Split Dollar Insurance Agreement Sample Contracts

ARTICLE I
Split Dollar Insurance Agreement • March 31st, 2005 • Ems Technologies Inc • Radio & tv broadcasting & communications equipment • Georgia
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SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • October 15th, 2008 • Jo-Ann Stores Inc • Retail-miscellaneous shopping goods stores

THIS AGREEMENT made this 15th of October 2008 , by and between JO-ANN STORES, INC., an Ohio corporation (the “Company”) and Kenneth Haverkost (the “Employee”),

Split-Dollar Insurance Agreement
Split-Dollar Insurance Agreement • November 13th, 2008 • Valley Financial Corp /Va/ • Savings institution, federally chartered • Virginia

This Agreement is entered into this 12th day of November 2008, by and between Valley Bank, a Virginia banking corporation (“Valley Bank”) and Kimberly B. Snyder (“Employee”);

RECITALS:
Split-Dollar Insurance Agreement • August 30th, 2000 • Telect Inc
SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • March 16th, 2007 • Abington Community Bancorp, Inc. • Savings institutions, not federally chartered • Pennsylvania

2005, by and between Abington Bank, a Pennsylvania banking corporation, located in Jenkintown, PA (the “Bank”), and ____________, an employee of Abington Bank, residing at __________________________ (hereinafter referred to as the “Employee”).

Amendment to Split Dollar Insurance Agreement
Split Dollar Insurance Agreement • May 12th, 2008 • Valley Financial Corp /Va/ • Savings institution, federally chartered

This Amendment (“Amendment”) to Split Dollar Insurance Agreement is dated as of the 31st day of January, 2008, by and between Valley Bank, a Virginia banking corporation (“Valley Bank”) and Ellis L. Gutshall (“Employee”);

SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • March 5th, 2008 • Bancinsurance Corp • Fire, marine & casualty insurance • Ohio

This Agreement is entered into at Columbus, Ohio, this 20th day of June, 1994, between BANCINSURANCE CORPORATION, a corporation organized and existing under the laws of the State of Ohio (hereinafter called “Employer”), and FIFTH THIRD BANK OF COLUMBUS, as Trustee of the Si and Barbara K. Sokol Irrevocable Trust dated May 6, 1994 (hereinafter called “Trust”).

Split Dollar Insurance Arrangement
Split Dollar Insurance Agreement • November 1st, 2002 • McRae Industries Inc • Computer peripheral equipment, nec • North Carolina

As part of the compensation paid to the Company’s former President, Branson J. McRae, the Company entered into a split dollar insurance arrangement with Mr. McRae pursuant to which the Company agreed to pay the annual premiums on several life insurance policies, with a total face amount of $5 million, covering the lives of Mr. McRae and his wife, Mrs. Lorraine H. McRae. Under the terms of this arrangement, Mr. McRae was entitled to name the owners of the policies and upon the death of both of Mr. and Mrs. McRae the Company is entitled to a portion of the death benefits payable under the policies not to exceed the greater of (i) the cash surrender value of the policies and (2) the cumulative premiums paid by the Company on the policies. Mr. McRae died in February 1997. Mrs. McRae is currently 80 years old. Mr. and Mrs. McRae’s four children, including D. Gary McRae and James W. McRae, each of whom is a director and executive officer of the Company, were named the initial owners and bene

SPLIT-DOLLAR INSURANCE AGREEMENT (Collateral Assignment)
Split-Dollar Insurance Agreement • February 24th, 2011 • Gulfmark Offshore Inc • Oil & gas field machinery & equipment • Louisiana

THIS AGREEMENT is entered into this 1st day of January, 2000, effective as of January 1, 2000, by and between GM Offshore, Inc., a Delaware corporation, hereinafter call “the Company,” and John E. Leech, hereinafter call “Employee.”

SPLIT DOLLAR INSURANCE AGREEMENT ENDORSEMENT METHOD
Split Dollar Insurance Agreement • August 2nd, 2016 • Huttig Building Products Inc • Wholesale-lumber & other construction materials • Missouri

This Agreement is entered into this 18th day of May, 2016 by and between Huttig Building Products, Inc., hereafter called the "Company," and Jon P. Vrabely, hereafter called the "Executive."

SPLIT-DOLLAR INSURANCE AGREEMENT (Collateral Assignment)
Split-Dollar Insurance Agreement • February 24th, 2011 • Gulfmark Offshore Inc • Oil & gas field machinery & equipment • Louisiana

THIS AGREEMENT is entered into this 1st day of January, 2000, effective as of January 1, 2000, by and between GM Offshore, Inc., a Delaware corporation, hereinafter call “the Company,” and Bruce A. Streeter hereinafter call “Employee.”

FORM OF SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • February 29th, 2012 • Susquehanna Bancshares Inc • National commercial banks • Pennsylvania

THIS AGREEMENT, is made and entered into this 8th day of November, 2007, by and between Abington Bank, a Pennsylvania banking corporation, located in Jenkintown, PA (the “Bank”), and , an employee of Abington Bank, residing at . (hereinafter referred to as the “Employee”).

SPLIT-DOLLAR INSURANCE AGREEMENT (Endorsement Method)
Split-Dollar Insurance Agreement • April 11th, 2008 • Lithia Motors Inc • Retail-auto dealers & gasoline stations

This is an Agreement between Lithia Motors, Inc., an Oregon corporation, (the “Employer”), and Sidney B. DeBoer, (the “Employee”) dated effective December 20, 2007.

AMENDMENT TO SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • January 2nd, 2009 • Interface Inc • Carpets & rugs

This Amendment to Split Dollar Insurance Agreement (this “Amendment”) is made and entered into on the 29 day of December, 2008, by and between DANIEL T. HENDRIX (hereinafter called “Employee”) and INTERFACE, INC. (hereinafter called “Employer”).

Composite Form of SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • July 17th, 2006 • Aar Corp • Aircraft & parts • Illinois

This Split Dollar Agreement (the “Agreement”) is made and entered into as of the day of , by and between AAR CORP., a corporation duly organized and existing under the laws of the State of Delaware (the “Corporation”) and (the “Employee”).

SPLIT-DOLLAR INSURANCE AGREEMENT
Split-Dollar Insurance Agreement • December 24th, 2015 • Westbury Bancorp, Inc. • State commercial banks • Wisconsin

THIS AGREEMENT made and entered into this 18th day of December, 2015, between WESTBURY BANK, a corporation with its principal office located in the State of Wisconsin (hereinafter referred to as the "Employer"), and GREG J. REMUS, (hereinafter referred to as the "Employee").

SAMPLE ENDORSEMENT METHOD SPLIT-DOLLAR INSURANCE AGREEMENT (Employer-Pay-All Agreement)
Split-Dollar Insurance Agreement • May 4th, 2006 • Encore Capital Group Inc • Short-term business credit institutions

This Agreement, entered into this day of , 20 , by and between Midland Credit Management, Inc, hereafter called the “Employer,” and (Name) , hereafter called the “Employee,” WITNESSETH:

FORM OF RESTATED SPLIT-DOLLAR INSURANCE AGREEMENT
Split-Dollar Insurance Agreement • January 12th, 2009 • Hurco Companies Inc • Industrial instruments for measurement, display, and control

THIS RESTATED AGREEMENT is entered into as of this 31st day of December, 2008, by and between Hurco Companies, Inc., an Indiana corporation (the "Employer"), and ________________, (the "Employee").

SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • March 14th, 2013 • Republic Bancorp Inc /Ky/ • State commercial banks • Kentucky

THIS AGREEMENT is entered into this 14th day December, 1989, by and between REPUBLIC SAVINGS BANK, F.S.B., a Federally Chartered Savings Bank, Benton, Kentucky (hereinafter called "Employer"), and CITIZENS FIDELITY BANK AND TRUST COMPANY AS TRUSTEE OF THE BERNARD TRAGER IRREVOCABLE TRUST (hereinafter "Trust").

COMMUNITY BANK SPLIT DOLLAR INSURANCE AGREEMENT Economic Benefit Regime – Endorsement method
Split Dollar Insurance Agreement • November 6th, 2020 • CB Financial Services, Inc. • State commercial banks • Pennsylvania

This Split Dollar Life Agreement (the “Agreement”) is entered into as of this 2nd day of November, 2020, by and between Community Bank, a Pennsylvania-chartered bank (the “Bank”) and John H. Montgomery (“Executive”).

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FORM OF SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • March 31st, 2015 • Eastern Virginia Bankshares Inc • State commercial banks • Virginia

THIS AGREEMENT made and entered into this first day of _____________, ____, by and between EVB, a Virginia corporation, with principal offices and place of business in the Commonwealth of Virginia (hereinafter referred to as the “Corporation”), and ______________________________, an individual residing in the Commonwealth of Virginia (hereinafter referred to as the “Employee”), recites and provides as follows:

Amendment to Split Dollar Insurance Agreement
Split Dollar Insurance Agreement • May 12th, 2008 • Valley Financial Corp /Va/ • Savings institution, federally chartered

This Amendment (“Amendment”) to Split Dollar Insurance Agreement is dated as of the 31st day of January, 2008, by and between Valley Bank, a Virginia banking corporation (“Valley Bank”) and A. Wayne Lewis (“Employee”);

FORM OF] SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • September 14th, 2009 • OBA Financial Services, Inc. • Maryland

THIS AGREEMENT, is made and entered into this _____ day of August, 2008, by and between The OBA Bank, a Maryland banking association, located in Germantown, Maryland (the “Bank”), and _____________, an employee of OBA Bank, residing at ____________________________________ (hereinafter referred to as the “Employee”).

SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • December 16th, 2002 • National Fuel Gas Co • Natural gas distribution • New York

WHEREAS, National Fuel Gas Company (hereinafter, with any of its subsidiaries, collectively called the “Company”), in recognition of the highly valued services of James A. Beck (hereinafter called the “Executive”), the Executive’s importance to the success of the Company, and the need of Executive’s family for financial security in the event of Executive’s death, has authorized the adoption of a split dollar insurance agreement benefiting the Executive; and

SPLIT-DOLLAR INSURANCE AGREEMENT (Endorsement Method)
Split-Dollar Insurance Agreement • April 22nd, 2008 • Umpqua Holdings Corp • Savings institution, federally chartered

This is an Agreement between Umpqua Holdings Corporation, an Oregon corporation and Umpqua Bank, an Oregon state chartered bank, (collectively the "Employer"), and Raymond P. Davis, (the "Executive") dated effective April 16, 2008.

SPLIT-DOLLAR INSURANCE AGREEMENT
Split-Dollar Insurance Agreement • September 13th, 2007 • Immunomedics Inc • In vitro & in vivo diagnostic substances • New Jersey

This Agreement made this 2nd day of April, 1992, among IMMUNOMEDICS, INC., a Delaware corporation, 150 Mt. Bethel Road, Warren, New Jersey 07060 (hereinafter called the “Corporation”), and Eva J. Goldenberg, Deborah S. Goldenberg, Denis C. Goldenberg and Neil A. Goldenberg, the Trustees of the David M. and Hildegard Goldenberg Irrevocable Insurance Trust dated January 21, 1992 (hereinafter called the “Trustees”).

SPLIT-DOLLAR INSURANCE AGREEMENT
Split-Dollar Insurance Agreement • September 13th, 2007 • Immunomedics Inc • In vitro & in vivo diagnostic substances • New Jersey

This Agreement made this 19th day of SEPTEMBER, 1994, among IMMUNOMEDICS, INC., a Delaware Corporation, 300 American Road, Morris Plains, New Jersey 07950 (hereinafter called the “Corporation”), and EVA J. GOLDENBERG, DEBORAH S. GOLDENBERG, DENIS C. GOLDENBERG, NEIL A. GOLDENBERG and LEE R. GOLDENBERG, as Trustees of the DAVID M. GOLDENBERG INSURANCE TRUST dated August 5, 1994 (hereinafter called the “Trustees”).

SPLIT DOLLAR INSURANCE AGREEMENT (Endorsement Method)
Split Dollar Insurance Agreement • May 7th, 2010 • Bank of the Ozarks Inc • State commercial banks

This Split Dollar Insurance Agreement (the “Agreement”) is effective as of the 4th day of May, 2010 by and among BANK OF THE OZARKS, an Arkansas state chartered commercial bank, (the “Employer”) and its Chairman of the Board and Chief Executive Officer, George G. Gleason, II (the “Insured”).

AMENDMENT TO SPLIT-DOLLAR INSURANCE AGREEMENT
Split-Dollar Insurance Agreement • November 24th, 2004 • Hurco Companies Inc • Industrial instruments for measurement, display, and control

This Amendment to Split-Dollar Insurance Agreement ("Amendment") is entered into by and between Hurco Companies, Inc. (the "Employer"), and Roger J. Wolf (the "Employee").

FIRST AMENDMENT TO SPLIT DOLLAR INSURANCE AGREEMENT
Split Dollar Insurance Agreement • September 27th, 2002 • Speizman Industries Inc • Wholesale-industrial machinery & equipment
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