FMF3CORP 9/18_w
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Page 1 of 2
Name Citizenship:* ¨ U.S. Citizen ¨ U.S. Resident Alien
Title Phone
SSN* Date of Birth (mm/dd/yyyy)*
Residential Address*
City* State* ZIP Code*
Signature
- X
Date (mm/dd/yyyy)
Name Citizenship:* ¨ U.S. Citizen ¨ U.S. Resident Alien
Title Phone
SSN* Date of Birth (mm/dd/yyyy)*
Residential Address*
City* State* ZIP Code*
Signature
- X
Date (mm/dd/yyyy)
Name Citizenship:* ¨ U.S. Citizen ¨ U.S. Resident Alien
Title Phone
SSN* Date of Birth (mm/dd/yyyy)*
Residential Address*
City* State* ZIP Code*
Signature
- X
Date (mm/dd/yyyy)
* NOTE: We are required to have this information in order to open your
account and verify your identity pursuant to the USA PATRIOT Act.
¨ For more individuals, check this box and attach a separate page.
1
Account Information
Check Type(s) of Account: ¨ Mutual Fund ¨ Brokerage
Name of Organization
Account Number TIN
Type of Organization
Provide the names of the individuals authorized to act on behalf of the
organization. The individuals will not be able to act on the account until
we receive this information.
Name Citizenship:* ¨ U.S. Citizen ¨ U.S. Resident Alien
Title Phone
SSN* Date of Birth (mm/dd/yyyy)*
Residential Address*
City* State* ZIP Code*
Signature
- X
Date (mm/dd/yyyy)
Name Citizenship:* ¨ U.S. Citizen ¨ U.S. Resident Alien
Title Phone
SSN* Date of Birth (mm/dd/yyyy)*
Residential Address*
City* State* ZIP Code*
Signature
- X
Date (mm/dd/yyyy)
Permanent Resolution
T. Rowe Price Brokerage is a division of T. Rowe Price Investment Services, Inc.,
member FINRA/SIPC. Accounts are carried by Pershing LLC, a BNY Mellon
company, member NYSE/FINRA/SIPC.
Mail to:
T.Rowe Price
P.O. Box 17302
Baltimore, MD 21297-1302
Express delivery only:
T. Rowe Price Mail Code 17302
4515 Painters Mill Road
Owings Mills, MD 21117-4903
This paper clip indicates you may need to attach documentation.
Use this form to:
Certify individual(s) authority to act on an account with corpo-
rate or other entity ownership.
Authorize and empower corporate officers to open and main-
tain cash, margin, and option Brokerage accounts.
SSN = Social Security Number TIN = Tax ID Number
-
This hand indicates where to sign.
FMF3CORP 9/18_w
Questions? troweprice.com | 800-225-5132
Page 2 of 2
Resolution Certification
2
By signing this form, the organization identified in Section 1 specifi-
cally authorizes T. Rowe Price Services, Inc.; T. Rowe Price Investment
Services, Inc.; and their affiliates and agents (collectively, “T.Rowe
Price”) and the T. Rowe Price Funds to act on any instructions of the
designated individuals listed in Section 1, reasonably believed to be
genuine, in connection with any one or all of the following transactions:
Any purchase, redemption, exchange, or transfer, including any neces-
sary identification of the shares treated as sold for tax reporting;
Opening cash, margin, and/or option accounts and maintaining one
or more accounts with T. Rowe Price Brokerage for the purpose of
purchasing, investing in, or otherwise dealing with all forms of securi-
ties, including any necessary identification of the shares treated as sold
for tax reporting and selling securities short;
Endorsing any securities, endorsing any securities in order to pass title, or
directing the sale or exercise of any rights with respect to any securities;
The execution of any documents required to consummate an
authorized transaction; and
Any lawful transaction, consistent with the terms of the T. Rowe
Price mutual fund prospectus, for and on behalf of the organization.
The organization agrees to indemnify and hold harmless T. Rowe Price
and the T. Rowe Price Funds from any losses or expenses resulting
from having acted upon any instruction, signed by the officers/indi-
viduals designated in Section 1, believed to be genuine.
This certification will remain in full force and effect until such time that
T. Rowe Price receives a written revocation and has had sufficient time
to act upon it. Such notice of revocation will not affect any transaction
made prior to the date of receipt of such notice by the T. Rowe Price
Funds. Furthermore, the failure to supply a specimen signature shall not
invalidate any transaction if the transaction is in accordance with authority
actually granted.
By signing the certification, the organization hereby agrees to be
bound by the terms of this resolution and indemnification agreement.
I,
Name
,
the
Title
of the organization, do hereby
certify that at a meeting held on
Date
the governing body of the organization adopted a resolution authorizing the
foregoing, in accordance with the charter and bylaws of the organization;
there are
Number
signatures required to act; and the resolution
and this certification are true and correct and remain in full force and
effect as of the date below.
A notary is required if the individual certifying this form in Section 2 is
the only individual authorized to act on behalf of the organization for
this account.
Signature and Date Required
Officer’s Signature
- X
Date (mm/dd/yyyy)
Print Name
Title of Officer
Corporate Seal
(optional)
Sworn to and subscribed before me, this ______ day of
_____________________, _______. In witness hereof, I
hereunto set my hand and official seal.
Notary Public Notary Stamp—Applies to Account Owner(s)
Signatures Above
My Commission Expires