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efta-efta00314025DOJ Data Set 9Other

2 Trustee COrtifiCanon, continued

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Unknown
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DOJ Data Set 9
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efta-efta00314025
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1
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
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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Phone277-0339
Phone2770702
Phone5323353
Phone6285700
Phone800.544-6666

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