CHARITIES REGULATORY AUTHORITY Section 29 of the Charities Act, 1961 (as amended by Section 8 of the Charities Act, 1973, Part 2 of the Social Welfare (Miscellaneous Provisions) Act 2002 and Section 82 of the Charities Act, 2009) (Insert name of Charity and Registered Charity Number [issued by CRA]) WHEREAS (here give particulars about the origin of the Charity) AND WHEREAS (here explain the reasons why the purpose of the Charity require amendment) AND WHEREAS (names of Trustees or name of Trust Corporation) have/has requested the Authority to frame a Scheme for the application Cy-Pres of (insert description of property to be applied Cy-Pres) NOW the said Authority by virtue of the jurisdiction vested in them by Section 29(4) of the Charities Act, 1961 as amended by Section 8 of the Charities Act, 1973, Part 2 of the Social Welfare (Miscellaneous Provisions) Act, 2002 and Section 82 of the Charities Act, 2009 hereby direct that from the date hereof the said Charity shall be managed and administered in accordance with the following Scheme, namely: Scheme GlVEN under the Common Seal of the Charities Regulatory Authority this day of PRESENT when Seal affixed:- A Member of the Authority A member of the Authority/ a member of staff of the Authority 20 .