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J.P. Morgan Entity Account Application 417 Fri102.45 J.P.Morgan
A. Entity Information
Type of Business CONSULTING
Date of Incorporation/Organization 11/18/2011 Country of Incorporation/-
Organization ST THOMAS, VIRGIN ISLANDS
Primar Authorized Contact Pergn RICHARD KAHN
al ing ress
. (2100 ect Reck 00.04et i33
City Si -Th$444.5 .unt, 11-5 zip 002)0A— /316
Email Address
B. Account Information
Title of account/Name of business: SOUTHERN TRUST COMPANY, INC.
Ca Corporation 0 Partnership 0 PIC/PHC 0 Sole Proprietorship 0 Endowment 0
Foundation 0 Limited Liability 0 Limited Liability
Is the entity Non Profit? 0 Yes Cornpany Partnership
I have applied to open the following accounts:
8 Checking Account 0 Money Market Deposit Account/Savings 0 Investment
Management/Third Party Manager/
J.P. Morgan Alpha Program (discretionary),
kil Asset/Brokerage Cl Asset/Custody
I hereby apply for a Line of Credit linked to my Asset Account 0 Yes* (U-1
form will be required) Cl No
*Please be advised that if you have another account with the same feature,
this is not applicable
Automatic Sweep (Applicable only to Asset or Asset with Brokerage Accounts):
As further described in the Asset Account Agreement,
uninvested cash balances and new cash deposits will be transferred
automatically to a Deposit Sweep.
Account Tax Cost Methodology: High Cost 0 Long Term High Cost 0 FIFO 0 Low
Cost Cl Average Cost
If the Account Tax Cost Methodology is not Average Cost, you may still have
Average Cost applied to the following by
Selecting one of the options: 0 Mutual Funds Only CI Dividend Reinvestment
Plan (ORP) Only 0 Mutual Funds & ORP o None
Each account I open, and each subaccount opened under such account from time
to time, are subject to the security interest
previsions in the Agreement (as defined below in "D. Agreement") and are
pledged as Collateral for all my Obligations.
(C).101::71%Wit)
Is this a privately held operating company in which any one person or entity
has 25% or more of the ownership interest?
F X Yes (complete owner information below) 0 No
1 j.5,...1
Controlling Owner (Primary) j ei key C• eprir4
% of Ownership /00%
. r • tibl YU '2'01
Date of Birth: AR
dd yyyy Passport Number
Controlling Owner % of Ownership
EFTA01481141
Date of Birth: E00
mm dd Y Y V Passport Number
Controlling Owner % of Ownership
Oate of Birth:Li 17
mm d d OLEO
Y Y Y Y Passport Number
Controlling Owner leo of Ownership
Date of Birth:
LJ
fit 171 d d LII
Y Y Y Y Passport Number
D. Agreement
I have read, understand and agree to this application and either the General
Terms for Accounts and Services and the applicable or, for
Commercial Checking only, the Account Terms (in each case, our "Agreement").
The Agreement, with amendments from time to time,
generally will apply to any future account, product or service that we agree
upon orally, electronically or otherwise, although certain
accounts, products or services may require additional documentation. This
Agreement (including this application) is a security agreement
under Article 9 of the Uniform Commercial Code, as amended from time to
time. I have read and consent to the terms of J.P. Morgan's
Private Bank and Private Wealth Management Privacy Notice, including the
manner in which my Information is received and used, and that
upon opening an account with 1.P. Morgan's Private Bank or Private Wealth
Management (together described as the "Private Banking
Business" in the Notice) my information will be used by one or more members
of the Private Banking Business' family Of companies (as
listed in the Notice) in order to make available to me the products and
services available through the Private Banking Business.
IP. Morgan Use Only Title SPN CAS
1 of 2 Banker/Investor 8/12 1060
J.P. Morgan Entity Account Application J.P.Morgan
E. Signature
Al! authorized signers are required to sign below unless the entity's
governing documents permit otherwise. Please note: any changes
not initialed by you, or any information that remains missing on these forms
will cause a delay in opening your account and may
require us to send the application back to you.
i=> DARREN K. INDYKE
iDate Print Name
,216/170/3
JEFFREY E. EPSTEIN
{Da Print Name
Signature Date Print Name
Signature Date Print Name
J.P. Morgan Use Only Title SPN CAS
2 of 2 Banker/Investor 8/12 1.060
3.P. Morgan Entity Resolution Form J.P Morgan
7i5ag9.UI1 4.14fi/ke.
EFTA01481142
, the Secretzry (or duly authorized officer) or SlarrliERN TRUST COMPANY,
INC.
the 'Entity") duly organized under the laws of ST T1-10MAS, V, I. hereby
certify that the fellowing Is a true and complete
Copy e resolutions adopted by the governing body of the Entity by written
consent or at a meeting held on the lath day
of NOVEMBER 20 11
, at whith a quorum Of the governing body was present and voting and that
these resolutions
have rut been rescinded or modihed and are now In full force and effect.
Unless 3.P. Morgan is notified In writing, the
authorities granted herein will supersede all prior authorities granted to
authorized signers fur the Resolutions and
Products (e.g., Banking, Custody, Investment Management, Brokerage, Credit]
which you are currently selecting
A. Authorized Signers
in this space, please list, by names or titles, the persons authoriZed to
sign, art, or delegate to others pursuant to the re -solutions
indicated below (signers must be identified in each resolution as passed).
Also, each Signer may act singly unless the box labeled
"jointty" is checked which means that any two signers must act Jointly,
except authorized persons shall always act singly for check
signing and brokerage trading transactions.
Print
Narneflitie DARREN K. !NOVICE
Mariner or gl SinglY
Signing Li Jointly
DOB: nn
m Signature
Specimen .,i
Special Instructions
119, q5
d yvyy
Print
Name/roe JEFFREY E. EPVEIN
Manner of El Singly
Signing 0 Jointly Special Instructions
2400X4N, NI city of Birth 4A) 6Ctfoi_i
, Phone
DOB: lJJiE
mm dd Signature
Specimen
I 91 sit, 3]
0 11
rin00 ig11
ne ure
Name/Tide Specimen
Manner ofalsi Singly
Signing 0 Jointly Special Instructions
DOB: Do. i
rr im d d 1 1 1
EFTA01481143
YYYY City of Birth Phone
Print
Nameritie
Mariner V r_j Singly
Signing 0 Jointly Special Instructions
1 1. mrr
ram d d Y Y Signature
Specimen
City of Birth Phone
*A photocoPY of a current driver's license, passport or another government
Issued ID and Social Security number are
required for each signer listed above,
Plea se check the line to the left of any one or more of the following
resolutions which have been adopted. If the tine to
the left of any particular lettered 5 ubdiv[51 DTI Is not checked, that
resolution has not bean adopted. Chase Private Client
may adorn Banking, CuatOdy, end Credit services through Chase Retail
Financial Services. Chase Private Client
brokerage accounts are with CISC.
B. Banking and Custody
x 1. RESOLVED, that the individuals identified above are authorized to enter
into deposit and custody accounts with J.P. Morgan
Chase Dank or a Morgan Affiliate (Individually or collectively, 'IP.
Morgan') and any successors or assigns designating J.P. Morgan
as a depoSitory of the funds and custedian of the securities of the Entity
and to act on behalf of the Entity in all respects regarding
the Entity's banking and custody accounts and related or linked credit
products and any related pledges thereto with J.P. Morgan as
they in their discretion determine.
C. investment Management
X 2. RESOLVED, dial the persons specified above are authorized, in the name
and on behalf of the Entity to execute an
investment management agreement designating IF. Morgan as the Entity's
Investment manager, to deliver or modify any asset
eifocation guideline, mandate, or other instruction, and to act on behalf of
the Entity in all respects regarding the Entity's investrrant
management accounts with IF. Morgan.
IF. Morgan Use Only Title SPN CAS
Page i. o12 Banker/investor 6/12 049
J.P. Morgan Entity Resolution Form J.P.Morgan
D. Brokerage
x 3. RESOLVED, that those persons Identified above are authorized in the
name and on behalf of the Entity to execute a
brokerage agreement with J.P. Morgan Securities LLC and any successors or
assigns; to purchase on margin or otherwise and borrow
(on a secured or unsecured basis) from, sell (including short sales in a
margin account), and lend (on a secured or unsecured basis)
to, and to otherwise enter into transactions of any kind with IP. Morgan
with respect to any and all securities and financial
instruments whatsoever in which J.P. Morgan may deal, broker or act as
counterparty from time to time; to enter into any derivative
EFTA01481144
transactions with respect to the foregoing, including over the counter
equity derivatives and structured transactions (including, but
not limited to options, swaps, collars, caps and floors); pledge any funds
or instruments for the purposes of securing the Entity's
obligations with respect to the foregoing to establish and operate one or
more brokerage or other accounts in connection with
foregoing activities and transactions; and, to act on behalf of the Entity
in all respects regarding the Entity's brokerage accounts.
E. Credit
4. RESOLVED, that the persons specified above are authorized in the name and
on behalf of the Entity: to borrow from time to
time from J.P. Morgan sums of money, for periods of time and upon terms as
may to them In their discretion seem advisable; to
execute notes or other obligations to evidence borrowings; to enter into
agreements with respect to borrowings, to discount with
Morgan any bills or notes receivable held by the Entity upon such terms as
they may deem proper; to apply for and obtain letters of
credit and to execute applications, agreements, trust receipts and all other
documents in connection therewith; to execute and
deliver, in their discretion, any guarantee, indemnity agreement or
undertakings deemed necessary or advisable to carry out the
purpose and intent of the foregoing resolutions; to pledge any of the assets
or property of the Entity, for the purpose of securing any
of the foregoing transactions or any transaction entered into by any other
entity or personal and, to endorse securities and/or to
issue appropriate powers of attorney, documents or assignments in
furtherance thereof.
F. General
X 5. RESOLVED, that those individuals identified in above, acting in the
manner specified therein, are authorized to delegate the
authority granted under the foregoing resolutions to any other person by
written appointment submitted to IF. Morgan and any such
appointment shall remain in full force and effect until LP. Morgan shall
receive written notice to the contrary from the Entity
x 6. RESOLVED, that any transaction of the type authorized by the preceding
resolutions which has been taken are hereby in all
respects approved, confirmed and ratified; and
x 7. RESOLVED, that any resolution certified to ) P. Morgan by the
Secretary, or other duly appointed officer of the Entity shall
remain in full force and effect until I.P. Morgan shall receive
certification of a subsequent resolution amending, superseding or
revoking it.
x 8. RESOLVED, any persons authorized to act by the preceding resolutions
may utilize the Web site provided by IF. Morgan (the
"Site") via the Internet 24 hours a day, seven days a week to act in the
manner indicated in this resolution provided the functionality
Is available via the Site. Transactions requiring more than one signature to
complete will not be available via the Site. Site usage by
any Authorized Person is subject to the Web site agreements and disclosures
available on the Web site, or via hard copy at your
request.
EFTA01481145
G. Certification of Incumbency (Partnerships should not complete)
The following certificate of incumbency must be completed when the
authorized signers are identified by title only. I also certify that
the following are officers of the Entity elected or appointed until their
successors are elected or appointed and that you shall be
entitled to rely upon their continued incumbency and empowerment to act for
the Entity until you have been furnished with a duly
certified notice to the contrary:
Print Name Print Title
Print Name Print Title
Print Name Print Title
Print Name Print Title
H. Signature (Partnership)
Signatures of all general partners (type or print names next to signatures)
Signature Print Name and Title • Date
Signature Print Name and Title Date
I. Signature (Entities other than Partnerships)
IN)NITNESS OF WHICH! have set my hand as Secretary (or other duly authorized
officer) of this Entity on this the:.' "•' = ;day of
reDfdakj 20 )3 •
Signature K.svd(ike, 5ecuM9 2ki.20/3
Print.Nerne,arid:Title Date
LP, Morgan Use Only Title SPN CAS
Page 2 of 2 Banker/Investor 6/12 049
Form W9
Request for Taxpayer Give Form to the
(Rev. December 2011) identification Number and Certification requester. Do
not
Department of the Treasury send to the IRS.
Inlernel Revenue Service
Name (as shown on your Income tax return)
. Business name/disregarded entity name. if different from above
& triliZP-A) TPL(51_ (e)A1P/94/vy IA4
a
c 1
Check appropriate box for federal tax clessilic at ion:
III IndividuaVsole proprietor X C Corporation D S Corporation 0 p.t.mhip 0
Trust/estate
g
•
3 D Limited liability company. Enter the lax classification (C=C
corporation. 5,5 corporation, P..partnership( IP 0 Exempt payee
r: E
I - 0 Other see instructions)"
Addr number, strect inolcpt. 100 orpurto n.ctir) -too , e..) v _..)
Requester's name and address (optional)
City, state end ZIP ,ode
-1' 1 aDots L.)5 VI 00b OR
List account number(s) here (optional)
Part I Taxpayer identification Number (TIN) •
EFTA01481146
Enter your TIN in the appropriate box. The TIN provided must match the name
given on the "Name line I Social security number
T - -. to avoid backup withholding. For Individuals, this is your social
security number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the Part I
Instructions on page 3. For other _ 111
entities. It is your employer identification number fElNi. If you do not
have a number. see How to oat a I
TIN on page 3.
Note. If the account Is in more than one name, see the chart on page 4 for
guidelines on whose
number to enter.
=I Certification
Under penalties of perjury, [ certify that: Employer ideetracetlon number
b
1. The number shown on this form is my correct taxpayer identification
number (or I am waiting for a number lobe issued to me). and
2. I am not subject to backup withholding because: (a) I am exempt from
backup withholding, or (b) I have riot been notified by the internal Revenue
Service (IRS) that lam subject to backup withholding as a result of a
failure to report all interest or dividends, or (c) the IRS has notified me
that I am
no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below).
Certification instructions. You must cros t itern 2 above if you have been
notified b the that you are currently subject to backup withholding
because you have failed to report al rest an dividends on your tax r• • • ;a
estate transactions. item 2 does not apply. For mortgage
interest paid, acquisition or abs nment of sec ad prope •..eeseeei • debt,
contributions to art Individual retirement arrangement (IRA), and
nterest and dividdereverfnTh not required to slCerfelee certification, but
you must provide your correct TIN. See the generally, payments other tha
instructions on page 4
Sign
here Signature of
U.s. person lb. Ee not required to Big
General Instructions
Section references are to the Internal Revenue Code unless otherwise
noted.
Purpose of Form
A person who is required to file art information return with the IRS must
obtain your correct taxpayer Identification number (TIN) to report, for
example, Income paid to you, real estate transactions, mortgage interest
you paid, acquisition or abandonment of secured property, cancellation
of debt, or contributions you made loan IRA
Use Form W-9 only if you are a U.S. person (Including a resident
alien), to provide your correct TIN to the person requesting it (the
requester) and, when applicable, to:
1. Certify that the TIN you are giving Is correct (or you are waiting for a
EFTA01481147
number to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S, exempt
payee. if applicable, you are also certifying that ass U.S. person, your
allocable share of any partnership income from a U.S. trade or business
is not subject to the withholding tax on foreign partners' share of
effectively connected income. Date ■ 0
Note. Its requester gives you a form other than Form W-9 to request
your TIN, you must use the requester's form if II Is substantially similar
to this Form W-9.
Definition of a U.S. person. For federal tax purposes, you are
considered a U.S. person if you are:
• An individual who is a U.S. citizen or U.S. resident alien,
• A partnership, corporation, company, or association created or
organized in the United States or under the laws of the United States,
• An estate (other than a foreign estate), or
• A domestic dust as defined in Regulations section 301,7701-7)
Special rules for partnerships. Partnerships that conduct a trade or
business in the United States are generally required to pay a withholding
(axon any foreign partners' share of Income from such business.
Further, in certain cases where a Form W-9 has nal been received, a
partnership is required to presume that a partner is a foreign person,
and pay the withholding tax. Therefore, if you area U.S. person that is a
partner in a partnership conducting a trade or business in the United
States, provide Form W-9 to the partnership to establish your U.S.
status and avoid withholding on your share of partnership income,
Cat. No. 10231X Form W-9 (Rev. 12-2011)
3.P. Morgan Electronic Consent Form 3.P.Morgan
A. Consent to Electronic Delivery of Communications — U.S.
For the purpose of this Consent, "Communications" means both:
(I) Investment Communications - All Investment material and documentation
arid information including, but not limited
to, prospectuses, preliminary prospectus, re -circulated preliminary
prospectuses, free writing prospectuses, preliminary
and final offering circulars/memoranda, other offering notices, and
amendments and supplements to such documents,
alternative investment documentation, documentation related to an IPO or
other offering, subscription documents,
capital calls, fact sheets, agreements, solicitations, pricing terms,
notices, and other disclosures and any other
Information whatsoever required or permitted to be sent in relation to any
registered and unregistered investments or
other investment matters; and
(ii) Service Communications - Any notice or communication relating to any
service offered by J.P. Morgan for which
notices or communications are required or permitted to be delivered through
electronic mail.
"Electronic Delivery" of a Communication means delivery of the Communication
(or of a notice that the Communications is
available at a specified website) by electronic mail to the E -Mall Address
you specify below. Any Communication sent to you by
EFTA01481148
Electronic Delivery will be deemed to have been delivered to you for all
purposes, unless we receive notice that such Communication
was not delivered.
Investment Risk: You agree that prior to making an investment decision you
will read and understand all Communications for the
applicable securities offering. You agree that if you choose to purchase the
offered securities that you have a full understanding of
all of the terms, conditions and risks included in all such Communications
and assume those terms, conditions and risks. You
acknowledge that investments in securities are subject to risk of loss
Including the potential loss of some or all of your investment. If
you have any questions concerning the terms and conditions of any offering
or wish to obtain additional information relating to an
investment, you will contact your J.P. Morgan Representative.
System Requirements: If you have difficulty accessing any Communications
delivered to you through Electronic Delivery, please
contact your IP. Morgan Representative.
Paper Copies: You may request courtesy paper copies of Communications be
sent to you by regular mail at any time by contacting
your IP. Morgan Representative. You acknowledge that any such request for
printed copies of Communications does not itself
constitute revocation of this Consent.
Regulation S Offerings: Communications related to securities offerings
pursuant to Regulation S of the Securities Act of 1933, as
amended, must be delivered to clients outside the United States. You agree
to open or access such Communications only outside the
United States.
Legal Terms; Duration of Consent; Revocation: This consent is subject to the
General Terms for Accounts and Services and
applicable Account Agreements. This consent, with amendments from time to
time, will apply to any current and future account,
product or service that we agree upon orally, electronically or otherwise.
However, this Consent does not affect, and is not affected
by, any other agreement or consent to electronic delivery of communications
which you have agreed to (or may agree to in the
future) with IP. Morgan, including consent to the electronic delivery of the
type of communications which are the subject of this
Consent
This consent will be in effect for the delivery of ail future Communications
unless revoked by us or by executing and sending a
revocation letter to your IF. Morgan Representative. Any such revocation
must be on an all -or -nothing basis. Please note that such
withdrawal of consent may result in the termination or disallowance of
certain accounts or services, or the termination or
disallowance of certain offerings.
B. E-mail Address for Electronic Delivery of Communications
Please provide your E-mail Address below. The E-mail Address that you
provide below will become the E -Mail Address which J.P.
Morgan Private Bank will use to contact you regarding your accounts and
services and to send you communications through
electronic delivery, including but not limited to, the Communications set
EFTA01481149
forth in this Consent. However, this Consent will not
modify, terminate, or otherwise affect any other agreement, including
without limitation any other Consent to Electronic Delivery,
which you have entered into in the past or may enter into in the future. You
may change your E -Mail Address in the future without
executing a new Electronic Consent Form though any method which ).P. Morgan
a p yes.
Email-Address: 7 A _13.14 cf)ee jivoi i. cop, wyeaLeg @ &wagon
It is your responsibility to notify your IP. Morgan Representative of any
changes to your E-mail Address. You hereby waive all claims
resulting from failure to receive Communications because of changes in your
email address.
C. Signature
All Authorized Persons are required to sign below.
By signing below, you consent to receive Communications through Electronic
Delivery in lieu of printed Communications. You
acknowledge haviesi ead the above informatiorLencetuartiliderstanding the
Implications of this Consent.
YaN,„,_tagx----02/b1d0/3
=:> SigkatliFe (Acticlettirder)
Sighaturel•AccoUnthe DARREN K. INDYKE
1DaEe Print Name
02)6 PO /3 JEFFREY E. EPSTEIN ,D.ate Print Name
J.P. Morgan Use Only Title SPN CAS
1 of 1 Banker/Investor 9/12 1.15356
J. P. Morgan Account Application Package for
SOUTHERN TRUST COMPANY INC
A. forntS to Complete
Please add all missing 6'6n -salon to the foIlOwIng forms
andlititiatany,chani6 you make. After you sTg these docurnentSy*etUrti
their in the serf -addressed envelope provided or tothe contact listed
RCSietion 0.
IPMorgan Account Application Form
JPMorgan Account Suitability Form
JPMargan Account Over The Counter Derivatives Approval form
)PMorgan Exchange Traded Options Agreement
WMorgan Dodd Frank Regulated Derivatives
3PMorgan Standing Instructions (Cash Management) J.P.Morgan
pate: )UNP 20, 201„3
B. Documents we need from you
When you return the completed application, please include the most recent
version of the following documents:
C. Reference Documents
Please read and keep these enclosed documents far your records:
Fee Schedule(s)
Depositing Securities & Cash into IPMorgan Account
71"Morgan Privacy Policy
General Terms for Accounts and Services
Occ Boaklet-CharacteristIcs & Risks of Standardized Options
Occ Nov 2012 Supplement
Risk Disclosure
EFTA01481150
D. Contacts
If you have any questions concerning this package, please call:
Name: VALENCIA DOYLE
Address: 395 NORT1-1 SERVICE RD
City: MELVILLE State: NEW YORK Zip: 11747
Phone: 631-755-5082 Fax: 631-755-5077
E. Important information about procedures for opening a new account
To help the government fight the funding of terrorism and money laundering
activities, Federal law requires all financial institutions
to obtain, verify and record information that identifies each person who
opens an account.
What this means for you: When you open an account, we will ask for your
name, address, date of birth and tax identification number
for u.S, persons or passport number, country of issuance and expiration date
for non-U.S. persons. In order to demonstrate that we
have confirmed your identity, we will ask for a copy of your driver's
license or other identifying documents such as a passport,
Military ID or other government issued document.
The following notice is required by the Unlawful Internet Gambling
Enforcement Act of 2006 and applies to all commercial clients.
WMorgan Chase Bank, N,A, strictly prohibits the use of accounts to conduct
transactions, including but not limited to the receipt
of funds through electronic funds transfer, by check, draft, or any similar
Instrument, that are related, directly or Indirectly, to
unlawful Internet gambling.
J.P. Morgan Use Only Title SPN CAS
Banker/Investor 03/10 1.15952
IP. Morgan Account Suitability Supplement J. P Morgan
A, Account Information (required for 3PMS Brokerage and Investment
Management accounts)
Title of Account: SOUTHERN TRUST COMPANY, INC
Personal Accounts
0 Individual CI Joint (J7WROS/JAWROS for 'TX residents)
0 Community Property 0 Transfer on Death (T00)
Primary Account Owner: 0WouRetqtri
Number of Dependents Name of Employer
Total Net Worth excl.
Owner Annual Income ($) Liquid Net Worth ($) primary residence ($)
Joint Account Owner:
Annual Income ($)
Entity Accounts
El Corporation 0 Partnership 0 PIC/PHC (applicable to international entities
only) 0 SOle Prlprietorship
0 Foundation 0 Endowment 0 Limited Liability Company 0 Limited Liability
Partnership 0 Other Non Profit
Annual Income (5)5,000,000 0 Tenants in Common °Tenants by the Entirety
UTMA/UGMA 0 IRA
Liquid Net Worth (5)25,000,000 Total Net Worth ($) 30,000,000
Trust/Estate Accounts
0 Trust 0 Estate 0 Endowment 0 Foundation 0 ERISA Plan 0 Other Charitable
Trust 0 Other
EFTA01481151
Trust/Estate Liquid Net Worth ($) Trust/Estate Total Net Worth ($)
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: 0 Yes El No
It yes, name of person Name of corporation
If yes, Is the corporation traded publicly on a U.S. Stock exchange? 0 Yes
18) 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: Dyes 21 No
If yes,* name of employer Name of employee/assoc.
Accountholder or immediate family member or another household member is an
employee of a financial institution or insurance
company: 0 Yes 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 IPMS Brokerage accounts only)
Investment Profile
My objective for this account (check one): 0 Capital Preservation 0 Income
Generation 21Capital Appreciation
Speculative or aggressive investments that may mrierate 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 El Are not permitted in this account
Primary source of income: IN Investments 0 Compensation 0 Pension 0 Other
Please indicate the number of years of personal trading experience for the
authorized party(s) on this account:
Hedge Funds/
10 1.0 10 Structured 10 in Emerging
Markets 10 Private
Stocks Bonds FX Products Options Placements 1° ..tiotrliirmodities es 10
rpiyAgl 10
I currently have brokerage accounts with the following firms: NO
Approximate value of investable assets held away from the firm? $1,000,000
Those assets are invested in the following Asset Classes: 2Equities EFixed
Income ea Cash NAlternative Investments 0 Other
Most of those assets are invested in: El Equities El Fixed Income &Cash El
Alternative Investments 0 Other
Check only one selection for Investment Time Horizon, Primary Liquidity
Needs, and Secondary Liquidity Needs
Investment Time Horizon: 0 Less than 1 year 01-5 years 06-10 years g Greater
EFTA01481152
than 10 years
Primary Liquidity Needs: 0 Short Term 0 Medium Term IN Long Term 0 None
Secondary Liquidity Needs: OShort Term 0 Medium Term Ig Long Term 0 None
J.P. Morgan Use Only
Page 1 of 2 SOUTHERN TRUST COMPANY, INC Title 239150 SPN
NELSON 0 JUSTIN Banker/Investor 0222035463 CAS
3/13 1522
J.P. Morgan Account Suitability Supplement JP,Morgan
C. Brokerage Account Information (cont.)
Large Trader Identification Number' ("UM")
LTID - If applicable, enter LTID number here: DET1000000000
*Large Trader definition Is explained in paragraph 16 of the Brokerage
Account Agreement
Custodian (if applicable)
0 WMorgan Chase', Bank, N.A. 0 Other (please specify)
t •
Margin Amount Requested? Options Trading (required for exchange traded
options, over-the-
counter traded options or structured products)
g Yes 0 No El Yes (a Derivatives Approval form will be required) 0 No
Personal Accounts Only
Marital Status Of Prirnary Account Owner: 0 Married DSingle ODivorced 0
Widowed
Spouse Inforrnation:
Name Name of Employer
Occupation/Position Annual Income ($)
Non -Individual Accounts Only
If applicable, enter Legal Entity Identifier here:
sEalaZIEEDEDDLIDECIETEOREE
D. Agreement
I have read, understand and agree to this application and the General Terms
for Accounts and Services and the Account Agreement
(In each case, our "Agreement"). The Agreement, with amendments from time to
time, generally will apply to any future account,
product or service that we agree upon orally, electronically or otherwise,
although certain accounts, products or services may require
additional documentation. This Agreement (including this application) is a
security agreement under Article 9 of the Uniform
Commercial Code, as amended from time to time. I have read and consent to
the terms of J.P. Morgan's Private Bank and Private
Wealth Management Privacy Notice, including the manner in 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 described as the "Private Banking BusinesS" In the
Notice) my information will be used by one or more members of the Private
Banking Business' family of companies (as listed in the
Notice) in order to make available to me the products and services available
through the Private Banking Business.
E. Pre -dispute Arbitration (This app Ties to Margin and Efrokeragef but not
Investment Management Accounts.)
EFTA01481153
By signing below, I acknowledge agreement to arbitrate any controversies
arising out of the Margin or Brokerage
Agreements with 1.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 3.P. Morgan Securities
Lt.c and J.P. Morgan Entities which is contained within the Combined Terms
and Conditions and within the International
General Terms for Accounts and Services Accoult_Agr-Cements.
F. Signature 7 --
All accounthoiders are re0ired to ' elow—Elee note: any changes not
initialed by you, or any information that remains
missing on tSese forms will adv in open n'syour account and may require us
to send the application back to you.
1—>
_ JEFFREY E. ESTEIN
Signature (Accountholder) Date Print Name
=>
Signature (Accountholder) Date Print Name
J.P. Morgan Use Only
Page 2 of 2 SOUTHERN TRUST COMPANY, INC Title 239150 SPN
NELSON D JUSTIN Banker/Investor 0222035463 CAS
3/13 1522
Derivative and Foreign Exchange (FX)/Commodity Transactions
Regulated by the Dodd -Frank Wall Street Reform and Consumer
Protection Act (the "Dodd -Frank Act") J.PMorgan
A. Agreement for All Transactions
The following provisions apply to all clients who enter into (a) foreign
exchange swaps or deliverable foreign exchange or
commodity forwards (collectively, "Exempt Transactions") or (b) swaps (other
than foreign exchange swaps but otherwise
without regard to uaderlier), equity index derivatives, commodity
derivatives, and foreign exchange transactions (other
than Exempt Transactions) (collectively, "Derivatives")
1. If the Account is a joint account, the term 'client' shall refer to each
joint accountholder. By signing below, eace joint accountholder is
making the representations in Paragraph 3 separately from the other joint
accountholder based on his, her, or its separate transactions
and activities.
2. The client represents, warrants and certifies to J.P. Morgan on a
continuing basis (which, for avoidance of doubt, includes each time
that 1.P. Morgan executes or clears an Exempt Transaction or a Derivative)
that he, she ,or It is an 'Eligible Contract Participant," as
that term Is defined In the Commodity Exchange Act, by reason of the
following (Check orie):
The client is an individual acting for his or her own account with
investable assets in excess of (I) 110,000,000; or (ii) $5,000,000
and who will be entering into such transactions in order to manage the risk
associated with an asset owned or liability incurred, or
reasonably likely to be owned or incurred, by the client.
'Investable assets'. may not always include securities of companies that are
EFTA01481154
privately held and which are not publicly traded. If
you are making this representation on the basis of your ownership of such
securities, please contact 3.P. Morgan.
The dent Is a corporation, partnership, proprietorship, organization, trust
or other entity acting for Its own account that (I) has
total assets exceeding $10,000,000; (ii) that does not have total assets
exceeding 110,000,000 but its obligations under the
subject transactions will be guaranteed or otherwise supported by a letter
or credit, keepweil, support, or other agreement by an
entity that is en eligible contract participant; or (ill) that (a) (1) has a
net worth exceeding $1,000,000 and (2) will enter Into
transactions le connection with the conduct of the entity's business, or to
manage the risk associated with an asset or liability
owned or incurred or reasonably likely to be owned or incurred by the entity
in the conduct of the entity's business, or (b)(1) does
not have a net worth exceeding $1,000,000; (2) will enter into transactions
(other than security -based swaps, security -based
swap agreements, or mixed swaps) in connection with the conduct of the
entity's business or to manage the risk associated with
an asset or liability owned or Incurred, or reasonably likely to be owned or
incurred, by the entity in the conduct of the entity's
business; and (3) all the owners of the entity are individuals with
Investable assets in excess of 110,000,000 or entitles with total
assets exceeding 110,000,000.
n Other. Please coesult 3.P, Morgan concerning additional documentation that
will be required.
The client represents, warrants and certifies to 3.P. Morgan on a continuing
basis (which, for avoidance of doubt, Includes each time
that ).P. Morgan executes or clears an Exempt Transaction or a Derivative
transaction) that:
(a) In the preceding 12 months, the client has not executed Derivatives
transactions in a gross notional amount greater than $8
billion, or, if the client has executed Derivatives transactions in such
amount, the client does not (I) hold itself out as a dealer in
Derivatives; (ii) make a market in Derivatives; (ill) regularly enter into
Derivatives with counterparties as an ordinary course of
business for it own account; or (iv) engage in activity causing it to be
commonly known in the trade as a dealer or market maker
in Derivatives.
(b)(1) The client does not have express arrangements with Its Derivatives
counterparties that permit it to maintain a total
uncoliateralized exposure of more than $100 million to all such
counterparties, and (II) the client does riot maintain notional
Derivatives positions of more than $2 billion in any major category of
Derivatives, or more than $4 billion In aggregate
Derivatives.
(c) The client IS not a commodity pool, an investment fund that relies on
certain exemptions from registration under the U.S.
Investment Company Act of 1940, or an employee benefit plan under the U.S.
Employee Retirement Income Security Program,
nor is the clierit primarily engaged in activities that are in the business
EFTA01481155
of banking or that are financial in nature under U.S.
banking laws.
The client is unable to make one or more of the representations, warranties
and certifications in this Paragraph 3. Such clients
should consult J.P. Morgan about additional documentation that will be
required.
1.P. Morgan Use Only
1 of S Title SPN CAS
Banker/Investor 6/13 1072
Derivative and Foreign Exchange (FX) Commodity Transactions
Regulated by the Dodd -Frank Wall Street Reform and Consumer
Protection Act (the "Dodd -Frank Act") 3.P Morgan
A, Agreement for All Transaction (cont.)
4. Special Entity Status (non -Individual accounts only)
The client represents, warrants and certifies to 3.P. Morgan on a continuing
basis (which, for avoidance of doubt, includes each time
that 3.P. Morgan executes or clears an Exempt Transaction or a Derivative
transaction) that it Is not considered a Special Entity for
purposes of the Dodd -Frank Act. Prior to completing this Section 4, the
client should perform approprate due diligence and, if
necessary, consult with legal counsel, In regards to these representations,
warranties and certifications.
(a) The client is the following entity type (check one):
ET A Special Entity, as defined below,
FT A tax-exempt organization fling under Internal Revenue Code Section 501(c)-
(3), which is not an endowment.
Ire Neither a Special Entity nor a tax-exempt organization filing under
Internal Revenue Code Section S01(c)(3).
(b) Was the client created (check one):
E. By a public official, entity, or authority through an action pursuant to
such person's official capacity or directly or indirectly
/ through authority or direction of law (e.g, through legislation,
regulation, court order, or other similar authority)?
M By private individuals or entities, unrelated to a public official,
entity, or authority?
(c) Is any person responsible for or otherwise holding direct or indirect
influence regarding the clients selection of J.P. Morgan to act
as a Derivatives counterparty and/or to provide a Derivatives Account
(including, but not limited to, the client's directors,
management, investment managers, or other authorized persons or employees
holding such responsibility or influence):
FT A public official or public employee acting In his or her official
capacity or directly or indirectly selected or appointed by one or
more public officials In their official capacity or by individuals directly
or indirectly selected or appointed by one or more public
officials in their official capacity?
'INone of the client's employees or management or any other person holding
direct or indirect influence over the client's :
selection of ),P, Morgan in regards to any Derivatives services or accounts
are subject to public integrity rules/codes of ethics
or reporting requirements or selected or appointed by others subject to such
EFTA01481156
rules.
Speeial Entity is any of the following:
- A Federal agency;
- A State, State agency, city, county, municipality, other poiltscai
subdivision of a state, or any Instrumentality, department, or a
eorpnration of or established by a state or political Subdivision of a
state;
- An employee benefit Plan subject to Title I of the Employee Retirement
income Security Act of 1974 (29 045,C. 1002);
- An endowment, Including an endowment that IS an organization described in
Section 50I(c)(3) of the Internal Revenue Code of 19E46
(26 U.S.C. S01(c)(3));
or
- An employee benefit plan defined In Section 3 of the Employee Retirement
Income Security Act of 1974 (29 U.S.C. 1002), not
otherwise defined as a Special Entity, that elects to be a Special Entity by
notifying a swap dealer or majoeswap participant of its
election prior to entering Into a swap with the particular swap dealer or
major swap participant.
S. The representations, warranties and certffications contained in thrs
Derivative and FX/Comrnodity Transactions Regulated by the Dodd -
Frank Act agreement (this "Agreement") should be read with the 3PM August
2012 Bilateral OF Agreement, as amended, supplemented
or replaced from time to time to reflect changes in applicable law,
regulation and Industry standards. The client acknowledges and
agrees that (I) the information set forth in this Agreement Is true and
accurate as of the date of the execution and delivery of this
Agreement; (ii) In the event of any material change to the information set
forth in this Agreement, the client will contact 3.P. Morgan and
update the Information in a timely manner; (Ili) the information set forth
in this Agreement is, and shall be considered in all respects,
Relevant Information as that term Is defined in the 3PM August 2012
Bilateral DF Agreement; and (Iv) IF. Morgan will rely on the
information Set forth in this Agreement In evaluating whether to enter Into
Derivatives with the client. Notwithstanding any provision set
forth in the Cleared Trades Agreement or the ISDA Documentation (each
defined below), any Information given hereunder which Is
incorrect or misleading in any material respect or which is rendered
incorrect or misleading by the failure of the client to update this
Agreement on a timely basis may give rise to termination and/or reversal by
the Bank of any Derivatives teansaction entered into in
reliance on the representations, warranties and certifications contained in
this Agreement.
6. Depending on the types of transactions done by the client, IF. Morgan may
require the client to enter into one or more of the
following additional agreements; the 3PM August 2012 Bilateral OF Agreement,
the FIA-ISDA Clearec Derivatives Execution
Agreement, the Client Agreement, the Cleared Derivatives Transaction
Addendum, and any applicable schedules (the foregoing
agreements shall be referred to collectively as the "Cleared Trades
EFTA01481157
Agreement) and/or agreements promulgated by the Inter -national
Swaps and Derivatives Association, Inc. ("ISDA"), as supplemented, modified
and amended by the applicable counterparty from time
to time (the foregoing ISDA agreements, related supplements, modifications
and amendments plus the 3PM August 2012 Bilateral OF
Agreement shall be referred to collectively as the 'ISDA Documentation").
The required agreements may change in the future to
reflect changes in applicable law, regulation and Industry standards.
Morgan Use Only
2 of 5 Title SPN CAS
Banker/Investor 6/13 1072
Derivative and Foreign Exchange (FX) /Commodity Transactions
Regulated by the Dodd -Frank Wall Street Reform and Consumer
Protection Act (the "Dodd -Frank Act") 3.P.Morgan
A, Agreement for All Transactions (cent.)
7. The client understands and agrees that all Exempt Transactions and
Derivatives transactions will be effected In accordance with the
internal rules and policies of J.P. Morgan, the applicable rules,
regulations, customs and usages of any exchange, market, derivatives
clearing organizatitr (DCO) or self -regulatory organization, and all
applicable federal and state laws, rules and regulations, all of which
are incorporated tly reference into every transaction to the extent
applicable to such transaction. The Dodd -Frank Act requires
reporting of all Exempt Derivatives transactions, which may include, without
limitation, the disclosure of trade Information Including a
party's identity (by l name, Legal Entity Identifier or otherwise) to a swap
data repository and relevant regulators.
In connection with any Derivative executed or cleared for or on behalf of
such client on any swap execution facility (SEF) or DCO, the
client consents to the jurisdiction of such SEF and/or DCO and agrees to
provide such SEF or DCO, their agents, and their service
providers, access to all books and records, staff and other information
necessary for monitoring and enforcement of SEF or DCO rules.
Client agrees to pay all settlement, clearing and related fees and charges
imposed by IP. Morgan or any SEF or DCO utilized in
connection with Derivatives transactions.
DCOs require clients to have an external Identification number, known as a
OTCC number, in order to facilitate clearing and reporting.
If the client already has a DTCC number, enter the DTCC number here:
F.:1;1F
lithe client does not have a DTCC number, the client hereby authorizes IP.
Morgan to obtain a DTCC number for the dient.
8. The Dodd -Frank Act requires an identification number, known as a Legal
Entity Identifier (LEI), to be assigned to legal entities. This
will allow regulatory bodies to globally monitor market activity and
financial risk in connection with transactions in certain OTC
derivative products.
If applicable (non -individual accounts only), enter Legal Entity Identifier
here:
17.Fil.Tff.!Ffc-ir;:tii.ETrii.F.TET1114.71'7,PFTFIT
9. In addition to any provision of the Cleared Trades Agreement or ISDA
EFTA01481158
Documentation (as applicable) in respect of the manner of
giving notices or other communications (collectivery 'Communications')
relating to Exempt or Derivatives transactions, the client
consents to receipt of Communications by means of electronic delivery in
connection with all investments and Investment transactions
in all Derivatives Accounts and brokerage accounts owned by the client at
IP. Morgan. Electronic delivery will generally consist of (i)
the posting of Communications to a website that 3.P. Morgan designates in an
e-mail notice or otherwise designates in advance of
such posting (a "Designated Websitel, which may be a third party website;
and/or (ii) e-mail delivery of Communications to the client
through the e-mail address below or, if the client previously authorized IF.
Morgan to deliver Communications electronically, to the e-
mail address given to J.P. Morgan for such delivery. J.P. Morgan may elect
to follow the posting of Communications with a
transmission of an e-mail or other notice to the client that such
Communications have been posted to the Designated Website and are
ready to be viewed. J.P. Morgan shall have the sole discretion as to whether
to send a notice that a Communication has been posted
to the Designated Website and some Communications may be posted without
sending such notice. The client Is responsible for
checking all relevant Designated Websites for Communications periodically,
and agrees that the posting of a Communication on a
Designated Website constitutes delivery of such Communications to the
client, regardless of whether such Communication is actually
opened or reviewed, and regardless of whether or riot a notice of the
posting of the Communication is sent. Communications may be
provided in an Adabes Acrobats Portable Document Format (PDF) file or a
similar, com
ℹ️ Document Details
SHA-256
e6b4d633020048d46d1c2686b8016f9c8106109c5adf6dd119417cd93ba2eec2
Bates Number
EFTA01481141
Dataset
DataSet-10
Type
document
Pages
36
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