EXHIBIT 10.2
First Citizens National Bank
Amended and Restated Split Dollar Agreement
This Amended and Restated Split Dollar Agreement (the "Agreement")
is adopted this ______ day of ______, 200__, by and between First
Citizens National Bank, a national commercial bank located in
Dyersburg, Tennessee (the "Bank"), and __________
("Executive").
This Agreement amends and restates the prior Split Dollar Plan
dated ________ in which the Executive participated and terminates
the split dollar insurance policy purchased by the Bank in the name
of the Executive according to the terms of the Executive Employment
Agreement dated ___________.
The purpose of this Agreement is to retain and reward the
Executive, by dividing the death proceeds of certain life insurance
policies, which are owned by the Bank on the life of the Executive
with the designated beneficiary of the Executive. The Bank
will pay the life insurance premiums from its general
assets.
Article 1
Definitions
Whenever used in this Agreement, the following terms shall have the
meanings specified:
1.1 "Bank's Interest" means the
benefit set forth in Section 2.1.
1.2 "Beneficiary" means each
designated person, or the estate of the deceased Executive,
entitled to benefits, if any, upon the death of the Executive.
1.3 "Beneficiary Designation
Form" means the form established from time to time by the Plan
Administrator that the Executive completes, signs and returns to
the Plan Administrator to designate one or more Beneficiaries.
1.4 "Board" means the Board of
Directors of the Bank as from time to time constituted.
1.5 "Code" means the Internal
Revenue Code of 1986, as amended.
1.6 "ERISA" means the Employee
Retirement Income Security Act of 1974, as amended.
1.7 "Executive's Interest" means
the benefit set forth in Section 2.2 and 2.3.
1.8 "Insurer" means the
insurance company or companies issuing the Policies on the life of
the Executive.
1.9 "Net Death Proceeds" means
the total death proceeds of the Policy minus the greater of (i) the
cash surrender value or (ii) the aggregate premiums paid by the
Bank.
1.10 "Normal Retirement Age" means age
sixty-five (65).
1.11 "Plan Administrator" means the plan
administrator described in Article 11.
1.12 "Policy" or "Policies" means the
individual insurance policy or policies adopted by the Bank for
purposes of insuring the Executive's life under this Agreement.
1.13 "Separation from Service" means the
Executive ceasing to be employed by the Bank for any reason other
than death.
Article 2
Policy Ownership/Interests
2.1 Bank's Interest.
The Bank shall own the Policies and shall have the right to
exercise all incidents of ownership. The Bank shall be the
beneficiary of the remaining death proceeds of the Policies after
the Executive's Interest is determined according to Section 2.2 or
2.3 below.
2.2 Executive's Interest -
Death prior to Separation from Service . In the event of
death prior to Separation from Service, the Executive, or the
Executive's assignee, shall have the right to designate the
Beneficiary of an amount of death proceeds equal to the lesser of
(i) __________________ or (ii) the Net Death Proceeds. The
Executive shall also have the right to elect and change settlement
options with respect to the Executive's Interest by providing
written notice to the Bank and the Insurer.
2.3 Executive's Interest -
Death after Separation from Service . In the event of
death after Separation from Service, the Executive, or the
Executive's assignee, shall have the right to designate the
Beneficiary of an amount of death proceeds equal to the lesser of
(i) _______________ or (ii) the Net Death Proceeds. The
Executive shall also have the right to elect and change settlement
options with respect to the Executive's Interest by providing
written notice to the Bank and the Insurer.
2.4 Forfeiture of
Benefit . The Executive will forfeit all benefits
hereunder if: (i) the Executive violates any of the provisions
detailed in Article 5 or (ii) the Executive provides written notice
to the Bank declining further participation in the Agreement.
2.5 Subject Plans or
Policies . The Executive's participation in the Agreement
shall replace his participation in any and all plans or policies
heretofore purchased or maintained by the Company to provide death
benefits for the executive or his assigns, not otherwise subject to
the Agreement, including but not limited to the split dollar
insurance policy purchased by the Bank in the name of the Executive
according to the terms of the Executive Employment Agreement dated
________.
Article
3
Comparable Coverage
3.1 Insurance Policies
. If the Executive is entitled to a benefit, the Bank may
provide such benefit through the Policies purchased at the
commencement of this Agreement, or may provide comparable insurance
coverage to the Executive. If the Executive waives or
forfeits his or her right to the benefit, the Bank may choose to
cancel the Policies on the Executive, or may continue such coverage
and become the direct beneficiary of the entire death proceeds.
3.2 Offer to Purchase
. If the Bank discontinues the Policies prior to Separation
from Service, the Bank shall give the Executive at least thirty
(30) days to purchase such Policies. The purchase price shall
be the fair market value of the Policies, as determined under
Treasury Reg. §1.61-22(g)(2) or any subsequent applicable
authority. The offer to purchase shall be in a written
instrument by the Bank to the Executive.
Article 4
Premiums and Imputed Income
4.1 Premium Payment
. The Bank shall pay all premiums due on all Policies.
4.2 Economic Benefit. The Bank shall
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
Beneficiary. The "life insurance premium factor" is the
minimum factor applicable under guidance published pursuant to
Treasury Reg. § 1.61-22(d)(3)(ii) or any subsequent
authority.
4.3 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 if applicable, Form 1099.
Article 5
General Limitations
5.1 Removal .
Notwithstanding any provision of this Agreement to the contrary,
the Executive's rights in the Agreement shall terminate if the
Executive is subject to a final removal or prohibition order issued
by an appropriate federal banking agency pursuant to Section 8(e)
of the Federal Deposit Insurance Act.
5.2 Suicide or Misstatement. No
benefits shall be payable if the Executive commits suicide within
two (2) years after the date of the Policy or Policies used to
support the benefits under this Agreement, or if the insurance
company denies coverage (i) for material misstatements of fact made
by the Executive on any application for life insurance purchased by
the Bank, or (ii) for any other reason; provided, however that the
Bank shall evaluate the reason for the denial, and upon advice of
legal counsel and in its sole discretion, consider judicially
challenging any denial.
5.3 Non-Compete if Separation from
Service occurs before Normal Retirement Age. The Executive
shall forfeit the benefits under this Agreement if the Executive
engages, either directly or indirectly, as an officer, director,
principal, agent, employee, stockholder, or otherwise in any
business that competes with or is otherwise similar to the business
conducted by the Bank for a period of five (5) years from
Separation from Service if Separation from Service occurs before
Normal Retirement Age.
5.4 Termination for
Cause . Notwithstanding any provision of this Agreement
to the contrary, the Bank shall not distribute any benefit under
this Agreement if the Executive's employment with the Bank is
terminated by the Bank or an applicable regulator due to a
Termination for Cause. For the purposes of this Agreement,
Termination for Cause shall be defined as (i) the conviction of the
Executive or the rendering of a final judgment against the
Executive by a court of competent jurisdiction which is not subject
to further appeal for the willful and continued failure by the
Executive to substantially perform his duties under this Agreement,
the Company's policies, or federal and/or state law (other than any
such failure resulting from his disability, as defined in an
employment agreement between Executive and the Company); which
breach of duty has materially adversely affected the safety and
soundness of the Company; or (ii) the Executive's conviction of a
felony which is not subject to further appeal. For purposes of this
subparagraph, no act, or failure to act, on the Executive's part
shall be considered "willful" unless done, or omitted to be done,
by him not in good faith and without reasonable belief that his
action or omission is in the best interest of the Company.
Article 6
Beneficiaries
6.1
Beneficiary . The
Executive shall have the right, at any time, to designate a
Beneficiary to receive any benefits payable under the Agreement
upon the death of the Executive. The Beneficiary
designatedunder this Agreement may be the same as or different from
the beneficiary designated under any other Agreement of the Bank in
which the Executive participates.
6.2 Beneficiary Designation;
Change . The Executive shall designate a Beneficiary by
completing and signing the Beneficiary Designation Form, and
delivering it to the Bank or its designated agent. The
Executive's beneficiary designation shall be deemed automatically
revoked if the Beneficiary predeceases the Executive or if the
Executive names a spouse as Beneficiary and the marriage is
subsequently dissolved. The Executive shall have the right to
change a Beneficiary by completing, signing and otherwise complying
with the terms of the Beneficiary Designation Form and the Bank's
rules and procedures, as in effect from time to time. Upon
the acceptance by the Bank of a new Beneficiary Designation Form,
all Beneficiary designations previously filed shall be
cancelled. The Bank shall be entitled to rely on the last
Beneficiary Designation Form filed by the Executive and accepted by
the Bank prior to the Executive's death.
6.3 Acknowledgment
. No designation or change in designation o