EFTA01580454

Funds Transfer Request (Reim Typo Iii5Itutturcs) Ft:kit 12/06/12 Effective Dato: Pl.a se enter current er future au only Select Appropiate Payment Type and Fields wilt be Displayed Principal O JPMC Transfer 0 ACH 0 Check C) Domestic Wire $1,321.00 Incomp: J. P. N4 0 rgan intematonal Wire Address 1: Receiving Bank ABA: 4608 Tula Park Mall Receiving Bank Name. Beneficiary Account it: Merchants Commercial Bank a/c8 021000742 Address 2: Beneficiary Name: Kellerhals Ferguson Fletcher LLP City: State: St Thomas USVI Zip Code: Account Type: intermiciary Bark Account/Code: 121042484 Intermediary Bank Name: fitå V tit.. C) Swift Pacific Coast Bankers Bank Payment Details (Reference! Advice Description/Addenda) X GCS LW Formation Costs & STC Business License Costs Authorized By I12106`12 I • Date ID. C36212067806841 DATE 12/0620121758W pagd 3 of 3 DI D'ABUS4613{75,9)Q) II1 DEX1 I N DEX2 PAGE 3 OF 3 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059790 EFTA01580454