ATTACHMENT 1
DECISIONS CONCERNING THE MEMBER'S CRYOPRESERVATION
ADDENDUM TO CRYOPRESERVATION AGREEMENT


[NOTE: Attachment 1 is a customized document which is generated in response to the individual choices you make in Section IX of your Alcor Membership Application ("Decisions Concerning Your Cryopreservation"). On this page we show the language that will result from each choice made.]

This Attachment is understood to be a part of the Cryopreseervation Agreement between NAME OF MEMBER, (The Member) and the Alcor Life Extension Foundation (Alcor), signed by the Member on _____________________ (date of Cryopreservation Agreement).

If the Member chooses not to make any or all of the decisions below, Alcor shall assume the default decision stated in each section. The Member may revise this Attachment by filling out a Change of Cryopreservation Decision form or by filling out a new copy or new revision of this Attachment. Any of these changes may be made without affecting the Cryopreservation Agreement already completed. In the case of such changes, the Change of Cryopreservation Decision or the revised Attachment 1 shall become part of the Member's Cryopreservation Agreement.


I. METHOD OF CRYOPRESERVATION

Alcor offers two options for cryopreservation: 1) Neurocryopreservation, wherein the Member's brain or entire head is cryopreserved using current vitrification protocols, and 2) Whole Body Cryopreservation, wherein the Member's entire body is cryopreserved without vitrification.

[If you chose neurocryopreservation, the next paragraph reads as follows:]

The Member's choice, as indicated on the Application for Cryopreservation, is Neurocryopreservation.

[If you chose whole body cryopreservation, the next paragraph reads as follows:]

The Member's choice, as indicated on the Application for Cryopreservation, is Whole Body Cryopreservation. If at the time of the Member's cryopreservation there is inadequate funding in place for Whole Body Cryopreservation but sufficient funding for Neurocryopreservation, the Member will be Neurocryopreserved. Funds left over in either case will be handled according to the provisions of Article VII of this document.


II. CREMATION AND DISPOSITION OF NON-CRYOPRESERVED PORTION OF HUMAN REMAINS

[If you chose Alcor's standard practice, the default choice, the next paragraph reads as follows:]

The Member hereby authorizes Alcor to cremate, or cause to be cremated, the non-cryopreserved portion of his/her human remains and releases Alcor, its agents, hirelings, or assigns from any and all liability in cremating the non-cryopreserved portion of the Member's human remains. Alcor will retain or dispose of the cremated non-cryopreserved portion of the Member's remains as it chooses, consistent with legal requirements, unless the Member directs otherwise.

[If you chose "I wish Alcor to have the cremated non-cryopreserved portion of my human remains scattered at sea," the next paragraph reads as follows:]

The Member hereby authorizes Alcor to cremate, or cause to be cremated, the non-cryopreserved portion of his/her human remains and arrange to have the remains scattered at sea.  The Member releases Alcor, its agents, hirelings, or assigns from any and all liability in cremating and scattering at sea the non-cryopreserved portion of the Member's human remains.

[If you chose "I wish the person named below to receive possession of the cremated non-cryopreserved portion of my human remains," the next paragraph reads as follows:]

The Member hereby authorizes Alcor to cremate, or cause to be cremated, the non-cryopreserved portion of his/her human remains and deliver the remains via registered U.S. Mail to the person or institution (recipient) indicated below. The Member releases Alcor, its agents, hirelings, or assigns from any and all liability in cremating and delivering the non-cryopreserved portion of the Member's human remains. In the event that the recipient cannot be located and my next-of-kin refuse to accept my cremated remains, the Member authorizes Alcor to scatter at sea or retain the cremated remains as Alcor chooses. (Recipient is ________________________).

[If you chose "I wish to make other arrangements for disposal of the cremated non-cryopreserved portion of my remains," the next paragraph reads as follows:]

The Member hereby authorizes Alcor to cremate, or cause to be cremated, the non-cryopreserved portion of his/her human remains and releases Alcor, its agents, hirelings, or assigns from any and all liability in cremating the non-cryopreserved portion of the Member's human remains. Further, the Member has made arrangements for disposal of the cremated non-cryopreserved portion his/her remains which are detailed in a separate instrument attached by the Member to Agreement. In the event that this instrument is not attached by the Member to this document, the Member authorizes Alcor to scatter at sea or retain the cremated remains as Alcor chooses.


III. CRITERIA FOR CRYOPRESERVATION

[If you chose Alcor's standard practice, the default choice, the next paragraph reads as follows:]

The Member might die under circumstances which would cause considerable damage to his/her human remains. Under such conditions Alcor will place into cryopreservation any biological remains whatsoever that they may be able to recover, regardless of the severity of the damage from fire, decomposition, autopsy, embalming, or other causes. Members who have chosen Neurocryopreservation will have any remains of their brain placed into cryopreservation that Alcor may be able to recover regardless of the severity of the damage from fire, decomposition, autopsy, embalming, or other causes.

[If you chose "I wish Alcor to place into cryopreservation any remains of my brain that they may be able to recover, regardless of the severity of damage, and if none of my brain tissue is recoverable, do not proceed with my cryopreservation," the next paragraph reads as follows:]

The Member might die under circumstances which would cause considerable damage to his/her human remains. Under such circumstances Alcor will place into cryopreservation any remains of the brain that they may be able to recover, regardless of the severity of damage to the brain from fire, decomposition, autopsy, embalming, or any other causes. If none of the brain tissue is recoverable, Alcor will not proceed with the cryopreservation.

[If you chose "If no brain tissue is recoverable, I wish Alcor to place into cryopreservation samples of as many organs as are available," the next paragraph reads as follows:]

The Member might die under circumstances which would cause considerable damage to his/her human remains. Under such conditions Alcor will place into cryopreservation any biological remains whatsoever that they may be able to recover, regardless of the severity of the damage from fire, decomposition, autopsy, embalming, or other causes. Members who have chosen Neurocryopreservation will have any remains of their brain placed into cryopreservation that Alcor may be able to recover regardless of the severity of the damage from fire, decomposition, autopsy, embalming, or other causes. If no brain tissue is recoverable, Alcor will place into cryopreservation samples of as many of the Member's organs as are available.

[If you chose to specify conditions under which your remains should not be cryopreserved, and contacted Alcor's Membership Admininstrator and reached agreement regarding such conditions, the next paragraph reads as follows:]

The Member might die under circumstances which would cause considerable damage to his/her human remains. Under such conditions, the Member specifies the following quantifiable and objective conditions under which his/her human remains should not be cryopreserved. The Member acknowledges and accepts that the Alcor Board of Directors shall have the sole and absolute authority to determine if these conditions apply at the time of legal death. Further, the Member releases Alcor from any and all liability for its good faith decisions in this regard. Special arrangements are ___________________.


IV. CRYOPRESERVATION NOT POSSIBLE

[If you chose Alcor's standard practice, the default choice, the next paragraph reads as follows:]

The Member might die under circumstances that make it impossible to place him/her into cryopreservation.  These circumstances might include legal or medical barriers or the inability of Alcor to locate or recover the human remains.  In that event, Alcor would take from the Member's Cryopreservation Fund the amount necessary to pay for expenses incurred in an unsuccessful attempt to locate or recover the human remains.  Under these circumstances, or if the conditions stated in Section III above are not met, or if for any other reason cryopreservation of the Member's human remains is not possible, Alcor will pay over the remainder of the Cryopreservation Fund to the Member's estate.

[If you chose to have the remainder of the Cryopreservation Fund allocated differently, the next paragraph reads as follows:]

The Member might die under circumstances that make it impossible to place him/her into cryopreservation.  These circumstances might include legal or medical barriers or the inability of Alcor to locate or recover the human remains.  In that event, Alcor would take from the Member's Cryopreservation Fund the amount necessary to pay for expenses incurred in an unsuccessful attempt to locate or recover the human remains.  Under these circumstances, or if the conditions stated in Section III above are not met, or if for any other reason cryopreservation of the Member's human remains is not possible, Alcor will divide any remaining money in accordance with the choices made by the Member on the Application For Cryopreservation and reiterated below:

Patient Care Trust - __%
Alcor Research Fund - __%
General Operating Fund - __%
Endowment Fund - __%
To ________________ (person, organization, trust, etc.) - __%

In the event that none of the choices to receive unused funds are alive, located, or existing, Alcor shall make a reasonable effort to search out other natural heirs. The costs of this search will be paid for out of the funds. If no heirs can be found, Alcor shall dispose of the money as prescribed by law.


V. CRYOPRESERVATION ENDANGERMENT CONTACTS

In case of large financial expenditures to fight legal attacks on the Member's cryopreservation, general financial or legal set-backs which threaten the cryopreservations of all Members in cryopreservation, or the dissolution of Alcor (see Cryopreservation Agreement, Section IV, CONTINGENCIES), it may be necessary for Alcor to convert the Member in cryopreservation from Whole Body Cryopreservation to Neurocryopreservation, or to terminate any or all Member's cryopreservation. As a safety measure, the Member may designate certain individual(s), organization(s), and/or institution(s) as Cryopreservation Endangerment Contacts (see Cryopreservation Agreement, Section IV, CONTINGENCIES, Article 3). Such designation does not create a contract with the Cryopreservation Endangerment Contacts on the part of either the Member or Alcor. The Member's desired contacts, if any, are listed below.

CONTACT 1 NAME, ADDRESS AND PHONE NUMBER(S)

CONTACT 2 NAME, ADDRESS AND PHONE NUMBER(S)


VI. PUBLIC DISCLOSURE

Alcor will make reasonable efforts to protect the name of the Member in conjunction with details of his/her cryopreservation or membership unless the Member specifically authorizes Alcor to publicly disclose that information. However, if the Member or a third party publicly discloses the name of the Member in conjunction with details of his/her cryopreservation arrangements or membership affiliation, prior to or after cryopreservation, Alcor is released from this confidentiality agreement. Furthermore, if any legal action is filed against Alcor pursuant to a Member’s cryopreservation arrangements or membership affiliation, prior to or after cryopreservation, Alcor is released from this confidentiality agreement. Alcor is not obligated to keep information about the Member’s cryopreservation confidential. Through choices made by the Member, the Member has authorized Alcor or limited Alcor’s authorization as follows:

[If you chose "I give Alcor permission to freely release my information at its discretion," the next paragraph reads as follows:]

Alcor is authorized to freely release Member information at its discretion.

[If you chose "I give Alcor permission to release my name and number only to other Alcor Members prior to my cryopreservation. After my cryopreservation has been completed, Alcor is authorized to freely release my information at its discretion, including information Alcor deems appropriate about my cryopreservation," the next paragraph reads as follows:]

Alcor is authorized to release the Member's name and number only to other Alcor Members prior to the Member's cryopreservation. After the Member's cryopreservation has been completed, Alcor is authorized to freely release Member information at its discretion, including information Alcor deems appropriate about the Member's cryopreservation.

[If you chose "I instruct Alcor to maintain reasonable confidentiality pursuant to the provisions of Attachment I," the next paragraph reads as follows:]

Alcor is to make reasonable efforts to maintain confidentiality of Member information subject to the conditions above.


VII. ALLOCATION OF CRYOPRESERVATION FUNDING OVER THE REQUIRED MINIMUM AMOUNT

[If you chose Alcor's standard practice, the default choice, the next paragraph reads as follows:]

If the Member has provided Cryopreservation Funding over the minimum required amount, and if all cryopreservation expenses have not been met by the minimum required amount, Alcor will apply funding above the minimum to payment of those expenses. If funds above the minimum required amount remain after payment of all cryopreservation expenses, Alcor will place 50% of this money into the Patient Care Fund, and 50% into the General Operating Fund.

[If you choose a different allocation of cryopreservation funds over the minimum, the next paragraph reads as follows:]

If the Member has provided Cryopreservation Funding over the minimum required amount, and if all cryopreservation expenses have not been met by the minimum required amount, Alcor will apply funding above the minimum to payment of those expenses. If funds above the minimum required amount remain after payment of all cryopreservation expenses, Alcor will divide this money in accordance with the choices made by the Member on the Application For Cryopreservation and reiterated below:

Patient Care Trust - __%
Alcor Research Fund - __%
General Operating Fund - __%
Endowment Fund - __%
To ________________________ (person, organization, trust, etc.) - __%


VIII. COMPREHENSIVE MEMBER STANDBY (CMS) WAIVER

[If you choose waive the CMS fee, currently $180 per year, by contractually signing up to always fund $20,000 above the minimum cryopreservation rate, the next paragraph reads as follows:]

In exchange for a waiver of the Comprehensive Member Standby (CMS) fee the Member has agreed to a permanent increase of $20,000 to their Cryopreservation Fund Minimum above the current standard Cryopreservation Fund Minimum. The Member acknowledges that when the standard Cryopreservation Fund Minimums are increased in the future, that their Cryopreservation Fund Minimum will always be $20,000 higher.


IX. SIGNATURE OF MEMBER

YOUR SIGNATURE BELOW CONFIRMS YOUR ACKNOWLEDGEMENT THAT:

1. These are your decisions concerning your cryopreservation.

2. That any decisions not made herein by you will revert to Alcor's stated defaults.

_______________________________________
Signature of Member

________ \ ________ \ 20____
Month Day Year

_________________________ (a.m./p.m.)
Time


X. WITNESSES

Two (2) witnesses are required to sign in the presence of each other and the Member. At the time of signing, witnesses must not be relatives of the Member, health care providers of any kind, or officers, directors, or agents of Alcor.

YOUR SIGNATURE AS WITNESS CONFIRMS YOUR ACKNOWLEDGEMENT THAT:

1. The Member has represented to you that he/she understands and agrees to the purposes and terms of this document.

2. The Member has declared to you that cryopreservation is his/her last wish as to the disposition of his/her body and person after legal death.

WITNESSED ON (MM\DD\YY) ________\ ________ \ 20____
TIME _____________(a.m.\p.m.)

1. Signature _____________________________________

Printed _________________________________________

Social Security # (optional) __________________________

Address _________________________________________

City, State, Zip ____________________________________

2. Signature ______________________________________

Printed __________________________________________

Social Security # (optional) ___________________________

Address _________________________________________

City, State, Zip ____________________________________

[version 2/07/16]