Case File
efta-01583401DOJ Data Set 10OtherEFTA01583401
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Unknown
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DOJ Data Set 10
Reference
efta-01583401
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0
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J.P. Morgan Entity Account Applicatio
A. Entity Information
7e Or busines
J.P. Morgan
Date of IncorporationfOrganiution
Country of IrKOrpOritaln/Orgaratation ST THOMAS. VIRGIN ISLANDS
Primary Memorized Contact Ptrson RICHARD lOWN
NOtine Phone
Mailing Address'
0 0 —g-C4 -104
— Guniet.,°"°13
s, cm,
V.50.0
zip 0.060? i3itg
Cty
Email Address
B. Account Information
Title of /Arco...Matta
bus mess SOulhERN TRUST COMPANY, INC.
V Corporation 0 Partnership 0 PICiPtiC 3 Sole Proprietors/lip 7 Endowment U Foundation U Limited LiabAty CI limited tubmity
Company
Partnership
ts the entity non Prom? C Yes
t nave appdr! to open the following accounts:
Checking Account
7 Money Market Deposit Account/Savings
C Investment Managerent/Third Party Manager/
N Asset/Brokerage
0 AssetiCuStOOY
).P. Morgan Alpha Program (discretionary)
I hereby apply for a line of Crean enked to my Asset Account
0 Yes° (U-I form will be fecund)
:I No
*Please be advised that d you have another account with the same feature, this rs not appOcabie
Automatic Sweep (Aorcatile only to Asset or Asset rah Brokerage Accounts): As further descnbeo in the Asset Account Agreement,
uninvested cash oaissoes ano new cash deposits will be transferred automatically to a Deposit Sweep.
Account Tax Cost Methodology.
fa High Cost
0 Long Term high Cost
0 FIFO
O Low Cost
O Average COS/
If the Account 'ax Cost Metn000/Ogy is not Average Cost. you may still nave Average Coat applied to the (cloning by
selecting one of the potions c m‘tuai Funds Only 7 Dividend Reinvestment Plan (DPP) Only
0 Mutual Furds & DRP D Nore
Each account I open, and each subaccOult opened under such account from time to tune, are sub)ect to the Scotty nterest
provisions in the Agreement (as defined below in '0 Agreement') and an pledged as Collateral for all my Obligations
,C.:
Ctivrtiorshipinfire —
nierornt
is this a privately herd operating company in which any one person or entity sal 25% or more of the ownership interest
X Yes (complete owner mfonnotion paw)
C NO
Centrotertg Owner (Pnmary)
id
riZeY G .
Glioiel /4
/0197°
Date of Birth:
Passport Number
Controlling Owner
%
Ownenhip
wlecsiemIth
n
e 00
- 0009
mot
dd
y
y
y
y
Passport Number
COntrang Owner
% Ol OsnenShip
Date of Binh 7 70-0E- L_
mm
dd
y
y
y
y
U •••••••
Passport Ni.mber
COntrolIng Owner
% of Ownership
Date of
nne
L 1_1
nri_upoo
binspoct Number
L_J
mm
0
0
y
y
r
).
D. Agreement
I Nave read, understand and agree to this application and either the General Terms for Accounts and Services and the applicable or, for
Commercial Chectro only, the Account Terfnl (in each case, Our 'Agreement'), The Agreement, with erne-it:rants from time to time,
generally wit apply to any future account, product or service that we agree upon orally, eectronically r deherryde, a:th000n oerlan
accounts, products or services may require additional documentetion. This Agreement (Attu:ono this application) .1 a security agreement
under Article 9 or the UnifOrM Commercial Code, as amended tram runt to time. I have reed and consent to the terms of JP. Morgan's
Private Bent and Private Wealth Monogram Privacy Notice, including the mamar in which my information is received and used, and that
upon opening an account with I P. Morgan's Private Bank or Private Wealth Management (together descnbed as the 'Pnvate Banking
Business' in the Notice) my mnarrnatiOn wit oe used by one or more members of the Private Etanang Business' family of companies (as
listed in the Notrce) in order to make ma lath, to roe the prOduCtS and services available through Me Private Banking business.
).P Morgan Use Only
title
SPN
CAS
1 of 2
Banker/Investor
8/12 1060
Confidential Treatment Requested by JPMorgan Chase
JPM-SDNY-00063064
EFTA01583401
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