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AMENDED ENDORSEMENT SPLIT DOLLAR AGREEMENT

Split Dollar Agreement

AMENDED ENDORSEMENT SPLIT DOLLAR AGREEMENT | Document Parties: Midland National Life Insurance Company | Mountain 1st Bank & Trust Company You are currently viewing:
This Split Dollar Agreement involves

Midland National Life Insurance Company | Mountain 1st Bank & Trust Company

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Title: AMENDED ENDORSEMENT SPLIT DOLLAR AGREEMENT
Date: 2/2/2009

AMENDED ENDORSEMENT SPLIT DOLLAR AGREEMENT, Parties: midland national life insurance company , mountain 1st bank & trust company
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Exhibit 10.3

M OUNTAIN 1 ST B ANK  & T RUST C OMPANY

A MENDED E NDORSEMENT S PLIT D OLLAR A GREEMENT

This A MENDED E NDORSEMENT S PLIT D OLLAR A GREEMENT (this “Agreement”) is entered into as of this 30th day of January, 2009 by and between Mountain 1st Bank & Trust Company, a North Carolina-chartered bank (the “Bank”), and Gregory L. Gibson, an executive of the Bank (the “Executive”). This Agreement shall append the Split Dollar Policy Endorsement entered into on even date herewith or as subsequently amended, by and between the aforementioned parties.

W HEREAS , to encourage the Executive to remain a Bank employee, the Bank desires to enter this Agreement providing for division of the death proceeds of a life insurance policy on the Executive’s life, to be effective until the Executive’s employment terminates, and

W HEREAS , the Bank and the Executive intend that this Agreement shall supersede and replace in its entirety the December 24, 2007 Endorsement Split Dollar Agreement between the Executive and the Bank.

N OW T HEREFORE , in consideration of the foregoing premises and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows.

A RTICLE 1

G ENERAL D EFINITIONS

Capitalized terms not otherwise defined in this Agreement are used herein as defined in the Salary Continuation Agreement. The following terms shall have the meanings specified.

1.1 Administrator ” means the administrator described in Article 7.

1.2 Code ” means the Internal Revenue Code of 1986, as amended, and rules, regulations, and guidance of general application issued thereunder by the Department of the Treasury.

1.3 Executive’s Interest ” means the benefit set forth in section 2.2.

1.4 Insured ” means the Executive.

1.5 Insurer ” means each life insurance carrier for which there is a Split Dollar Policy Endorsement attached to this Agreement.

1.6 Net Death Proceeds ” means the total death proceeds of the Policy minus the cash surrender value.

1.7 Normal Retirement Age ” means the Executive’s full retirement age as defined at 20 C.F.R. 404.409 under the Social Security Act.

1.8 Policy ” means the specific life insurance policy or policies issued by the Insurer.


1.9 Salary Continuation Agreement ” means the March 26, 2008 Salary Continuation Agreement between the Executive and the Bank, as the same may be amended from time to time.

1.10 Separation from Service ” means a separation from service as defined in Code section 409A, including termination of the Executive’s service as an executive and independent contractor to the Bank and any member of a controlled group, as defined in Code section 414, for any reason other than because of a leave of absence approved by the Bank or the Executive’s death.

1.11 Split Dollar Policy Endorsement ” means the form required by the Administrator or the Insurer to indicate the Executive’s interest, if any, in a Policy on the Executive’s life.

A RTICLE 2

P OLICY O WNERSHIP /I NTERESTS

2.1 Bank Ownership . The Bank is the sole owner of the Policy and shall have the right to exercise all incidents of ownership, except that the Bank shall not sell, surrender, or transfer ownership of a Policy without the Insured’s consent so long as the Insured has an interest in the Policy as described in section 2.2. The Bank shall be the beneficiary of the remaining death proceeds of the Policy after the Executive’s interest is paid according to section 2.2 below.

2.2 Death Benefit . Provided the Executive’s death occurs both before the Executive’s Separation from Service and before the Executive attains Normal Retirement Age, at the Executive’s death the Executive’s beneficiary designated in accordance with the Split Dollar Policy Endorsement shall be entitled to Policy proceeds in an amount equal to the lesser of ( x ) 100% of the Net Death Proceeds or ( y ) $1,250,000 (the “Executive’s Interest”). The Executive shall have the right to designate the beneficiary of the Executive’s Interest. On the earlier of the date of the Executive’s Separation from Service or the date on which the Executive attains Normal Retirement Age, the Executive’s Interest shall be extinguished, this Agreement shall terminate, and the Executive’s beneficiary shall be entitled to no benefits under this Agreement for the Executive’s death occurring thereafter.

2.3 Option to Purchase . The Bank shall not sell, surrender, or transfer ownership of the Policy before the earlier of the date of the Executive’s Separation from Service or the date on which the Executive attains Normal Retirement Age without first giving the Executive or the Executive’s transferee the option for a period of 60 days to purchase the Policy. The purchase price shall be an amount equal to the Policy cash surrender value. The option to purchase the Policy shall lapse if not exercised within 60 days after the date the Bank gives written notice of the Bank’s intention to sell, surrender, or transfer ownership of the Policy. This provision shall not impair the Bank’s rights to terminate this Agreement.

2.4 Comparable Coverage . The Bank shall maintain the Policy in full force and effect. The Bank may not amend, terminate, or otherwise abrogate the Executive’s interest in the Policy before the earlier of the date of the Executive’s Separation from Service or the date on which the Executive attains Normal Retirement Age unless the Bank replaces the Policy with a comparable insurance policy to cover the benefit provided under this Agreement and executes a new split dollar agreement and endorsement for the comparable insurance policy. The Policy or any comparable policy shall be subject to claims of the Bank’s creditors.

2.5 Internal Revenue Code Section 1035 Exchanges . The Executive recognizes and agrees that the Bank may after this Agreement is adopted wish to exchange the Policy of life insurance on the Executive’s life for another contract of life insurance insuring the Executive’s life. Provided that the Policy

 

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is replaced (or intended to be replaced) with a comparable policy of life insurance, the Executive agrees to provide medical information and cooperate with medical insurance-related testing required by a prospective insurer for implementing the Policy or, if necessary, for modifying or updating to a comparable insurer.

A RTICLE 3

P REMIUMS

3.1 Premium Payment . The Bank shall pay any premiums due on the Policy.

3.2 Economic Benefit . The Administrator shall annually determine the economic benefit attributable to the Executive based on the life insurance premium factor for the Executive’s age multiplied by the aggregate death benefit payable to the Executive’s beneficiary. The “life insurance premium factor” is the minimum factor applicable under guidance published pursuant to Treasury Reg. section 1.61-22(d)(3)(ii) or any subsequent authority.

3.3 Imputed Income . The Bank shall impute the economic benefit to the Executive on an annual basis, by adding the economic benefit to the Executive’s W-2 or Form 1099, as appropriate.

A RTICLE 4

A SSIGNMENT

The Executive may irrevocably assign without consideration all of the Executive’s Interest in the Policy and in this Agreement to any person, entity, or trust established by the Executive or the Executive’s spouse. If the Executive transfers all of the Executive’s Interest in the Policy, all of the Executive’s Interest in the Policy and in the Agreement shall be vested in the Executive’s transferee, who shall be substituted as a party hereunder and the Executive shall have no further interest in this Agreement.

A RTICLE 5

I NSURER

The Insurer shall be bound by the terms of the Policy only. Any payments the Insurer makes or actions it takes in accordance with the Policy shall fully discharge it from all claims, suits, and demands of all entities or persons. The Insurer shall not be bound by or be deemed to have notice of the provisions of this Agreement.

A RTICLE 6

C LAIMS AND R EVIEW P ROCEDURES

6.1 Claims Procedure . Any person or entity who has not received benefits under this Agreement that he or she believes should be paid (the “claimant”) shall make a claim for benefits as follows –

6.1.1 Initiation – written claim . The claimant initiates a claim by submitting to the Administrator a written claim for the benefits. If the claim relates to the contents of a notice received by the claimant, the claim must be made within 60 days after the notice was received by the claimant. All other claims must be made within 180 days after the date of the event that caused the claim to arise. The claim must state with particularity the determination desired by the claimant.

 

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6.1.2 Timing of Administrator response . The Administrator shall respond to the claimant within 90 days after receiving the claim. If the Administrator determines that special circumstances require additional time for processing the claim, the Administrator can extend the response period by an additional 90 days by notifying the claimant in writing, before the end of the initial 90-day period, that an additional period is required. The notice of extension must set forth the special circumstances and the date by which the Administrator expects to render its decision.

6.1.3 Notice of decision . If the Administrator denies part or all of the claim, the Administrator shall notify the claimant in writing of the denial. The Administrator shall write the notification in a manner calculated to be understood by the claimant. The notification


 
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