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1 Donor-advised fund application for Individuals and Trusts Instructions: If you are establishing a new UBS Donor-Advised Fund with National Philanthropic Trust (NPT), completing this contribution agreement is step 1. For step 2, please complete the contribution agreement and submit all forms to NPT. For assistance, please contact the UBS Donor-Advised Fund at National Philanthropic Trust: or ubsdaf@nptrust.org. 1. Donor-advised fund name Choose a name for the donor-advised fund. You may name it for yourself, for your family (e.g., The Smith Family Charitable Fund ), in memory of someone, or for a particular charitable purpose (e.g., Save the Rain Forests Fund ). Donor-advised fund name 2. Primary advisor Identify the primary advisor for the DAF. The primary advisor is typically the primary donor the owner of the assets being donated to establish the account. You may name an individual (such as a spouse, family member, friend, or other) as joint advisor to your DAF. He or she will have the authority to recommend grants and investment allocations, view DAF information, and name successors or charitable beneficiaries. If the contributed assets are under joint ownership, a joint advisor must be listed. 3. Joint advisor The primary advisor may name an individual (such as a spouse, family member, friend, or other) as joint advisor to your DAF. He or she will have the authority to recommend grants and investment allocations, view DAF information, and name successors or charitable beneficiaries. If the contributed assets are under joint ownership, a joint advisor must be listed. 4. Secondary advisor(s) You may name one or more secondary advisors who may recommend grants and investments or input them on your behalf. Secondary advisors cannot name advisors or successors, but they will have the same ability to recommend grants and investments as you do. Secondary advisors will not succeed the primary or joint advisors unless they are also named as a successor advisor on this application. 1 of 7

2 5. Legacy plan The Primary and/or Joint donor-advised fund (DAF) advisor(s) may select any combination of three Legacy Plan options (subject to the qualifications noted below). Please designate the respective percentages of remaining DAF account assets that you would like distributed according to the three options upon the notification of the death or incapacity of the last primary or joint advisor. The total percentage of DAF assets allocated to selected Legacy Plan options must equal 100%. Option 3: Endowment program Option 1: Individual successors Option 2: Charitable beneficiaries ($100,000 Minimum required)* Name up to four Individual Successor(s), each to be designated as a Primary Advisor on a new DAF account at the time of Legacy Plan activation (e.g., receipt of death certificate). Select percentage of DAF assets designated to each named Individual Successor. If division of assets for Option 1 creates DAF account(s) with balance(s) below $25,000, successor(s) will have 90 days to bring balance up to the $25,000 DAF minimum or recommend grants to qualified charities. Designate one or more charities to receive a lump-sum grant at the time of Legacy Plan activation (e.g., receipt of death certificate). Minimum grant amount is $250/per charity. Select percentage of DAF assets designated to each named Charitable Beneficiary. If a designated charity is not eligible to receive a grant at the time of Legacy Plan activation, designated assets will be reallocated among the remaining charities.** Select total percentage of DAF assets designated to Option 3 Endowment Program. Select the total percentage of Endowment Account assets to be allocated annually among all named charitable beneficiaries. Designate one or more charities to receive an annual recurring grant and specify the percentage that each charity will receive from the Endowment Account balance. Allocation must equal 100%.** Minimum grant amount is $250/per charity. Example: Charity #1 (40%), Charity #2 (60%). Assets allocated to the Endowment Account will be invested in the investment pool option available at the time of activation; trading will occur within 90 days of the receipt of written notice of the Legacy Plan activation (e.g., receipt of death certificate). When an Endowment Account balance reaches $25,000, final lump-sum grant(s) will be made to designated charities.** * $100,000 minimum required at the time of Legacy Plan activation for Endowment Program eligibility. If available DAF assets are less than $100,000, this Legacy Plan selection will revert to Option 2. ** If no designated charity is eligible to receive grants at the time of Legacy Plan activation, NPT will make a grant to qualified charitable organization(s) as similar as possible in mission and scope (as determined by NPT in its sole discretion) or will reserve the right to transfer the balance of the account to the NPT Giving Fund. 2 of 7

3 Option 1: Individual Successor(s) Option 1 Allocation subtotal: % You may designate up to four individuals. Please make copies of this page if you wish to designate more than two successors. Successor 1: Mr. Mrs. Ms. Dr. Allocation % (required) Successor 2: Mr. Mrs. Ms. Dr. Allocation % (required) Option 2: Charitable Beneficiaries Option 2 Allocation subtotal: % You may designate one or more charities. Please make copies of this page if you wish to designate more than two charitable beneficiaries. Charitable beneficiary 1 Charity name Allocation % Employer ID number (if known) Charitable beneficiary 2 Charity name Allocation % Employer ID number (if known) Option 3: Endowment Program ($100,00 minimum required) * Option 3 Allocation subtotal for endowment program: % % of assets to be allocated annually to charities listed below: % You may designate one of more qualified charitable organizations. Please make copies of this page if you wish to designate more than two charitable organizations. 3 of 7

4 Endowment charitable organization 1 Organization name Endowment Account Allocation % Employer ID number (if known) Endowment charitable organization 2 Organization name Endowment Account Allocation % Employer ID number (if known) Option 1 Allocation subtotal: % Option 2 Allocation subtotal: % Option 3 Allocation Designation for Endowment Program Subtotal: % Total: 100% 6. Financial advisor access information 3 The primary/joint advisor must designate the account access authorization to the UBS Financial Advisor identified at the end of this application. You may authorize your financial advisor to recommend grants and investments on your behalf by selecting full access. If there is more than one, please submit additional names, contact information and authorization levels in writing to ubsdaf@nptrust.org. Read-only access: permits UBS Financial Advisor to view DAF information online Full access: permits UBS Financial Advisor to recommend investment allocations and grants 7. Investment allocation Below are descriptions of the available investment allocations for the UBS Managed Portfolio Program (Options 1, 2 and 3): May be appropriate for donors who are generally risk averse, yet are willing to accept some degree of risk to achieve low to moderate appreciation potential. conservative May be appropriate for donors who are seeking moderate appreciation from income and capital appreciation and who are willing to accept some degree of volatility in their returns. Moderate May be appropriate for donors who are seeking a total return composed of both income and capital appreciation and who are willing to accept a moderate degree of volatility in their returns. aggressive May be appropriate for donors who are seeking long-term growth. Donors who select this category should be willing to accept a higher degree of volatility in their returns. Aggressive May be appropriate for donors who are seeking long-term growth. Donors who select this category should be willing to accept a high degree of volatility in their returns. Equity preference (Global Selections ETF preference only) May be appropriate for investors who are seeking long-term growth with less of an emphasis on income. Donors who select this category should be willing to accept the potential for greater volatility of investment returns than that of the general stock market. The pie charts below represent the benchmark allocations for each of the portfolios rounded to the nearest whole percentage point. These portfolios overweight and underweight asset classes on a tactical basis and the target allocations will be adjusted periodically. 4 of 7

5 Select ONE of the following options: Option 1: UBS Managed Portfolio of Funds Core Strategy without Non Traditional Allocations (Non-taxable Account) Globally asset-allocated portfolios with tactical asset allocation, invested in a combination of exchange traded funds and actively managed mutual funds. Asset class Global Equities U.S. Gov\Credit Emerging Markets U.S. Corporate High Yield Cash Fixed Income Fixed Income Fixed Income Moderate aggressive Aggressive 16% 4% 3% 10% 69% 53% 32% 37% 49% 19% 68% 8 Option 2: UBS Managed Portfolio of Global Selections ETF Preference Globally asset-allocated portfolios with tactical asset allocation, invested in a combination of broad-market as well as regional industry and sector exchange traded funds. Asset class Global Equities U.S. Gov\Credit Emerging Markets U.S. Corporate High Yield Cash Fixed Income Fixed Income Fixed Income Moderate aggressive Aggressive Equity Preference 16% 4% 3% 10% 69% 53% 32% 37% 49% 19% 68% 8 9 Option 3: UBS Managed Portfolio of ESG Investments Globally asset-allocated portfolios with tactical asset allocation, invested in exchange traded funds and actively managed mutual funds with an emphasis on environmental, social and governance factors. Asset class U.S. Equities International Equity U.S. Fixed Income Cash or Cash Equivalent International/Global Fixed Income Moderate Aggresive 16% 6% 36% 1 57% 73% 44% 1 23% 5 of 7

6 Option 4: Personalized mutual fund option Allows the donor/advisor to create a personalized strategy from among the following mutual funds. The UBS money market funds are excluded from the UBS investment advisory fee. Mutual fund Morningstar asset class Ticker symbol % UBS Select Government Institutional Fund Money Market SEGXX % UBS Select Treasury Institutional Fund Money Market SETXX % Metropolitan West Total Return Bond Fund Intermediate-Term Bond MWTIX % JPMorgan Core Bond Fund Intermediate-Term Bond WOBDX % Vanguard Total Bond Market Index Fund Intermediate-Term Bond VBTLX % Brandywine Global Opportunities Fund World Bond GOBIX % Vanguard 500 Index Fund Large Blend VFIAX % JPMorgan Equity Income Fund Large Value HLIEX % Columbia Select Large Cap Growth Fund Large Growth UMLGX % Vanguard Mid Cap Index Fund Mid-Cap Blend VIMAX % Eaton Vance Atlanta Capital SMID-Cap Fund Mid-Cap Growth EISMX % Vanguard Small Cap Index Fund Small Blend VSMAX % Invesco Small Cap Value Fund Small Value VSMIX % Nationwide Geneva Small Cap Growth Instl Svc Small Growth NWKDX % American Funds New Perspective Fund World Stock ANWFX % Vanguard Total International Stock Index Fund Foreign Large Blend VTIAX % Oakmark International Fund Foreign Large Value OANIX % Invesco International Growth Fund Foreign Large Growth AIIYX % Virtus Emerging Markets Opportunities Fund Diversified Emerging Mkts HIEMX % Vanguard Emerging Markets Stock Index Fund Diversified Emerging Mkts VEMAX % MFS Global Real Estate Fund Global Real Estate MGLIX % Cohen & Steers Real Estate Securities Fund Real Estate CSDIX ALPS Core Commodity Management % Complete Commodities Strategy Fund Commodities Broad Basket JCRIX 0.0 % (Please ensure all percentages add up to 100%) Total Option 5: Segregated Account Customized Allocation (Note: Financial Advisor-managed segregated account option is only available for UBS donor-advised funds over $500,000 which wish to recommend investments other than those offered above). Option 5: Segregated Account Customized Allocation (Note: Financial Advisor-managed segregated account option is only available In for addition UBS donor-advised to Account funds Opening over forms, $500,000 your UBS which Financial wish to Advisors recommend should investments obtain a copy other of than NPT s those Investment offered Information above). Opening form forms, to initiate your the UBS approval Financial process Advisors for should establishment obtain a copy of an of NPT NPT s Segregated Investment Account. Information This form form is to available initiate to the UBS approval Financial process Advisors for establishment at goto/daf or of by an contacting NPT Segregated the UBS Account. DAF at This form is available or ubsdaf@nptrust.org. to UBS Financial Advisors Please note, at goto/daf NPT s Investment or by contacting Policy Guideline the UBS DAF applies at to all such accounts. or Segregated ubsdaf@nptrust.org. Accounts Please with a note, balance NPT s below Investment $500,000 Policy will Guideline be deemed applies to have to all a balance such accounts. of $500,000 for purposes of calculating the charitable administrative fee at the time of calculation. In addition, NPT reserves the right to move Segregated Accounts having a balance below $500,000 into one of NPT s pooled investment options. 8. Acknowledgement of terms I/We understand that my (our) gifts to National Philanthropic Trust (NPT), a 501(c)(3) public charity, are irrevocable and unconditional, and that NPT retains exclusive legal control over contributed assets. I (We) acknowledge that I/we have read the UBS Donor-Advised Fund program guide and agree to the terms contained therein which shall govern my advisors and successors. I/We certify that, to the best of my (our) knowledge, all information enclosed is accurate and I (we) agree to notify NPT in writing of any changes. I/We understand that if the named UBS Financial Advisor has been given transactional access, that NPT is authorized to rely on instructions from the authorized UBS Financial Advisor without further approval or instruction from me (us). Primary advisor signature Date Joint advisor signature Return this completed form and other required documentation to: Mail UBS Donor-Advised Fund c/o National Philanthropic Trust 165 Township Line Road, Suite 1200 Jenkintown, PA Date Fax ubsdaf@nptrust.org For assistance, please contact the UBS Donor-Advised Fund at National Philanthropic Trust: or ubsdaf@nptrust.org. 6 of 7

7 To be completed by UBS Financial Advisor Lead UBS Financial Advisor name UBS team name Financial advisor office address City State ZIP Is the FA related to the donor? 4 Yes No If yes, please describe the relationship: FA compensation Per FA compensation schedule as outlined in the UBS DAF Program Guide. 5 If the UBS FA wishes to discount his/her UBS DAF Program compensation, please send an to ubsdaf@nptrust.org and indicate in the subject line UBS DAF FA Compensation Discount Request and provide compensation discount details, along with UBS DAF name and account number. UBS FAID to be compensated (Required even if fee is discounted) Financial Advisor signature Date 1 If a successor advisor is under the age of 18 at the time of the death of the primary and joint advisors, the minor cannot assume account privileges until he/she reaches the age of In the event that the recommended charity no longer exists or is not an accredited 501(c)(3) organization, grants will be awarded to the other charity(ies) named, and if none, to a charity whose mission is similar to the original charity as determined by NPT. 3 It is the responsibility of the primary/joint advisors named to notify NPT if there is a change to the financial advisor named and/or authorized on the UBS Donor-Advised Fund account. 4 Financial Advisors (FA) are ineligible to receive compensation as the FA on the account when the donor is the FA or a direct family member. The family members that are considered disqualified (and thus cannot receive compensation) are: a donor s spouse, ancestors, siblings, children, grandchildren, great grandchildren, and the spouses of siblings, children, grandchildren, and great grandchildren. 5 UBS Financial Advisors are eligible to receive compensation for managing UBS DAF accounts. For questions regarding the Advisor compensation on this account, please contact your UBS Financial Advisor directly. Financial advisors who wish to modify their program fee from the schedule outlined in the UBS DAF Program Guide should ubsdaf@nptrust.org to advise NPT of the modified program fee amount. UBS All rights reserved. The key symbol and UBS are among the registered and unregistered trademarks of UBS. UBS Financial Services Inc. is a subsidiary of UBS AG. Member FINRA/SIPC. UBS Financial Services Inc. ubs.com/fs of 7