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sd-10-EFTA01375730Dept. of JusticeOther

EFTA Document EFTA01375730

O NEW ACCOUNT OPTIONS QUESTIONNAIRE O DATA UPDATE ACCOUNT NAME• DATE COMPLETED ACCOUNT NUMBER NOTE: Address on fife with constituent documentation DATE ODD OIVENISENT TO CLIENT ATTENTION CLIENT: PLEASE REVIEW AND/OR COMPLETE THE INFORMATION REQUESTED BELOW PRIOR TO SIGNING AT THE BOTTOM OF 11415 PAGE. CUSTODIAN: FINANCIAL INFORMATION: ASSETS UNDER MANAGEMENT o <S50 Mid o 0-2 YRS O 550 hat •$100 MM O 2-10 YRS O 5100 MI OR GREATER O 10 YRS OR MORE OPTIONS TRADING FREQ

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Dept. of Justice
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sd-10-EFTA01375730
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O NEW ACCOUNT OPTIONS QUESTIONNAIRE O DATA UPDATE ACCOUNT NAME• DATE COMPLETED ACCOUNT NUMBER NOTE: Address on fife with constituent documentation DATE ODD OIVENISENT TO CLIENT ATTENTION CLIENT: PLEASE REVIEW AND/OR COMPLETE THE INFORMATION REQUESTED BELOW PRIOR TO SIGNING AT THE BOTTOM OF 11415 PAGE. CUSTODIAN: FINANCIAL INFORMATION: ASSETS UNDER MANAGEMENT o <S50 Mid o 0-2 YRS O 550 hat •$100 MM O 2-10 YRS O 5100 MI OR GREATER O 10 YRS OR MORE OPTIONS TRADING FREQ

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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
O NEW ACCOUNT OPTIONS QUESTIONNAIRE O DATA UPDATE ACCOUNT NAME• DATE COMPLETED ACCOUNT NUMBER NOTE: Address on fife with constituent documentation DATE ODD OIVENISENT TO CLIENT ATTENTION CLIENT: PLEASE REVIEW AND/OR COMPLETE THE INFORMATION REQUESTED BELOW PRIOR TO SIGNING AT THE BOTTOM OF 11415 PAGE. CUSTODIAN: FINANCIAL INFORMATION: ASSETS UNDER MANAGEMENT o <S50 Mid o 0-2 YRS O 550 hat •$100 MM O 2-10 YRS O 5100 MI OR GREATER O 10 YRS OR MORE OPTIONS TRADING FREQUENCY O SELDOM o <250 CONTRACTS O MODERATE O 250-1000 CONTRACTS O ACTIVE O 1000+ CONTRACTS DOES THE INDIVIDUAL OR ENTITY THAT CONTROLS THIS ACCOUNT HAVE THE POWER TO CONTROL ANY OTHER OPTION ACCOUNT WITH THE DB ENTITIES? INVESTMENT OBJECTIVES D INVESTMENT HEDGE PLEASE CHECK ALL APPLICABLE BOXES TYPES OF OPTIONS REQUESTED OPTIONS INVESTMENT EXPERIENCE NAME(S)OF INVESTMENT MANAGER. GENERAL PARTNER OR OTHER THIRD PARTY AUTHORIZED TO ENTER ORDERS FOR THIS ACCOUNT: NAME RELATIONSHIP 1 TYPE OF TRADING AUTHOR/ZAT1ON: o Limited o Full AVERAGE SIZE OF OPTIONS TRANSACTIONS O O NAME TYPE OF TRADING AUTHORIZATION: o Limited o Full RELATIONSHIP YES NO IF YES. PLEASE PROVIDETHE ACCOUNT(S): O INCOME SPECULATION O HIGH RISK INCOME O F.QUny O INDEX REQUESTED OPTIONS TRADING STRATEGY (higher risk codes include strategies in lower risk codes) CODES STRATEGY OBJECTIVES EXPERIENCE USING STRATEGY A PROTECTIVE PUT BUYING COVERED CALL WRITING INVESTMENT HEDGE INCOME/INVESTMENT HEDOE O NONE O MODERATE O EXTENSIVE II SPREADS PUT/CALL BUYING STRADDLE/COMBO BUYING SPECULATION SPECULATION SPECULATION O NONE O MODERATE O EXTENSIVE e STRADDLE/COME/O WRITING RATIO WRITING UNCOVERED OPTIONS WRITING SPECULATION/HIGH RISK INCOME SPECULATION'HIGII RISK INCOME SPECULATIONVIIKill RISK INCOME O NONE O MODERATE O EXTENSIVE CUSTOMER RISK ACKNOWLEDGMENT We. the undersigned, understand that options transactions involve a high degree of risk and offer no guarantee of gain or assurance again. t loss. Accordingly. we understand that prior to engaging in am option transaction. Inseams should res kw their present financial situation and determine whether it is advisable to incur the risks of loss associated with that particular lineament. We also understand that ins estors should not buy an option unless the, are able to sustain a total loss of the premium and trattsactkm costs, that insestors should not sell tw rite) a covered call option unless they are prepared to denser the underlying security (or a security «invertible. exchangeable. or exercisable into such underlying security) upon the exercise of the option and that ins(-Mors should not sell (write) a put option or an uncovered call option. especially an irides option, unless they are able to sustain a potentially unlimited loss. Further, we understand that we may not he able to close a position in the event that a secondary market in the option ceases to east or the listing evcitange restricts or suspends trading In the option. WE CERTIFY rum. THE FOREGOING CLIENT INFORMATION IS ACCURATE AND WE ARE AWARE THAT THE INFORMATION IS RELIED ON BY DBSI IN SERVICING THE ACCOUNT. WE ALSO ACKNOWLEDGE RECEIPT OF A CURRENT COPY OF 'CHARACTERISTICS AND RISKS OF STANDARDIZED OPTIONS" AND UNDERSTAND THE INFORMATION CONTAINED THEREIN. FURTHER. WE HAVE READ. UNDERSTAND AND AGREE TO BE BOUND BY THE TERMS AND PROVISIONS OF THE LISTED OPTIONS CLEARING AND CUSTODY ACCOUNT AGREEMENT. SIGNATURE(S): TITLE/CAPACITY: DATE: .tPPRON'.%I.S (FOR IN TERN.%I. USE ONLY) I have reviewed all the foregoing Information. it Is accurate to the best of my knowledge, and I belles e that the types of options and options trading strategies requested are appropriate. ACCOUNT EXECUTIVE (NAND.): SIGNATURE: PAIL TYPES OF TRANSACTIONS FOR WHICH THE ACCOUNT IS APPROVED I have reviewed the foregoing and have approved the account for the types of options and options trading strategies: O (1) AS REQUESTED ABOVE z O (2)AS FOLLOWS: O EQUITY TYPE OF OPTIONS O FOREIGN CI INDEX CURRENCY O DEBT TYPE OF OPTIONS TRADING STRATEGIES O A O El O C' •If approved fa Strategy C. Annual Income S diatom OPTIONS PRIVCW AL 04.4114- or O Income requirement waived based on the Financial Information provided herein SEDIAT4115. 01Tr. CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0071304 SDNY_GM_00217488 EFTA01375730

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Phone250-1000
SWIFT/BICACCURATE
SWIFT/BICACKNOWLEDGE
SWIFT/BICAPPROVED
SWIFT/BICCAPACITY
SWIFT/BICCLEARING
SWIFT/BICCONTROLS
SWIFT/BICENTITIES
SWIFT/BICMODERATE
SWIFT/BICSPECULATION
SWIFT/BICSTRATEGY

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