AccouVrtte and Joint Application Information Name of of Account Title Joint Applicant (last riameArst name, rpiddleinitian nr Ituiinetc Hest name, first name, middle Sot I Secur, Nurrigoep oryea/Num7; /00 6 .0 ve.Y e 3 Atgrast 490SCr1.--- %-sv-vtc hts.rudicabie City, State and Zip C e Social Securiiy Number or Taxpayer ID Number Address City. Suite and Zip Code Home Tele hone Number Home Telephone Number Business elephone Numbs Business Telephone Number Date of Furth — Name of Employer Address City, State and Zip Code Date of air—th Name of Employer Not applicable Notice of Customer Identification Policy Address City. State ancnip Code Important Information To help the government light the funding of terrorism and money laundering activities, Federal law requires a financial institutions to obtain, verify, and record information that identifies each person who establishes an account, it rastment or other business relationship with a financial institution This moans that we will ask for your name, address. an: other information trial will allow us to identify you. We may also ask to see identifying documents such as a certilic its of lormation 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 mono) laundering and terrorist financing; these rules call for an active involvement of both asset management firms and their Cl lints. For new and existing clients we currently have a legal obligation to ask our customers questions regarding their it addresses, source of funds and. if necessary, legal representatives, authorized signatories, beneficial owners • control structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money laundering requirements require that should any of the above personal or institutional information cha