Account Title and Joint Application Information Name of 11/410C,Z. ti.W......•_— past na • sines Joint Applicant Oast name, first name. middle initial) Social Security um ortaxpayer Social Security Number or Taxpayer ID Number 6100 k in or irsebealribt AM Address STS kit k: <1 . 1/5v/ 0 0 t o."--- Not try, State and. Zip Code City, Stale and 2.6 Code Address H ome Telephone Number Bust usiness Telephone Number Date of Binh Detect Birth Name of Employer Name of Employer Address Address Not app cable City, State and Zip Code City. State and Zip Cod* Notice of Customer Identification Policy Important Information To help the government fight 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, iffildteltelt or other business relationship with a financial institution. This means that we will ask for your name, address, and •;ther information that will allow us to identify you. We may also ask to see identifying documents such as a cenilicati. 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 I undenng and terrorist financing; these rules call for an active involvement of both asset management firms and their elk • ts. For new and existing clients we currently have a legal obligation to ask our customers questions regarding their id, addresses, source of funds ond, if necessary, legal representatives, authorized signatories, beneficial owners el ::ontrul structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money indering requirements require that should any of the above personal or institutional information change, our clients wou.:1 be obliged to