A message from Bill Black

My good friend was in the midst of making plans to double his business. But then he had a heart attack and died while working out. The information on this form gave his wife and me a lot of direction, although the year ahead could have been a lot easier with an Emergency Buyout plan.
This form is designed to serve as a guideline for the continuation or disposition of your business in the event of your death or incapacity. It is critical that you fill in all spaces. Don't worry if your answers aren't perfect - in the event this form is needed (your sudden death or disability), all information will be helpful. To discuss an Emergency Buyout Plan, schedule a call with me at www.BBschedule.com

* 1. Please enter Your

* 2. MANAGEMENT. In the event of my death or incapacity, the following people are to be given responsibility to continue and to supervise these activities

* 3. Other immediate management concerns

* 4. Disposition of Business. Upon my death or total incapacity lasting 180 days or longer, my wishes as of the date of my signature on this document for the disposition of the company (assuming unencumbered by any superceding Buy-Sell Agreement) are that the company should be (rank in order of preference):

* 5. (If applicable) Please indicate which specific Employee(s) or Family Member(s) you would prefer in above question.

* 6. ADVISORY TEAM. In the Scenario I have chosen above, please consult the following professional Advisors:

* 7. PROSPECTIVE BUYERS. If "Sale to Outside Third Party" selected above, or as a backup plan if insider buyers cannot / will not buy, below are names of people/companies that have expressed interest or whom I believe may be interested in acquiring the company.

* 8. MAJOR CHALLENGES & POTENTIAL SOLUTIONS. Recommendations for future management

* 9. By typing my name below I certify that I am the Owner names above and I have completed this form personally and am not under duress at the time of the signing.

* 10. Date and Time of Signature

Date / Time