Annual Trust Accounting and Report (Kansas Uniform Trust Code K.S.A. § 58a-813(b)(5) and § 58a-1005)

ANNUAL TRUST ACCOUNTING AND REPORT

Pursuant to K.S.A. § 58a-813(b)(5) and Subject to K.S.A. § 58a-1005

Before sending: Determine recipients under current K.S.A. 58a-103(12), 58a-603, and 58a-813(b)(5) and (d), the trust terms, and 2026 Kan. Sess. Laws ch. 98, § 11. Section 58a-813(c) governs waiver; it is not the annual-report subsection. Use the limitation notice below only with a report that actually discloses the facts of a potential claim; the report itself does not establish that disclosure is adequate.

I. TRUST IDENTIFICATION

II. TRUSTEE IDENTIFICATION

III. QUALIFIED BENEFICIARIES RECEIVING THIS REPORT (§ 58a-813(b)(5))

IV. SUMMARY OF ACCOUNT

V. SCHEDULE OF RECEIPTS (§ 58a-813(b)(5))

A. Income Receipts

B. Principal Receipts

VI. SCHEDULE OF DISBURSEMENTS (§ 58a-813(b)(5))

A. Ordinary Administration Expenses

B. Distributions to Beneficiaries

C. Taxes

VII. STARTING STATEMENT OF ASSETS (As of [__/__/____])

VIII. ENDING STATEMENT OF ASSETS — MARKET VALUES (§ 58a-813(b)(5)) (As of [__/__/____])

☐ Market value is not feasible to determine for the following asset(s); the basis stated reflects [____________________]: [____________________].

IX. STATEMENT OF LIABILITIES (§ 58a-813(b)(5))

☐ The Trust has no outstanding liabilities as of the end of the accounting period.

X. TRUSTEE COMPENSATION AND AGENTS HIRED

A. Trustee Compensation — Source and Amount (§ 58a-813(b)(5))

B. Agents Hired by Trustee

C. Related-Party Transactions

☐ The Trustee did not engage in any transactions during the accounting period with the Trustee personally, with any entity in which the Trustee holds a beneficial interest, or with any agent related to the Trustee, other than as fully disclosed above.

☐ The following related-party transactions occurred during the accounting period and are fully disclosed for the beneficiaries' review:

[____________________________________________________________]

[____________________________________________________________]

XI. INVESTMENT RATE OF RETURN (§ 58a-813(b)(5)) — UPON REQUEST

☐ Not provided in this report; available upon written request to the Trustee.

☐ Investment rate of return for the accounting period: [______]%. Calculation method: [____________________]. The method ☐ does ☐ does not comply with the standards established by the Association of Investment Management and Research (AIMR).

XII. LIMITATION NOTICE — K.S.A. 58a-1005

Potential breach-of-trust claim facts disclosed, if any: [IDENTIFY THE CONDUCT, TRANSACTION, DATES, AMOUNTS, AND REPORT OR SCHEDULE PAGES THAT ALLOW THE BENEFICIARY TO RECOGNIZE OR INQUIRE INTO THE POTENTIAL CLAIM. IF NONE, STATE NONE.]

Notice to recipient: Under K.S.A. 58a-1005(a), a beneficiary may not commence a proceeding against a trustee for breach of trust more than one year after the date the beneficiary or the beneficiary's representative was sent a report that adequately disclosed a potential breach-of-trust claim and informed the beneficiary of the time allowed to commence a proceeding. Subsection (b) defines adequate disclosure by whether the information lets the beneficiary or representative know of the potential claim or should cause inquiry into it. If subsection (a) does not apply, subsection (c) measures a two-year period from the first of the trustee's removal, resignation, or death; termination of the beneficiary's interest; or termination of the trust. This notice does not itself establish that any potential claim was adequately disclosed.

Date this report was sent: [__/__/____]

XIII. BENEFICIARY OBJECTION MECHANISM

A qualified beneficiary who questions or objects to any item in this Report is encouraged to deliver a written objection to the Trustee at the address in Section II within [____] days of receipt. This informal step does not extend, shorten, or substitute for the statutory limitation period stated in Section XII.

If a judicial proceeding is needed, K.S.A. 58a-204(a) generally permits venue in the Kansas county where the trust’s principal place of administration has been, is, or will be located, or where real property in which the trust has an interest is located; it also provides a testamentary-trust estate-administration venue while the estate remains open. Confirm venue and available relief for the particular claim.

Trustee Contact for Objections / Inquiries:

XIV. WAIVER OF REPORT (K.S.A. § 58a-813(c))

K.S.A. 58a-813(c) permits a qualified beneficiary to waive a report or other required information and to withdraw a waiver for future reports and information. Document any waiver or withdrawal and the recipient and date; this form does not require a beneficiary to sign a release.

XV. TRUSTEE CERTIFICATION

I, the undersigned Trustee, certify:

1. I have reviewed the foregoing Annual Trust Accounting and Report and each schedule attached;

2. The information set forth is true, correct, and complete to the best of my knowledge, based on the books, records, and supporting documentation of the Trust;

3. All material receipts, disbursements, assets, liabilities, trustee compensation, agents hired (including any related-party agents), and related-party transactions for the accounting period stated above are disclosed;

4. This Report is furnished under the applicable trust terms and, where applicable, K.S.A. 58a-813(b)(5) or (e); and

5. The limitation notice in Section XII is provided to inform each beneficiary of the time allowed for commencing a proceeding under K.S.A. § 58a-1005(a).

Executed on [__/__/____] at [____________________], Kansas.

Trustee Signature: [________________________________]

Print Name: [________________________________]

Capacity: [________________________________]

XVI. DELIVERY RECORD

On [__/__/____], I sent this Annual Trust Accounting and Report to each recipient identified in Section III by [FIRST-CLASS MAIL / PERSONAL DELIVERY / OTHER METHOD REASONABLY LIKELY TO RESULT IN RECEIPT UNDER K.S.A. 58a-109]. The addresses and delivery evidence retained are [DESCRIBE].

Date: [__/__/____]

Signature: [________________________________]

Print Name: [________________________________]

Address: [________________________________]