Fill and Sign the Form of Second Deed of Trust Secgov

Blind Trust Agreement This Trust Agreement made and entered into this _____________________ (date) by and between _____________________ (Name of Grantor), whose home address is _____________________ (street address, city, county, state, zip code), hereinafter called the Grantor, and _____________________ (Name of Trustee) of _____________________ (street address, city, county, state, zip code), hereinafter called the Trustee. Whereas, Grantor is a _____________________ (Name of Public Office); and Whereas, Grantor desires to avoid any conflict of interest, or appearance of any such conflict, which may arise from his duties and powers in such office and any other office to which he may subsequently be appointed to the extent provided for by _____________________ [e.g., Section 102(f)(4)(A) of the Ethics in Government Act of 1978 (Pub. L. 95-521, as amended)], hereinafter referred to as the Act; Article I Grantor hereby creates a Trust to be administered in accordance with the requirements of the Act, which shall become effective on the date this Agreement bears. The Trustee is an eligible person, as specified in [e.g., Section 102(f)(3)(A)] who meets the requirements of such section. Grantor, therefore, hereby delivers to the Trustee, and the Trustee hereby acknowledges receipt of, the property listed in the annexed Schedule A, subject to the provisions of this Trust and the Act, and other applicable _____________________ (Federal or State) laws. The primary purpose of this Trust is to entrust to the Trustee decisions as to when and to what extent the original assets of the Trust are to be sold or disposed of and in what investments the proceeds of sale are to be reinvested, without any participation in, or knowledge of, such decisions by any interested person. Accordingly, the Grantor and the Trustee agree as follows: Article II A. This Trust shall terminate upon the first to occur of the following: 1. Grantor’s ceasing for any reason to serve as a _____________________ (Name of Public Office) and in any other position to which he may have been subsequently appointed or elected in the _____________________ (Federal or State) Government and Grantor thereafter giving Trustee written notice directing that this Trust be terminated; or 2. Grantor's death or incompetence. The period between the date of this Agreement and the termination of the Trust shall be called the Trust Term. B.
The trustee shall be responsible to the recipient for the trust assets to the extent necessary to satisfy the recipient's obligations under the trust. Trust records are subject to examination, audit or inquiry. The trustee shall promptly notify the recipient if he receives knowledge of a dispute relating to the trust assets or interest in the trusts, as well as any request for a determination of any matter directly relating thereto. For purposes of this trust: 1. A party other than the granter or any other member of his family who appears with trust assets or title is regarded as a recipient of property in the trust assets; and 2. The term “recipient" shall include those persons who hold title to the trust and those persons whose title to trust assets or interest in trust assets is deemed by the trustee to be beneficially in the trust. C. The trustee shall report to the recipient at no other time than as required by this trust, any matters the trustee knows or should have known of which have any bearing on the trustees' performance of the trust. D. The trustee shall furnish to the recipient the current annual report of income available to the trustee and the trustees interest in a trust fund. E. The trustee is responsible for the maintenance of a list of current beneficiaries and for reporting promptly to the recipient any persons appointed as beneficiaries of the trust. F. The trustee is responsible jointly with granter for the proper administration of the trust and shall keep it current and complete and shall report promptly to the recipient as to the trustee's trust activities for purposes of the act. G. If the trust expires prior to the granter's death, the trustee of record is not required to comply with [, section 102(f)(3)(a)(i).] e) in the event of the death of the granter and the sole beneficiary of the trust is the public official, or, in the case of the beneficiary of the trust after the death of the granter, the recipient, or if an individual, the heir, the trustee shall report to the public official the identity of the beneficiary and the terms of his or her rights. H. This trust is in compliance with the act. I. If the trustee and the granter or the recipient believe that this trust is not in compliance with the act or that it could be inconsistent with the public interest, they may appoint an independent trustee who shall continue the trust and make the reports required by this trust. In such a case, the person appointed as trustee shall be responsible to the public official or recipient. J. Acknowledgment