Split Dollar Agreement Sample Contracts

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GAMESTOP CORP. SPLIT DOLLAR AGREEMENT
Split Dollar Agreement • April 2nd, 2018 • GameStop Corp. • Retail-computer & computer software stores

This Agreement is entered into by and between GameStop Corp., a Delaware corporation (the “Corporation”) and Michael Mauler (“Insured Participant”).

SPLIT-DOLLAR AGREEMENT
Split-Dollar Agreement • April 6th, 2012 • Bloomin' Brands, Inc. • Florida

THIS AGREEMENT made and entered into this 12th day of August, 2008, by and between OSI RESTAURANT PARTNERS, LLC (formerly known as OUTBACK STEAKHOUSE, INC.), with principal offices and place of business in the State of Florida (hereinafter referred to as the “Company”) and DIRK A. MONTGOMERY, TRUSTEE OF THE DIRK A. MONTGOMERY REVOCABLE TRUST DATED APRIL 12, 2001 (hereinafter referred to as the “Employee”),

AMENDED AND RESTATED COLONIAL FEDERAL SAVINGS BANK SPLIT DOLLAR AGREEMENT
Split Dollar Agreement • September 9th, 2021 • CFSB Bancorp, Inc. /MA/ • Massachusetts

THIS AGREEMENT is made and entered into as of this 1st day of July, 2021, by and between COLONIAL FEDERAL SAVINGS BANK, a savings association located in Quincy, Massachusetts (the “Company”), and Paul N. Baharian (the “Director”). This Agreement shall append the Split Dollar Endorsement entered into on even date herewith or as subsequently amended, by and between the aforementioned parties. This Agreement is an amendment and restatement of the Agreement originally effective as of January 1, 2002, which was amended as of May 20, 2008, and January 20, 2010. This amendment and restatement shall not by itself change any previous beneficiary designation or executed Split Dollar Policy Endorsement relating to the Agreement.

AMENDMENT NUMBER ONE TO
Split-Dollar Agreement • December 18th, 2018 • National Commerce Corp • National commercial banks

This Amendment Number One to the 2018 Split-Dollar Agreement (this “Amendment”) is entered into as of the 13th day of December, 2018, by and between Richard Murray, IV, an individual (“Insured”) and National Bank of Commerce, a national banking association located in Birmingham, Alabama (the “Bank”).

CAPITALBANK SPLIT DOLLAR AGREEMENT
Split Dollar Agreement • November 13th, 2002 • Community Capital Corp /Sc/ • National commercial banks • South Carolina

THIS AGREEMENT is made and entered into this 17th day of October, 2002, by and between CAPITALBANK, a state-chartered commercial bank located in Greenwood, South Carolina (the “Company”), and TAYLOR T. STOKES (the “Executive”).

BankFIRST SPLIT DOLLAR AGREEMENT
Split Dollar Agreement • April 12th, 2011 • BANKshares Inc • Florida

THIS AGREEMENT is made and entered into this 8th day of January , 2002, by and between BankFIRST, a state-chartered commercial bank located in Winter Park, Florida (the “Company”), and ANNE FRAY (the “Executive”),

SPLIT-DOLLAR AGREEMENT
Split-Dollar Agreement • November 9th, 2018 • National Commerce Corp • National commercial banks • Alabama

This SPLIT-DOLLAR AGREEMENT (this “Agreement”) is made and entered into effective as of the 1st day of January, 2016, by and between Michael D. Goodson, Jr., an individual resident of the State of Alabama (the “Insured”) and National Bank of Commerce, a national banking association (the “Bank”).

BANK OF THE SIERRA SPLIT DOLLAR AGREEMENT (ADDENDUM A TO THE BANK OF SIERRA SALARY CONTINUATION AGREEMENT)
Split Dollar Agreement • March 15th, 2006 • Sierra Bancorp • National commercial banks • California

THIS AGREEMENT is adopted this 1st day of October, 2002, by and between BANK OF THE SIERRA, a state-chartered commercial bank located in Porterville, California (the “Company”), and CHARLIE GLENN (the “Executive”). This Agreement shall append the Split Dollar Endorsement entered into on even date herewith or as subsequently amended, by and between the aforementioned parties.

THIRD AMENDED AND RESTATED NEVADA SECURITY BANK SPLIT DOLLAR AGREEMENT
Split Dollar Agreement • January 7th, 2009 • Bank Holdings • State commercial banks • Nevada

The Bank and Insured as of the Effective Date aforementioned hereby enters into this Third Amended and Restated Nevada Security Bank Split Dollar Agreement (hereinafter “Agreement”) which amends, supersedes and replaces in the entirety the prior “Second Amended and Restated Nevada Security Bank Split Dollar Agreement,” entered into by and between these same parties dated September 20, 2007. The respective rights and duties of Nevada Security Bank (hereinafter the “Bank” or “Employer”) and the Insured (also referred to as “Executive”) in the above-referenced policies (referred to as “Policy”) shall be pursuant to the terms set forth below:

SPLIT-DOLLAR AGREEMENT
Split-Dollar Agreement • March 15th, 2007 • Reliv International Inc • Pharmaceutical preparations • Missouri

THIS AGREEMENT is made and entered into this 1st day of May, 2006 by and among Reliv International, Inc., a Delaware corporation, with its principal offices and place of business at 136 Chesterfield Industrial Boulevard, Chesterfield, Missouri 63005 (hereinafter referred to as the “Company”) and Steven D. Albright, an individual whose address is 412 Hunters Crossing Ct., Grover, Missouri (hereinafter referred to as the “Executive”).

COLUMBIA STATE BANK ENDORSEMENT METHOD SPLIT DOLLAR AGREEMENT (By and Between COLUMBIA STATE BANK and AARON DEER)
Split Dollar Agreement • February 26th, 2021 • Columbia Banking System, Inc. • State commercial banks • Washington

The respective rights and duties of COLUMBIA STATE BANK (hereinafter the “Bank”) and AARON DEER (hereinafter the “Insured”) in the above-referenced Policy(ies) shall be pursuant to the terms set forth below:

SPLIT DOLLAR AGREEMENT
Split Dollar Agreement • October 11th, 2007 • Bank Holdings • State commercial banks • Nevada

The Bank and Insured as of the Effective Date aforementioned hereby enters into this Second Amended and Restated Nevada Security Bank Split Dollar Agreement (hereinafter “Agreement”) which amends, supersedes and replaces in the entirety the prior “First Amended and Restated Nevada Security Bank Split Dollar Agreement,” entered into by and between these same parties dated January 24, 2006. The respective rights and duties of Nevada Security Bank (hereinafter the “Bank”) and the Insured/Executive in the above-referenced policies (referred to as “Policy”) shall be pursuant to the terms set forth below:

CharterBank SPLIT DOLLAR AGREEMENT
Split Dollar Agreement • December 14th, 2012 • Charter Financial Corp • Savings institution, federally chartered • Georgia

THIS SPLIT DOLLAR AGREEMENT (this “Agreement”) is entered into as of this 18th day June, 2010 by and between CharterBank (the “Employer”), and CURT KOLLAR, an individual resident of GEORIGA (hereinafter referred to as the “Executive”).

SPLIT-DOLLAR AGREEMENT
Split-Dollar Agreement • April 6th, 2012 • Bloomin' Brands, Inc. • Florida

THIS AGREEMENT made and entered into this 19th day of August, 2008, effective as of August, 2005, by and between OSI RESTAURANT PARTNERS, LLC (formerly known as OUTBACK STEAKHOUSE, INC.), with principal offices and place of business in the State of Florida (hereinafter referred to as the “Company”) and RICHARD DANKER, TRUSTEE OF ROBERT D. BASHAM IRREVOCABLE TRUST AGREEMENT OF 1999 DATED DECEMBER 20, 1999 (hereinafter referred to as the “Trust”),

AMENDED AND RESTATED TEMECULA VALLEY BANK SPLIT DOLLAR AGREEMENT
Split Dollar Agreement • March 14th, 2007 • Temecula Valley Bancorp Inc • National commercial banks • California

THIS AGREEMENT is adopted this 29th day of December 2006, by and between TEMECULA VALLEY BANK, a commercial bank, located in Temecula, California (the "Company"), and DONALD A. PITCHER (the "Executive"). This Agreement amends and restates the Split Dollar Agreement originally entered into on September 30, 2004, and shall append the Split Dollar Endorsement entered into on that date.

THE LAPORTE SAVINGS BANK SPLIT DOLLAR AGREEMENT
Split Dollar Agreement • May 7th, 2013 • LaPorte Bancorp, Inc. • Savings institutions, not federally chartered • Indiana

THIS AGREEMENT is adopted this 6 day of May 2013, with an effective date of May 6, 2013 (the “Effective Date”) by and between THE LAPORTE SAVINGS BANK, a state-chartered savings bank located in LaPorte, Indiana (the “Bank”), and Daniel P. Carroll (the “Executive”). This Agreement shall append the Split Dollar Endorsement entered into on even date herewith or as subsequently amended, by and between the aforementioned parties.

SOUTHSIDE BANK SPLIT DOLLAR AGREEMENT
Split Dollar Agreement • October 19th, 2004 • Southside Bancshares Inc • State commercial banks • Texas

THIS AGREEMENT is made and entered into this 27th day of August, 2004, by and between SOUTHSIDE BANK, located in Tyler, Texas (the “Company”), and CHARLES E. DAWSON (the “Executive”).

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TEMECULA VALLEY BANK SPLIT DOLLAR AGREEMENT
Split Dollar Agreement • March 14th, 2007 • Temecula Valley Bancorp Inc • National commercial banks • California

THIS AGREEMENT is entered into this 29th day of December 2006, by and between TEMECULA VALLEY BANK, a bank located in Temecula Valley, California, and organized under the laws of the State of California (“Bank”), and MARTIN E. PLOURD (the "Executive"). This Agreement shall append the Split Dollar Endorsement entered into on even date herewith or as subsequently amended, by and between the aforementioned parties.

FIRST AMENDMENT TO BankFIRST SPLIT DOLLAR AGREEMENT
Split Dollar Agreement • April 12th, 2011 • BANKshares Inc

THIS AMENDMENT is made this 20th day of March, 2002, by and between BankFIRST, a state-chartered commercial bank located in Winter Park, Florida (the “Company”), and ANNE FRAY (the “Executive).

AMENDED AND RESTATED SPLIT-DOLLAR AGREEMENT
Split-Dollar Agreement • June 19th, 2015 • Park National Corp /Oh/ • National commercial banks • Ohio
TERMINATION OF SPLIT-DOLLAR AGREEMENT
Split-Dollar Agreement • November 19th, 2010 • Interface Inc • Carpets & rugs

This Termination of Split-Dollar Agreement (hereinafter referred to as the “Termination Agreement”) is made and entered into as of the 18th day of November, 2010, by and among Interface, Inc., a Georgia corporation, with principal offices and place of business in the State of Georgia (hereinafter referred to as the “Corporation”), Mary Anne Anderson Lanier, as Trustee (hereinafter with her successor(s) in trust referred to as the “Anderson Trustee”), and not individually, of The Ray Anderson 2010 Family Trust U/A dated November 3, 2010 (hereinafter referred to as the “Family Trust”), Ray C. Anderson (“Employee” or the “Insured”), and Wells Fargo Bank, National Association (successor by merger to Wachovia Bank, National Association), as Trustee (hereinafter with its successor(s) in trust referred to as the “SCA Trustee”), and not individually, under that certain Trust Agreement dated October 17, 2005 for Certain Interface, Inc. Salary Continuation Agreements (hereinafter referred to as

SPLIT-DOLLAR AGREEMENT
Split-Dollar Agreement • April 1st, 2013 • iPayment Holdings, Inc • Services-business services, nec • New York

THIS AGREEMENT, entered into this 28 day of January, 2013 by and between iPayment, Inc. (“The Employer”), a corporation organized and existing under the laws of the State of Delaware, and the Monaco Family Irrevocable Insurance Trust, Dated April 14, 2011, John S. Erwin and Kurt N. Simon, trustees (“The Trust”).

SPLIT DOLLAR AGREEMENT
Split Dollar Agreement • March 21st, 2012 • Central Valley Community Bancorp • State commercial banks • California

This Second Amended Life Insurance Endorsement Method Split Dollar Agreement (the "Agreement") is made effective January 1, 2012, by and between Central Valley Community Bank (the "Bank") and David Kinross (the “Insured”), each a “Party” and together the “Parties.” This Agreement supersedes and amends in its entirety that certain Amended Life Insurance Endorsement Method Split Dollar Agreement by and between the Bank and the Insured, effective March 1, 2007 (the "Prior Agreement").

SPLIT-DOLLAR AGREEMENT
Split-Dollar Agreement • March 17th, 2008 • Imperial Capital Bancorp, Inc. • State commercial banks

THIS AGREEMENT effective October 15, 1996, by and between Imperial Thrift and Loan Association, a California Corporation (hereinafter called the "Bank"); and George W. Haligowski, (hereinafter called the "Employee");

ADDENDUM A PLUMAS BANK
Split Dollar Agreement • August 14th, 2002 • Plumas Bancorp • Blank checks • California
AMENDED LIFE INSURANCE ENDORSEMENT METHOD SPLIT DOLLAR AGREEMENT
Split Dollar Agreement • March 29th, 2007 • Central Valley Community Bancorp • State commercial banks • California

This Amended Life Insurance Endorsement Method Split Dollar Agreement (the “Agreement”) is made effective as of March 1, 2007, by and between Central Valley Community Bank (the “Bank”) and Tom Sommer (the “Insured”), each a “Party” and together the “Parties.” This Agreement supersedes and amends in its entirety that certain Life Insurance Endorsement Method Split Dollar Plan Agreement by and between the Bank and the Insured, effective June 7, 2000, as amended effective February 1, 2005 (collectively, the “Prior Agreement”).

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