EFTA01298730.pdf

AUTHORIZATION OF POWER OF ATTORNEY For Natural/Individual Persons For Brokerage Accounts and/or retirement accounts with DBSI This Authoritation/Power of Attorney constitutes a non-durable limitedpower ofattorney, designed to give a person or persons designated by you either limitedauthority over your Account(s) or IV full authority over your Account(s) as set forth below. NOTE: UNDER NEW YORK LAW, THE FOLLOWING DISCLOSURE IS REQUIRED TO BE INCLUDED, VERBATIM, IN EVERY POWER OF ATTORNEY. CAUTION TO THE PRINCIPAL: Your Power of Attorney is an important document As the "Principal: You give the person whom you choose (your "agent") authority to spend your money and sell or dispose of your property during your lifetime without telling yeu. You do not lose your authority to act even though you have given your agent siniar authority. When your agent exercises this authority, he or she must act according to any instructions you have provided or, when there are .no specific instructions, in your best Interest "Important Information for the Agent" at the end of this document describes your agent's responsibilities. Your agent can act on your behalf only after signabil the Power of Attooney before a notary public. You can request information from your agent at any time. If you are revoking a prior Power of Attorney by executing this Power of Attorney, you should provide written notice of the revocation to your prior agent's/ and to the financial institutions where your accounts ere located. You can revolts or terminate your Power of Attorney at any time for any reason as long as you are of sound mind. If you are no longer of sound mind, a court can remove an agent for acting improperly. Your agent cannot maim health care decisions for you. You may execute a "Health Care Proxy" to do this. The law governing Powers of Attorney is contained in the New York General Obligations Lew, Article 5, Title 15. This law is available at a law bray, or online through the New York State Senate or Assembly wehsites, www.seriate.state.ny.us or www.assembly.state,ny.us. . in this document that you do not understand, you should consult with your lawyer. If there is anything AUTHORITY . The gu dersig Principal (the "Undersigned" or 'Principal") hereby appoints: u.if (y- Or v'_tk 1€ Ken as the Undersigned's *geniis) and attorneys) imfact (" t(sr) to act INDIVIISUALLY with respect to any and all accounts, if applicable (see below) in the Undersigned's name rAmount(s)1, held individually or jointly (provided that all joint account holders have executers this faun) with DRS', as well as inthvidual retirement accounts bold for the benefit of the Undersigned ("IRAs"), with the authority to direct DBSI to buy, sell (including short sales) and othemise transact in any security, including but not limited to stocks, bonds, mutual fund shares, limited partnership interests, call end put options (covered and uncovered), on margin or otherwise, and any instrument. agreement or contract (elating to same, on margin or otherwise, or enter into futures, options on futures and forward contracts, interest rate, currency equity or commodity swap transactions, deposit accounts at finandal instihrtione and direct co indirect interests in securities, deposit insournents or contracts where all or part of the return is calculated by reference to changes in. among other things, the value of securities, commodities, currencies, interest rates. property of any description or indices, in each case in accordance with ()BSI's terms and conditions for the Undersigned's account, account type, and risk and in the Undersigned's names, or numbetts, on rink books. Agents) must exercise the authority granted herein pursuant to the Undersigned's instructions, or otherwise for purposes which the Agent(s) reasonably deems to be in the Undersigned's best interest. By giving this authority, the Undersigned authorizes Agent(s) to make inquiries on the Aozourit(s), inchiging requesting information about account transactions. balances and holdings, ou,rsa si, 1 HannliavemeaSreltib 0596114105i2 • 1' SDNY_GM_00063912 annivnrd seRc.tt fin , I (i2J CONFIDENTIAL — PURSUANT TO FED..QQ,Nfe) DENTIAL DB-SDNY-0026737 EFTA_00I 744 I 8 EFTA01298730  • The Undersigned try signing below contras that he/she Ms teed the contents of this Power of Attorney and understands same, and has executed this Power of Attorney of his/her own tree will and has received advice about the effect of this Power of Attorney from his/her advisers as he/she has deemed necessary or advisable. In witness whereof, the Undersigned has executed this AuttOriz, ion/Power of Atto Date: 10.47/ Signature: / I , Print Name: r • (the "Undersigned") TO BE EFFECTIVE FOR JOINT ACCOUNT(S), ALL ACCOUNT FOLDERS MUST SIGN: In witness whereof, the Undersigned has executed this Authorization/Power of Attorney. Date: Signature: Print Name: (the "Undersigned") This section intentionally left blank. 4 n.rotitesasroutz 0:o5-neIOSi1 SDNY_GM_00063913 900/00d tress. a noz p gai CONFIDENTIAL — PURSUANT TO FED. CQ,NfI DENTIAL , DB-SDNY-0026738 EFTA_00I744l9 EFTA01298731  gy SIGNING gum CUENT ACXNOWLEDGES THAT: il ) CLIENT 4AS RECEIVED, READ AND AGREES TO Mt TERMS AND CONDITIONS OF THIS ' ACCOUNT AGREEMENT, INCLUDING THE APPENDIX WHICH CONTAINS IMPORTANT INFORNIA710tt AND TA 11* INFORMATION CONTAINED IN THIS ACCOUNT APPLICATION IS AccuRATE, CLIENT ACKNOWLEDGES THAT THIS ACCOUNT AGREEMENT CONTAINS A PRE-DISPUTE ANIMATION CLAUSE AT SECTION IR, PAGES, AND Cleft AGREES TO TERMS (ALL ACCOUNT AGREEMENT SIGNATORIES MUST IlvniALJ, 4192KHENI — THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE CLIENT'S CONSENT TOMMY PROVISION OF THIS COCuMEHT EITHER THAN THE CERTIFICATIDM REOUiRED TO AVOID BACKUP WITHHOLDING, AND, IF APPLICABLE, THE CERTIFICATION REWIRED TO ESTABLISH CLIENTS STATUS AS A HON -U.& PERSON AND MAN A REDUCED RATE OF WiTHICLOING. • Important into:mason for EAISA employee bay* pion Serer U.S. Osperovierk al Labor regulations require OBSI to disclose los responsive pan /lc notify catein Women, In corneWon with the =vices that DES provides to a plan, to assist the fiducery ifvaluating the reasonableness of OBSI's tervices end rested canonisation. The disclosure is svafable mare. at Mtp./Nmerrysm.rb.cornfrenarteilerVeristrkdosum_pm.html. By signing below. you asknorMige met you ere a thmisry respartsitta lot tie prawnment of OBSI's earners tolls On, you have read the tlistiosure end yOti understand the Socloswit. Inilkildual or joint saccitmt (IF THIS IS A.)31VT ACCOUNT. ALL ACCOUNT OWNERS MUST SIGN): CONFIRMATION OF TAX AND COMPUANCE RESPONSIBILITIES Client astranyledges having rids remonntiity to hid arry taxobligations and any other rciatiatory moonlit:9 duties applicable in arty relevant i Suit:SonsHet they visa In conneaJon oath assets, inoNne or trareraCdCMIn Mars scommtle) arid bunnest wiattonahlp with DITSI. 1:NEC:KAI= BELOW ONLY IF CLIENTS DO NOT WANT JOINT TENANTS VVITH FUGHTS OF SURVIVORSHIP OR TENANTS BY THE ENTIRETIES. CLIENTS SPECIFY INSTEAD: Il Tenants in common: or II Corrmuty lice m coup n n o Jaw ran 50% initrala In tne cordm unity fl irty upon dada of The Test a MAO/. aglialaffe ._, One -7-au --( -• Print run 0 —..ann . SS:Ai N Sputum Date Odra Name 3SreEIN SINUS Data PIK NNW SSN/EIN •••• Oman wwwwwwwww esige••••••••••••••neennannana mmmmm monwounne Nan rayed...lb Corporation padmuship, mist or other antitr CONFIRMATION OF TAX AND COMPLIANCE INDPONSMILTTIES Client adowneedges having sole rosponsatatty to t, A any Tex °Skein and any otter mgt./atm reporting duties applicable to et any relavart prisdmicim that may ate if commotion with assets, income or transactions in Clerr's accountir.) and buslrea reladmr.hip with Dn. Funhamore, Client COfffliffl Vol 0tO I Necessary insommtion (to the brat of Cases inmate* end capeNlitimi b made naive no Ian thaw =nu* to the Swint beneficial OWIlar(*. miliaria,. baneficiaritieal. permeris1. at. to enable MST persordal to Titre any wasmalve tax obligations that may seise for such perscnall In comb:Son With Cita*: plains reauonsro %so yes. of Sculhern Financial 11C --•-•------- 66-0720102 Nine Entity - - —rviplaier ID No E *mime of Officer, Patna,%Po% Adinfmfma Parry Dee 7 — S ( P- 1 R Pint NunoTrtleMr" En lein ggneture of Officer, Penner. Trustee, Dahmer, Patty City Prat Nanne/Thle sown of Offixr, Pawner, Trustee, Authoriasti Porn. DSO Print etame/Trth 13.AWM4116 012145,0321112 SDNY_GM_00063914 900/907d 7ICl Pi CONFIDENTIAL — PURSUANT TO FED. FQQVF(e)DENTIAL DB-SDNY-0026739 EFTA_00174420 EFTA01298732