**EXHIBIT (10)(viii)**

 

**EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN**

 

**AGREEMENT**

 

**THIS AGREEMENT** is made and entered into this 27th day of June, 2003, by and between the Home Savings Bank of Albemarle, SSB, a bank organized and existing under the laws of the State of North Carolina (hereinafter referred to as the“Bank”), and R. Ronald Swanner, an Executive of the Bank (hereinafter referred to as the “Executive”). 

 

**WHEREAS**, the Executive is now in the employ of the Bank and has for many years faithfully served the Bank. It is the consensus of the Board ofDirectors (hereinafter referred to as the “Board”) that the Executive’s services have been of exceptional merit, in excess of the compensation paid and an invaluable contribution to the profits and position of the Bank in its field ofactivity. The Board further believes that the Executive’s experience, knowledge of corporate affairs, reputation and industry contacts are of such value, and the Executive’s continued services so essential to the Bank’s future growthand profits, that it would suffer severe financial loss should the Executive terminate their services; 

 

**ACCORDINGLY**, the Board has adopted the Home Savings Bank of Albemarle, SSB Executive Supplemental Retirement Plan (hereinafter referred to as the“Executive Plan”) and it is the desire of the Bank and the Executive to enter into this Agreement under which the Bank will agree to make certain payments to the Executive upon the Executive’s retirement or to the Executive’sbeneficiary(ies) in the event of the Executive’s death pursuant to the Executive Plan; 

 

**FURTHERMORE**, it is the intent of the parties hereto that this Executive Plan be considered an unfunded arrangement maintained primarily to provide supplemental retirement benefits for the Executive, and beconsidered a non-qualified benefit plan for purposes of the Employee Retirement Income Security Act of 1974, as amended (“ERISA”). The Executive is fully advised of the Bank’s financial status and has had substantial input in thedesign and operation of this benefit plan; and 

 

**WHEREAS**,the Bank and the Executive are parties to a Retirement Payment Agreement dated October of 1985 between Home Savings Bank of Albemarle, SSB and R. Ronald Swanner that provides for the payment of certain benefits. This Executive SupplementalRetirement Plan Agreement and the benefits provided hereunder shall replace and supercede the existing Retirement Payment Agreement and the benefits provided thereby; 

**NOW THEREFORE**, in consideration of services the Executive has performed in the past and those tobe performed in the future, and based upon the mutual promises and covenants herein contained, the Bank and the Executive agree as follows: 

 
**I.****DEFINITIONS**
 
 A.Effective Date: 
 

The Effective Date of the Executive Plan shall be February 18, 2003. 

 
 B.Plan Year: 
 

Any reference to the “Plan Year” shall mean a calendar year from January 1st to December 31st. In the year of implementation, the term“Plan Year” shall mean the period from the Effective Date to December 31st of the year of the Effective Date. 

 
 C.Retirement Date: 
 

Retirement Date shall mean retirement from service with the Bank that becomes effective on the first day of the calendar month following the month inwhich the Executive reaches age sixty-five (65) or such later date as the Executive may actually retire. 

 
 D.Early Retirement Date: 
 

Early Retirement Date shall mean a retirement from service which is effective prior to the Normal Retirement Age stated herein, provided the Executivehas attained age sixty (60). 

 
 E.Termination of Service: 
 

Termination of Service shall mean the Executive’s voluntary resignation of service by the Executive or the Bank’s discharge of the Executivewithout cause, prior to the Early Retirement Date (Subparagraph I [D]). 

 
 F.Index Retirement Benefit: 
 

The Index Retirement Benefit for each Executive in the Executive Plan for each Plan Year shall be equal to the excess (if any) of the Index (SubparagraphI [G]) for that Plan Year over the Opportunity Cost (Subparagraph I [H]) for that Plan Year, divided by a factor equal to 1.00 minus the marginal tax rate.**

 

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 G.Index: 
 

The Index for any Plan Year shall be the aggregate annual after-tax income from the life insurance contract(s) described hereinafter as defined by FASBTechnical Bulletin 85-4. This Index shall be applied as if such insurance contract(s) were purchased on the Effective Date of the Executive Plan. 

 

Insurance Company:
 
Mass Mutual Life Insurance Company

Policy Form:
 
Flexible Premium Adjustable Life

Policy Name:
 
Strategic Life Executive

Insured’s Age and Sex:
 
55, Male

Riders:
 
None

Ratings:
 
None

Option:
 
Level

Face Amount:
 
$927,027

Premiums Paid:
 
$423,300

Number of Premium Payments:
 
Single

Assumed Purchase Date:
 
February 18, 2003

Insurance Company:
 
New York Life Insurance Company

Policy Form:
 
Flexible Premium Adjustable Life

Policy Name:
 
Strategic Life Executive

Insured’s Age and Sex:
 
55, Male

Riders:
 
None

Ratings:
 
None

Option:
 
Level

Face Amount:
 
$1,022,554

Premiums Paid:
 
$423,200

Number of Premium Payments:
 
Single

Assumed Purchase Date:
 
February 18, 2003

 

If such contracts oflife insurance are actually purchased by the Bank, then the actual policies as of the dates they were actually purchased shall be used in calculations under this Executive Plan. If such contracts of life insurance are not purchased or aresubsequently surrendered or lapsed, then the Bank shall receive annual policy illustrations that assume the above-described policies were purchased or had not subsequently surrendered or lapsed. Said illustration shall be received from therespective insurance companies and will indicate the increase in policy values for purposes of calculating the amount of the Index. 

 

In either case, references to the life insurance contracts are merely for purposes of calculating a benefit. The Bank has no obligation to purchase suchlife insurance and, if purchased, the Executive and the Executive’s beneficiary(ies) shall have no ownership interest in such policy and shall always have no greater interest in the benefits under this Executive Plan than that of an unsecuredcreditor of the Bank. 

 
 H.Opportunity Cost: 
 

The Opportunity Cost for any Plan Year shall be calculated by taking the 

 

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sum of the amount of premiums for the life insurance policies described in the definition of“Index” plus the amount of any after-tax benefits paid to the Executive pursuant to the Executive Plan (Paragraph II hereinafter) plus the amount of all previous years’ after-tax Opportunity Cost, and multiplying that sum by thegreater of either: (i) the average after tax yield of a one-year Treasury bill; or (ii) the Bank’s annualized after tax cost of funds as calculated from the Bank’s third quarter call report. 

 
 I**.******Change of Control: 
 

Change of Control means the cumulative transfer of more than fifty percent (50%) of the voting stock of the Bank from the Effective Date of thisExecutive Plan. For the purposes of this Executive Plan, transfers on account of deaths or gifts, transfers between family members or transfers to a qualified retirement plan maintained by the Bank shall not be considered in determining whetherthere has been a Change of Control. 

 
 J.Normal Retirement Age: 
 

Normal Retirement Age shall mean the date on which the Executive attains age sixty-five (65). 

 
 K.Benefit Accounting: 
 

The Bank shall account for the benefit provided herein using the regulatory accounting principles of the Bank’s primary federal regulator. The Bankshall establish an accrued liability retirement account for the Executive into which appropriate reserves shall be accrued. On the date of this agreement, said account shall have a pre-existing liability balance of One Hundred Ten Thousand FiveHundred and 00/100ths Dollars ($110,500.00). 

 
**II.****INDEX BENEFITS**
 
 A.Retirement Benefits: 
 

Subject to Subparagraph II (E) hereinafter, an Executive who remains in the employ of the Bank until the Normal Retirement Age (Subparagraph I [J]) shallbe entitled to receive an annual benefit amount equal to the amount set forth in Exhibit A-1. Said payments shall be made monthly and shall commence thirty (30) days following the Executive’s retirement and shall continue until the Executiveattains age seventy-seven (77). Upon completion of the aforestated payments and commencing subsequent thereto and subject to Subparagraph II (A) (i) hereinbelow, the Index Retirement Benefit (Subparagraph I [F]) for each Plan Year subsequent to theyear in which the Executive attains age seventy-seven (77), and including the remaining portion of the Plan Year in which the Executive attains age seventy-seven (77) shall be paid to the Executive until the Executive’s death. 

 

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 (i)The Index Retirement Benefit Adjustment: 
 

The Index Retirement Benefit payment as set forth hereinabove for the first Plan Year subsequent to the Executive attaining age seventy-seven (77) shallbe adjusted according to a number equal to the aggregate of the Index Retirement Benefit (Subparagraph I [F]) for each Plan Year from the Effective Date of this agreement until the Plan Year subsequent to the Executive attaining age seventy-seven(77) over the aggregate of the benefit payments the Executive actually received under the terms of this Executive Plan through that date. For example, if the Executive retires at age sixty-five (65) and the aggregate annual benefits received by theExecutive until the Plan Year the Executive attains age seventy-seven (77) were $900,000.00, and the aggregate Index Retirement Benefits for each Plan Year from the Effective Date of this agreement to the Plan Year the Executive’sattains age seventy-seven (77) were $1,000,000.00 then the Executive’s Index Retirement Benefit in the first Plan Year said payment is payable to the Executive would be increased by $100,000.00. If said number is a deficit, thenthe Index Retirement Benefit for the Plan Year when the Executive attains age seventy-seven (77) and each subsequent Plan Year’s benefit (if necessary) shall be reduced until the entire deficit has been recovered by the Bank. For each yearthereafter, the Index Retirement Benefit payment shall be paid as set forth in Subparagraph I (E). For example, if the Executive retires at age sixty-five (65) and the aggregate annual benefits to be received by the Executive until the Plan Year theExecutive attains age seventy-seven (77) were $1,000,000.00, and the aggregate Index Retirement Benefits for each Plan Year from the Effective Date of this agreement to the Plan Year the Executive attains age seventy-seven (77) were$900,000.00 and the Executive’s Index Retirement Benefit was $90,000.00 in the first year, then the Executive would not receive any Index Retirement Benefit in the first year, and the second years’ Index Retirement benefitwould be reduced by $10,000.00. 

 
 B.Early Retirement: 
 

Subject to Subparagraph II (E), should the Executive elect Early Retirement or be discharged without cause by the Bank subsequent to the Early RetirementDate [Subparagraph I (D)], the Executive shall be entitled to receive the annual benefit set forth in Exhibit A-2 reduced by the full number of years the Executive retires early prior to Normal 

 

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Retirement Age, times ten percent (10%). [For example, if Executive retires at age 61, the annualbenefit set forth in Exhibit A-2 shall be reduced by forty percent (40%): 61-65 = 4 x 10 = 40%]. Said payments shall be made monthly and shall commence thirty (30) days following the Executive’s early retirement and shall continue until theExecutive attains age seventy-seven (77). Upon completion of the aforestated payments and commencing subsequent thereto and subject to Subparagraph II (A) (i) hereinabove, the vested percentage set forth hereinabove of the Index Retirement Benefitfor each Plan Year subsequent to the year in which the Executive attains age seventy-seven (77), and including the remaining portion of the Plan Year in which the Executive attains age seventy-seven (77), shall be paid to the Executive until theExecutive’s death. 

 
 C.Termination of Service: 
 

Subject to Subparagraph II (E), should an Executive suffer a Termination of Service the Executive shall be entitled to receive the percentage set forthhereinbelow that corresponds to number of full years of employment from date of first employment and age of Executive while employed by the Bank only, to a maximum of eighty percent (80%), of the accrued liability account balance. Said paymentsshall be made monthly and shall commence thirty (30) days following the Executive’s Normal Retirement Age (Subparagraph I [J] and shall continue until the Executive attains age seventy-seven (77). Upon completion of the aforestated payments andcommencing subsequent thereto and subject to Subparagraph II (A) (i) hereinabove the Index Retirement Benefit for each Plan Year subsequent to the year in which the Executive attains age seventy-seven (77), and including the remaining portion of thePlan Year in which the Executive attains age seventy-seven (77), shall be paid to the Executive until the Executive’s death. 

 

**Number of full years from**

**date of firstemployment**
 
**Vested percent**

1-16 or more and less than 60

while employed by Bank only
 
5% per year

to a maximum of 80%

Age 60 or older while

employed by Bank
 
100% and

Subparagraph II (B) applies

 
 D.Death: 
 

If the Executive dies while there is a balance in the Executive’s accrued liability retirement account, then the unpaid balance shall be paid in alump sum to the individual or individuals designated in writing by the Executive and filed with the Bank. In the absence of or a failure to designate a beneficiary, the unpaid balance shall be paid in a lump sum to the personal representative of theExecutive’s estate. If, upon death, the 

 

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Executive shall have received the total balance of the Executive’s accrued liability retirementaccount, then no further benefit shall be due hereunder. In any event, upon the death of the Executive, the Executive’s beneficiary shall not be entitled to receive any Index Retirement Benefit. 

 
 E.Discharge for Cause: 
 

Should the Executive be Discharged for Cause at any time, all benefits under this Executive Plan shall be forfeited. The term “for cause” shallmean any of the following that result in an adverse effect on the Bank: (i) gross negligence or gross neglect; (ii) the commission of a felony or gross misdemeanor involving moral turpitude, fraud, or dishonesty; (iii) the willful violation of anylaw, rule, or regulation (other than a traffic violation or similar offense); (iv) an intentional failure to perform stated duties; or (v) a breach of fiduciary duty involving personal profit. If a dispute arises as to discharge “forcause,” such dispute shall be resolved by arbitration as set forth in this Executive Plan. 

 
 E.Disability Benefit: 
 

In the event that there is a finding of any qualified period of disability for the Executive, the Bank will pay the Executive a reduced benefit. Thisreduced benefit shall be calculated by accruing interest on the existing liability balance (at the time of disability) for the benefit of the Executive at seven and one-half percent (7.5%) until Normal Retirement Age. At Normal Retirement Age theBank shall pay out the liability balance (plus interest that will be accrued at seven and one-half percent (7.5%) after Normal Retirement Age) in twelve (12) equal installments. If death occurs subsequent to a disability, the benefit will be paid inaccordance with Section II (D). 

 

An Executive is consideredunder a Period of Disability only if s/he has a condition that satisfies the definition of disability as defined in the Mass Mutual disability policy purchased by the Bank in conjunction with the implementation of this benefit agreement. If the Bankhas no such policy, the Executive will be considered to be disabled based on the definition of disability in the Bank’s long-term group disability policy. If there is a dispute regarding whether the Executive is disabled, such dispute shall beresolved by a physician selected by the Bank and such resolution shall be binding upon all parties to this Agreement. 

 

If the Executive is under a Period of Disability on the date that s/he reaches Normal Retirement Age, this agreement shall automatically terminate andthe Executive shall not be entitled to any further benefits under this Agreement. 

 

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If the Period of Disability ends prior to Normal Retirement Age and the Executive has an actual returnof employment at the Bank, the Bank will pay the Executive a reduced retirement benefit amount. The retirement benefit amount shall be reduced by the twelve (12) year annual annuity that would be payable at Normal Retirement Age from the Trustassuming the trust assets earned a net rate of two and four tenths percent (2.4%) annually starting from the date of the existence of said Trust. 

 
 G.Death Benefit: 
 

Except as set forth above, there is no death benefit provided under this Agreement. 

 
**III.****RESTRICTIONS UPON FUNDING**
 

The Bank shall have no obligation to set aside, earmark or entrust any fund or money with which to pay its obligations under this Executive Plan. TheExecutive, their beneficiary(ies), or any successor in interest shall be and remain simply a general creditor of the Bank in the same manner as any other creditor having a general claim for matured and unpaid compensation. 

 

The Bank reserves the absolute right, at its sole discretion, to either fundthe obligations undertaken by this Executive Plan or to refrain from funding the same and to determine the extent, nature and method of such funding. Should the Bank elect to fund this Executive Plan, in whole or in part, through the purchase oflife insurance, mutual funds, disability policies or annuities, the Bank reserves the absolute right, in its sole discretion, to terminate such funding at any time, in whole or in part. At no time shall any Executive be deemed to have any lien norright, title or interest in or to any specific funding investment or to any assets of the Bank. 

 

If the Bank elects to invest in a life insurance, disability or annuity policy upon the life of the Executive, then the Executive shall assist the Bank byfreely submitting to a physical exam and supplying such additional information necessary to obtain such insurance or annuities. 

 
**IV.****CHANGE OF CONTROL**
 

Upon a Change of Control (Subparagraph I [I]), if the Executive subsequently suffers a Termination of Service (Subparagraph I [E]), then the Executiveshall receive the benefits promised in this Executive Plan upon attaining Normal Retirement Age, as if the Executive had been continuously employed by the Bank until the Executive’s Normal Retirement Age. The Executive will also remain eligiblefor all promised death benefits in this Executive Plan. In addition, no sale, merger, or consolidation of the Bank shall take place unless the new or surviving entity expressly acknowledges the obligations under this Executive Plan and agrees toabide by its terms. 

 

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**V.****MISCELLANEOUS**
 
 A.Alienability and Assignment Prohibition: 
 

Neither the Executive, nor the Executive’s surviving spouse, nor any other beneficiary(ies) under this Executive Plan shall have any power or rightto transfer, assign, anticipate, hypothecate, mortgage, commute, modify or otherwise encumber in advance any of the benefits payable hereunder nor shall any of said benefits be subject to seizure for the payment of any debts, judgments, alimony orseparate maintenance owed by the Executive or the Executive’s beneficiary(ies), nor be transferable by operation of law in the event of bankruptcy, insolvency or otherwise. In the event the Executive or any beneficiary attempts assignment,commutation, hypothecation, transfer or disposal of the benefits hereunder, the Bank’s liabilities shall forthwith cease and terminate. 

 
 B.Binding Obligation of the Bank and any Successor in Interest: 
 

The Bank shall not merge or consolidate into or with another bank or sell substantially all of its assets to another bank, firm or person until suchbank, firm or person expressly agree, in writing, to assume and discharge the duties and obligations of the Bank under this Executive Plan. This Executive Plan shall be binding upon the parties hereto, their successors, beneficiaries, heirs andpersonal representatives. 

 
 C.Amendment or Revocation: 
 

Subject to Paragraph VII, it is agreed by and between the parties hereto that, during the lifetime of the Executive, this Executive Plan may be amendedor revoked at any time or times, in whole or in part, by the mutual written consent of the Executive and the Bank. 

 
 D.Gender: 
 

Whenever in this Executive Plan words are used in the masculine or neuter gender, they shall be read and construed as in the masculine, feminine orneuter gender, whenever they should so apply. 

 
 E.Effect on Other Bank Benefit Plans: 
 

Nothing contained in this Executive Plan shall affect the right of the Executive to participate in or be covered by any qualified or non-qualifiedpension, profit-sharing, group, bonus or other supplemental compensation or fringe benefit plan constituting a part of the Bank’s existing or future compensation structure. 

 

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 F.Headings: 
 

Headings and subheadings in this Executive Plan are inserted for reference and convenience only and shall not be deemed a part of this Executive Plan.

 
 G.Applicable Law: 
 

The validity and interpretation of this Agreement shall be governed by the laws of the State of North Carolina. 

 
 H.12 U.S.C. § 1828(k): 
 

Any payments made to the Executive pursuant to this Executive Plan, or otherwise, are subject to and conditioned upon their compliance with 12 U.S.C.§ 1828(k) or any regulations promulgated thereunder. 

 
 I.Partial Invalidity: 
 

If any term, provision, covenant, or condition of this Executive Plan is determined by an arbitrator or a court, as the case may be, to be invalid, void,or unenforceable, such determination shall not render any other term, provision, covenant, or condition invalid, void, or unenforceable, and the Executive Plan shall remain in full force and effect notwithstanding such partial invalidity.

 
 J.Employment: 
 

No provision of this Executive Plan shall be deemed to restrict or limit any existing employment agreement by and between the Bank and the Executive, norshall any conditions herein create specific employment rights to the Executive nor limit the right of the Employer to discharge the Executive with or without cause. In a similar fashion, no provision shall limit the Executive’s rights tovoluntarily sever the Executive’s employment at any time. 

 
 K.Supersede and Entire Agreement: 
 

This Agreement shall supersede the Retirement Payment Agreement dated October of 1985, and shall constitute the entire agreement of the partiespertaining to this particular Executive Supplemental Retirement Plan Agreement. 

 
**VI.****ERISA PROVISION**
 
 A.Named Fiduciary and Plan Administrator: 
 

The “Named Fiduciary and Plan Administrator” of this Executive Plan shall be Home Savings Bank of Albemarle, SSB, until its resignation or

 

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removal by the Board. As Named Fiduciary and Plan Administrator, the Bank shall be responsible for themanagement, control and administration of the Executive Plan. The Named Fiduciary may delegate to others certain aspects of the management and operation responsibilities of the Executive Plan including the employment of advisors and the delegationof ministerial duties to qualified individuals. 

 
 B.Claims Procedure and Arbitration: 
 

In the event a dispute arises over benefits under this Executive Plan and benefits are not paid to the Executive (or to the Executive’sbeneficiary(ies) in the case of the Executive’s death) and such claimants feel they are entitled to receive such benefits, then a written claim must be made to the Named Fiduciary and Plan Administrator named above within sixty (60) days fromthe date payments are refused. The Named Fiduciary and Plan Administrator shall review the written claim and if the claim is denied, in whole or in part, they shall provide in writing within sixty (60) days of receipt of such claim the specificreasons for such denial, reference to the provisions of this Executive Plan upon which the denial is based and any additional material or information necessary to perfect the claim. Such written notice shall further indicate the additional steps tobe taken by claimants if a further review of the claim denial is desired. A claim shall be deemed denied if the Named Fiduciary and Plan Administrator fail to take any action within the aforesaid sixty-day period. 

 

If claimants desire a second review they shall notify the Named Fiduciaryand Plan Administrator in writing within sixty (60) days of the first claim denial. Claimants may review this Executive Plan or any documents relating thereto and submit any written issues and comments it may feel appropriate. In their solediscretion, the Named Fiduciary and Plan Administrator shall then review the second claim and provide a written decision within sixty (60) days of receipt of such claim. This decision shall likewise state the specific reasons for the decision andshall include reference to specific provisions of the Plan Agreement upon which the decision is based. 

 

If claimants continue to dispute the benefit denial based upon completed performance of this Executive Plan or the meaning and effect of the terms andconditions thereof, then claimants may submit the dispute to an arbitrator for final arbitration. The arbitrator shall be selected by mutual agreement of the Bank and the claimants. The arbitrator shall operate under any generally recognized set ofarbitration rules. The parties hereto agree that they and their heirs, personal representatives, successors and assigns shall be bound by the decision of such arbitrator with respect to any controversy properly submitted to it for determination.

 

Where a dispute arises as to the Bank’s discharge ofthe Executive “for cause,” such dispute shall likewise be submitted to arbitration as above described and the parties hereto agree to be bound by the decision thereunder. 

 

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**VII.****TERMINATION OR MODIFICATION OF AGREEMENT BY REASON OF CHANGES IN THE LAW, RULES OR REGULATIONS**
 

The Bank is entering into this Agreement upon the assumption that certain existing tax laws, rules and regulations willcontinue in effect in their current form. If any said assumptions should change and said change has a detrimental effect on this Executive Plan, then the Bank reserves the right to terminate or modify this Agreement accordingly. Upon a Change ofControl (Subparagraph I [I]), this paragraph shall become null and void effective immediately upon said Change of Control. 

 

**IN WITNESS WHEREOF**, the parties hereto acknowledge that each has carefully read this Agreement and executed the original thereof on the first dayset forth hereinabove, and that upon execution, each has received a conforming copy. 

 
  **HOME SAVINGS BANK OF ALBEMARLE, SSB**  
Albemarle, NC

 
 
By:
 
 

Witness
   
Title
   
/s/ R. Ronald Swanner

Witness
   
R. Ronald Swanner

 

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**BENEFICIARY DESIGNATION FORM**

**FOR THE EXECUTIVE SUPPLEMENTAL**

**RETIREMENT PLAN AGREEMENT**

 
**I.****PRIMARY DESIGNATION**
*(You may refer to thebeneficiary designation information prior to completion of this form.)*

 
 **A.****Person(s) as a Primary Designation:**
(Please indicate the percentage for each beneficiary.) 

 

Name                                                                                        Relationship                                                         /             % 

 

Address:                                                                                                                                                                                      

                                                    (Street)                                                                (City)                                (State)                    (Zip) 

 

Name                                                                                            Relationship                                                         /             % 

 

Address:                                                                                                                                                                                        

                                                    (Street)                                                                (City)                                (State)                    (Zip) 

 

Name                                                                                            Relationship                                                         /             % 

 

Address:                                                                                                                                                                                             

                                                    (Street)                                                                (City)                                (State)                    (Zip) 

 

Name                                                                                            Relationship                                                         /             % 

 

Address:                                                                                                                                                                                        

                                                    (Street)                                                                (City)                                (State)                    (Zip) 

 
 **B.****Estate as a Primary Designation:**
 

My Primary Beneficiary is The Estate of                                                             as set forth in the last will and testament dated the      day of                    ,              and any codicils thereto. 

 
 **C.****Trust as a Primary Designation:**
 

Name of the Trust:                                                                                                                                                                              

 

Execution Date of the Trust:      /      /             

 

Name of the Trustee:                                                                                                                                                                          

 

Beneficiary(ies) of the Trust (please indicate the percentage for each beneficiary): 

 

______________________________________________________________________________________________________ 

 

______________________________________________________________________________________________________ 

 

Is this an Irrevocable Life Insurance Trust?             Yes              No 

(If yes and this designation is for a Split Dollar agreement, an Assignment of Rights form should be completed.) 

 

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**II.****SECONDARY (CONTINGENT) DESIGNATION**
 
 **A.****Person(s) as a Secondary (Contingent) Designation:**
(Please indicate the percentage for each beneficiary.) 

 

Name                                                                                            Relationship                                                         /             % 

 

Address:                                                                                                                                                                                      

                                                    (Street)                                                                (City)                                (State)                    (Zip) 

 

Name                                                                                            Relationship                                                         /             % 

 

Address:                                                                                                                                                                                        

                                                    (Street)                                                                (City)                                (State)                    (Zip) 

 

Name                                                                                            Relationship                                                         /             % 

 

Address:                                                                                                                                                                                        

                                                    (Street)                                                                (City)                                (State)                    (Zip) 

 

Name                                                                                            Relationship                                                         /             % 

 

Address:                                                                                                                                                                                      

                                                    (Street)                                                                (City)                                (State)                    (Zip) 

 
 **B.****Estate as a Secondary (Contingent) Designation:**
 

My Secondary Beneficiary is The Estate of                                                             as set forth in my last will and testament dated the      day of                    ,              and any codicils thereto. 

 
 **C.****Trust as a Secondary (Contingent) Designation:**
 

Name of the Trust:                                                                                                                                                                      

 

Execution Date of theTrust:      /      /             

 

Name of the Trustee:                                                                                                                                                                  

 

Beneficiary(ies) of the Trust (please indicatethe percentage for each beneficiary): 

 

______________________________________________________________________________________________________ 

 

______________________________________________________________________________________________________ 

 

All sums payable under the Executive Supplemental Retirement Plan Agreementby reason of my death shall be paid to the Primary Beneficiary(ies), if he or she survives me, and if no Primary Beneficiary(ies) shall survive me, then to the Secondary (Contingent) Beneficiary(ies). This beneficiary designation is valid until theparticipant notifies the bank in writing. 

 

 
  
R. Ronald Swanner
  Date
 

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EXHIBIT “A-1” 

 

**End of**

**Year Age:**
  
**Benefit**

**Amount**

65
  $108,200
66
  $110,021
67
  $111,604
68
  $113,182
69
  $114,866
70
  $116,500
71
  $117,836
72
  $119,493
73
  $120,803
74
  $122,383
75
  $122,903
76
  $124,247
 

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**EXHIBIT “A-2”**

 

**Plan Years Subsequent**

**to EarlyRetirement**

**Date as Defined in**

**Subparagraph I(D)of**

**the Agreement**
  
**Benefit**

**Amount**
 
1
  $108,200 
2
  $110,021 
3
  $111,604 
4
  $113,182 
5
  $114,866 
6
  $116,500 
7
  $117,836 
8
  $119,493 
9
  $120,803 
10
  $122,383 
11
  $122,903 
12
  $124,247********This benefit amount shall remain constant for any remaining Plan Years that the Executive may be entitled to receive a fixed benefit amount pursuant to Subparagraph II (B) of theAgreement; the Executive’s age: 77**
 

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