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📄 Extracted Text (10,074 words)
Customer Account Transfer (Please Use a Separate Form for Each Transfer)
1
Sub I urn a BR Code I A Codo Account Number Contra Clearing Number ACAT (Sections 1 & 2)
Send to 110006.014 li ttle f nvelope
Mutual Funds (Section 3)
(deice Use On)r) OM Use Send to H0000-014 Orange Envelope
Account You are Transferring T
Full Name or Account Title ICC caring Number
Social Securdy Number or In ID Number
0141
Account You are Transferring FROM Delivery Organizations: See Delivery Antructlons on Par a 2.
Account Name Account tramber
Nam* a Fiance Fund Company Curtsey Hoeing Your Account
Address el hem
Check here of Iles Account is a. Qualified Retirement Plan ■ IRA DIU
T pe of Transfer
Full Brokerage Account Transfer. (Check ono at right) O Transfer all assets or shares in my account as is Liquidate and transfer cash
2 Partial or Non•Brokerage Transfer.
A Trust Company, Bank, Credit Union, Savings & Loan, Annuities, Life insurance, DRIP Plan Shares or Certificates of Deposit Transfer.
■ liquidate and Transfer Cash
El Transfer all assets or shares in my account as it.
CI Liquidate Certificates of Deposit IMMEDIATELY. (I acknowledge the penalty I may incur from an early withdrawal )
O L idate Certificates of Deposit AT MATURITY. (Submit this transfer no earker than 30 days prior to maturity.) maturity one
B Partial Brokers • Trust Corn • an or Annuity Transfer. (Transfer only the assets or shares fisted below) Choose Ono for Each Rem
Liquidate and Trarasfer
Quanti Description of Asset and Cusip ocAutbol Transfer cash Shares As Is
MI O
O
BAIT
All
'For additional assets_pleaso attach a separate sheet
O 8
3 re utual Fund Company Transfer. Ono form per Fund Family. Please send to Mutual Funds, H0006.014 Orange E Choose One for Each Item
Liquidate and Transfer Dividend and Capital Gains
Quantity Ful Name of Mutual Fund Transfer cash Shares As Is Choose Ono for Each Item)
OM O O ❑ Cann for Both • Reinvest Bei
rim ti - 8as
Li All
'For additional assets please attach a separate sheet
8 0
Ch for Both II Reinvest Roth
Cash for Both II Reinvest Both
Age 70'/ Reminder - THE FOLLOWING APPUES ONLY TO A RETIREMENT ACCOUNT TRANSFER.
It you w: turn age /0%. this year. or you are already over age 70%. please be reminded that you must withdraw your required minimum ctistritatdicc amount by the
deadline. tho dead) ne for induaduals who turn 701 2/ ths year is April 1st of next year and for all others. the deadline is December 31" of this year The IRS penalty for
underdistnbuton of the mandatory amount by the destine el 50%. In order to calculate the required arrount for this year. the value of this IRA on December 35" °Hest
year WI be needed. In addition, required minimum datribulions we not et gible for rollover
Auction Rate Securities: Account Transfer Acknowledgement
You understand and agree to the following n connection wth the auction rate securities held in your account
• Your auction rate secunbes were purchased prior to the Veneer of your account to us. As a result, we are not responsible or FIJI'S' for any par
recommendations or mince with respect to those secunties nor aro we under any obligation to provide you wah any investment recommendation or advice with
respect to the disposition or continued holding of those SeCuntieS n year account tottorring the transfer of your account
• You also understand and agree that we are not under any obligation to you ti) to provide loans under margin ngreements or Mews° secured an whole or part
by the auction rate securities in your account, (i) to purchase or continue to purchase any Button rate securities in periodic rate selling aucticns or in secondary
market transactions. or 0 0 to provide liquidity for such securities. Many auctions for these twenties aro in failed status meaning that holders of these securities
are not able to sell these securities litho pen0aC rate setting auctions or in secondary market transactions and as a result. rquiCkly for these securities currently
is greatly impaired We prowde no assurance trot you win be obte to sell or otherwise dispose of these securities rekwang the trautfer of your account to us
You understand that we take actors in 00nneftOf1 with other customers that wo do not otter you in connection with your at.CliOn idly securities
Revocation of Advisory Agreement
Men appicable. I authonze the defraying firm to disoordnue as account management agreements immediately. The dent wilt have sole respons bitty for investment
deosons with respect to the socunties. cash and other assets in the dents account until the client hires a new investment manager.
•• A f•PSIMV writ
MOST RECENT STATEMENT IS REQUIRED TO PROCESS THIS TRANSFER "
Date
Account Holder Signatuie
I
Signature Guaranteed B
Medallion Signature Guarantee Program
PLEASE BE ADVISED THAT FIRST CLEAR NO, LLC ACCEPTS APPOINTMENT AS SUCCESSOR CUSTODIAN
Successor Custodian Semen Data Contact Name [Phone Hunter
644327 (Rev 18) Page 1of 2 Accounts carried by First Clearing. LLC
EFTA00558461
For Delivering Organization's Use Only (not FCC)
it names
If this account is a qualified retirement aCO3Uril. I have amended the applicable plan so that
all assets in my account to
as successor custodian Unless otherwise indicated in the instructions above. please transfer
%Chola penalties, such assets may not be transferred within the
I understand that to the extent any assets in my account are not readily transferable with or
or other designated examining autlionty. I authorize you to liquidate any nontransferable
time frames required by NYSE Rule 412 or similar rule of the FINRA
credit balance. I authorize you to deduct any outstanding fees (ie
proprietary money market fund assets that are pad of my account and transfer the resulting
or if the r,redit balance in the account is insufficient to satisfy any
you from the credit balance in my account. If my account does nal contain a credit balance,
in my account to the extent necessary to satisfy that obligation If certificates or other
exastanding fees due you. I authorize you to liquidate the assets
in good deliverable form. including affixing any necessary tax
instruments in my account are in your phystal possession. I instruct you to transfer Ihem
when and as directed by rue. I understand that upon receiving
waivers. to enable the successor custodian to transfer Mem in its name for the purpose of sale,
on your books I affirm that I have destroyed or returned to you credit/debit
a copy of Ili s transfer instruction. you will cancel all open orders for my account
vath my securities account. I understand that you will contact me wlh respect to the d.sposition of any
cards and/or unused checks issued to rye in connection
assets In my securities account that are non-transferable
Resolving Fir► Information:
FIRST CLEARING, LIG
ONE NORTH JEFFERSON AVENUE
ST. LOUIS, MO 63103
allii r.
r eFCC Retail and IRA
Delivery Instructions (An deliveries MUST include Me client name and FCC account number)
Wire Instructions WeJls Fargo Bank
420 Montgomery Street
San Francisco, CA
ARA Ro
Further Credit. Your name (must match account registratton) and your
8-digit go account number
All OTC Eligible Securities OTC
Client Name and Client Account Number
Physical Deliveries FIRST CLEARING, TLC
Mm Physical Transfer
One North Jefferson Avenue
St. Louis, MO 63103
Further Credit to Client Account Number
Book -Entry GNMA Securities — PTC BK of NYCJFCCORP.
Or ABA l
Fed Book-Entry — Government Securities I either Credit to Client Account Number
EUROCt AR —
Euroclear Eligible Bonds
(must notify Security Clearance 2 days prior to settlement) Fudher Credit to Client Account Number
Foreign Equities: JPMorgan Chase Bank NC I CHASGTILL ST
(must notify Security Clearance in order for them to instruct) Account of First Cleating, LLC
I urther Credit to Cbent Account Number
Forward Chocks' to the Address Indicated 0 FIRST CLEARING. (IC
'Must include Client Name and FCCS Account Number. Alin. Cash Management -110006.085
One Noah Jefferson Avenue
St Louis, MO 63103
Further Credit to Client Account Number
0
ACAT Mutual Fund Registration FIRST CLEARING, LLC
Instructions • FCC IRA F80 Client Name and Client Account Number
One North Jefferson Avenue.
St. Louis. MO 63103
Mutual Fund Broker-Dealer First Clearing. LLC
54432/ (Rev 18) Page 2012
EFTA00558462
Account Registration
Advantage Accounts" Agreement For Individual, Joint, Custodian and Guardian Accounts Only.
11Guardian is re oxioal sfoe.a indeolual In To has a
0 Application ( Individual I Tenants in Common
Carl appointed MUST
eot ow connelre theca Ina
I I CustodianlMinor (1Joint Tenants with Rights of Survivorship ton APPOINTMENT BE AITACNECE)
0 Update H Joint Tenants - Community Property 0 IRA Olusi og•:0 IQ re dole In tor Fus< Hanna
I 1 Tenants by Entirely
pr mond by yas Stant laNs) (II toliNad by Ye" Stan. tin) crly IRA romp Saes°IMO re4 (ducaCCes Savings
Amino and pugfad larvadont Mans not HoUr )
NIM RIGHTS OF SURVIVONEWV ALLMEAUTOPM DCMAYIELACT ED IF YOU FAIL TO Miler 04.1 OF TIC ABOVE
IF MOOR MORE CVANFRS,..ONT Ti NANTS
Title of Account Social seater No slam Phew
throe DanNITS
Bense Prow
Enewim
tows Santry Na line Patna
Name
Lennyte
Elate al N%
POSbOn
1 Buses* Phone
Sweet Ansa (Ca not IMP() sal)
VP Sub Ms No Stanch Code tosOsila ACCOmeIBMs
Oft
Sweep Option Cl Bank Deposk Snotir or n Money Market fund
(select only One) lEigibity Revelments sixty) (Confirm wth ycur Amidst professional co an appropriate londbweapstessamillidtepialikft
Account Plan Descriptions: (NOTE: Custocisa 4 ail Gusalius *comets so sot stifles foe visasMit Cud or Magee)
0 Advantage Beak U Advantage Standard
• ladvdas an inbal sups* a a:mph-nectar, pasonal OA checks • Includes an 0441 INEVY Eli COMpldlOnEWY lersonsitisd iscb.
• no yai prefer oxporessye ode? I Yes (Additional be
wise)❑No
• No Debill Caid
n Check here if you do NOT msh to receive (Ardis la yew account. • 2 VISA' Odd Cards vel bo issued ',pm request
[1] Check here ii you do NOT vaC lo receive tacos to yew account
Any account owner listed above may sign checks.
Ilantity Salsguarel:(Eri!ei Mother's Makfen NATO - Nallaltd)
Margin Account: ALL QUALIFIED ACCOUNTS ARE OPENED AS MARGIN
ACCOUNTS
NOTE: YOU WILL HAVE A MARGIN ACCOUNT UNLESS YOU ARE INELIGIBLE OR YOU DECLINE BELOW. Margin trading entails greater risk
and Is not suitable for all Investors. If the market value of eligiblo securities in your account you declines, you may be required to deposit more
credit. acknowledge that you have received and read
money or eligiblo securities in order to maintain your line of By signing this application.
account borrowing. You understand that your securities may be
the Advantage Account Toms and Coalitions document which explains margin
pledged, rep.e.dged, hypothecated or rehypolhecated as deemed necessary.
the account will not have overdraft protection.
I I I DECLINE margin privir.ges. Please Open this account as a cash account only. I understand that
securities in street name? SEC Rule 14bil
II requested, does Client want to provide ceent's Account name and address to an issuer in welch we hold ons I 1 Yes I 1 No
prohlbds such Issuer from using the nano arid address for any purpose other than corporate communicati
Tax Certification: U.S. Person or Resident Allen: By signing below, under penalties of perjury, I codify that:
n Number (or lam waiting for a number to bo issued to me); and
1) The number shown on this form Is my correct Taxpayer Identificatio
. or (b) I have not been notified by the internal
2) I am not subject to backup withholding because: (a)l am exempt from backup withholding to report all interest or dividends, or (c) the IRS has
Revenue Service (IRS) that I am subject to backup withholding as a result of a failure
notified me (het I am no longer subject to backup withholding ; and
3)1am a U.S. citizen or other U.S. person. willitioldsnig because of underreporting
You must cross out item 2) above if you have been notified by the IRS that you aro currently sub}ect to backup
interest or dividends on your tax return
Signing Instructions: By signing this agreement, I acknowledge that I have received a copy oL to read. understand. and agree to the encbsed Account
authorize First Cleating. 1 LC, Wells Fargo Bank, NA. and VISA° establish checking privileges and to issue VISA.
Terms and Conditions. I authority to open this account.
CheckCard(s) as insbucted on this Account Application and affirm that I have the
ineapaobited. Poe/trot Akar., must son bebw at al AM
SIgnature(s) All Account Owners Must Sign. Sign wady as acoxvit is tied (II account owner(s) isPRFOISPUIE ARBITRATION CLAUSE t °CATO) ON PAGE 2. UNDER I HE
Ile INTERNAL REVENUE SERVICE DOES NOT RI OURS YOUR THIS AGREEMENT CONTNNS A RAM
CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER READER 'ARM I RAT ION' AND BY RIFE Kt:ACE. PAGE 2 PARAGRAPH 5 OF DIE GENERAL ORES
BROKERAGE ACTT' t MENI N4U D SCLOSURE_ THE Wilt! FtS/GNE0 HEREBY ACKNOVAEDG RECEIPT
THAN THE URIIFICADONS REOURED TO AVOD BACKUP OF A COPY GE THIS AGRECETEN1 AND Tilt ADVANTAGE ACCOUNT TERNS AND CONDITIONS
NATI ICADING
nit/NTS[4
CCAIKA
FOR COMPLETION ONLY IF POWER OF ATTORNEY IS TO IX USED
Oa; 12
____ 1 INMI 4N-P
161
1M Account °moan condos that the mdmelual whose signets,
appears Won has Power of Albin % MON) lot the Ekemm(s) of ft
Adrovna Account as desponded on Ihn ancompanyno POA document.
PMIT NAME & TITLE A POA form is alloched to this Agree/nom al coo is needed II any
Account Own*, Is Incapacitated. M existing POA must be alteched
vccourn Omer DTE
rMAitiNISN
COhus
M scalP
and tho attornity.M Tact mull sign Miaow and al loft. Heparin° Toms
POA It Ineheckee and unaccoulatge where en Account Uwoot Is
incapaolin Only one person may he dodonaled as PO* Checks
on en IRA soocaunl cannot be sire!, by • PGA
MINT NAME& TITLE
ADDITIONAL AUTHORIZED VISA' CARDHOLDER INFORMATION
ATTORNEY-IN-FACT IPottorefAlietfley) DATE
SCATIAIF
KEW NAME
WC A t SKI:RIMS
TIME a ORIN
I
MINT ATTORINEY4TWACT
SCAAILRE SODA SECURINI_•-- •
Punt HAW DUE Of ORM
Copy 2 - Biondi Copy 3 • Client Copy 4 - Bake Account; carded IN First Clearing. LLC
569941 (Rem 10 • 01112) Paget of 3 Copy 1 - New Acoounls
EFTA00558463
Sub Firm I BR Code FA Code Account Weber
(omos Um 04)
POWER OF ATTORNEY' TO PROVIDE FULL TRADING AUTHORIZATION WITH PRIVILEGES TO WITHDRAW MONEY AND SECURITIES
To My Broker-Dealer:
The undersigned (hereinafter referred to as the -customer or 'n hereby authorizes the person whose signature appears below as hisTher agent and
attorney ('Authorized Agent') to buy, sell, sell shod, tender, exchange, convert mite, exercise or trade in stocks, bonds. Option contracts and any other
securities on margin or otherwise in accordance with your terms and conditions for my account and Ask and in my name or account number on your
books. If I am a fiduciary on the account. then I hereby ratify and confirm that this authorization is granted in such fduciary capacity and within the
fiduciary powers and consistent with the fiduciary duties of said fiduciary.
In all such purchases, sales or trades you arc authorized lo folow the instructions of the aforesaid agent in every respect concerning my account with you,
and except as herein otherwise provided, my Authorized Agent is authorized to act (or me in the same manner and with the same force and effect as
night or could do with respect to such purchases, sales. trades, transfer of securities, and payment of monies (which shall for this purpose include, witheut
limitation. the Issuance of checks. use of the ATWDebil Card and electronic funds transfer). as well as with respect to all other things necessary or
incidental thereto.
I hereby ratify and confirm any arid all transactions wth you heretofore or hereafter made by the aforesaid agent on my behalf or on the behalf of my
account with you.
I hereby agree to release and discharge you and your affiliates, including your clearing agent, from any liabely or clams in connection with your following
the instructions of my Authorized Agent and agree to indemnify and he'd you harmless front any losses, claims, damages, and/or liabilities (including
attorney fees) based upon your acting under the instructions of my Authorized Agent I understand and agree that you are in no way responsible for any
loss to me occasioned by the actions of my Authorized Agent and that you do not, by implication or otherwise, endorse the operating methods of my
Authorized Agent. I further understand arid agree lhat you did not recommend the Authorized Agent to me.
This authorization and indemnity is in addition to (and in no way limits or restricts) any rights which you may have under any other agreement(S) between
us.
This authorization and indemnity is also a continuing one and shall remain in (ill force and effect until revoked by the undersigned by a written notice
addressed to you and dekvered to your principal office, but such revocation shall not affect any liability in any way resulting from trar.sactions initiated prior
to your receipt of such revocation. In case of death of the undersigned the authorization shall continue and you shall not be responsible for any action
taken on the basis of this authorization until you have received written notice of death addressed to you and delivered to your principal office.
I his authorization and indemnity shall enure to the benefit of your present firm and of any successor firm or firms irrespective of any change or changes al
any lime in the membership thereof for any cause whatsoever, and of the assigns of your present firm or any successor firm
If any provision of This authorization and indemnity shad be rendered Invalid for any reason. the provisions of Ilvs agreement so affected shall be deemed
modified or superseded. as the case may be. and all other provisions. and the provisions so modified or superseded shall in as respects continue and be
in lull force and effect
This Power of Attorney shall not terminate in the event of my disability or incapacity.
Signature (Account (Tyner) Print Name Date
Signature (Amount Owner) Print Nemo Date
Attornerin-Fact Signature Print Name Date
Winans Sianature Print Name Date
APPROVAL Fimi Principal Siamese rate
State of
County/City of
} SS: {SEAL}
On this day of before me personalty appeared
to me known and known by me to be the individual(s) described in and who executed the foregoing instrument, and duty acknov.fedged to me that
he/she/they executed the same.
Notary Signature: My Commission Expires
' Only ore person may be designated
Sggga 1 (Rev 10. 07112) Page 2 of 3
EFTA00558464
Arbitration - The following information concerns the arbitration of controversies:
parties agree as
This Agreement contains a predisputo arbitration clause. By signing an arbitration agreement, the
follows:
the right to a
• All of the parties to this Agreement are giving up the right to sue each other in court, including
trial by jury, except as provided by the rules of the arbitration forum in which the claim is filed.
arbitration award is
• Arbitration awards are generally final and binding; a party's ability to reverse or modify an
very limited.
is generally more
• The ability of the parties to obtain documents, witness statements and other discovery
limited in arbitration than in court proceedings.
joint request
• The arbitrators do not have to explain the reason(s) for their award unless, in an eligible case, a
to the first
for an explained decision has been submitted by all parties to the panel at least 20 days prior
scheduled hearing date.
affiliated with the
• The panel of arbitrators typically will include a minority of arbitrators who were or are
securities industry.
. In some cases,
• The rules of some arbitration forums may impose time limits for bringing a claim in arbitration
a claim that is ineligible for arbitration may he brought in court.
shall be
The rules of the arbitration forum in which the claim is filed, and any amendments thereto,
incorporated into this Agreement.
any pre-dlspute
No person shall bring a putative or certified class action to arbitration, nor seek to enforce
is a member of
arbitration agreement against any person who has initiated in court a putative class action; or who
by the putative class
a putative class who has not opted out of the class with respect to any claims encompassed
action until:
(i) the class certification is denied; or
(ii) the class is decertified; or
(iii) the client is excluded from the class by the court.
any rights under this
Such forbearance to enforce an agreement to arbitrate shall not constitute a waiver of
Agreement except to the extent stated herein.
ArbitrationProvisim
g Firm, Clearing Agent
It is agreed that all controversies or disputes which may arise between you and Introducin
n or the construction,
and any Sub-Advisor (and/or any other agent), (collectively, "us") concerning any transactio
prior to, on, or
performance or breach of this Agreement or any other agreement between us, whether entered into
an issue is arbitrable,
subsequent to the date of this Agreement, including any controversy concerning whether
by the Financial
shall he determined by arbitration conducted before, and only before, an arbitration panel set up
Any of us may initiate
Industry Regulatory Authority ("FINRA") in accordance with its arbitration procedures.
d pursuant
arbitration by filing a written claim with FINRA. Any arbitration under this Agreement will be conducte
statute of limitations,
to the Federal Arbitration Act and the Laws of the State of Now York. The state or federal
in a court of
statute of repose, non claim statute or any other time bar that would be applicable to any claim filed
competent jurisdiction shall be applicable to any claim filed in arbitration.
5“9,,A1 (fit, . 10 - 01112)P. j o 1 i-.1 1
EFTA00558465
n
Account Applicatio
y--1
FA Code
Account Number Li New
I
de
Sub Firms BR Co
11 1
Li
Update
(0ftce Use Oaf)
Product Typos ¶iioteraye
tion
Account Classifica C3 Advantage Program t. 1 StafX1iud
Non-Resident Alien lect type)
Tax Status Resident Alain U tration Types (se
count O Account Regis
o U.S. Citizen O U.S. Non Individual Ac
n Types (so led typo)
Non-Personal
O Corporate
O
ha ele che dia
of Ourniecalion
Estato (Ced Aosta ffdabit el OOrriole
unt Registratio must
Individual Acco IRA Types arsnt be preselect]
Jo int Account Typos O Simple
O
NomProso Organisat
ion
LI tic
O initsidual mmon O Re gular
O Investrriontili m mm
O Joint lenenls in Co O Roth NiunicipattGovernmenV
Pub:o Funds
O Co sta :tat-W oo f"
s with Rig hts O ES A IRA
rtn er stu p.. ..1 O
hp O Jont Tenant O SAR-SEP O Pa
O Guardiar.tonservators O SEP O Other
nt) of &u nm ora l?
ch app oin tme Spo usa l totype
(must atta O Inherited
O Sharing Plan O Pro
by Entirety tted Plan of Pirdill
O Sole Mobile
's( ship O Jo: nt Ten ant s
(A permitted by you
State law) O Outside IRA
O Gu
Other ri
sto die s
o 529 Plan - ImPidu
al
O Co mm uni ty Property O
IRA Annuty-E xto ma l Cu
l Cu s./o daa O Tru st 1miler Type- O
Individual wl SSN
wr Irv
o 529 Pion - Custoda
n”
(4 required by you
r Slate lam) O SEP Anntiry•Externa
ms! Ou sto dan
O Nom
).
O 403(b) Retire
ment Pla n
0 4078 Annuily-E stor Number of Trustee(s
er _ slo dan Tru st Oa fs
0 Oth —I 401A Annuity-External Cu
Survivor sNp val rt_r
Jo3 nt Tenants viiii-RightS Of the abate
• If two or mo re ow ner s,
select One Of ratemat Custodian
alualy if you (alto O 401K Annu %p
be milacted au•orn acc oun t
or on a custodian
tt• Primary is the min Mother's Mellen Name
ation
Primary Owner Inform O Yes O NO
litalion?
ve Th ird Pasty Autho Other
1O1thiS acoAnsil ha O Justice O —
❑ Rev O Senator ty Verification
Customer identi
O Mr n Mrs. Li Ms. O Dr.
existing or previous relationsl
ℹ️ Document Details
SHA-256
5ff8e46d0392c0708e754eb2872e87785597007fe6c7885a93ee0e63d155f60a
Bates Number
EFTA00558461
Dataset
DataSet-9
Type
document
Pages
11
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