EFTA Document EFTA01378952

This Account Agreement contains a pre-dispute arbitration clause at Section III, page 7. Signature Pant Name Signature Print Name Signature Print Nome Date SSN/EIN Date SSN/EIN Date SSNIEIN Corporation, partnership, trust or other entity: Confirmation of tax and compliance responsibilities Client acknowledges having sole responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable to Client in any relevant jurisdictions that may arise in connection with assets, income or transactions in Client's account(s) and business relationship with 0BSI. Furthermore, Client confirms that the necessary information (to the best of Client's knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s). settior(s), beneficiary(ies), partner(s), etc. to enable such person(s) to fulfill any respective tax obligations that may arise for such person(s) in connection with Client's business relationship with DBSI. Harry I Seller f Trustee Pint NamerTide Signature UtliErPartner, Trustee, Au , orlatd Pany Erika A Kellerhals/ Trustee Print Namara,. 26-6639711 Employe/ ly No. )Wi its, Date ifrzais Signature of Odir.er, Panne, Trustee. Authorized Party Date Print Name/Title wM ta9778 015584 WTI IC, Page 9 of 16 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0076233 CONFIDENTIAL SDNY GM_00222417 EFTA01378952