EFTA01402850.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts the undersigned hereby aulhotiies and directs Deutsche Bank Alex. Brown ("Deutsche Bank Alex, Brown" or "DBAB"( to follow the below asset movement instructions. If YOU wish to request multiple wires, checks, journals or free deliveries, please use the long form. DBAS Account ^amem LSJE LLC Account ff: 42959295 wire Journal LI Journal Funds in the amount of S Q Journal Holdings: Qtv/Svmboi/Security; Otv/Symbol/SBcurity: ❑ Journal All Holdings To DBAS Account #; Account Name: 121 Wire federal funds in the amount of S 2,121.00 To Bank Name: JPMoraan Chase City / State: ABA# 021000021 Further credit to Intermediary Financial Institution (Optional) Account #: Name. Ultimate Benefiaaty Infoimation: BenelkMtvName lon Nicola AOQDrail#: 819949496 Free Daitvettes LI Please deliver the securities indicated below to. ns: Dec 20 2015lnv Addmonal Ivan. DTCCit: Name of Receiving Firm: Account Name; Check Q Issue a check in the amount of S RecpenrsName: RaopfinTs Maing Address: pavebleio: Account Number: at Receiving Firm Oty/Scmbol/Seairity: EFTA01402850 Qtv/Svmbol/Seouritv: Standing AuthorizBtion Q The undersigned hereby requests that this authorisation act as a standing authorization, the undersigned understands and agrees that this authorization will remain in effeoi until Deutsche Bank Alex Brown requests a new authorisation. The undersigned authorizes Deutsche Bank Alex. Brown to issue the wire, check or journal on the 0 The undersigned further authorizes Deutsche Bank Alex. Brown loarxtept verbal instructions from the undersigned to wire funds, issue checks or journal funds lo/from the above listed accounts. The undersigned will provide verbal instructions as to the dale and the amount of the wire, check or journal, if the undersigned decides to vary either the date or the amount of the wire, check or journal, the undersigned hereby eulhorlzes Deutsche Bank Alex Brown to accept the verbal Instructions from the undersigned regarding the change or changes. The undersigned further understands and agrees to comply with the proc^ures of Deutsche Bank Alex. Brown to verify the authorization and accuracy of verbal instructions. day of for a term of The undersigned hereby acknowledges that (i) the information contained in this form is complete end eccurate to the best knowledge of the undersigned; and (ii) the undersigned is responsible for the method of transmission of any instructions issued pursuant to this authorization. If the undersigned elects to transmit any such insiiuctions via fax (including desktop fax), via email or as an image attachment to email le.g.. as a PDF. TIF or other image of such instructions), the undersigned understands and agrees that the undersigned bears the risk of loss arising from such method of transmission in the event of transmission errors, misunderstandings, impersonations, transmission by unauthorized persons, forgery or intercepts. For trusts or other entities, the undersigned further acknowledges that the undersigned is auiiiorized to issue the ebove asset movement instructions under the terms of the governing documents and any applicable laws. The undersigned hereby releases and holds harmless Deutsche Bank Alex. Brown from and agairrst loss from any action, claim or demand of any person as a result of Deutsche Bank Alex. Brown's receipt of or com^iance with this authorization andfor any instructions that may be given to Deutsche Bank Alex. Brown pursuant to this authorization lincluding any standing authorization). The undersigned understands that Deutsche Bank Alex. Brown may, but is not required to, seek verification of the undersigned's instructions by call EFTA01402851 back and that Deutsche Bank Alex. Brown may In its sole discrallon refuse to execute such instructions (including standing instructions) given pursuant to this authorization, without incurring any liability, if Deutsche Bank Alex, Brown has reason to believe such instructions (or standing instructions) have rrot been provided by the undersigned. The ^dersigned further understands that Deutsche Bank/^ex. Brown retains the right to refuse Ic execute any instructions to transfer funds or securities to any accoumls) pujsciml to this authorization withyrtT^ written/lTs)ry<Sybtis bearing original signalure(s) of the undersigned Darren Indyke 12-29-2015 Frint Name Signature Date Prim Name Dale Signature III nil IIIII III III LOA 10-PWM-01775 112/101 EFTA01402852