EFTA01583410.pdf

3.P. Morgan Account Suitability Supplement J.P.Morgan C. Brokerage Account Information (cont.) Large Trader Identification Numbers ( - 1.711t) LTIO • if applicable, enter LTIO number here: ❑❑❑❑❑❑❑❑-❑❑❑❑ •Large reader Penton Is teCearned in paragraph 16 of me Broke age Account Agreement Custodian (if eaPlicabie) C 3P143npri Chase Bank, N.A. 0 Other (please specify) Margin Account Requested? Option Trading (required for exchange paged options, over -the counter traded options Or structured products I O Yes S No C Yes (a Derivatives Approval form wa be required I 2 ho Personal Accounts Only Mental Status of Primary Account Owner. MaeneC 0 Singe ['Divorced 0 Meowed Spouse Information Name name co Employer Occuoraten/PoSition ,,, Annual Income IS) Non-Individual Accounts Only applcabie, enter Legal Entity Identifier here ❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑ 0. Agreement I have read, understanc and agree to this apoliCiMOn and the General Terms toe Accounts and Services and the Account Agreement fin each arse, our "Agreement,. The Agreement, with amendments from ore to tame• generally will apply to any future account, Product or service that we agree upon essay. tilectrOnrcane or othanmSe, although certain accounts, products or senwces may require additional documentation. The Agreement (including this apt:titration) s a SeCurity agreement tender Article 9 of the Uniform Commercial Code, as amended from ere to tame. there need arid tangent to the terms of ).P. Morgan's Private Bien* ant Private Wealth Management Privacy Notice, including the manner .n which my information is received and used. and that upon opening an account with 3.P. Morgan's Private Bank or Private Wealth Management (together descried as the 'Private Banking Business" in the Notice) my information wiN De used by one or more members of the Private Banking Bunness' Comfy of companies (as listed in the Notice) in order to make available to me the products and services available thrown the Private Banking Business E. Pro-dispute Arbitration (This apples to Meer and Berakerege but not Investment Management Accounts.) By signing below, I acknowledge agreement to arbitrate any controversies arising out of the Margin or Brokerage Agreements with 3.P. Morgan Securities LLC, in accordance with paragraph 11 of the Brokerage Agreement that I have received. Paragraph 11 is located in the Agreements for Accounts and Services Offered Through ).P. Morgan Securities LLC and 3.P. Morgan Entities which is contained within the Combined Terms and Conditions and within the International General Terms for Accounts and Services Account Agreements. F. Signature accountholders are required to ugn below. ►lease note: any changes not initialed by you. or any information that remains missing on these forms win cause a delay in opening your account and may require us to send the application back to you. DARREN K. WY(' Print Name 3EFiREY E. EPSTEIN Pont Name 3 P. Morgan Use Only Title SPN CAS Page 2 0 2 Banker/Invintor 7/12 1522 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00063077 EFTA01583410