EFTA01393015

Account Type Structured Products Agreement and Approval. Form Please Complete All Sections Atte-mut 1101: 5 C3 VtIv \ AL entarneug Juan Trani Parawring Tac tMMt7tI,.t4kltre.neunalet Geopnualarn Darn oth.-O;ir NOTE: IRA and ERISA accounts are prohibited horn purchasing Structured Products. Account and Owner Provide 40(00613d 41(0manna (or eseh heneifcial account owner ("Muir). If mom than one owom enisra taa Saw:hued Products Agreement and Apple's-4 Suankroentary Form io ibis Agreement may be requirt2d. 0. FoS: Allah tat Name bneudua Push:oat Eunotas -se--c-pQr=1 G Q s- i 3,3 reilltess 61°0 eeo E3 I s-r - 0,-)(31AAS Connie,/ rttaue Iluntent of 0quennent% US Vtgz-ti's tci-MI\DS 31-10 17+5.- Nunn Swan Xlernaaq - 1411.1/01)(YrYk Cannoyee -S Gil::: Of /to f /gs-3 sekf Kamen:: Addarn -RS N&AC.-9, Ty00 nl lictanem %anion -fitNiAMat)1._ i0CE)Wqic_s ouvivet. tisnot(4) C4 at +tan:Meese :Ittn inteoM avaen(14 4:n1h:4gten ta Pktictormordot the D4C0nal ?Pct-- ; DARtedc, t Client(s) Financial Information Approx]rrate Aggregate Annual Income of Account Ofsher(s) from All Sources Less than $50,000 $50,000 - $99,999 S100.000 - 5249.999 5250,000 - S499,999 $500.000 - S999.998 f•1,000,000 - $2.499,999 $1.000,000 - S2.499,999 - $4,999,999 2 999 /.5.0(0.000 and O9 ef tYo Sources of Income (Approximate) Salary/Bonus 96 °thee (Spe.cily): Apprmantata Net Worth Less than 550,000 550.000 - S99.999 5100,000 - S249.999 $250.000 - $499.999 $500,000 - $999.999 /WU !II4AA MO 0 I lox? anon, APProrimate liquid Net Worth Excluding Principal Resklence Less than 550,000 550.000- 599.999 5100.000 - S249.999 5250.000 - 8499.999 5500.000 - S999.999 51,000.000 - S2.499.999 S2.500.000 - S4.999.996' S5.000.000 and mei CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0098361 CONFIDENTIAL SDNY_GM_00244545 EFTA01393015