EFTA00316340.pdf

Deutsche Bank Wealth Management Wire Confirmation The wire transfer request below has been transmitted successfully. The template created with the transfer request has been created successfully. The balances shown below are recorded at the time of the request. Schedule Information Confirmation: 4033781165 Approval status: 1 of 1 received Transmitted: 06/13/2017 02:35:10 PM (ET) Transmitted by: BELLAKLEIN Debit Information Template name: Gratitude toIntematIonal Friends of the EltonJohn Gratitude America, Ltd- NOW -'9324 - DBTCA Checking alinallialk Account (Balance as of: 06/13/2017 02:20:00 PM (ET) Not a guarantee of available funds.) Wire type: USD International wire Security code: Send on date: 06/13/2017 Amount: 15.000.00 Currency: USO Recipient Information Bank ID type. SWIFT Bank ID: BARCGB22 Recipient account (If appropriate enter the SAN) GB22BARC20268178263277 Bank name: BARCLAYS BANK PLC Bank address 1: LONDON Bank address 2: Bank address 3: Recipient name: International Friends of the Elton Recipient address 1: 1 Blythe Road Recipient address 2: LondonW14 0HG Recipient address 3: Full account name is International Friends of the Elton John AIDS Foundation UK Reference: 1 Additional information for recipient: ticket for Peggy Siegal for June 22 2017 First Intermediary Information Bank ID type: Bank ID: Intermediary account: (If appropriate enter the IBAN) Bank name: Bank address 1: Bank address 2: Bank address 3: EFTA00316340 Second Intermediary Information Bank ID type: Bank ID: Intermediary account (If appropriate enter the IBAN) Bank name: Bank address 1: Bank address 2: Bank address 3: Wire Initiator Information Wire Initiator name: Bella Klein Wire Initiator address 1: Go HBRK Associates, Inc Wire initiator address 2: 575 Lexington Avenue,4th Floor Wire initiator address 3: New York, NY 10022 EFTA00316341  TICKET REQUEST FORM Kan ADORES. ST TWCO‘erTY POITCOOt. COWIlry. I would like individual ticket(s) at GBP LIB000 pa ticket totalling GBPL (Tablenill be of 10 people) I would like individual ticket(s)m USD 515.000 pa ticker. totalling USDS as Tiu Myer.) I would like to make a donation of GBPL / USDS (Clerk you preferredramp) for Sir Elton John and David Furnish at Home for the Elton John AIDS Foundation on Thursday 22nd June 2017. I am a US Tax Payer and would prefer my contributions to benefit the International Friends of the Elton John AIDS Foundation UK. a I would like to be informed occasionally about other Elton John AIDS Foundation events and aaivities. PLEASE RETURN THIS TICKET REQUEST BY MONDAY taTH_TUNE atm TO. Glenn Herder Elton John AIDS Foundation I Blythe Road LONDON WI4 0HG EMAIL. events@ejatorg PHONE. 444 (0)20 7603 9996 FAX: +44 (0)20 7348 4848 EFTA00316342 FOR PAYMENTS IN POUNDS STERLING (LGBP), TELEPHONE. +44 (0)20 7603 9996 to make payment by debit/credit card CHEQUE. Make your cheque payable in Pounds Sterling (WBP) to EJAF TRADING LIMITED CREDIT & DEBIT CARDS (EGBP ONLY). 0 AMEX OVISA OMASTERCARD 0 MAESTRO 0 OTHER CARIDNUNIIND DIIIRY DATE NUMOWSLIATCIATRIDLIIITCARDSOXLID XASIC OX CARD SZCORITTNUNDCR KYATUta °RTC DIALINCADORLISOFDINITI/ERTI LUNG BANK TRANSFER, US TAX PAYERS - WE CAN ONLY ACCEPT PAYMENTS VLA BANK TRANSFER: CURRENCY: GBP CURRENCY, USD BANK. Baulky[ Walsh BANK. Barclays Wealth ACCOUNT NAME: EJAF Tiding Liotiicd ACCOUNT NAME, Intonational Friends of the Chas ACCOUNT NUMBER. 33029158 John AIDS Foundation UK SORT CODE: 20 - 47 35 ACCOUNT NUMBER, 78263277 SWI FT CO DE. BARCG522 SORT CODE. 20.2641 MAN G527 BARC 2047 3533 0291 58 SWIFT CODE. BARCGB22 REFERENCE. "YOUR NAME IRAN. GB22 BARC 2026 6178 2632 77 REFERENCE, "YOUR NAME z00% OF INCOME WILL GO TO CREATING AN AIDS FREE FUTURE THROUGH THE ELTONJOHN AIDS FOUNDATION (UK REGISTERED CHARITY NO. 'emu.) AND INTERNATIONAL FRIENDS OF THE ELTON JOHN AIDS FOUNDATION UK (A US NON-PROFIT CORPORATION). IWTIOLNATIONAL Fanens or Earo. Jon* AIDS Foumvalom UK WAS Lax «nay trawl wait INS INTIMIAL Rana's& Sweet As A sranoit 501(c)(2) seaue CNAIUTY. µLTUSUTIoxswlLLasT.V•DLODRILUTOTNarVuaRtxnNTor na LAW Pm US Tax Pans' USDIISH 00 or 'now mar It A Wow TAPIA DO evere ins ONAMMI rot root.. *an SAO«. AND X Niuminener. PATIAINTI Ls axons or USIMISH.C• at -Hexer ASO corranonons anon roa mama. NO 00005 OR MINIONS WCIRE IINCRIVED ARE ns eltss TO St TAX DROLICTIett Al A Cliall'AINZCONTNI/W110II TOM, AND CONDMCOISI WA «torn THAT We AYR WORLD TO OtIASANTRA ncarrs To An ...fluency. By anunwo TIa TOW VOW AOM IllAr TOY Ar A/RILINO AM nrucnp014 1/0/ITICRIITI. AND Att NOT REIM) 01/ANANTZtek TICKITS. CON Oki/ATM:A Or yoya non? °son Aso ~IFS or roue sown» ravmun NILL al son ro YOU It ?Noma man maven u 'vacant.. Novaya*. near& WILL NOT ti *Tarr Olrr UNTO. untextsixrm 10 own Øa TO TOR non. Ttegon *Not Down« ID Ave NON-ma flannel'. AND NON- TMANSVIRANIA. AND WI WILL amain A Dv r on nom rot. talon TO TNi Wm Or TNII non. TIMMS An NOT wont an °elect/mammon TO Ot vvvvvto rot Mr Ol AUCTION. Ol TO Si DUO AS rifts. OR OTTIONTSZ TO III TARR.. TAUT Ate /OR TOM foss USE Or TINA ARMIN-ANT AND nut NONA INDS 01/II$11. ANT ••CACI4 Or TNT IDO« CONDITIONS WILL anon. IN Tilt canc....Lynne OS INVALIDATION OF TN• IINTI•II Tar ON•SN. &WNW« e enreconmoic WILL BZ arn TO YOU ALONO WON TIMM TICKET IT IONS ASILICAVION n SUCCUNIIII.. BUT aorc RAT NO °AAIUN, ON ONCONDINO Oa IMOADCASTING ZQUINWINT namn-rto TO Dr IIROUGIIT INTO OS RIM AT TIM VOWS. EFTA00316343