Grant of Authority

I, the undersigned Principal, hereby appoint the above-named Attorney-in-Fact to act in my name, place, and stead with respect to any stocks, bonds, shares, securities, or other investment instruments registered to my name, granting full power and authority to buy, sell, transfer, endorse, exchange, and otherwise manage such securities on my behalf.

Descriptions of Powers Granted

To buy or sell any stocks or securities in my account(s).
To sign, endorse, and deliver certificates and other instruments related to my securities.
To collect dividends and interest.
To transfer or assign securities as necessary.
To perform all acts necessary or incidental to the proper management of such securities.

Effective Date and Duration

Effective Date:

This Power of Attorney shall remain in effect until:

[ ] Revoked by the Principal in writing

[ ] The following date:

Signatures

Principal's Signature:

Date:

Attorney-in-Fact's Signature:

Date:

Witness:

Date:

Power of Attorney for Stock and Securities

Grant of Authority

Descriptions of Powers Granted

Effective Date and Duration

Signatures