Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Bank
Private Wealth Management
Authorization for Asset Movement
For Non-Retirement Accounts
1>ie undersigned hereby euthotiies end
('Deulsdie Bank Alex Brown" or "DBAB")
instructions.
II you wish to request multiple wires,
please use the long form.
DBAB Account Name: J. Epstein
Account #: M4G02A9S0
Wire
Journal
Q Journal Funds In the amount of $
Q Jourrui Holdings:
Oly/Symbot/Securityr
Oty/Symbot/Secunly;
Q Journal All Holdings
To DBAB Account«;
Account Name:
Q Wire federal funds in the amount of $
To Bank Name: US Bank
City! State;
ABA #'
091000022
Further credit to Intermediary Hnancial Inetitution (Optionet)
Account #•
Name
Ultimata BensficiaiY Infetmelion;
BateiiowvNomB: Nalchuno C. Leuno
Aocoml#.
Adcioonal InsInjcBons:
116540180969
FireeDatnka
L] Please deliver the securiiies indicated below to:
DTCCd;
Name of Receiving Firm:
Account Name:
Ched<
Q Issue a check in the amount of S
Reopents Name:
Recipeot's Maiing Address:
payable id:
Account Number;
at Receiving Firm
Qty/Symbol/Security:
Qty/Symbot/Seourity:
directs Deutsche Bank Alex. Brown
lo lollow lha below asset movement
checks, journals or free deliveries,
Virgin Islands Foundation Inc.
10.000.00
EFTA01409531
Standi Authotitatkin
Q The undersigrred hereby requests that this aulhorfsaiion act as a starrdmg
authoriietlon The undersigned understands and agrees that this authorization
will
remain in effect until Deutsche Bank Alex. Brown requests a new
euthorization. The underaigned authorizes Deutsche Bank Alex. Brown to issue
the wire,
check or journal on the
Q The undersigned luhher authorizes Deutsche Bank Alex. Brown to accept
verbal instructions from the undersigned to wire funds, issue checks or
journal
lunds toflrom the above listed accounts. The undersigned will provide verbal
instructions as to the dale and the amount of the wire, check or ioumsi II
the
undersigned decides to vary either the dele or the amount of the wire, check
or journal, the undersigned hereby euthorizes Deutsche Bank Alex. Brown to
accept the verbal instructions from the undersigned regarding the change or
changes. The undersigned further understands and agrees lo comply with the
procedures of Deutsche Bank Alex. Brown to verify the aulhorizaljon and
accuracy ol verbal instructions.
day of
tor a term of
Tha undersigned hereby acknowledges that (ij the inlormation oontained in
this forni is complete and accurate lo the best knowledge ol the
undersigned; end (ii) the
undersigned is responsible tor the method ol transmission of any
instructions Issued pursuant to this authorization. If tha undersigned
elects to transmit any such
instructions via fax (including desktop fax), via email or as an image
attachment to email (e.g., as a PDF. TIF or other image ol such
instructions). the undersigned
understands and agrees that tha undersigned bears the risk of toss arisirtg
from such method of transmission in the event ol transmission errors,
misunderstandings,
impersonations, transmission by uneuthorized persons, forgery or intercepts.
For trusts or other entities, the undersigned further acknowfedges that the
undersigned is
Buthoriied to Issue the above asset movement instructions under the terms of
the governing documents and any applicable laws. The undeislgned hereby
releases and
holds harmless Deutsche Bank Alex, Brown from and against toss Irom any
action, claim or demand ol any person as a result ol Deutsche Bank Alex,
Brown's receipt ol
or compliance with this authorization and/or any instructions that may be
given lo Deutsche Bank Alex. Brown pursuant to this authorization (including
any standing
author! zelion).
The undersigned understands that Deutsche Bank Alex. Brown may, but is not
required to, seek verKicaiion of the undersigned's instructions by call back
and that
EFTA01409532
Deutsche Bank Alex Brown may in Its sole discretion refuse lo execute such
instructions (including standing instructions] given pursuant to this
aulhorizelion, without
incurnng any liability, it Deutsche Bank Alex. Brown has reason to believe
such instructions (or standing instructions) have not been provided by the
undersigned. The
undersigned further understarxis that Deutsche Bank Alex. Brown retains the
right lo refuse lo execute any instructions to transfer funds or secumies to
any eccount(s)
pursuant 10 this authorization without written instructions bearing original
signaiure(s) of the undersigned.
Darren Indyke
10-20-2015
AiUfj j
Prim Namfi
Odte
Print Name
Dale
LOA
10-PWM-0177S (12/10)
EFTA01409533