EFTA02683503

Bank of America Confidential Personal Financial Statement/Certification as of The assets, liabilities, income and expenses described on this (or the attached) financial statement are (check the appropriate box): El Individual If this is an individual financial statement, list all your income, expenses and assets Including your partial ownership interest in and income from any partially owned assets and list all of your direct and contingent liabilities. If this is a joint financial statement, list all of both of your income, expenses and assets Including your partial ownership in and income from any partially owned assets and list all of both of your direct and contingent liabilities. A separate Bank of America Personal Financial Statement may be provided for each individual if you prefer. Joint Yes Yes SIM Wes Position Sine Men Phoro I (we) understand that the following questions are addressed to me (us) and I (we) have answered them as appropriate. Yes No 1. Are you named as beneficiary of a trust, will or estate? ___ Yes No 2. Me any of the assets listed herein held under a trust agreement of any type, held in an estate, or in any other name or capacity? Please detail in "Additional Remarks' below. ___ Yes No 3. Are any of the assets listed herein on deposit, located, or otherwise held outside the United States of America? - Yes No 4. Do any of your assets secure any debts that have not been reported in the following schedules? Yes No 5. Me any of the assets listed herein located in the community property states of Arizona, California, Idaho, Louisiana, Nevada. New Mexico, Texas, or Washington? Yes No 6. Are any of your real estate properties used by you in your business? Yes No 7. Have you ever filed for personal bankruptcy, had property you owned foreclosed, or made a settlement or an assignment for the benefit of creditors? Yes No 8. Has any corporation or partnership in which you are (were) a major owner or a general partner ever filed for bankruptcy, had property it owned foreclosed, or made a settlement or assignment for the benefit of creditors? Yes No 9. Are you, or any corporation or partnerships in which you are a major owner or a general partner, a party to any suit or legal action, or are there any unsatisfied judgments against you? Yes No 10. Personal income tax returns have been filed through (year) . Are any income tax returns, whether personal or those of any corporation or partnership in which you are a major owner or a general partner, currently being audited or contested? Yes No 11. Are you an officer, director, or principal shareholder of a financial institution? I (we) have explained fully under "Additional Remarks" on this page (or an attachment) my (our) "Yes" answers to the foregoing questions. Yes No 12. I (we) have made a will; the executor(s) is Additional Remarks The undersigned (I:We) herewith submit to Bank of America (you) this (or the attached) financial and supporting schedules which constitute my (our) personal financial statement. This statement is submitted to you for the purpose of inducing you to extend or maintain credit to me (us) whether as direct obligor(s) or indirectly as guarantor(s) or other indirect obligor(s) of credit extended to others. I (we) hereby certify that this statement presents a true, complete, and correct statement of my (our) financial condition as of the date shown and does not omit any pertinent information. I (we) understand that misrepresenting information on this (or the attached) statement Is a criminal offense under federal law. I (we) will notify you promptly in writing of any material unfavorable change in my (our) financial condition. In the absence of such notice, you may consider this a continuing statement and substantially correct. If I (we) apply for further credit, this statement shall have the same force and effect as if delivered as an original statement of my (our) financial condition at the time I (we) request such further credit. You are hereby authorized to contact credit reporting agencies and other sources for the purpose of verifying any information stated herein or at any time are authorized to answer any questions about your credit experience with me (us), and furnish to Bank of America or any of its subsidiaries information which I (we) have provided to you and information regarding any of my (our) accounts. Signature Date Signature Date EFTA_R1_02000833 EFTA02683503 As oF q/k//3 ('oeds) Pa •e 2 Assets (omit cents Liabilities (omit cents) Cc-SA In this Bank ortgages Primary Residence (Schedule 1) In Other Institutions • ayable Oth Wholly-Owned RE Securities Marketable Schedule 7) Partially Owned RE (Schedule 2) Not Publicly Traded Notes To this Bank Accounts Receivable/Notes Receivable (Sch. 3) Payable Other Notes Payable Net Cash Value Ins. & Annuities (Schedule 4) (Schedule 6 & 8) Margin Account Real Primary Residence Taxes Income Taxes Estate Other Wholly-Owned • Owing Other Taxes (Schedule 7) Partially Owned RE Unrealized Asset Apprec. Other Partnership Interest Estimated Credit Card Balance Equipment & Other Business Assets (Sch. 8) Accounts Payable Deferred Comp & Retirement Plans (Sch. 5) Other Liabilities (Itemize on page 1 or attachment) Other Assets (Itemize on pg. 1 or attach) if- Offshore Assets (Itemize on pg. 1 or attach) I I Total Liabilities I Net Worth (Assets Less Liabilities) Contingent a•II es Instructions: State Total Amount by Type of Liability and Provide Appropriate Detail In The Space Below. Contingent liabilities are financial obligations of other individuals, partnerships, or companies which you have endorsed, guaranteed or otherwise agreed to or have a statutory obligation to honor in the event of certain contingencies and any direct obligations that are not reflected in the balance sheet above that you will be required to honor in the event of certain contingencies. These include obligations to Bank of America as well as to other banks or creditors of any kind. You must disclose all such guarantees, endorsements, etc. in this schedule. 1. As Guarantor or Endorser 3. Legal Claims or Judgments 5. Standby Letter of Credit 2. On Leases or Contracts 4. Income Tax Claim or Dispute Amount 6. Other Type Name of Primary Obligor Due To Max. Legal Obligation Amount Maturity Explanation: Include whether you anticipate having to honor this liability. — - NOTE THAT LEON D. BLACK PURSUANT TO ESTATE PLANNING ENTERED INTO VARIOUS TRANSACTIONS WITH FAMILY TRUSTS AND i GRANTOR RETAINED ANNUITY TRUSTS. THESE TRANSACTIONS GIVE RISE TO RECEIVABLES AND PAYABLES BY LEON D. BLACK TO FAMILY GRANTOR TRUSTS FOR WHICH LEON D BALCK IS GRANTOR FOR INCOME TAX PURPOSES. THESE INTRA-FAMILY TRANSAcTiONS - ARE ZERO SUM TRANSACTIONS AS ANY RECEIVABLE IS EQUAL TO A PAYABLE. FOR REPORTING PUONDSES,THESE TRANSACTIONS ARE METIER. — I I I I HAVE NO CONTINGENT LIABILITIES Annual Income/Expense Information fraeony, CMd supped or Separate Miasma Immo nod net be tended trims you Wall le Mn tem eeneldered as a bet for nepeng the requesial crethi. Sources of Cash Last Year 79" 2o/3 Projected This Year It Zing Uses of Cash Last Year 19_ Projected this Year 19_ Recurring Expenses Salary & Wages Income Taxes & FICA Commissions, Bonus, Etc. Other Payroll Deduction Interest & Dividends living Expense, Misc. Real Estate Income Real Estate Expense Trust Income Planned Investments Other Business Income Alimony, Child Support, Separate Maint. Other. Other. Sub Total Sub Total Non-Recurring Debt Service Commissions, Bonus, Etc. Primary Residence Pmt. Sale of Assets Scheduled Principal & Int Tax Refund Other Interest Pmts. Other Other Principal Pmts. Contingent Liability Pmts. Total Cash Uses Total Cash Sources Total Cash Flow EFTA R1 02000834 EFTA02683504 Pane 3 Schedule 1 - Cash; Deposit Accounts Name on Account Deposit Institution & Location Balance Type of Account Account Number Pledged? Yes/No Total This Bank to Page 2 Total Other Institutions to Page 2 Schedule 2 - Securities; Stocks and 'Restricted' means trading of the Security Is subject to limitations due to letter, legend or eceibot Bonds Name of Issuer Where Traded No. of Shares Mkt Price per Share Market Value Cost pe Share Pledged? Yes/No Restricted Yes/No Registered in the Name of Total Marketable o Page 2 Total Not Publicly Traded to Page 2 Schedule 3 - Accounts Receivable; Notes Receivable Due From Original Amount Present Balance Rate Maturity Payment Terms Collectable? Yes/No Collateral Total to Page 2 Schedule 4 - Life Insurance and Annuities (Including Employer Provided) Company Face Amount Beneficiary Cash Value Policy Loan Net Cash Value Insured Pledged? Yes/No Total to Page 2 Schedule 5 - Deferred Compensation & Retirement Plans (Includes IRA Accounts, KEOGH 401(K) Fully Vested Benefit Plans. etc.) Trustee or Plan Administrator Type of Account Beneficiary Balance/ Value Plan Loan Net Plan Value in Name of Total to Page 2 Schedule 6 - Notes Payable (Exclude Mortgages Listed in Schedules 7 & 8) Due To Original Amount Present Balance Rate Maturity Payment Terms Current? Yes/No Collateral Total to Page 2 "If you are a Co-Make , list the loan in this Schedule and state the Borrower's Name in the Collateral Column. EFTA_R1_02000835 EFTA02683505 Page A 9£9000ZO-ld-Vid3 For Schedules 7 and 8, if the amount of Debt, which can be legally enforced against you. exceeds your % of ownership, please detail in contingent liability section on Page_ 2. Schedule 7 Real Estate Owned (Including Partnership Interests) # Ownership, Description Year Acquired Cost & Investments Market Value Related Debt (Mark — "by amount if not personally liable) Location, Site, Improvements Present Balance Lienholder _ Maturity Interest Rate Annual Payments Net Operating Revenue Taxes Current? Yes or No Primary Residence Totals to Page 2 Other Wholly Owned Real Estate Totals to Page 2 Partial Ownership in Real Estate % Your Portion of Market Value and Debt Totals to Page 2 Schedule 8 - Other Business Assets (Including Whole & Partial Ownersh p In E ul ment O & a Mineral Interest. etc.) Related Debt (Mark"'" by amount if not persona!), liable) Location, Description, Type of Interest & Source of Valuation % Year Acquired Date of Valuation Present Valuation Present Balance Lien-holder Maturity Interest Rate Annual Payments Net Operating Revenue Taxes Current Yes or No 1 2 3 4 5 "Net Operating Revenue after Operating Expense Totals to Page 2 EFTA02683506 ADDENDUM TO FINANCIAL STATEMENT Bank of America Certification of Bank of America, N.A. Financial Statement To Bank of America, N.A. Date: The undersigned hereby certifies and represents to Bank of America, N.A. as follows: that the financial information set forth on the financial statement dated and furnished to Bank of America herewith is true, accurate and complete in all material respects; that such statement, taken as a whole, presents a fair summary of the undersigned's financial condition as of the date of such statement; that each of the assets set forth therein is owned by the undersigned free of any interest or claim of interest thereto of any other person (except as specifically noted, and only to the extent of such interest or claimed interest of such other person); that the statement is given to Bank of America in connection with an extension of credit granted or requested to be ranted by Bank of America to the undersigned and with the specific intent that Bank of America shall rely on such information in deciding to grant or continue to grant credit to the undersigned; that there exist no undisclosed liens, encumbrances or defects in or upon the assets listed herein or any undisclosed liability of the undersigned; that all taxes owed by the undersigned have been fully paid and discharged, except taxes not yet due and payable without penalty, and that there are not pending claims, actions, proceedings, judgments or liens against the undersigned or any of the undersigned's property, except as fully disclosed in said statement. Contingent Liabilities I (We) have no CONTINGENT LIABILITIES as endorser or guarantor except those listed below: NONE (please check, if applicable) If so, my (our) contingent liabilities are: Project % Interest Amt Project Perf Cash Calls X (Signed by all persons whose assets or liabilities appear X on the financial statement) EFTA R1 n9nnnyva7 EFTA02683507