EFTA01583217
EFTA01583218 DataSet-10
EFTA01583219

EFTA01583218.pdf

DataSet-10 1 page 631 words document
P21 P17 V15 D1 V16
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J.P. Morgan Account Suitability Supplement J.P.Morgan A. Account Information (required for JPMS Brokerage and Investment Management accounts) Title of Account: SOUTHERN TRUST COMPANY, INC Personal Accounts ❑ Individual O Joint OTWROS/JAWROS for TX residents) O Tenants in Common OTenants by the Entirety O Community Property O Transfer on Death (TOO) o UTMA/UGMA O IRA Primary Account Owner: Owen/ Number of Dependents Name of Employer Total Net Worth excl. Owner Annual Income (5) Liquid Net Worth (5) primary residence (5) Joint Account Owner: Annual Income (5) Entity Accounts 0 Corporation O Partnership ❑ PIC/PHC (applicable to International entitles only) O Sole Priprietorshlp O Foundation O Endowment O Limited Liability Company O Limited Liability Partnership 00ther Non Profit Annual Income (5) 5,000,000 Liquid Net Worth (5) 2%000,000 Total Net Worth (5) 30,000,000 Trust/Estate Accounts O Trust O Estate O Endowment O Foundation O ERISA Plan O Other Charitable Trust O Other Trust/Estate Liquid Net Worth (5) Trust/Estate Total Net Worth (5) B. Affiliations (required for JPMS Brokerage and Investment Management accounts) Applicable to account owners or authorized signers or trustees and executors. I, my spouse, or Immediate family member who receives material support from me or gives material support to me is, or has been, a director, corporate officer, control person, affiliate or an owner of 10% of a public corporation's stock: O Yes ® NO If yes, name of person Name of corporation If yes, Is the corporation traded publicly on a U.S. Stock exchange? O Yes No I, my spouse, immediate family member who receives material support from me or gives material support to me, or an individual controlling the account is employed by or associated with an FCM, broker-dealer, a futures or securities exchange, the NFA or FINRA, the CFTC, SEC or the MSRB: ID Yes to No If yes,0 name of employer Name of employee/asses. Accountholder or immediate family member or another household member is an employee of a financial institution or insurance company: ❑ Yes fa No If yes*, name of institution Name of employee/assoc. •If Yes, Broker-Dealer and FINRA member financial institutions must provide written permission on corporate letterhead to open a Brokerage, Margin, or Investment Management account. C. Brokerage Account Information (required for JPMS Brokerage accounts only) Investment Profile My objective for this account (check one): O Capital Preservation O Income Generation l Capital Appreciation Speculative or aggressive Investments that may operate higher returns but may be riskier than other investments because I may lose all or part of my Investment (check one): 0 Are permitted In this account 0 Are not permitted in this account Primary source of income: Investments O Compensation O Pension O Other Please indicate the number of years of personal trading experience for the authorized party(s) on this account: Hedge Funds/ Stocks 1° Bonds 10 Fx 10 .5r 0C dttrtsd 1n v Options I•0 EM m ae rk rge its n9 ATE/gents ea rntrodities 1° Venni to 1 currently have brokerage accounts with the following firms; NO Approximate value of investable assets held away from the firm? $ 1.000.000 Those assets are invested in the following Asset Classes: filEquities Wised Income & Cash RiAltemative Investments 00ther Most of those assets are invested In: El Equities El Fixed Income & Cash NI Alternative Investments 00ther Check only one selection for Investment 77me Horizon, Primary Liquidity Needs, and Secondary Liquidity Needs Investment Time Horizon: O Less than 1 year O 1-S years O 6-10 years Greater than 10 years Primary Liquidity Needs: °Short Term O Medium Term El Long Term O None Secondary Liquidity Needs: OShort Term O Medium Term El Long Term O None J.P. Morgan Use Only SOUTHERN TRUST COMPANY, INC Title CAS Page 1 of 2 NELSON 0 JUSTIN Banker/Investor 3/13 1522 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00062849 EFTA01583218
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62394cff8fc75d5e94f4add958c4df533ca4b0b976d70c641aefe7a3805c9893
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EFTA01583218
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DataSet-10
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document
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1

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