Pursuant to the Cryonic Suspension Agreement between Cryonics Institute (CI), and
___________________________________ (the Patient), dated ______________;
This Funding Agreement is between Cryonics Institute, the Patient, and
____________________________________________________ (the Fund Owner),
who is the _______ of the Patient; and wherever applicable said Suspension Agreement is hereby amended to include the provisions of this Funding Agreement.
In consideration of execution by CI of the aforesaid Cryonic Suspension Agreement, the Fund Owner agrees to pay the Suspension Fee by assignment to CI of ownership of a certain mutual fund account or accounts owned by the Fund Owner. This assignment will be in a form and manner satisfactory to the mutual fund company, effectively conveying such transfer, and the effectiveness of the assignment must be acknowledged by the mutual fund company. The total value of the accounts will be equal to or greater than the agreed-upon minimum of $____________.
If such assignment is made (ownership transferred to CI) before death of the Patient, then CI agrees to the following:
Until death of the Patient, CI will hold the account(s) without trades, (purchases or redemptions), will continue the policy of re-investing all dividends back into the fund(s), and will reassign ownership back to the Fund Owner upon request, on 30 days written notice, less any tax liability or other expenses CI may have paid or incurred. CI, at the expense of the Fund Owner, will mail him copies of the monthly or quarterly reports put out by each fund company, 4 times a year (in January, April, July, and October).
If the Fund Owner should die before the Patient, the estate of the Fund Owner shall have all the rights of the Fund Owner, except the right to request reassignment of ownership.
Also, before death of the Patient, if the value of the accounts rises to more than 40% above the stated suspension fee, CI, upon 30 days written notice request, will refund the excess to the Fund Owner, less any expenses incurred in so doing.
If CI retains ownership, then, after death of the Patient, if the value of the fund(s) is greater than the minimum Suspension Fee required by CI ($28,000 plus any expenses requiring additional payment under the Cryonic Suspension Agreement), then CI will repay to the original owner any such excess, less any expenses incurred by CI. .
If for any reason the body and or brain of the patient is destroyed or so severely damaged that suspension is not practical or reasonable, or if suspension is prevented by forces outside the control of the Fund Owner, (such as intervention by government officials), the Fund Owner will provide to CI notarized report(s) on the circumstances of the death and subsequent events, sufficient to satisfy CI of the facts, in CI's sole good faith judgment. In this case CI will reassign ownership of the account(s) back to the Fund Owner within 30 days, less any tax liability or other expenses CI may have paid or incurred, and less the sum of ________ dollars, which will be considered a donation to CI from the Fund Owner.
When suspension is "not practical or reasonable" shall be determined by CI, following any written guidelines previously supplied by the Patient, in CI's complete discretion. .
If the value of the fund drops below the minimum value of $__________, the Fund owner agrees to send CI enough money to be invested in the fund to return it to the minimum value plus ______ %, within 2 weeks of notification by CI. If the Patient should die within this 2 week period, CI will not refuse or delay provision of agreed-upon services, but will retain the remedial rights in the Cryonic Suspension Agreement. .
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The mutual fund accounts to be transferred to C.I. under this agreement are:
FUND NAME(S) COMPANY NAME ACCOUNT NUMBER CURRENT VALUE
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
1
2
3
4
5
Signed and dated:
Cryonics Institute, by ________________________________ on __________________
Patient: _________________________________ on __________________
Notary Public or Two Witnesses for signature of Patient
____________________________________________________________________________
Fund Owner _________________________________________ on ____________________
Notary Public or Two Witnesses for signature of Fund Owner
___________________________________________________________________________