EFTA01273263.pdf

SII 0 O1 tOi013H (INV N9IS Non-Corporate Signature Page MAX FOUNDATION Account Number and Description Signature Requirement L211.0.a_. 114 By signing below, I acknowledge that I understand and agree, on behalf of the organization, with the terms and conditions of the US$ Client Relationship Agreement as well as the terms, conditions and disclosures in the Agreement and Disclosures booklet that is enclosed or that I praiously received. As an authorized Mat/dual for this account, I have full power to submit valid orders and other instructions on behalf of the organization. Margin Agreement I acknowledge that when I use margin orator, UBS MI hold the securities in my Account as collateral against the amounts I borrow. I agree to keep sufficient positions and margin in my Account to meet any margin cat UBS may be required to Sue. By signing below, I agree that the Margin Agreement in my Cant Relationship Agreement applies to all of my account. including any accounts that I may open in the More. Note:1185 does not extend mange, for certain types of accounts (e.g.. IRA and WU Man accounts, CoretdeJlEckrcadon Savings Accounts, 103@X7) Account, UGMA/UIMA Estate or 529 Man Account). likewise, I acknoWiedge and agree that certain securities in my enema, indudng any account I may open in the future. may be loaned to UBS or to other persons a entities as desoibed in the Margin Agreement. Electronic Delivery Consent As requested. I received my Agreements and Disclosures booklet and other account-rented documents electronially at [email protected] which Is the e-ma address of record for al owners of this account. I understand that the information is also available at vawrubs.com/accountetsclosures or by request to my Financial Advisor at 1.212-821.7000. [ixeiddi o' PTO/9,419,19Z •.,;h dstt 44,919 . AciP • 1.0,t1sii;')'': form is Mat Mitiol101:322 Pri: Mihlet**11 1:. CFN12dablict pthitIWn' ' ifJ td caus badnrp wthltdding '_ .. you have flifie4 to report all ingiAandiaividepdtal " Atli— • re?: • : -- c- The Internal Revenue ServiOe does nottig:lifri"lout, The Client Relationship Agreement contains a pre-dispute arbitration provision ot this docuIllOnTjpiihOlTabiE117,114tSiSITICI . ..,.IStt, dause located In the final section under the title "Arbitration." avoid backup withholding.}:: For Business Services Account(s): em subject to backup withholding, and theefore have crossed out imragrapti 2 in the Certification above. SIGN AND e4 DATE HERE DEte IlteArs.d 116 East 65th Street New York, NY 10065-7007 CEmail Ad•rest° Record 0C9408 2E P g 1 of 1 19 SDNY_GM_00020435 CONFIDENTIAL EFTA_00131055 EFTA01273263