Account Title and Joint Application Information 1410/.. Name Pest n iness Social Security Number or Taxpayer ID Number tiro'Rep_thd- fitgiekt 4 11-5 Moret ti i d 0° t .°1-— Address Dry. Stale and Zi Code ry. State and Zip Code SLIM i ll 5- NotaPalialble Joint Applicant (last name, first name. middle initial) Social Security Number or Taxpayer ID Number Home Tele hone Number ome Telephone Number Business eep one um r usiness Telephone Number Date of Binh Date of Binh Name of Employer Name or Employer Address Address Not app cable City. State and Zip Coda Crry. 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. iffilistment or other business relationship with a financial institution. This means that we will ask for your name. address, and •sther information that will allow us to identify you. We may also ask to see identifying documents such as a cenilicznii 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 l: undenng and terrorist financing; these rules call for an active involvement of both asset management firms and their die • ts. For new and existing clients we currently have a legal obligation to ask our customers questions regarding their ids addresses, source of funds and, if necessary, legal representatives, authorized signatories, beneficial owners el ::ontrol 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 c