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efta-efta01118863DOJ Data Set 9OtherJ.P.Morgan
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DOJ Data Set 9
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efta-efta01118863
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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. utiities and registrars). Clients who are legal entities and who would like to continue to trade
OTC derivatives are required to register for a CKI 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 CIO 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,
can fax the form to 302.634.4218, attn. JPM LEI Response, or email your executed form to
FINANCIAL TRUST COMPANY INC
6100 RED HOOK QUARTER STE 8-3
ST THOMAS, VI 00807
CICI number:'
CICI associated J.P. Morgan account number(s) ending in:
Authorized party, please print name'
(x)
Authorized signature'
'Required information
Date*
Bank products and winces are offered through ;Morgan Chase Sank. N A and itt allikan
Securities are offered by
I P Morgan Securities ELL member FINK NYSE and SIPC.
Investment products: Not FDIC insured • No bank guarantee • May lose value
0517 021 111
1609
EFTA01118863
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