EFTA01403808.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The underaigned hereby Bulhorrzee end directs Deutsche Benk Alex, Brown ('Deutsche Benk Alex, Brown' or 'OBAB'I to follow the below essel movement inslruolions. I( you wish to request multiple wires, checks, (ournels or free deUveries, please use the long form. DBAB Account Name: Jaffrey E Epatelfl Account*: Journal Q Journal Funds In the emounl of $ Q Journal Holdings: Qly/.Symtwl/.Sacutmi: Qty/Symbal/Seourily: Q Journal All Holdings To DBAB Account #: Account Name; Wire Q Wire lederal (unde in tha amount of $ 294,86 To Bank Name: JP Moman City/State; aba#: Further credit to Intarmediary Hnartciel Inetitution (Optional) Account #: Name: UHknets Banetldatv trtfDrmatkn; Beneiiiaiy Nan* Svetiana Pozlildaeva Accountf: AddeionaiinstnictiDni ralmb. for JE Purchases 94632BS64 Roe0eberies Q Please deliver the securities Indicated below to: DTCCS; Name of Receiving Firm; Account Name: Oodt Q Issue e check In the amount of S Radpiait'sNafnB; Hedpiem's Mating Address: FOVBbtoto: I Accouni Number; at Receiving Firm EFTA01403808 Oty/Symbot/Secuiity; Oty/Symbot/SBCurily: StBixSng Autfxxiietioii ❑ Tha undersigned hereby requests that this authorization ect as a standing auihotizalion. The undersigned understands end agrees that this eulhorization will remain in effect until Deutsche Bank Alex, Brown requests a new authorization. The undersigned authorizes Deutsche Bank Alex. Brown to issue tha wire, chock or journal on the Q Tha undersigned further eulhorizos Deutsche Bank Alex. Brown to aocopi verbal insltuctions from the undersigned to wire funds, issue checks or journal funds to/from the above fisted accounti. The undersigned will provide verbal irsiruotkms as to the dele end the amount of the wire, check or journal. If the uridetslgrrcd docidos to vary either the dale or the amount of the wire, chock or joumel. the undersigned hereby authorizes Deutsche Bank Alex. Brown to accept ihc verbal Instructions from the undersigned regarding the change or chsnges. The undersigned (unhar understands and agrees to comply with the ptoc^ures ol Outsche Bank Alex. Brown to verify tlte authorization end oocurecy of verbal instructions. for 8 term of day of Tha undersigned hateby acknowledges that (i) the information containad in this lorm is comptata srtd aoeurata to the best knowledge of the undersigned; and (iij the undeisignod is responsible tor tha method of transmission of any instructions issued pursuant 10 this auihotizalion, li the undersigned elects to transmit any such instruclioiiS via lex (including rfesklop fax), vie email or as on image eltechment to email (a.g . as a PDF, T)F or other Image of such Instructions), the undersigned understands and agrees that the undersigned bears the risk of loss arising from such method of iransmission in the event of transmission errors, misunderstaitdings, impersonations, transmission by unauthonzed persons, totgety or Intotcopts. For tnists or other entities, the undersigned further ocknowledges that the undersignee is aulhorizad to issue the above asset movomont inst'uclions under the terms of the governing documents end any applicable laws The undersigneri hereby releases and holds harmless Deutsche Bank Alex. Brown from and agairrst kiss from any action, claim or demand ol any person as a result of Deutsche Bank Alex. Brown's receipt of or compliance wiih this authoniailon and/or any irisuucilon.s that may be givon to Deutscha Bank Alex. Brown puisuent to this authorization (lm;tudlng any standing aulhoriiBiion). EFTA01403809 Tha undersigned understands that Deutsche Bank Alex. Brown may, but is not required to. seek venllcsllon ol the undars/gnod's kisinicUons by call beck snd that Deutsche Bank Aiex. Brown may in its sole dlscrallon refuse to execute such instructions (Inciuomg slending instructions) given pursueni to this eulhorization. wiihoul incurring any liabliily. II (Deutsche Bank Alex. Brown has reason to believe such Instructions (or standing insiruclions) have not been providod by the undersigned. The undersigned further understands that Deutsche Bank Alex, Brown retains the righi to rotuso to oxocute any insimouons to Itonsfor funds or socurities to any accDunifs) putwani to this authoniailon wiliwl wrilluirjnsmjctione be^g original signnturelsl ol tha undersigned. 07*23*14 Aiiw I Icmli nate Signature Sgnaiure Dale Prim Namo III I III II11 nil III LOA t 10-PWM-0177S (t3/10) EFTA01403810