Type of Trust. ☐ Revocable, with person(s) having power to revoke, amend or modify as follows: o Grantors, settlors, trustors or other creators of Trust o Other person(s) having power to revoke, amend or modify: ☐ Irrevocable
Type of Trust. This Trust is a supplemental needs pooled trust created pursuant to federal and state laws under the Omnibus Budget Reconciliation Act of 1993 (“OBRA 1993”). Pursuant to OBRA 1993, persons with disabilities (as defined herein) shall be able to put assets in a pooled supplemental needs trust so long as said trust is established and managed by not-for-profit institutions. Innovative Care Solutions, Inc. is a recognized 501(c) (3) not-for-profit corporation.
Type of Trust. Revocable Living Trust Irrevocable Trust Marital Deduction /Family Trust Charitable Trust Asset Protection Trust Dynasty Trust Special Needs Trust Irrevocable Life Insurance Trust Other
Type of Trust. Revocable __________ Irrevocable Name of Grantor(s) (persons establishing the trust) of Revocable Trust: ► IF THE TRUST IS REVOCABLE, DO NOT COMPLETE THE REMAINDER OF THIS QUESTIONNAIRE AND EACH GRANTOR SHOULD COMPLETE EXHIBIT A. ► IF THE TRUST IS IRREVOCABLE, COMPLETE THE REMAINDER OF THIS QUESTIONNAIRE.
Type of Trust. 2. For trusts other than pension trusts, identify each grantor and beneficiary: Grantor(s):
Type of Trust. (Check One) o Revocable o Irrevocable Name of Grantor(s) (persons establishing the trust) of Revocable Trust: IF THE TRUST IS REVOCABLE, DO NOT COMPLETE THE REMAINDER OF THIS TRUST INVESTOR QUALIFICATION QUESTIONNAIRE AND HAVE EACH GRANTOR COMPLETE EXHIBIT A. IF THE TRUST IS IRREVOCABLE, COMLETE THE REMAINDER OF THIS TRUST INVESTOR QUALIFICATION QUESTIONNAIRE.
Type of Trust. 2. For trusts other than pension trusts, identify each grantor and beneficiary: Grantor(s): Beneficiary(ies): EXHIBIT B THIS WARRANT AND THE UNDERLYING SECURITIES HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE "ACT"). THEY MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT AS TO SUCH SECURITIES UNDER THE ACT OR AN OPINION OF COUNSEL SATISFACTORY TO THE CORPORATION THAT SUCH REGISTRATION IS NOT REQUIRED. SEAWRIGHT HOLDIGS, INX. WARRANT TO PURCHASE COMMON STOCK , 200_ VOID AFTER ___________, 200_ THIS CERTIFIES THAT, for value received, ___________________________ or assigns (the "Holder"), is entitled to subscribe for and purchase at the Exercise Price (defined below) from Seawright Holdings, Ixx., x Xxlaware corporation (the "Corporation") up to ____________________ (_____) shares of the common stock, par value $0.001 per share, of the Corporation (the "Common Stock").
