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[FORM OF] SPLIT DOLLAR INSURANCE AGREEMENT

Split Dollar Agreement

[FORM OF] SPLIT DOLLAR INSURANCE AGREEMENT | Document Parties: OBA FINANCIAL SERVICES, INC. You are currently viewing:
This Split Dollar Agreement involves

OBA FINANCIAL SERVICES, INC.

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Title: [FORM OF] SPLIT DOLLAR INSURANCE AGREEMENT
Governing Law: Maryland     Date: 9/14/2009

[FORM OF] SPLIT DOLLAR INSURANCE AGREEMENT, Parties: oba financial services  inc.
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Exhibit 10.3

[FORM OF]

SPLIT DOLLAR INSURANCE AGREEMENT

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”).

INTRODUCTION

WHEREAS , Employee is an officer or other highly paid employee of the Bank.

The Bank is the owner of insurance policy(ies) or policies shown on Schedule “1” attached hereto and incorporate herein by reference (hereinafter referred to as the “Insurance Policy(ies)(ies)”), with the life insurance company or companies shown on Schedule “1” (herein after referred to as the “Insurance Company” or “Insurer”), on the life of the Employee.

The Bank desires to induce Employee to continue to utilize his/her best efforts on behalf of the Bank by its payment of premiums due on the Insurance Policy(ies), and share with the employee the financial benefit the policy(ies) can achieve.

WHEREAS , the Bank is the owner of the Insurance Policy(ies) and wishes to endorse a portion of the death benefit of the policy(ies) to Employee.

NOW, THEREFORE , in consideration of the mutual covenants contained herein, it is agreed between the parties hereto as follows:

SECTION 1: OWNERSHIP OF INSURANCE :

The Bank is and shall continue to be owner of the Insurance Policy(ies), the Bank may exercise all the rights and ownership with respect to the Insurance Policy(ies), and the Bank possesses all incidence of ownership with respect to the Insurance Policy(ies), except as provided in Section 4 of this Agreement. The Insurance Policy(ies) is listed on Schedule “1” and OBA Bank may to the extent allowed by law substitute and/or change the Insurer so long as OBA Bank fully complies with the provisions of this Agreement to provide an Insurance Policy(ies) in the amount and on the terms of Schedule “1”.

SECTION 2: PAYMENT OF PREMIUMS :

The Bank shall pay each premium on the Insurance Policy(ies) to the Insurer on or before the due date of such premium or within the grace period allowed by the Insurance Policy(ies) for the payment of such premium. It is anticipated that the Insurance Policy(ies) will be a single premium modified endowment contract.


SECTION 3: RIGHTS OF OBA BANK :

Upon the occurrence of an event described in Section 5 of this Agreement, the Bank shall be entitled to receive an amount equal to all death benefits less those explicitly provided to the Employee’s beneficiary under Section 4 hereof (the “Bank’s Policy(ies) Interest”). The Bank’s Policy(ies) Interest shall be payable as provided in Section 5 of this Agreement. The Bank’s Policy(ies) Interest shall be reduced by any amount borrowed against the Insurance Policy(ies).

SECTION 4: RIGHT OF EMPLOYEE :

4.1 The Employee shall have the right to designate and change direct and contingent beneficiaries (collectively, the “Beneficiary”) of the Employee death benefits of the Insurance Policy(ies) (the “Employee Death Benefit”). The Employee Pre-Retirement Death Benefit shall be the lesser of (a) $_____ or (b) 100% of the Net Death Proceeds while employed by OBA Bank. Net Death Proceeds means the total death proceeds of the policy(ies)(


 
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