Case File
efta-efta00314025DOJ Data Set 9Other2 Trustee COrtifiCanon, continued
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00314025
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1
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0
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2 Trustee COrtifiCanon, continued
PRINT TTIUSTIE NMI t
b
TRUSTEE SIGNATURE
DATE matasortm
X
•
MINT IletiStar IWO
b
TRUSTEE SIGNATURE
DATE saareanyer
Important Not CA Notarial are perralted to submit • separate page notary doarmert d used, it must identify the document being notarised
{--
Notice to CA Residents: A Notary Public or other officer completing this certificate verifies only the identity of the incivickel
who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document.
Certificate of Acknowledgement of Notary Public met
be • US. Rohn Porta" nonvrte romutsr seat may NOT be sutentutrad.
State of
in the County of
. subscrtbed and scorn to
before me by the above-named trustee who is personalhi known to
ens or who hes produced
as idenehcaton, that the foregorg statements ware true
and accurate end made of harher oar. free act and deed, on
K. GROFF
NOTARY PUBLIC-STATE OF NEW YORK
No 01GR6285700
Grialared in New York County
Myt0ininiSsion Expires 07-08.2021
My cornrisson aspires
b 7 / °tel.
Certificate of AcknovAedgenent of Notary Pubic mug
he • U.S Notes Foetal nom) o, rouse. .nib my NOTE* Maillikeled
State of
.n the County of
subscnbed and sworn to
before me by the above-named trustee whoa orscrtely known to
me or who has produced
as rchmtiRcaton. that the foregoing statements wore true
end accurate and made of Pusher own Pee act and deed. on
MINT mote IWO
NOTARY SIGNATURE
)(
DAM stitecevYrre
X
sen NOTARY SEAL STAMP my
My commince expires —
Did you sign the form and attach any necessary documents? Send
the ENTIRE form era any attachments to Fidelity trecturnants
Questions? Go to Fidelity corn or call 800.544-6666.
Use the postagecad enn,bpe. drop off ate Fideaty
Investor Comet OR definer tce
Regular moll
Overnight real
Fidelity Imestrnants
P.O. Boa 770:01
Carcinrati. OH 45277-0339
Fdeity twesersots
Account Reregistration Services
ICC Crosby Parkway KC1C
Covngton, KY 41015
L
On this form. 'Fidelity' means Fade* BrOkeunte Senttos LW end its affikarns. Brokerage sernces are provided by
Fidelity Brokerage. Somas I/C, Member NYSE', SIPC 5323353.0 (17/16)
1.900844.107
Page 2 of 2
022770702 •
EFTA00314025
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Phone
277-0339Phone
2770702Phone
5323353Phone
6285700Phone
800.544-6666Forum Discussions
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