Text extracted via OCR from the original document. May contain errors from the scanning process.
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Ameritrade
PO Box 2760 ir Omaha. NE 68103-2760
Fax: 866-468-6268
Account Herniae
United LieDifityCompeny:
Southern FmtinCial LLC
Trading Authorization for
Limited Liability Company Account
Slate of Oreantakint
U.S. Virgin Islands
The undersigned members of the abovenamed Limited Liability Company (LW) duly organized in the abuse-named slate hereby authorize
7DAnwritrade gearing. Inc. rClearIng Fkm", to open an account for the LW. The undersigned hereby authorize
Authorized Agent Nanw.
Bruce R. Galloway
Authorized Agent Now
&Morticed Agent Name:
Authorized Agent Mimic
rAuthorked Managers', or any one of there as the LLC's agents and attorneys-In-fact to buy, sal (inciticang short sales), and trade in stocks,
bonds, and other securities anclfor contract ratting to the same, on margin or otherwise, for the LLCs wavont art rIsic, and in the Lies name
a number on Clearing Firm's becks, In accordance with the Cfierll Agreement set forth In its Standard Account Agreement (including arbitration
of disputes) and those terms and conditions otheriviSe established by Clearing Firm.
Clearing Firm is authorized to follow the Instructions of Authorized Managers, or any one of them, In earl respect Ograterriagg the LLC's
account with Cawing Firm. and make deliveries of securities and Payment of monies to them or as they may order or direct. In DO meters end
things aforementioned, as well as in all other things necessary a Incidental to the adminIStration of the LLC's account Authorized Managers, or
any ono of them, we authorized to act for and on behalf of the LLC In the same force and effect as the undersigned might or could do. and me
authorized to matte on behalf of the ittb kg:cool rt dernandS, notices, cow:mations, reports, statements of account, aid communications of
every kind, to make agreements at behalf of die LICs account, to terminate or modify same or waive any provisions thereof, end generally Co
deal on behalf of the LLC's account as hilly and completely as 11 Authorized Matteson were interested iii saki taxying, all wthoe notice to tie
other partners of the LLC.
The undersigned hereby ratify and non Frm any and all transactions with Clearing Finn hereto:ale ur hereafter made by IscallOrtzed Managers.
or any one of them, for the LLC's account this authorization Is In addition to (and In no way links or restricts) nub' rights Clearing Flint may
have under any other agreement between the undersigned and Clearing Finn
This authorization Is binding on the undersigned and the LLC and for their respective successors and assigns, and is also a Continuing one and
shall remain In full force and effect until revoked by the undersigned. a their respective surcessnra, and assigned by a written notice addressed
to Cleating Firm and dr:Meted to 200 South 108th Avenue, Omaha. NE 68154-2631. In the event any of the undersigned (*Me to be members
of the LLC, Cleating Firm Is authorized (a) to continue to treat such person as a member for at purposes, and as bawd by this aolkatzation
untg such time as ono of the wide:foist' MAL or ?ext., persons rewesentanve, delivers a mitten notice to Clearing Firm, at the address set forth
above, to the effect that such person has ceased to be a member and will no kings, be bound by this authorization and (b) to take such
Proceedings. require such paean. retain curt portion of, or reside' tansootions In the 110's account as Cues lag Film may dilltM acnsabie
to protect t againSI any liability, penalty or toss under any present or future law a otherwtse. It is further agreed that, In the event any of the
undersigned cease to be 3 member of the LLC, the remaining member(*) wet Immediately cause you in be nnlified of such fact no notice or
revocation, or of any of MB LI nine-Juno(' ceasing to bee member of the U C. she; affect any authority hereby granted or any ItabiSty in any way
resulting tom uwIsacgons initiated prier to the receipt of the wnen notice thereof try gearing Firm. This MfloortzatiOn shell inure to the benefit
of Clearing Firra and of try
tina, inesiptictive or any change at arty time to the personnel thereof, for any cause wha .oever. and of
the assigns of Clearing Firm or any successor firm.
We acknowledge receiving ecrarunt duisimentallon, agreements, and risk disclosure forms includng the account Clem Agreement' The
undersigned agree that this authorization Is consistent with the Client Agreement set forth in any LW Agreement or other governing instrument
of the LLC. and any and all nits and recut lions, whether crews or Implied of the LLC.
We, the undersigned. Jointly and severally indemnify ID Amentrado, Inc., Its dMsions and affiliates thereof (ID Arneribade) and Wirt 7D Ameritrade
harmless from any Ilahlity for effecting any transactions If TD Amorgrade Mita pursuant to lost vizIons given by the 44.4110nZed Agents,
We agree to Inform TO Arneribude,
in writing, of any amendment to the LW Operating Agreement, any flange in COMPOSitiOn of
din AI dhrtri7ed Agents or mentors, or any other event which would materially ano the cc. liTaad0413 made above.
To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial Institutions to
obtain, verify, and record Information that identifies each poison authorized to trade on an account.
What this means for you: When you are authorized to trade on an account, we will ask for your name, address, date of birth, and
other information that will allow us to Identify you. Yite may also utilize a third-party Information provider for verification purposes
and/or ask for a copy of your drivers license or other Identifying documents.
VIII IiIi IIIIIIIIIIiIUJIIiIINIIIII
CONFIDENTIAL
TOA074F03/13
SDNYGM_00012199
EFTA_00122850
EFTA01268314
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2. AUTHORIZED AGENT INFORMATION .C"-:
Name Profit (optawa):
IDA's.
CID,. ORev.
Full togal mom:
Bruce H. Galloway
Date CI WM:
(f4A4-0D-YYYY)
U.S. Social So:wiry Number
(SON)
Mom° Adckeist
(No PO box or mai Ono)
coy,
Sunny Isles Beach
tL
Plasm wady a you ern:
CI Unemployed aftetared Ononernalrof OSIudeot
Sell Laiployed
Frac...Type Name.
Jacombs Investments, inc.
2P Code:
3
3
1
6 0
Sono Of k
in fa (onto or untenelostO):
1
boaosocorrype of eteenees:
Investor/Investments
Sunny isles
41( Signature:
Original sign
required, Wee
nig signatures and/
2k, Code:
3 3 1
6 0
n.t..
r
_or
o_/
fonts are not authorized.
Mahe Prefbc (00kflalk DM. Dent EMS- Opt 'a tm'
Ful Legal Nemo:
Dale of Beth:
(4O4-OO-YYYY)
Home Address:
(No PO box or ma/7&w)
U.S. Social Secuhly Number.
ISSN)
Cry:
VP Code:
grease We* it You am
ClUnemciored
Employer Name:
Ftetited Chiconemaker OStudent CISelf.Employed
Source of income !d roared orusimrioren:
Occupation/Type of Businest
Einotoyer Street Adtkosh:
S1S40:
ZIP Code:
X
Sigasluse.
Original signatures an remind, electzonlc algnehnea and/or fonts are not etuthOtited.
Date
P d
CONFIDENTIAL
SDNYMr666PY2bo
EFTA _00122851
EFTA01268315
Rage 3
of
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Name Prefix (oprionag: OlAr. OlArs. OMs. O0r. EIRev.
Fut Legal Name:
Dale of Birth:
Mgt CO-YYr0
_________
- -
Horne Address:
Me PO Pax armor/drop)
Crly:
U.S. errial SeCoety Nemec,:
(SSN)
Stale:
Please pay If you ant:
Unemployed Deserve rj Homemaker rj shrdei Eisen ra,p4orod
EmpNyer Name:
I
ZP Codes
Samos efInceree (ffsicsdortewardlopeclA
Occupadorifype of Business
Emptier Street Adtkess:
City:
X
Ohmeture.
Chighrel signatures we required, electronic signatures andiot fonts are not authorized
Slate:
ZIP Cody
MVPS Piet (aptlena)c f JMt. Oran. DIAL Oo.. InRet.
Rd Legal Name:
0ele of arth:
goAtel-VvVV)
U.S. SCOW Security Number.
(SSA,
Home Address:
(NoPO box camel atop)
City:
Please specify if you are:
nUnemployed riFtetirsd ritomensl
Emptoyer Name:
Employer Seem Address:
Slaw
nStneent riScitEmpkerea
Zr Coat
Source of Income ((retired or unengloyeen:
OcnuealioniType or Business:
City:
X
Stalin&
Original signatures are required, electronic signatures andior fonts are not authorized
State:
ZIP Code:
Craw
3. AFFILIATIONS'"
peed two if any Authorized Agent arty matter of their 'nucleators family. a any business associate of theirs is a senior poled figure (SPF). Specifythe
sasetssis Autccoce0 Agent. me name of lee SPF. palatal tee, resaUOnSnip M me AutruSiliee Agent. end country dote:
Ochres bens if ene MAW. tatesi Aeon Ise:lea. Wale siieteisaan, u perry eraung mow ce a pubcty trance cromPanS Specry mo earns at Ihe lialtVaaasell
Agent. the company *ler 'Wines( name, address. city and slateproXyce:
Ekheck here i 1 erg Authoized Agent fs licensed a employed bye factiSterecl broker/dealer. securities exchange. Or member of a securities esefleolan Wo must
recehe a compliance leder Sep with this applatiort. Specify the name el the Authorizes Agent
CONFIDENTIAL
SDNY_GM_00tPtiffef Dana
EFTA 00122A52
EFTA01268316
(Page 4
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The undersigned we all members of the aforesaid
Original signatures aro required. efectrortic signattirea Podloe fonts aro not authorized.
r
Loge Name-
gtuthern !Eitel C;te nudity. Inc.
wgnature:
. Jeffrey EpseNn. Presicete
Full Legal Namir.
X
signets.:
Fug Legal Name:
X
S.0 e3 an
Full I P54.14 Narnn
Wgeolurt
Full Legal Mame:
X
Signature:
Koe LPEPI Rsm'
Sgralara:
X
Sitnalwe:
Fut Leg& Name:
Full Legal Name:
X
Signature:
X
Signature:
Please make additional copies d necessary
investment Products: Not
Muted
No Bent Guarantee
may Lose Vela
TO Arneribade. Inc.. member FINRA/SIPCMFA and TD Arnedtrade awing. Ina. member FINRAMIPC. Tr/Amen/rade Ls a It-Smut joingy twin net hy
TO Amend-ode IP Company. Inc. and The ToronlcsOornInicn Bank.® 2013 TO Arnenlade IP Compan% Inc. AL rights reserved. Used eft pertnisecn.
SUN v_GMb_kthneet
CONFidD4 ENTIAL
EFTA_00122853
EFTA01268317