EFTA01461104.pdf

BY SIGNING BELOW CLIENT ACKNOWLEDGES THAT: CLIENT HAS RECEIVED. READ AND AGREES TO THE TERMS AND CONDITIONS OF THIS ACCOUNT AGREEMENT, INCLUDING DIE APPENDIX WHICH CONTAINS IMPORTANT INFORMATION; (2) THE INFORMATION CONTAINED IN THIS ACCOUNT AGREEMENT IS ACCURATE; AND (3) CLIENT HAS ELECTED IN SECTION IV, PAGES, HOW TO USE FREE CREDIT BALANCES. CLIENT ACKNOWLEDGES THAT THIS ACCOUNT AGREEMENT CONTAINS A PRE•DISPUTE ARBITRATION CLAUSE AT SECTION III PAGE 5. AND CLIENT AGREES TO ITS 4S (ALL ACCOUNT AGREEMENT SIGNATORIES MUST INITIAL). INMAL HERE THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE CLIENTS CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIRCATION REQUIRED TO AVOID BACKUP WITHHOLDING, AND. IF APPLICABLE, THE CERTIFICATION REQUIRED TO ESTABLISH CLIENTS STATUS AS A NON-US. PERSON AND OBTAIN A REDUCED RATE OF WITHHOI DING. Important IMormetkin tor ERISA employee benefit plan taints: US. Depetment of Labor mutilations require DSSI todisclose to a responsible plan fiduciary certain information In connection with the services that DB51 provides toe plan. to assist the fiduciary in evaluating the reasonableness of DBSI's services and related compensation. The disclosure Is available online. at http://wvespvem.db comiamericasienierisa_disclosure pcs htrni. By signing below. you acknowledge that you area fiduciary responsible for the procurement of DEISI's services to the den, you have reed the disclosure and you understand the discinsure. Individual or Joint account (IF THIS IS A JOINT ACCOUNT, AU. ACCOUNT OWNERS MUST SIGN): CONFIRMATION OF TM AND COMPLIANCE RESPONSIBILITIES Client acknowledges having sole responsibility to fulfil any tax obligations and any other regulatory reporting duties applicable In any relevant jurisdictions that may arise in connection with assets, income or tninsectlans in Client's commits) and business relationship with OBSI. CHECK A BOX BELOW ONLY IF CLIENTS DO NOT WANT JOINT TENANTS WITH RIGHTS OF SURVIVORSHIP OR TENANTS BY THE ENTIRETIES. CLIENTS SPECIFY INSTEAD: O Tenants in common; or El Community Property Rot married couples in certain states; each spouse retains 50% interest in the community property upon death of the first spousal. Signature Datil Print Name SSNIEIN Signature Date Print Name SSWEIN Signature Ode Print Name SSWEIN Corporation, partnership, trust or other entity: CONFIRMATION OF TAX AND COMPLIANCE RESPONSIBILITIES Client acknorMedgre lowing sole responsibility to fate any tax obligations and any other regulatory reporting duties appitatgo to In any relevant jurisdictions that may arise In connection with assets. income or transactions In Client's aocnunt(s) end business relationship with 0851. Furthermore, Caere confirms that the necessary information (to the best of Clients knowledge and capabilitres) is made available no less than annually to the relevant beneficial owner(s). setdor(s), beneficiwy(iesi, panner(s). etc. to enable such OCTSOn(s) to IUIM1II any respective tax obligations that may arise for such porsonts) in connection with Client's business relationship with OBSI. Name of Entity a R kr( 10 tse Nt\it (gat LT Employer ID No. —S4_ 011 1 0-1 Signature of Officer, Partner, Trustee, Auiltorized Pry 1 ,14O Dat. akin/ Print NernelTitte_Adirt ) • Ail', . Party 1............)IfIt w.a.J10 Signature of Officer. Partner. Trustee. A.E zed D.(. 1)-1 aaliC Print Name/True we," e_. 1.18LES0€41 Signature at Mose, Panne:, Plait*. Ai niorbed Prey Dols Print NamoTOIO WM134715 015584.110W CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0122941 CONFIDENTIAL SONY GM_00269125 EFTA01461104