement • October 7th, 2019

Congratulations! You have enrolled in our Chiropractic Wellness Plan (CWP). This plan offers benefits that are exclusive to patients who have decided to put their health first and participate in this affordable medical program. The terms and conditions of your membership are as follows:

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