Case File
efta-01273263DOJ Data Set 10OtherEFTA01273263
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01273263
Pages
1
Persons
0
Integrity
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Text extracted via OCR from the original document. May contain errors from the scanning process.
Non-Corporate Signature Page
MAX FOUNDATION
Account Number and Description
Signature Requirement
L211.0.a_.
114
By signing below, I acknowledge that I understand and agree, on behalf of the organization, with the terms and conditions of the US$ Client Relationship
Agreement as well as the terms, conditions and disclosures in the Agreement and Disclosures booklet that is enclosed or that I praiously received. As an
authorized Mat/dual for this account, I have full power to submit valid orders and other instructions on behalf of the organization.
Margin Agreement
I acknowledge that when I use margin orator, UBS MI 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 cat UBS may be required to Sue. By signing below, I agree that the Margin
Agreement in my Cant Relationship Agreement applies to all of my account. including any accounts that I may open in the More. Note:1185 does not
extend mange, for certain types of accounts (e.g.. IRA and WU Man accounts, CoretdeJlEckrcadon Savings Accounts, 103@X7) Account, UGMA/UIMA
Estate or 529 Man Account).
likewise, I acknoWiedge and agree that certain securities in my enema, indudng any account I may open in the future. may be loaned to UBS or to other
persons a entities as desoibed in the Margin Agreement.
Electronic Delivery Consent
As requested. I received my Agreements and Disclosures booklet and other account-rented documents electronially at [email protected] which Is the
e-ma address of record for al owners of this account. I understand that the information is also available at vawrubs.com/accountetsclosures or by
request to my Financial Advisor at 1.212-821.7000.
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you have flifie4 to report all ingiAandiaividepdtal
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The Internal Revenue ServiOe does not tig:lifri "lout,
avoid backup withholding.}::
provision ot this docuIllOnTjpiihOlTabiE117,114tSiSITICI
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The Client Relationship Agreement contains a pre-dispute arbitration
dause located In the final section under the title "Arbitration."
For Business Services Account(s):
116 East 65th Street
New York, NY 10065-7007
em subject to backup withholding, and theefore have
crossed out imragrapti 2 in the Certification above.
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DEte
SIGN AND
DATE HERE
IlteArs.d
CEmail Ad•rest° Record
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CONFIDENTIAL
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EFTA_00131055
EFTA01273263
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