Accou Name of (last nart and Joint Application Information Soot /See Fueo r ortialaupayer k ta r ot 04 v. Address 45T T AgntS ti54 i —Notapplleabls City. State end Z' City. State and Zip Code Nome Telephone Number Business eephone umber Busness Telephone Number Oate of Birth Joint Applicant treat name, lust name, middle Initial) Social Security Number or Taxpayer ICI Number Address Date of Birth Name of Employer Name of Employer Address Address rArlapAysable City, Suite and Zip Code City. State end Zip Code Notice of Customer Identification Policy Important Information To help the government fight the funding of terrorism end money laundering activities. Federal law requires all financial institutions to obtain, verity, and record information that identifies each person who establishes en 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 out customers questions regarding their identities, addresses, source of funds and, if necessary, legal representatives, authorized signatories, beneficial owners or control structures and to collect requisite documentation to substantiate the Information. Also, enhanced ami.money laundering requirements require that should any of the above personal or institutional information change, our clients would be obliged to immediately notify us of the change(s) and p