Fees and Penalties

All fees and penalties paid or imposed under this Act or any regulations made thereunder shall be credited into the General Fund of the Commission established under section 18 of the International Financial Services Commission Act. CAP. 272. International Foundations [CAP. 24:02 95 SCHEDULE I INTERNATIONAL FOUNDATIONS ACT Application for Entry on Register of International Foundations [section 17] 1. Name of foundation:__________________________. 2. Name and address of Belize member: ____________________________________________. 3. Name and address of all Non-Resident Members: __________________________________________________. 4. Name and address of all Protectors: _____________________________________________. 5. Date of Execution of Charter by Founder:___________. 6. Date of Execution of Charter by each Member: ______. 7. Date of Execution of Charter by each Protector:______. 8. Please attach the following, (1) Prescribed Fee: $____________________. (2) Certificate from the Registered Agent which certifies, (a) The name of the foundation; (b) The name and address of the Registered Agent; 96 International Foundations (c) The name and address of each non-resident member; (d) The name and address of each protector; (e) The purpose of the foundation; (f) The date of submission of the Certificate of Belize member to the Registrar; and (g) If a re-domiciled foreign foundation: (i) the law under which the foundation was created; (ii) original date of registration of the foundation in its original jurisdiction (or original date of execution if original date of registration is not available); and (iii) date of amendment to provide for the law of Belize to be the governing law of the foundation. The applicant hereby declares that all the information provided in this application and any other document provided in support of said application is true and correct. Applicant further undertakes to inform the Registrar without delay of any changes to the information supplied with this application. __________________ _________________ Authorized Signature Date ____________________ By: International Foundations [CAP. 24:02 97 SCHEDULE II INTERNATIONAL FOUNDATIONS ACT Certificate of Belize Member of Foundation Council [section 17] I,_____________________________, the Belize Member of the_______________________Foundation, domiciled in Belize, herein certify the following: 1. The name of the foundation is ___________________. 2. The__________________________Foundation, upon registration on the Register of International Foundations, shall be an international foundation in accordance with the International Foundations Act. 3. Name and address of Belize Member: _________________________________ 4. Name and address of all Non-Resident Members: ____________________________________________ ____________________________________________ 5. Name and address of all Protectors: ____________________________________________ ____________________________________________ 6. Date of submission of this Certificate to the Commission:________. 98 International Foundations 7. In the event that the above-named foundation is a re- domiciled foreign foundation, the original date of registration of the foundation in its original jurisdiction (or original date of execution if such date of registration is unavailable): ___________________. a. Original jurisdiction of the foundation: _____________________. b. Date of amendment of the Charter which provides for the law of Belize to be the governing law of the foundation: ___________________. The undersigned hereby certifies that all the information provided in this certificate is true and correct. _____________________ __________________ Authorized Signature Date _____________________ By: International Foundations [CAP. 24:02 99 SCHEDULE III INTERNATIONAL FOUNDATIONS ACT Application for Extension of Time for Entry on Register of International Foundations [section 17] 1. Name of Foundation: _________________________. 2. Name and address of Belize Members of the Foundation Council: ___________________________ _____________________________________________ 3. Name and address of all Non-Resident Members: _____________________________________________ _____________________________________________ 4. Name and address of all Protectors: _____________________________________________ _____________________________________________ 5. Date of Execution of Charter by Founder: ___________ 6. Date of Execution of Charter by each Member: ______. 7. Date of Execution of Charter by each Protector:_____ ____________________________________________ 8. Please state the reasons for the extension of time to register the foundation: _________________________ 100 International Foundations 9. Please attach the prescribed extension fee: $ ________. The applicant hereby declares that all the information provided in this application and any other document provided in support of said application is true and correct. The applicant further undertakes to inform the Registrar without delay of any changes to the information supplied with this application. _________________ ________ Authorized Signature Date _______________________ By: International Foundations [CAP. 24:02 101 SCHEDULE IV INTERNATIONAL FOUNDATIONS ACT Application for Extension of Time for Renewal of Foundation [section 18] 1 Name of Foundation:___________________________. 2. Name and address of Belize Member of Foundation Council: _____________________________________________ _____________________________________________ 3. Name and address of all Non-Resident Members: _____________________________________________ _____________________________________________ 4. Name and address of all Protectors: _____________________________________________ _____________________________________________ 5. Original date of registration: _____________________. 6. Date of expiration of Certificate of Establishment:____. 7. Please state the reasons for the need for an extension of time to register the foundation:___________________. 8. Please attach prescribed extension fee: $____________. The applicant hereby declares that all the information provided in this application and any other document provided in support of the said application is true and correct. The applicant further 102 International Foundations undertakes to inform the Registrar without delay of any changes to the information supplied with this application. ______________________ __________________ Authorized Signature Date ____________________________ By: International Foundations [CAP. 24:02 103 SCHEDULE V INTERNATIONAL FOUNDATIONS ACT Application for Reinstatement of Entry on Register of International Foundations [section 18] 1. Name of Foundation:___________________________. 2. Name and address of Belize Member of the Foundation Council:______________________________________ ____________________________________________. 3. Name and address of all Non-Resident Members: _____________________________________________ ____________________________________________. 4. Name and address of all Protectors: _____________________________________________ ____________________________________________. 5. Original Date of Registration:___________________. 6. Date of Expiration of Certificate of Establishment:___. 7. Please attach prescribed reinstatement fee: $ _______. 104 International Foundations The applicant hereby declares that all the information provided in this application and any other document provided in support of said application is true and correct. The applicant further undertakes to inform the Registrar without delay of any changes to the information supplied with this application. ______________________ __________________ Authorized Signature Date ____________________________________ By: