EFTA00236477.pdf

SUBS MOS Financial Services Inc ific.aiunt _ - Power of Attorney (PWM) PWMOtkn - Pon!. Wealth Ayy,ita (Not for use when naming a profession OCco..mi Mame al Investment Advisor) rubel he...Halal, aoltintitaliOn agar MAO &cowl. At us% tie lulus, lei010.1 Sane, me n int woo name ocrethei <Amenity open Ot opened m Moswelconhnn the aullia ilv 01 r_eStie( (Apia Mai io pc."--fom, tact, anne saws vittsge0 bees and to take ally and all anon IsChAing the etteCut.On Of docum neCtistai ta a moden ents a lams a Ohre at.teCetta10 tof to coition Cu' WC° , aorm"gilhon't MOW When shoo in this clocunhint the saes executes its POVIet of Altan ow" a 'my' feta go cacti of the tM sepenctpatt a , Jseksselualls: a ("Want. Ilse deed nal initial in the box • AulmONZATION FOR ORS next to each agency guatil PACE MO STRATEGIC A0vKOR ed. PLEASE SEE IWORIAN1 IPSO tOSuR ACCOUNTS ON PAGES 2 IS REGARDING TRADING ANO 3 ' Trading Authorization initial ANC to thltnCli)* my Agynt er.ponat.041%;. nm atoll:l b NON VOWS With you 10 P.I.the se eV tact Weurifiet ana Sendai reepe arge Witt OM qualitcatorli tty ,.mtltAng Options leek, ' etImola my own MC NOON and VMS Wm, and cacao,. or as Orbitt1lu mono ConOitiOns lot my accosi s,. othim [arson at bon.ers Managed Account Authorizatio t• n rein a0thocie my Agent to emelt investment AbeM1001 Tietatiaishoo my account to1 any tewestment soon/ picgtam *title." by discretionary inyeitMent manag Agttitment a agoOlabte tams. and spec/Iv* to Me and ues. to mecum me ers I unitkcStancl that the wombat. elsoeicegary and not 4c0y 10 all ilttS atSchay parent tohtso nt Retaliating) Ogleememl. Myth., accounts that I may open os the en< wed by me a my Ageni luitee Dishurstirmint Authorizatio ns Wt.)r milW Piece to aulhine my Agent to chew? ORS to tlatillet moo to mate osthnoccting et tides CO my bona money a annum to accounts held in my name Of IV my ben.lit Igniter. may OP ohm tea by at comedian rem any llama atehot MrthOcIS which "loge ad / ento uncie. trio Cower of Chats are not wooed to esiai hal motel item Attorney Such oectiocic finds 0 OW*. M tax docianants Autho nzation moil hem to auttionce my Agent to make. eatiCule and µHit >e we folios We and W4. as la lams, axtochnh seithool Immfa .1000athe. anet ant 1(14110 date tint hcc aY VS woeful Rnenue Duplicate Ottawa; inStamatio s n Authorizatkm 41.14.0 tithe to autnocce my Agent 10 recent a &sonata ropy a d statements ea other ratrrtunc nobs Agants nave neitgAlk`b MO*. agents to ad On my aCCounOtes lot NI UBS Financial SeriSCA Inc determ that each agent 5 &Other/tea ICI act ine. in At tap 6.011.00, hit It 1.16/padOntly CI any Ott* agent. If authwee IBS Financial *ewesInc li tereenng cOntlittag inittor in it s bit Main MUM along hons hoen agents mil 1 have design be( lid or by my design mewled fiCim any a my arms unlit ated. I ated agents Ire tenth( na,OMd mesa at my ,On ton Woof, APpu mend ter bsuibLvt mem must mrholndy Unk53 SaW OS*. Sal surly:neat agent to me tapataly r nave oesloated mx• than ale agent foe my JewinMeu agents A(04/111. dyed that teS Financ ial Seine. Inc act only igion the rant eittiat ions Of al IN Chamilint Name ant Name *piston late AC .M7 :Rev IMES; 020t 4 uBS Final& Servo., mminirinChITIAI UBSTERRAMAR00000788 EFTA00236477  (*)UBS Agfornorit Ry Nomen Dekt. I n*. to endemnify and riOtd haernlevt OM and dl Mohairi and all Ot ISW ~Kl anti ageni5 I: om and arm, any ani Al darm% that may ante Oy enten o1 ulteS honnig 'Sen nn tne flOvniOnS ot authOteitd tO mate any ni« tor dm enilturnent satirowleOge ion agree Mat want] my atcOun: is elrbe a afwrong. mooding magn my teert .s « Stront rnfOrfnaleur I hettlOy tany.<0Miltri sid 'facies arm Woei wies ma :0 Wette any and agat IJ OP ~Kl al' effinwo in and ta nv accOunttS Oy any and at Ifinetbu rs.lradé n or rangs Medio aflaten <X ; by my aplInl th COOrn.1.00 enm In verba& autliceiy waren, in ind instrument eirrutiOn Ol da omegt' forms or agreenores aan«). Out rol eenden to the or any aultsyrialions d 1 ham mstoucle4 (konen Serwe Annurd. I ermiressly acknowle Pst Oss Pater ol Altorner oe Arcerecl in a dge and snee Mat ty sgoing below Trutl or Office.. Member. I Gelegd* in. Wrap.% ontroer 1 . Partner aOthtli rtOtelénta have as Trustee or leye dWy aUltoOrOnt. arm uyin dut etal ut ahatIlle• aN aPhld•It hitit the accounts ki Mom Ihn tahoe/MI.0n el noch reOtentyn talnt hinnety aneithin Inl. :Wang of AIR/0nm wal beloer° :o. <Ontrollen by and rob/peter; rn a<tadanc. Wan enecl lo any Oneer" Cd <Mr. ot law no conflui Om UW> 0.! Stal. W New York. nntleOut nortnn 0/ Ina InOlyhtMlandn) ana tetnevon actOunt at CAS or in arn ome. docurnem: IO Int tonitaty tOntoned en eng applhatho tor any INS .5 entriko to 'Sv On Ibis ~eiof Arme, rein roten nome of in gevang ~ford arm tempi i n owyereo ro air beanch ollne ~el, 1M acknonletdded br Vin grwollment In .(<0.ont dieratkeislny WIS Moest:~ Achisonr programs wit Tor thOse Mcounts. Immediatify and effietively moge any traden authonation gramod Mankt in ~Won somp of thy wfwas yen have *Ms" abn' SuM•cl lo IdndanCen cn thee ArarbOMY aferboire0 <Y ta° VphIpt may be lennenaled 01 ~glad Iscr. rergasOn rure or Out prots ano und!' non m tIBS' loge nnoetton tor trarnple orturmlarxes. Attomey in any retiremint account . Finanda l Advisers ~not be ~MMS %OS of nos is an important legal docume nt Betont enrcuting tes docume nt you thould asos these nipt:alant teert' • Th,. document —y prOvode th* person yOu dissignine as your Inallapit Wl. despose of trassen agentattorney-rn-frut witti berd pesoen. rotloding in your account w borrow money ming POwar to voor ~party es inunly lor dm loen. • el you are wing Mis Power of Atomry in • Ratirement this document to mate or Mango beneficiary designat Account you s0Ø no amore tint Ine agent 18 not cusnonsed undes ions ot] your acCount. • ' ,met ot Alle", n "AOW' On wend of al eind, e o unit. hert? • g 'al Puien': £#ase pont We <bent nanse:s. sno nut dinar n inttexhit altn el lbo ifAKMTANT OPTICI POR PACEMTRATEGK ornuonent of Trit Wint" <bents pay AD4/5011 ACCOUNTS: Oroong Mare trom Me :An /manou ~mor 10, in these prOgonn As su" n • concOaff nmenmg trweitfenill miste an a LIAS r bent. In« nOt donna* a PM*, PAU/Water ACRO1414 «room ins , ot AfforMY lot Ine ~Min Ol ! tants. lereargial ~10101 nitides regestered or onferinte lantdat mam recl ~rent annh- (-11.1tSiC4e. 1-viMen (tem fint enne tal Name sy w. — Dar ;heisiest NO» last Nor Syretyr. Dra. ...w.c. ot Canto: II. IhP Agent tb\ eJA Pli_ra 2. 22S::› %t t- 'flitness f n st Nann• -Vr last Name ~bei Cases muft Sr gace and dato in th* menene of a wimess mto mrt Mosign and date Mis Soms IMPORTANT NOTICE FOR PACE/STRATEMC ADVITOR ACCOUN TS: Oreer.; advent fl Om th! as /Mantra' Arsof n a wincoal COMonnen1 Of Pie sennon dab pay k• In li ftte naprann AS wtn. dna may not l obtammg investmern acNrce en J IRS MCE/St clinaltnal/ a brr of nnbioney ta Ina Duimt* olj fater hrknn aCtnn Ihn onnudin tartend rompetaph, snanoal prooien De unligriteted hylharhin doMOIS.I or wrat parties Ry Nonmg [Wow. I «intern tnai t an not worrilrg ~Omen: e or tOnlulling wreef to. hitl piinloop wie apoitty Pre Int aCCOunl . _ Oc_mgi V-PSnri Arnt hist Plan tast Name 041P A. MI :om 12/14, 02D: futaned Sennas rros rewryw bou<byi sak nnntcfllchlTlGl UBSTERRAMAR00000789 EFTA00236478  UBS AODMONAL INFORMATION (To Be Completed by Agent) Basic Information E. Check here if agent is 1.185 Financial Advisor or a registered associated person at UBS Agent Mai Middle Name K-ESnete last Name Country of Citizenship USA ❑ Other (specify) It Passpoil/Cedula SSN Address Line 1 Address line 2 United States of America City State/Province Zip/Postal Code Country Home phone Agent's Relationship. If Any, to Principal Agent's Account No With UBS Of Any; Financial Information Investment Experience: How many years have you held investment accounts, years Which best describes your knowledge of investme nts., C i know very little about financial markets and market investments - I have a good understanding of financial markets and market investments - I am an emenenced investor in financial markets and market investments Personal information Date of Birth *f, Is the Agent affiliated with any securities firm, excluding U8S and its affifiates, biokeddeiler subudiaiy commodities exchange. self -regulatory organization of a financial institution, securities or or the UBS auditor (cut:tinny Ernst B Young), (NYSE Rule 407) C No C I Yes bI blank. Firm assumes No) If S. SOWN aflihaied finVorganuation If you answer 'yes' to the NYSE Rule 407 question. approva l must be obtained from the specified haniorganization went° or trading authority becomes effective before the account can be Is the Agent an employee or related to an employee of UBS AG. its subsidiaries or affiliates le g, UBS Financial Services Inc U85 Securities 1.1.0 ) 9 No ❑ yes . specify Alfilia leSUbSidialy Employee Fail Name Last Name SW Employment Information Occupation. Employer Name and Address are only required il your employment status is 'employed' or 'self-employed' Status (select one: C Employed LI Self.Employed C Student 9 Retired 5 Self•Supponed 5 Volunteer 9 Unemployed C Work in the Home Occupation Busmen Phone (00henal) Business Fax (oPtiOnal) Employer Name kit uStry Ice, Construction. setvice. etcl (optional) Address Line 1 Address Line 2 City State/Province Diatoms' Code nay AC•M2 )Rev 12/14) 02014 U8S Financial Senvlceslnc.AY oh ts @serve° Member SIPC Page 3/3 rnntctllCNTt At UBSTERFtAMAR00000790 EFTA00236479