ABSTRACT

BETWEEN: , of _ (hereinafter called the "Settlor")

AND: of , and ___________ of , (together the "Original Trustees")

WHEREAS:

The Settlor intends hereby to create a purpose trust within the meaning of the [--l Act (as hereinafter defined), and in pursuance of this said intention has transferred to the Original Trustees the sum of __________United States Dollars (US$ .00) to be held by the Trustees upon the trusts and with and subject to the powers and provisions hereinafter contained.