EFTA01405669.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undersigned hereby aulhotizes and directs Deutsche Bank Alex Brown ("Deutsche Bank Alex. Brown" or "DBAB") to follow the below asset movement instructions. If you wish <0 request multiple wires, checks, journals or free deliveries, please use the long form. DBAB Account Name. Soulhem Triist Company Inc. Account 0: 44129244 Journal Q Journal Funds in the amount ol S ❑ Journal Holdings: Qtv/Symbol.'Security: OtviSymbol/Securitv: Q Journal All Holdings To DBAB Account #• Account Name - Wire Q Wire ioderal funds In the amount ol $ •39.175.00- To Bank Name: Signature Bank City / Stale: ABA#: 026013576 Further credit to Intermediary Financial Institution (Optional) Account #u Mame UldniBia Banefidaiy Infexmatien: twwiirfaivMimH Marks Paneth & Schron LLP Account#. Adduonaiinsiruceons: final Payment towards all outstanding invoices Free DelKrerias Q Please deliver the securities indicated below to: DTCC;#: Name of Receiving Firm: Accouni Name: Check Q Issue a check in the amount of S Roapent's Name- Recipieors Mailing Address: pa^to: at Racaiving Firm Account Number: Qty/Symbol/Securitv; EFTA01405669 Oty/SYmboUSecuriiy; Standho Authoriutian Q The undeisigiied hereby requests that this authorization eel as a standing aulhoiization. The undersigned understands end agrees that this authonzation will remain in elleci until Deutsche Bank Alex. Brown requests a new authorization. Tha undersigned auihorlzes Deutsche Bank Alex. Brown to Issua the wire, check or journal on the (_) The undersigned further aulhoiizes Deutsche Bank Alek. Brown to accept verbal Instructions from the undersigned to wire funds, Issua checks or journal funds lo/from tha above listed accounts. Tha undersigned will provide verbal Instructions as to the date end the amount of the wire, check or journel. If the undaisigned decides to vary aiiher tha date or the amount of the wire, check or journal, the undersigned hereby authorizes Deutscha Bank Alex. Brown to accept the verbal insiruelions from tha undersigned regarding the change or changes. The undersigned further understands and agrees to oempir with the procedures of Deutsche Bank Alex. Brown to verify the euihorizaUon and accuracy of verbal instruclions. for a term of dayol The undeisignad lieieby acknowlodgos that Ii) the information contained in this form is complete and accurate to tha best knowledge of the undersigned; and [fi) the undersigned is rosponsiblo for tha method of transmission of any instructions issued pursuant to this eudiorizallon. If the undetsigneo olecis to transmit any such insiiuciions via fax (Indudirvg desktop fax), via email or as an Image attachment to email (e g., as a PDF, TIF or ottier image ol insiructions), llw undaisigned understands and agrees that the undaisigned bears the risk ol loss onsing from such method of transmission in the Ovenl of transmission errors, misundorslandings, impersonations, transmission by unauthonzod porsona, forgery or intercepts. For trusts or Other emilias, the undersigned further acknowledges that the undersigned is authonzed to issue the above asset movement msiiuctions uixier the leims ol the governing documents and any applicable laws. The undersigned hereby releases and holds harmless Deutsche Bank Alex. Brown from and against loss from any action, claim or demand ol any person as a result of Deutsche Bank Alex. Brown's receipt o( Of compliance with this aolhoitzation and/or any instructions that may be given to Deutsche Bank Alex, Brown pursuant to this authorization (including any atanding authoiiraiion). The undersigned undetstends that Deutsche Bank Alex. Brown may, but is not required to. seek vorincalion of tha undorsfgned's instructions by call back EFTA01405670 and dial Oeuische Bank Alex. Brown may in its sole discretion refuse to execute such Insiructions (including standing instructions) givnn pursuant to this authorization, without incurnng any liabirity. if Deutsche Bank Adox Brown has reason to believe such instniciicns (or standing tnsituciions) have not been provided by the undersigned. The undersigned further undersiandsjhai Deutsche BSnk Alex Brown roiains the nght to refuse to execute any instrucuons to transfer funds or securities to any accounKs) to this authorization wip out wnity^ Ins/uciions bearing original sigriaiuie(s) of tha undersigned. suoni Darren Indyke 7-24-2014 mm Name Date I lure Prim Name Date S»gn5iure III nil mil III III LOA 10-PWM-Of77S (12/101 EFTA01405671