Case File
efta-01344423DOJ Data Set 10OtherEFTA01344423
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01344423
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Account #
IV. PARTIAL TRANSFERS. DIRECT MUTUAL FUNDS AND LIQUIDATIONS
(If there are more than eight assets, attach a signed list to this form)
GuANTIFY
ASSET DESCRIPTION
CUSIPISYMBOL
VND ACCOUNT
NUMBER
TRANSFER INSTRUCTIONS'
CAPITAL GAIN
DIVIDEND OPTION'
ORTIOhF
ESTIMATED r
VALUE
lnunh'Iws"/'"elbel n fli 870994928
S Transfer in Kind 0 Liquidate U Cash 0 Reinvest U Cash 0 Reinvest 5001766.64
'in. /Iv .1/ -Rn MIRIOSS”‘ 4812C0803
S Transfer in Kind U Liquidate U Cash U Reinvest j Cash u Reinvest 2704385.15
Mad? two (ire Sr we said 704549AE4
S Transfer in and 0 Liquidate 0 Cash 0 Reinvest U Cash 0 Reinvest 1363500
l
arall TR I ries Pau he re Feld 48121L510
a Transfer in Kind 0 Liquidate CI Cash 0 Reinvest J Cash U Reinvest 2057601.37
I
ranarril te iii yearn) i sent 46262EAE5
S Transfer in Kind 0 Liquidate 0 Cash 0 Reinvest j Cash 0 Reinvest 445000
Ilea Chase& Co 7.9% Pit 4662511HA 1
a Transfer in Kind 0 Liquidate U Cash 0 Reinvest J Cash U Reinvest 333795833
IBOFA Corp 81/8% 060505DT8
a Transfer in and U tiquidaa U Cash U Reinvest U Cash U Reinvest 331062023
Kleelmtlleateiesre lee s I/4
I
494580AB9
!aTransfer in Kind U Liquidate U Cash U Reinvest ; U Cash U Reinvest
996250
I II you have requested j liquidation, your market price Is not guaranteed. YOu will receive the current market price after your transfer request
is received. reviewed, and determined to be In good order by the delivering form. Pershing is not responsible for market fluctuations or delays
in the review process. DRS items cannot be liquidated.
2 II this is a mutual fund transfer and there is no dividend or capital gain option checked in the section above. Pershing will
process this request as reinvest.
(FOR OFFICE USE ONLY: All transfers must be added to Pershing's transfer systems)
V. RETIREMENT PLAN RESTRICTIONS AND CERTIFICATIONS
hi Age 70" restrictions. If you are at
the age of 70 this year and you are transferring or rolling over assets from an IRA. qualilied plan or 4030)
account. you may be required to lake a minimum distribution (FWD) from your qualified plan or 40310) account before rolling over your assets.
II Rollover Certification of Employee: I understand the rube and conditions and I have met the requirements for making a rollover. Due to the important
tax consequences of rolling over lunds or property. I have been advised to see a tax prolenional. All information provided by me is true and correct
and may be 'eked on by Pershing LLC. I assume full responsibility for this transaction and will not hold Pershing LLC liable for any adverse
consequences that may result I hereby irrevocably designate this contribution in lunds or other property as a transfer or rollover contribution.
TO THE PRIOR TRUSTEE:
CI
Pershing LLC accepts appointment as successor custodian.
U
Please be advised that
does hereby accept appointment as successor custodian
(Inert Firm Nanw)
SUCCESSOR CUSTODIAN'S SIGNATURE:
RAI f
VI PARTICIPANT SIGNATURE AND CERTIFICATION
To the Delivering f am Nonwd Abian•
the trustee listed above. unless ointl
I': ire
:fin
er 411 AS: ,1:2, :11
iic.ccu.
Ore
:rincl
,U(.I'
may be transferred within the time frames required by NYSt Rule 412 or smiler rule of the NASD or other deugnared exonning authority. Unless otherwise
indicated in the instructions above, I authorise you to liquidate any nontransferable propnelary money market fund assets that we part of my account and transfer
the retailing credit balance to the SUCCenn4 Custodian I authorize you to deduct any outstanding lees due to you from the credit balance in my account. II my
account does not contain a Credit balance. or if the credit balance in the account is insufficient to satisfy any outstanding lees due to you. I authorize you 10
liquidate the assets in my account to the extent necessary le satoly that Obligation. II oertilicates or other instruments n my account are in you physcal
possession. I instruct you to Render them in good deliverable form, including affixing any necessary fax waivers, to enable the successor custodian to transfer
them in es rase la the purpose of the sale, when. and as directed to me. I understand that upon receiving a copy of ars karst (sr informalton. you nil cancel
all open orders for my account on your books. I affirm that I have destroyed or returned to you credit/debit cards and/or unused checks issued tome n CalnettiOn
With my brokerage annuli I understand dial yOU will contact MO With respect to the disposition of any assets in my brokerage account that are nontranslerable.
SIGNATURE GUARANTEED BY:
CLIENT'S SIGNATURE:
JOINT CLIENT'S SIGNATURE:
DATE.
Please attach your most recent brokerage account statement to process this account transfer
INVESTMENT PROFESSIONAL'S NAME:
INVESTMENT PROFESSIONAL'S PHONE NUMBER:
CUSIP' belongs tons respective owner
09 MIA 059/ I illare Page 3 of 3
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0029847
CONFIDENTIAL
SDNY GM_00178031
EFTA01344423
Technical Artifacts (9)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Phone
2704385Phone
3795833Phone
5001766SWIFT/BIC
DESCRIPTIONSWIFT/BIC
DIVIDENDWire Ref
TRANSFER INSTRUCTIONSWire Ref
transfer
INVESTMENTWire Ref
transfer requestWire Ref
transfer systemsForum Discussions
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