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efta-01584190DOJ Data Set 10OtherEFTA01584190
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DOJ Data Set 10
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efta-01584190
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J.P. Morgan
CFTC Interim Compliant Identifier (CICI) Disclosure Form
A CICI is a unique number associated with a single legal entity, and will be used in upcoming regulatory
reporting until a global Legal Entity Identifier (LEI) system is established. Examples of legal entities include
general partnerships, corporations, foundations and trusts. Any legal entity that enters into a financial
transaction may require a CICI, as will other market participants (such as reference entities, regulators,
exchanges, utilities and registrars). Clients who are legal entities and who would like to continue to trade
OTC derivatives are required to register for a CICI at this time.
Note that a CICI is required for each legal entity, and a separate form needs to be completed for each
entity, with the corresponding CICI
Please provide us with the CICI that was assigned to your entity, and we request that you
return it to us using the enclosed business reply envelope by December 1, 2012. Alternatively,
you can fax the form to 302-634-4218, attn: .IPM LEI Response, or email your executed form to
doddirank_registrationejpmorgan.com.
FINANCIAL TRUST COMPANY INC
6100 RED HOOK QUARTER STE B-3
ST THOMAS, VI 00802
CICI number:*
CICI associated J.P. Morgan account number(s) ending in: 1
(x)
j421-crel firki
n
Authorized party, please print name'
ClassiE21/733D-7- 6-1vL
W2:554o0e1
Auth.
ignature*
*Required information
/oh
Date*
Bank products and senates are offered through lPMorgan Chase Bank. N A and its affiliates. Securdes are offered by
I P Morgan Securities LLC. member EINRA. NYSE and SIPC.
Investment products: Not FDIC insured • No bank guarantee • May lose value
edit 073 11
1609
Confidential Treatment Requested by JPMorgan Chase
JPM-SDNY-00064038
EFTA01584190
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Phone
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