Account Title and Joint Application Information Jeepers, Inc Name of Account Tate Vast name, first name, middle initialler Business Joint Applicant Vest name, that name, middle initial) coal Security Number or Taxpayer ID Number Social Security Number or Taxpayer IC/Number 6100 Red HooliCtuarter B3 Address S.ti Themes V.S. Virgin Isle 00607 City, State and Zip Code Home Telephone Number Address City, Stale and Zip Code Nome Telephone Number Business Telephone Number Business Telephone Number Dale of Binh GFOOTBerth Neme of Employer Address City, State end Zip Codo Not applicable Notice of Customer Identification Policy Name of Employer Address ty. State and 2ip Code Important Information To help the government light the funding of terrorism and money laundering activities. Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who establishes an account, investment or other business relationship with a financial institution. This means that we will ask for your name, address, and other information that will allow us to identify you. We may also ask to see identifying documents such as a certificate of 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 laundering and terrorist financing; these rules call for an active involvement of both asset management firms and their clients. For new and existing Clients we Currently have a legal obligation to ask our customers questions regarding their identities, addresses, source of funds and, if necessary, legal representatives. authorized signatories, beneficial owners or control structures and 10 corect requisite tI0Cumentation to substantiate the inlormation. Also, enhanced anti-money laundering requirements require that should any of the above