Name of Account Trite Account Title and Joint Applicatiorformation •-.1e.tvv‘ Joint Abbe 4 (<:areta fhiAL Oita ns ' inns mbr Addm Addiess Home Telephone Number Home Telephone Number Business Tele Number Date of Birth Nes LLC- Name of Ent?"' Cow PY Mat S Address 0 Nl 100;21 City. State and Zip Code Notice of Customer Identification Policy sTuDeN r Nome of Employer Address Crly. State end Lp Code Important Information To help the goveinment fight the funding of terrorism and money laundering activities, Federal law requites all firweial institutions to obtain, verify, and record information that identifies each person who establishes an account, inves. went or other business relationship with a financial institution. This means that we will ask for your name, address, and on la information that will allow us to identity you. We may also ask to see identifying documents such as a certificate t• formation or good standing (legal entities) or a passport or other photo identification (Individuals). 3rd EU Notice Governmental rules have also broadened the scope of the Bank's obligations to aid in the fight against money lau daring and terrorist financing; these rules earl tar en active involvement of both asset management firms and their client For new and existing clients we currently have a legal obligation to ask our customers questions regarding their ident fies. addresses. source of funds and. if necessary. legal representatives, authorized signatories, beneficial owners or a rtrol structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money letn iering requirements require that should any of the above personal or institutional information change. our clients would :4 obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify these char -jos. Telephone, Facsimile or Email Instructions By signing below, you agree that from time to time yo