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SEC Form 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSIONER 4Washington, D.C. 20549STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIPCheck this box if no longer subject to Section 16. Form 4 or Form 5 obligations

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How to fill out attorney-in-fact

01

To fill out an attorney-in-fact, follow these steps:

02

Begin by providing your full legal name and contact information in the designated fields.

03

Identify the person who will act as your attorney-in-fact and provide their full name, contact information, and relationship to you.

04

Clearly state the powers you wish to grant to your attorney-in-fact. This can include making financial decisions, managing real estate, or making healthcare decisions on your behalf.

05

Specify the duration of the attorney-in-fact's authority. You can choose to grant them immediate power or limit it to a specific period.

06

If applicable, include any specific instructions or limitations you want to impose on your attorney-in-fact.

07

Sign and date the attorney-in-fact form in the presence of a notary public or two witnesses, as required by law.

08

Make copies of the completed attorney-in-fact form for your records and distribute copies to relevant parties, such as your attorney-in-fact and your healthcare provider.

Who needs attorney-in-fact?

01

An attorney-in-fact, also known as a power of attorney, is needed by individuals who want to appoint someone to act on their behalf in legal or financial matters. This can include situations such as:

02

- A person planning for incapacitation or illness and wants to ensure someone can make decisions for them.

03

- Elderly individuals who need assistance managing their finances or healthcare decisions.

04

- Individuals who are unavailable or unable to handle specific legal or financial matters and need someone they trust to act on their behalf.

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- Anyone who wants to delegate authority to another person for a specific period or purpose.

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What is attorney-in-fact?

An attorney-in-fact is a person authorized to act on behalf of another person in legal or financial matters, typically through a power of attorney document.

Who is required to file attorney-in-fact?

Individuals or entities that need someone to manage their affairs or represent them legally, often due to incapacity or absence, are required to establish and file an attorney-in-fact.

How to fill out attorney-in-fact?

To fill out an attorney-in-fact, you must provide the principal's name, the agent's name, the specific powers granted, and include signatures, dates, and any necessary witness or notarization requirements.

What is the purpose of attorney-in-fact?

The purpose of an attorney-in-fact is to enable a designated person to act on another's behalf in legal or financial transactions, ensuring that the principal's interests are managed appropriately.

What information must be reported on attorney-in-fact?

The information that must be reported includes the names and addresses of the principal and attorney-in-fact, the powers granted, the duration of the power of attorney, and any conditions or limitations.

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