EFTA Document EFTA01580356

Funds Transfer Request (Please- yes instructons) Effective Date: 03/07/13 Masse sow current or future date only Select Appropiate Payment Type and Fields will be Displayed 0 JPMC Transfer Principal: Originator Information DebIf Account b :on, kiiiel614parinati Receiving Bank ABA: Receiving Bank Name: Beneficiary Account #: Beneficiary Name; Address 1: P. O. BOX 9146 FIRST BANK, PUERTO RICO Address 2: 1519 Ponce De Leon Avenue Southern Trust Company, Inc City: State: Santurce PR Zip Code: 0 ACH 0 Check S100,000.00 O Income: Domestic Wire Debit Account Title: O J. P. Morgan JIB International Wire Southern Trust Company, Inc Pay ThroUgh/Intorrnodiary. Party (If Required) Account Type: Intermediary Bank Account/Code: Intermediary Bank Name: Payne-it Details (Reference/Description/Addenda) 0 Other POLigoll 4/C Aut • ed By Authoriz 3/Eha3 Date ID: 036303083106544 DATE:03/08/2013 18 04:00 Page 2 of 4 DID: ...7316607 CSID: INDEX1: INDEX2 Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00059666 EFTA01580356