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efta-01479976DOJ Data Set 10Other

EFTA01479976

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DOJ Data Set 10
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efta-01479976
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
IIIMI IP. Morgan Entity Account Applicata° J.P. Morgan A. Entity Information Type or Business CONSUL:INC Date or Incorporation/Organization 11/18/2011 County of romoon ST THOMAS, VIRGIN ISLANDS Pnmary Autlxirged Contact Person RICHARD KAHN Phone Notre Phone a, Mailing Address too . Hoar Qunia,, 133 ccr S r`_.. __ _ cwrwy i.this zip ao -13'6 Email sticroso RICHARDKAHNI2SGMAIL.COM B, Account Information 'Luc or accv.inlinne C./ ous—ess• SOUTHERN TRUST COMPANY, INC. al Corporation 0 Pannershco 0 PIC/PMC 0 Sole Proprietorship C Endowment 0 Foundation 0 limited Lebety L7 t:rn a rted rship tlabirty Is the entity Non ProrN7 C Yes Company prtne I nave aPP'ed to open the ft:Rowing accounts: IR Checking Account 3 money Market Deposit Account/Savings C Investment ManagetreMiTnird Party Manager/ Assebtrokerage 0 Asset/CMOdr ).P, Morgan Alpha Program (discretionary) hereby apply foe a line V Credit linked to my Asset Account 3 Yes (U•) form &I be reotiAtec) 3 No 'Please be earned feat re you have another accivnt volt the same feature, this ts not applicable Automatic Sweet) (A0c4<atile only to Asset or Asset wth Brokerage Accounts): As further clescnbed in the Asset Account Agreement„ uninvested cash balances ano new cash deposits will te transferred automatically to a Deposit Sweep. Account lax Cost Methodology S High Cost 0 Long 'erns High Cost 3 FIFO 0 tow Cog 0 Average Cost If tro Account Tin Cog methodology is not Average Cost, you may still have Average Cost applied to the followng by selecting one of the potions C Mutual Funds Only 3 Dividend Romeserient Plan (DAP) Only 0 Mutual funds & DRP 3 Nor. Each account I open, and each subaccount opened under such account from time to time. are sub act to the secvnty mtereg PrOvn0OnS in the Agreement (as defined below In '0 Agreement') and ate pledged as Collateral for all my Obligators (-- .,C.10Znarship InfomThat — iisii) Is this a privately held operating [company in whet any one person or entity has 25% cr more of the ownership interest; X Yes (Complete owner ,n‘crrnarkyi below C No COntrOUng OW Prim dile C , er.) 100% Date of EUrtn. Passport Number Cynerolloo Owner Date of Birth: 0-0E-OOLD mm dd y r r y O f O w n e r s h i p Passport Number COnntleig Owner Date at Both m L e nD e n ns dd r y hre of Owl/mho Passport Number Canteen.; Owner % of Ownership Date of Birth n _fin _OE DO Passport livnter mm dd y y Y Y D. Agratmeent nen read, understand and agree to this application and either the General Terms for ACcOunts and Services and the applicable or, for Commercial Checking only, the Account Tenns (in each case, our 'Agreement'). The Agreement, with amendments Nem time tO tine, generally re el apply to any future account, product or service that we agree upon orally, electronically Cr olherfrrse, tuthough (erten accounts, products or services may require addltiOnal documentaHon Thss Agreement (.ncluding this application) 4 a security agreement under Article 9 or the Uniform Commercial Code, as amended from time to titre. I have read and consent to the terms of I P Morgan's Private Bank and Private Wealth Management PrNacy Notice, including me manner in which my information is recertec and used, and that upon opening an account with P Morgan's Private Bank or Private Wealth Management (together descnted as the 'Private Banking business' in the Notice) my information will be used by one or more members of the Private Bank re Burtmess' family cf companari (as listed in the Notice) in order to make available to me the products and services available through the Private Banking Business. ).P Morgan Use Only Title SPN CAS 1 of 2 Banker/Investor 8/12 1060 Confidential Treatment Requested by JPMorgan Chase CONFIDENTIAL JPM-SDNY-00001997 SDNY_GM_00271195 EFTA01479976

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SWIFT/BICSOUTHERN

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