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DOJ EFTA Data Set 10 document EFTA01273245

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DOJ EFTA Data Set 10 document EFTA01273245

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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Signature Page By signing below and depositing cash or securities in my accounts, I acknowledge that I have read, understand and agree with the enclosed UBS Client Relationship Agreement as well as the terms, conditions and disclosures In the enclosed Agreements and Disclosures booklet Margin Agreement I adcnowledge that when I use margin caMleges, UBS will hold the securities In my Account as collateral against the amounts I borrow. I agree to keep sufficient positions and margin In my Account to meet any margin calls UBS may be required to issue. By signing below, I agree that the Margin Agreement in my Client Relationship Agreement applies to all of my accounts. including any accounts that I may open in the future. Note: UBS does not extend mangM for certain types of accounts (e.g., IRA and ERISA Plan accounts, Coverdea Education Savings Accounts, 403(bX7)Accounts, UGMAIUTMA Estate or 529 Man Accounts). likewise, I acknowledge and agree that certain securities in my account including any account I may open in the future, may be loaned to UBS or to other persons or entities as described in the Margin Agreement liEV41O-17- EltFitfitation ON.ti. !Oiiieil;,..eViiitteNENSeli 4S ". it'.104ilcd tthlEtiOr. 11 0,1 11 10*(4 ijeCreht* . 1 a lgt lic iMirt , irr ::6*itiagntiolien sre wolfe)! .3m *.::.! ,, :1;:;;7,1'i,, ..t- Al 4 i 094 Ytkv43 'O r?: Mi9veritb,g . . /4 11i0*1 1 !P in* rIt tenTs% e ms *Ours. -.1 For Accounts: Y123568 RMA Domestic - Sole Owner Y123567 RMA Domestic - Sole Owner 111 23576 RMA Domestic - Sole Owner Y1 23575 RMA Domestic - Sole Owner Y1 23574 RMA Domestic - Sole Owner Y123573 RMA Domestic - Sole Owner 111 23572 RMA Domestic - Sole Owner Y123571 RMA Domestic - Sole Owner Y1 23570 RMA Domestic - Sole Owner Nr1 23569 RMA Domestic - Sole Owner Electronic Delivery Consent As you requested, we have sent your agreements and disclosure booklet and other account-related documents electronically to which we consider to be the e-mail address of record for all owners of these accounts. The Information Is also available at www.ubsconVacoouMdbclosures or r uest to r Financial Advisor, Scott Stedman I Lyle Casdel at Enter your Tax ID Number. 1i jitr^is tile to tepixt ntnest: acv Me RS has notlied St n1:,„df 041(1 ::eicridipeFn,rotIftec oy ;he gfor'a nurrber to o P.ifsottitft likr 4 tflit• Us, : .2. 9 tilt yail in9trrnyy:sqsct k el) V. /triad 11 The Client Relationship Agreement contains a pre-dispute arbitration clause located in the final section under the title 'Arbitration." 0 Check here if you have been notified by the IRS that you are subject to backup withholding, and therefore have crossed out item (2) above. X 4 atla Date Gh EIGS AND DAZE HERE irn 01 0093830959 Pag I of I Rlnl iuu CONFIDENTIAL iu 11111111 SDNY_GM_000204O9 SS0 O1 N80198 (INV N9IS 21 EFTA_OO131O29 EFTA01273245

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Account Type: Account Number: n. • Anwitamai Chula A (OICID.Re4 Hook QU.11/(+eri34 arTh0rrICIS Sign. la Req. Te oo Date: 2 Name: Southern Trust Company, Inc. EIN: Nal=rejnan / A6c-c-te--00-- SSN: ID No. Name: SSN: ID Type: No: . . SSN: ID Type: o: vw• bereby ack.o•rledp brat mend tbc Depasit &awn Aroma tho PS Bacon lekcsable Skim. aid piney Policy. ad die proact rain tad kn. Prepared by Authorized CLOSED ACCOUNT 10)8bi CONFIDENTIAL SDNY_GM_00013623 L CONFI

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