Form #1 Private Trust Company Owned by a Purpose Trust FORMATION OF A PRIVATE TRUST COMPANY OWNED BY A PURPOSE TRUST Proposed Name of (the “Company”) Company Alternative name(s): If name contains initials, state meaning of initials: Name(s) of any related companies: Secondary non-roman script name (optional): Type of Company Exempted, OR Local Instructing Party First Name: Middle Name(s): Surname: (Also complete Form 2) Check one or more boxes and provide information Private Trust Company Information Named Trusts: Company must indentify in some way Other trusts permitted by the Finance Minister: the trust that will be administered by the Trusts for benefit of named individual(s): company Trusts for Issue/Descendants, Spouse/Widow/Widower, etc. of above-named individual Directors (minimum of First Name: Middle Name(s): Surname: Office: 2 required) (complete a Form 2 for First Name: Middle Name(s): Surname: Office: each) [Please enter details of additional Directors on Addendum to this form] First Name: Middle Name(s): Surname: Office: Officers (optional) (complete a Form 2 for each) [Please enter details of additional Officers on Addendum to this form] Full Name: Auditor (optional) Address: Financial Y/E: 1st Accounting Period: Year End Name of Purpose (the “Trust”) Trust Enforcer (optional) First Name: Middle Name(s): Surname: Title: (complete Form 2) I hereby certify that ALL of the information in this questionnaire and the attached documentation is accurate, true and complete, to the best of my information, knowledge and belief. Signature of Instructing Party: Date [dd/mm/yyyy]: / / NOTES: The Company is to be formed with: a Memorandum of Association with Limited/Restricted Objects & Powers, Standard Bye-laws, and authorised share capital of US $100.00 divided into 100 shares of par value $1.00 each to be fully issues.
Form #1 Private Trust Company Owned by a Purpose Trust FORMATION OF A PRIVATE TRUST COMPANY OWNED BY A PURPOSE TRUST Proposed Name of Company (the “Company”) Alternative name(s): If name contains initials, state meaning of initials: Name(s) of any related companies: Secondary non-roman script name (optional): Type of Company Exempted, OR Local Instructing Party (Also complete Form 2) First Name: Middle Name(s): Surname: Private Trust Company Information Company must indentify in some way the trust that will be administered by the company Check one or more boxes and provide information Named Trusts: Other trusts permitted by the Finance Minister: Trusts for benefit of named individual(s): Trusts for Issue/Descendants, Spouse/Widow/Widower, etc. of above-named individual Directors (minimum of 2 required) (complete a Form 2 for each) First Name: Middle Name(s): Surname: Office: First Name: Middle Name(s): Surname: Office: [Please enter details of additional Directors on Addendum to this form] Officers (optional) (complete a Form 2 for each) First Name: Middle Name(s): Surname: Office: [Please enter details of additional Officers on Addendum to this form] Auditor (optional) Full Name: Address: Year End Financial Y/E: 1st Accounting Period: Name of Purpose Trust (the “Trust”) Enforcer (optional) (complete Form 2) First Name: Middle Name(s): Surname: Title: I hereby certify that ALL of the information in this questionnaire and the attached documentation is accurate, true and complete, to the best of my information, knowledge and belief. Signature of Instructing Party: Date [dd/mm/yyyy]: / / NOTES: The Company is to be formed with: a Memorandum of Association with Limited/Restricted Objects & Powers, Standard Bye-laws, and authorised share capital of US $100.00 divided into 100 shares of par value $1.00 each to be fully issues.