EFTA01584190.pdf

J.P.Morgan CFTC Interim Compliant Identifier (CICI) Disclosure Form A CICI is a unique number associated with a single legal entity, and will be used in upcoming regulatory reporting until a global Legal Entity Identifier (LEI) system is established. Examples of legal entities include general partnerships, corporations, foundations and trusts. Any legal entity that enters into a financial transaction may require a CICI, as will other market participants (such as reference entities, regulators, exchanges, utilities and registrars). Clients who are legal entities and who would like to continue to trade OTC derivatives are required to register for a CICI at this time. Note that a CICI is required for each legal entity, and a separate form needs to be completed for each entity, with the corresponding CICI Please provide us with the CICI that was assigned to your entity, and we request that you return it to us using the enclosed business reply envelope by December 1, 2012. Alternatively, you can fax the form to 302-634-4218, attn: .IPM LEI Response, or email your executed form to doddirank_registrationejpmorgan.com. FINANCIAL TRUST COMPANY INC 6100 RED HOOK QUARTER STE B-3 ST THOMAS, VI 00802 CICI number:* ClassiE21/733D-7- 6-1vL CICI associated J.P. Morgan account number(s) ending in: 1 W2:554o0 e1 j421-crel firki n Authorized party, please print name' (x) /oh Auth. ignature* Date* *Required information Bank products and senates are offered through lPMorgan Chase Bank. N A and its affiliates. Securdes are offered by I P Morgan Securities LLC. member EINRA. NYSE and SIPC. Investment products: Not FDIC insured • No bank guarantee • May lose value edit 073 11 1609 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00064038 EFTA01584190