Declaration of Trust & Stock

DECLARATION OF TRUST

This Declaration of Trust (hereafter “Declaration”) is hereby entered into on [DATE] between [TRUSTEE NAME], a company organized and existing under the laws of the State of [STATE], with its principal place of business located at [COMPLETE ADDRESS] (“Trustee”) and [BENEFICIARY NAME], a company organized and existing under the laws of the State of [STATE], with its principal place of business located at: [COMPLETE ADDRESS] (“Beneficiary”).

WHEREAS, the Beneficiary is the beneficial owner of [AMOUNT] of shares (the “Shares”) of [COMPANY NAME] (the “Company”);

WHEREAS, the Beneficiary has requested the Trustee to register the Shares in the Trustee’s name;

WHEREAS, the Trustee has agreed to be nominated and appointed as director and also to hold the Shares;

WHEREAS, this registration was made to the Trustee as a nominee of the Beneficiary and it was agreed that the Trustee should execute such declaration of trust as is hereinafter contained.

NOW THEREFORE this Declaration Trust Witnesses as follows:

1. The Trustee hereby declares that it holds the Shares and all dividends and interest accrue upon the same or any of them upon trust for the Beneficiary and their successors in title and agrees to transfer, pay and deal with the Shares and the dividends and interest payable in respect of the same in such manners as the Beneficiary shall direct from time to time direct in writing.

2. The Trustee will at the request of the Beneficiary or its successors attend all meetings of shareholders or other similar functions which it shall be entitled to attend by virtue of being the registered owner of the Shares and will vote at said meeting or function in such manner as the Beneficiary or its successors have directed in writing.

3. The Trustee shall upon request provide the Beneficiary or its successors with any information available to the Trustee as a shareholder in regards to the operation of the Company.