EFTA01405217.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts TiO undersigned hereby auihoriees and dir-ects Deutsche Bank Alex, Brown ("Deutsche Bank Alex, Brown" or "DBAB") to follow the below asset movement instructions. If you wish to request multiple wires, checks, journals or free deliveries, please use the long form, DBAB Aocouni Name: HBRK Associates Inc. Account <f: Journal Q Journal Funds m the amount of S Q Jourrtal Holdings. Otv/Symbol/Securhy Oty/Symbol/SBCunty. Q Journal All Holdings To DBAB Account #, Account Name: Wire 12 Wire lodoral funds in the amount of S 25,000.00 To Bank Name. Signature Bank Crlyf State: ABA#, 026013576 Further credit to Intermediary Financial Inafhutioo (Optional) Account #; Name- Ultimate Benefkaaiy Infbtmation; BenefoayMama Delsop International. Inc. 1501251107 Aodiont#. Additional Insmciions: Inv # 20737B FtesDeliveriffi Q Please deliver the secuniies Indiceled below to: DTCCd; Name of Receiving Firm- Cheidt Q Issue a check in the amount o( S Recipient's Name: ReopenTs Mailing Address: Account Name: pavdbteto- Account Number: at Receiving Firm EFTA01405217 QtvfSymbol/Ssaiiity: Qty/SymboWSecuri ly: Standing Authorbation Cl The undersigned hereby requests that this authonretlon act as a standing authorization. The undersigned understands and agrees that this aulhorization will tematn in elleci unlit Dauische Bank Alex. Brown requests a new authorization. The undersigned euthon^es Deutsche Bank Alex. Brown to issue the wire. check or journal on the Q The undersigned iurlhar authorizes Deutsche Bank Alex. Brown to accept verbal insmiotions from the undersigned to wire funds, issue checks or journal funds to/fiom the above listed accounts. The undersigned will provide verbal instructions as to the date and the amount of the wire, chock or journal. If the undereigned decides to vary either the date or the amount of the wire, check or loumal, the undersigned hereby authorizes Deutsche Bank Alex. Brown to accept the verbal instructions from the undersigned regarding the change or changes. The undersigned further understands and agrees to comply with the procedures of Deutsche Bank Alex. Brown to verify the authorization and accuracy ol verbal instructions. for a term of day of The undersigned hereby acknowledges that (i) the information contained in this form is complete and accurate to the best knowledge ol the undersigned; and (ii) the undersigned is responsible for the method of iransitiission of any instructions issued pursuant to this eulhorization. If the undersigned elects to transmit any suoh Instructions via fax (including desktop fax), via email ores an image attachment to email (e.g” as a PDF, TIF or oihai image of such instructions), the undersigned understands and agrees thai the undersigned bears the risk of loss arising from such method of transmission in the event o( transmission eriors, misunderstandings. impersoiialions, iransmissiort by unouthonzed parsons, icigery or tniercepts. For trusis or other ontitiBi, lire undersigned further acknowledges that the undersigned is autltorited to issue the above asset movement instruciions under lire terms of the governing documents and any applicable laws. The Litideisgned heteby releases and holds harmless Deuischa Bank Alex. Brown from end against loss Irom any action, rstaim or damand Of any parson as a result or Dautsohe Bank Alux. Brown's receipt Of or compltance with this authorrzation snd/oi any insttuclions that may be given to Deuisdie Bank Alex. Drown pursuant In this authorization [including any standing authorization), The und^ligned understands that Osi/tsfhe Bank Alex. Blown naay, but is not EFTA01405218 required tq, saak varificaiion of the undersignad's msiructioiis by call back and that Deutsght/Bwk Alex. Biown may in n ' incur! und^si^nsd f^hai undet^iands ihatffiout^he Bank Alex. Brown reisins the right to refuse lo exocule eny insiruciions to transfer funds or sacurittes to any accoutufsj pure"afl Ip it)^auihariz([tion withou/wj]il^[instructtuns bearing origtnel signaiurelsl of the undersigned Richard Kahn \6 dtscffiiion reluse to fixecui^ Bjch insiroci^ons (indodifvg insiructicns) gksn pursu^ni to this ^Lltha^i^aL<oa ftnv li^bifitYa V DoutKChd reason Lo btflicvG such insLfUC1^OTTS for insi[c.ictions) have not tMim provided by the imdorslpriKl. 7-15-2014 A Print Name Sigridturo Date Print Namo Date An 111111111111111111 LOA t 10-PWM-0177S (12/10) EFTA01405219