DEED Change Principal Employer Name (Any)

GROUP LIFE ASSURANCE PLAN

DRAFT AMENDING DEED - CHANGE OF PRINCIPAL EMPLOYER NAME

(Principal Employer is a limited company, PLC, LLP, partnership or sole proprietor)

Purpose

To record the change of Principal Employer name of a group life assurance plan. (Suitable if the plan is either Registered with HMRC or Non-registered.)

Important notice

This document is provided by Unum as an example of the type of trust wording generally thought suitable for the above purpose. It is designed for execution in the UK in accordance with English Law.

Unum wishes to make clear that it does not provide specialist documentation services relating to this type of deed. Neither Unum nor its officers or employees warrant that the deed will be suitable for the individual circumstances of any client, nor that the wording of the deed will be legally effective.

We strongly recommend that this wording be referred to your legal advisers for vetting, tailoring to your circumstances and engrossment. You are responsible for any legal fees you incur.

Notes on Completion of Deed

THIS AMENDING DEED Enter the date, the new name of the sponsor (Principal Employer) and the previous name of the sponsor.

SUPPLEMENTAL Enter the date the original Trust Deed was signed and the full current Plan name.

NOW THIS DEED PROVIDES as follows: Enter the effective date of the name change and the new Plan name.

IN WITNESS Company / Trustee signs in accordance with its normal practice. Partnership signs with two witnesses. It is assumed that two Partners have been given power of attorney to sign for the other Partners.

Please forward a copy of the completed Amending Deed to Unum for our records, so we are kept up to date regarding the Plan. Reporting Requirements – if the Plan is registered with HMRC

The Scheme Administrator is responsible for filing the Event Reports, Pension Scheme Return, Accounting for Tax forms and amending Scheme Details to keep them up to date.

The change of ‘scheme establisher/sponsor’ and Plan Name needs to be reported to HMRC by the Scheme Administrator using the online Scheme Administration, select ‘Amend scheme Details’ under ‘Scheme Administration’ (RPSM12307110 / RPSM12307120).

This information is based on Unum’s current interpretation of the underlying legislation that applies and which may change. We do not accept any responsibility for any loss which may arise from reliance on this information.

07/2010 The [ plan name ] Group Life Assurance Plan

(formerly The [ plan name ] Group Life Assurance Plan)

THIS AMENDING DEED is made on [ date ] if Limited Company (or PLC or LLP) - if not, delete this section

BY [ the sponsor’s name ] whose Company Registration number is [ sponsor’s Reg No ] and whose Registered Office is at [ sponsor’s Reg Office ]

(the sponsor). if Partnership - if not, delete this section

BY those individuals for the time being known as [ the sponsor’s name ] whose Principal Place of Business is at [ sponsor’s place of business ]

(the sponsor). if Sole Proprietor - if not, delete this section

BY [ the sponsor’s name ] whose principal place of business is at [ sponsor’s place of business ]

(the sponsor) (formerly known as ……..……………………….………………….…………. ).

SUPPLEMENTAL to a trust deed dated …….………..………..………………… (the trust deed) established for the purpose of providing benefits on the death of certain directors or employees of the sponsor or of associated companies of the sponsor by a life assurance plan known as

…………………….……………………………………………………..………………..… (the plan).

BACKGROUND (A) The sponsor has changed its name by way of [ insert details of instrument changing name ]

(B) The sponsor wishes to rename the plan.

NOW THIS DEED PROVIDES as follows:

(1) The sponsor’s name will, with effect from ………..……..……………..…………...……… (the effective date), be changed to the name as defined above for all the purposes of the plan.

(2) With effect from the effective date the plan shall be known as ……………………….……

…………………….……………………………………. Group Life Assurance Plan. IN WITNESS whereof this Deed has been duly executed the day and year first written above. if Limited Company (or PLC or LLP)

Signed as a deed on behalf of the sponsor by the following authorised signatories

……….……………. …………………… Signature of Director Signature of Director/ Company Secretary

………………..……….. Space above for Company ……………...……….. Full name in block capitals Seal if this is to be impressed Full name in block capitals if Partnership

Signed as a deed by the sponsor by

……….……………………………. ……….……………………………. Full name of signatory in block capitals Full name of signatory in block capitals

……….……………………………. ……….……………………………. Signature Signature Acting as attorney of the Partners in the Acting as attorney of the Partners in presence of the presence of

……….……………………………. ……….……………………………. Witness' signature Witness' signature

……….……………………………. ……….……………………………. Full name in block capitals Full name in block capitals if Sole Proprietor

Signed as a deed by the sponsor

……….……………………………. ……….……………………………. Signature Witness' signature

……….……………………………. ……….……………………………. Full name in block capitals Full name in block capitals