EFTA01355757.pdf

FOfl INTERNAL OFFICE USE ONLY: Applicable Account NI*), AUTHORIZATION OF POWER OF ATTORNEY For Natural/Individual Persons For Brokerago Accounts and/or retirement accounts with MI This Authorization/Power of Attorney constitutes a non-durable limitedpower of attorney, designed to give a person or persons designated by you either (1) limited authority over your Account(s) or (2) full authority over your Account(s) as set forth below. NOTE: UNDER NEW YORK LAW, THE FOLLOWING DISCLOSURE IS REQUIRED TO BE INCLUDED, VERBATIM, IN EVERY POWER OF ATTORNEY. CAUTION TO THE PRINCIPAL: Your Power of Attorney is an important document. Aa the "Principal," you give the person whom you choose (your "agent- ) authority to spend your money and sell or dispose of your property during your iiletime without telling you. You do not tore your authority to act even though you have given your agent similar authority. When your agent exercises this authority, he or she must act according to any instructions you have provided or, when there are no specific instructions, in your beat interest. "Important Information for the Agent" at the end of this document describes your agent's responstbaities. Your agent can act on your behalf only after signing the Power of Attorney balers a notary public. You can request Information from your agent at any time. If you are revoking a prior Power of Attorney by executing this Power of Attorney, you should provide written notice of the revocation to your prior agent(s) and to the financial institutions where your accounts are located. You can revoke or terminate your Power of Attorney at any lime for arm reason as long as you are of sound mind. If you aro no longer of sound mind, a court can remove an agent for acting Improperly. Your agent cannot make health care decisions for you. You may execute a "Health Care Proxy" to do this. The law governing Powers of Attorney is contained in the New York Germs! Obligations Law, Angela 5, Title 15. Tbis law is available at a law library, or onlieethrengti the New York State Senate or Assembly websites, www.senate.state.ny.us or www.assembly.state.ny.us. If there is anything in this document that you do not understand, you should consult with your lawyer. AUTHORITY The undersigned Principal (the "Undersigned" or "Principal") hereby appoints: e ' 1 7 h.'. r. /), •t s as the Undersigned's agent(s) and attorney(s) in-fact ("Agent(s)") to act INDIVIDUALLY with respect to any and all accounts, if applicable (see below) in the Undersigned's name ("Account(s)"), held individually or jointly (provided that all joint account holders have executed this form) with DBSI, as well as irolvickval retirement accounts held for the benefit of the Undersigned ("IRAs"), with the authority to direct DBSI to buy, sell (including short sales) and otherwise transact in any security, including but not limited to stocks, bonds, mutual fund snares, limited partnership interests, call and put Options (covered and uncovered), on margin or otherwise, and any instrument, agreement or contract relating to same, on margin or otherwise, or enter into futures, options on futures and forward contracts, interest rate, currency, equity or commodity swap transactions, deposit ac counts at financial institutions and direct or indiroct interests in securities, deposit instruments or contracts where ell or part of the return is calculated by reference to changes in, among other things, the value of securities, commodities, currencies, interest rates, property of any description or indices, in each case in accordance with DBSI's terms and conditioner for the Undersignsd's account. account type, and risk and in the Undersigned's names, or numberis) on DBSI's books. Agent(s) must exercise the authority granted heroin. pursuant to the Undersigned's instiootions, or otherwise for purposes which the Agent(s) reasonably deems to be in the Undersigned's best interest. By giving this authority, the Undersigned authorizes Agenfisl to make inquiries on the Account(s), including requesting information about account transactions, balances and holdings. 1 .tr? 11.PINT60366 (010121 00061)0310612 CONFIDENTIAL - PURSUANT TO FED. R. CRIM P 6(e) DB-SDNY-0041022 CONFIDENTIAL SDNY_GM_00187206 EFTA01355757