EFTA01118863.pdf

J.P.Morgan CFTC Interim Compliant Identifier (CICI) Disclosure Form A CICI is a unique number associated with a single legal entity, and will be used in upcoming regulatory reporting until a global Legal Entity Identifier (LEI) system is established. Examples of legal entities include general partnerships, corporations, foundations and trusts. Any legal entity that enters into a financial transaction may require a CICI, as will other market participants (such as reference entities, regulators, exchanges. utiities and registrars). Clients who are legal entities and who would like to continue to trade OTC derivatives are required to register for a CKI at this time. Note that a CICI is required for each legal entity, and a separate form needs to be completed for each entity, with the corresponding CICI Please provide us with the CIO that was assigned to your entity, and we request that you return it to us using the enclosed business reply envelope by December 1, 2012. Alternatively, can fax the form to 302.634.4218, attn. JPM LEI Response, or email your executed form to FINANCIAL TRUST COMPANY INC 6100 RED HOOK QUARTER STE 8-3 ST THOMAS, VI 00807 CICI number:' CICI associated J.P. Morgan account number(s) ending in: Authorized party, please print name' (x) Authorized signature' Date* 'Required information Bank products and winces are offered through ;Morgan Chase Sank. N A and itt allikan Securities are offered by I P Morgan Securities ELL member FINK NYSE and SIPC. Investment products: Not FDIC insured • No bank guarantee • May lose value 0517 021 111 1609 EFTA01118863