©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
New Account Agreement Instructions
For your account to be opened promptly and accurately, please provide the information requested on the form as outlined in the
instructions below.
Step 1. Account Registration (check one)
Additional documentation may be required to open certain account
types. Use the supplemental form to identify all participants and their
respective roles in the account. Contact your investment professional
for more information.
Steps 2–3. Institutional/Non-Institutional Account and USA
Patriot Act Information
These sections MUST be completed in order to establish the account.
Steps 4–5. Account Holder Information and Secondary
Account Holder Information
The legal address MUST be a street address. A post oce box is not
acceptable for a legal address. A legal address is the account holder’s
permanent residence address or, in the case of an entity, the place where it
maintains a physical presence. For those accounts opened for nonresident
aliens and foreign entities, the legal address must be the same as the
permanent residence address listed on IRS Form W-8BEN, W-8BENE or
W-8IMY. You must provide annual income and net worth in the same
manner. For instance, if the account is a joint account, and you are providing
a combined annual income, you must also provide a combined net worth.
NOTE: To help the government fight the funding of terrorism and money
laundering activities, federal law requires all financial organizations to
obtain, verify, and record information that identifies each person who opens
an account. When you open an account, we will ask for your name, address,
date of birth, and other information that will allow us to identify you. We may
also ask you to provide a copy of your driver’s license or other identifying
documents. The information you provide in this form may be used to
perform a credit check and verify your identity by using internal sources and
third-party vendors. If additional space is needed, attach a separate sheet.
Step 6. Interested Parties
If you would like to add an interested party to your account, provide the
interested party’s contact information in this section. Indicate if you
would like the interested party to receive copies of your statements,
confirmations, and proxies.
Step 7. Cash Management
Check the appropriate box to tell us how your proceeds should be
handled. If you elect to sweep proceeds, enter the product name or
acronym to designate your sweep instruction.
Step 8. User ID and E-Delivery Preferences
Use this section to create a User ID and temporary password for online
access, and to provide instructions to establish electronic delivery
(e-delivery) of certain brokerage account communications.
Step 9. Objective and Investment Details
Use this section to provide details about your account objectives and
investments. Account investment objectives are defined as follows:
Income – An investment approach by which an investor generally seeks
current income over time.
Long-Term Growth – An investment approach by which an investor
generally seeks capital appreciation through buying and holding
securities over an extended period of time.
Short-Term Growth – An investment approach by which an investor
generally seeks short-term capital gains through buying and selling
securities over a short period of time.
Step 10. Tax Lot Disposition Methods
First In, First Out (the tax lot(s) with the earliest trade date(s) will be
disposed, sold, transferred or exchanged first based on the order of
their acquisition).
Last In, First Out (the tax lot(s) with the latest trade date(s) will be
disposed, sold, transferred or exchanged first based on the order of
their acquisition).
Average Cost Using First In, First Out (this option is available ONLY
for mutual fund shares and covered stocks in Pershing’s dividend
reinvestment plans, and it reflects the average cost per share, considering
all tax lots of a security, even those no longer held by the investor. Upon
disposition of mutual fund shares, the average cost per share is used
to calculate gain or loss and although the calculation of gain or loss is
based on an average cost, the tax lots are disposed of on a FIFO basis).
High Cost (the tax lot(s) with the highest unit cost are disposed of first,
whether the tax lot(s) are short-term or long-term for capital gain tax
purposes).
High Cost Long-Term (the tax lot(s) that have the highest unit cost,
and produce a long-term capital gain or loss, are disposed of first — If
no long-term shares are identified, or if an inadequate number of long-
term shares are identified, then the short-term shares with the highest
unit cost will be disposed of ).
High Cost Short-Term (the tax lot(s) that have the highest unit cost,
and produce a short-term capital gain or loss, are disposed of first — If
no short-term shares are identified, or if an inadequate number of
short-term shares are identified, then the long-term shares with the
highest unit cost will be disposed of).
Low Cost (the tax lots with the lowest unit cost are disposed of first, whether
the tax lots are short-term or long-term for capital gain tax purposes).
Low Cost Long-Term (the tax lots with the lowest unit cost, and produce
a long-term gain or loss, are disposed of first — If no long-term shares are
identified, or if an inadequate number of long-term shares are identified,
then the short-term shares with the lowest unit cost will be disposed of).
Low Cost Short-Term (the tax lot(s) with the lowest unit cost, and
produce a short-term capital gain or loss, are disposed of first — If no
short-term shares are identified, or if an inadequate number of short-
term shares are identified, then the long-term shares with the lowest
unit cost will be disposed of).
Minimize Short Term Gains (take losses first and gains last. The tax lots
are disposed in the following order: Short term lots sold at a loss, from
highest cost to lowest cost; long term lots sold at a loss, from highest cost
to lowest cost; short term lots sold at no gain or loss; long term lots sold
at no gain or loss; long term loss sold at a gain, from highest to lowest
cost; short term lots sold at a gain, from highest cost to lowest cost).
Please consult a tax advisor before selecting a tax lot disposition
method. Pershing LLC may not provide tax advice, and accordingly,
you are solely responsible for the tax eect of any selected method
(or your use of your introducing brokerage firm’s default method), and
change from or to a new method, for federal, state, local and foreign
tax purposes. Please contact your introducing brokerage firm to
change a selection. Pershing LLC reserves the right to introduce new
tax lot disposition methods at any time or to make any change in the
oered tax lot disposition methods that is required by applicable law or
regulations, without prior notice.
Pershing’s application of the tax lot disposition methods to all account
trades and transactions shall control in all instances.
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
NOTE: Data provided by outside vendors may not be the actual data
that is reported to the IRS, Pershing LLC will be reporting the data that
is maintained at Pershing LLC.
Step 11. Bond Elections
Bonds contain provisions that allow investors to elect to amortize the
premium or accrete the discount when calculating and reporting cost
basis for federal income tax purposes.
Step 12. Additional Information
Use this section to provide additional information about your account.
Step 13. Standing/Periodic Instructions
Check the appropriate boxes to tell us how your income and periodic
principal distributions should be handled.
Step 14. U.S. Taxpayer Number Certification
U.S. persons must sign the U.S. taxpayer certification built into the New
Account Form. If the account is a JOINT account, you must provide the
Social Security Number or the Taxpayer Identification Number of the
individual whose name appears first. For custodial accounts, use the
Social Security Number of the minor. If you are a nonresident alien or
foreign entity, you should not sign the taxpayer certification included in
this form, and instead submit an IRS Form W-8BEN, W-8IMY or other
appropriate W8 series forms with this application. Nonresident alien joint
accounts require IRS Form W-8BEN for each account holder. The account
holder’s country of permanent residence is the country where the account
holder claims to be a resident for purposes of that country’s income tax. If
a reduced rate of withholding is being claimed under an income tax treaty,
residency must be determined in the manner required by the treaty. If
the account holder does not have a tax residence in any country, the
permanent residence is where the account holder normally resides (or
maintains an oce for accounts not owned by individuals). The primary
account owner whose Social Security Number or Taxpayer Identification
Number is used should sign the Taxpayer Certification on page 12.
Step 15. Signatures
Sign and date the form. The primary and secondary owners of a joint
account must sign the form on page 12. Additional owners must sign
the additional participant form. For a custodial account, only the
custodian needs to sign.
Account Category Codes (for oce use only)
BKCL–Bank Collateral Account
BOLI-Bank Owned Life Insurance
BTRS-Bank Owned Life Insurance Trust
CLUB–Investment Club
COD–Receive/Deliver Versus Payment
COLI-Corporate Owned Life Insurance
CONS-Conservatorship
CORN–Noncorporate Account
CORP–Corporation
CPPS–Corporate Pension or Profit Sharing Plan
CTRS-Corporate Owned Life Insurance Trust
CUST–Custodian
DLJC–Pershing LLC SIMPLE Individual Retirement
Account (IRA)
DLJI–Pershing LLC IRA
DLJP–Pershing LLC SARSEP and Prototype SEP
DLJQ–Pershing LLC Qualified Retirement Plan
(QRP)
DLJS–Pershing LLC SEP IRA
ESTT–Estate
EXMP–Exempt Organization
FINL–Financial Organization
GOVT–Government Entity/Agency
GRDN–Guardian
IACP–Investment Advisor/Corporation
IACU–Investment Advisor/Custodian
IAES–Investment Advisor/Estate
IAGU–Investment Advisor/Guardian
IAGV–Investment Advisor/ Government Agency
IAIN–Investment Advisor/Individual
IAJT–Investment Advisor/Joint
IANP–Investment Advisor/Nonprofit Organization
IAPA–Investment Advisor/Partnership
IAPP–Investment Advisor/Corporate Pension/
Profit Sharing
IAPW–Investment Advisor/Power of Attorney
IART–Investment Advisor/Retirement Account
IASP–Investment Advisor/Sole Proprietor
IATI–Investment Advisor/Transfer on Death
Individual
IATJ–Investment Advisor/Transfer on Death Joint
IATR–Investment Advisor/Trust
INDV–Individual
INVA–Investment Advisor/Managed Account
JNTN–Joint
LLCP-Limited Liability Corporation
LPAR-Limited Partnership
NPLC-Nonpurpose Loan Corporate
NPLI-Nonpurpose Loan Individual
NPLJ-Nonpurpose Loan Joint
NPLP-Nonpurpose Loan Partnership
NPLT-Nonpurpose Loan Trust
NPRO–Nonprofit Organization
N401-Prototype Individual 401(k)
N457-Nonqualified Deferred Compensation Plan
N529-State Sponsored Higher Education Plan
PART–Partnership
PRME-Prime Broker
PWRA–Power of Attorney
RETC–Third Party as Custodian SIMPLE IRA
RETE–Third Party as Custodian ERISA Account
RETG-Third Party as Custodian IRA Guardian
RETH-Third Party as Custodian 403(b)(7)
RETI–Third Party as Custodian IRA
RETN-Third Party as Custodian Roth IRA Guardian
RETP–Third Party as Custodian Prototype SEP
RETQ–Third Party as Custodian QRP
RETR–Third Party as Custodian Roth IRA
RETS–Third Party as Custodian SARSEP and SEP
RETV-Third Party as Custodian Education Savings
SOLE–Sole Proprietorship
TODI–Transfer on Death Individual
TODJ–Transfer on Death Joint
TRSTTrust
For Broker-Dealer Use Only
Provide investment professional and principal approvals.
New Account Agreement Instructions
Participant Information Supplement
Use one of the codes below to designate the participant role for the additional participant on an account.
ADMN–Administrator
AGNT–Agent
BENF–Beneficiary
BEOW–Beneficial Owner
BORW–Borrower
CONS–Conservator
CPER–Controlling Person
CUST–Custodian
DECD–Deceased
DPTR–Depositor
DRTR–Director
EXEC–Executor
GPMM–General Partner/Managing Member
GRNT–Grantor
GRDN–Guardian
IPTY–Interested Party
IMGR–Investment Manager
LHLD–Lien Holder
LPAR–Limited Partner
MNGR–Manager
MMBR–Member
MINR–Minor
OFCR–Ocer
PTNR–Partner
PREP–Personal Representative
PLAD–Plan Administrator
PATN–Power of Attorney
PRM–Primary Account Holder
RIND–Responsible Individual
SEC–Secondary Account Holder
STLR–Settlor
SHLR–Shareholder
SPSR–Sponsor
SUSO–Substantial Owner
TCON–Trusted Contact
TSTE–Trustee
FRM-NEW-ACCT-SS-10-18
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners.
New Account Agreement
STEP 1. ACCOUNT REGISTRATION
Retirement (Skip to Step 2)
Retail (Select a type of retail account below)
OFFICE USE ONLY  
|
Account Number
IP Number
NAW9
ADDITIONAL DOCUMENTATION MAY BE REQUIRED TO OPEN THESE ACCOUNT TYPES.
CONTACT YOUR INVESTMENT PROFESSIONAL FOR MORE INFORMATION.
PAGE 1 OF 15
TYPE OF ACCOUNT ADDITIONAL DESIGNATION
Individual
Corporation
C Corp
S Corp
Corporate Pension/
Profit Sharing
Plan Name:
Trustees:
Beneficiaries:
Custodial
UGMA (Uniform Gift to Minors Act)
UTMA (Uniform Transfer to Minors Act)
Complete Custodial Accounts Section.
Estate
Person or Entity Appointed to Act on Behalf
of the Account:
Administrator
Personal Representative
Special Administrator
Temporary Administrator
Executor
Executrix
Number Appointed to Account:
Joint Tenant
Complete Joint Accounts Section.
Limited Liability
Company
C Corp
S Corp
Partnership
Disregarded Entity* (name of owner):
Power of Attorney
Power of Attorney Agent’s Name:
Individual Single
Member LLC
Sole Propietorship
Transfer on Death:
Individual
Agreement Execution Date:
Transfer on Death:
Joint
Complete Joint Accounts Section.
Agreement Execution Date:
TYPE OF ACCOUNT ADDITIONAL DESIGNATION
Trust
Establishment Date:
Trust Type:
Charitable Revocable
Living Irrevocable
Irrevocable Living Testamentary
Family
Trustees:
Beneficiaries:
Can the trustees act independently?
Yes No
529 Plan
Bank Collateral
Conservatorship
Coverdell Education
Savings Account
Exempt Organization
Financial Organization
Government Entity/
Agency
Guardianship
Investment Club
IRA or Retirement
Third Party Custodian
Noncorporate
Nonprofit Organization
Nonpurpose Loan
Partnership
Other
Please Specify:
*If the owner is a U.S. person, complete Step 4 using the owner’s information. If the
owner is a non-U.S. person, the appropriate IRS form W-8 must be provided from the
non-U.S. owner.
H W T
Account Number
New Account Agreement
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
For Joint Accounts Only
Are the account holders married to each other?
Yes No
Tenancy State Number of Tenants
Tenancy Clause
Community Property Community Property with Rights of Survivorship Tenants in Common
Tenants by Entirety Joint Tenants with Rights of Survivorship Usufruct (LA Residents only)
For Custodial Accounts Only
State in Which Gift was Given Date Gift Was Given
Age Designated to Terminate Minor’s Date of Birth
Manner in Which Gift was Given
Created by gift Trust Exercise by appointment Transfer by fiduciary or obligor Will
STEP 2. INSTITUTIONAL/NON-INSTITUTIONAL ACCOUNT
Institutional Account, as Defined in the FINRA Rule
A bank, savings and loan association, insurance company or registered investment company
An investment adviser registered either with the Securities and Exchange Commission under Section 203
of the Investment Advisers Act of 1940 or with a state securities commission (or any agency or oce
performing like functions)
Other Entity (whether a natural person, corporation, partnership, trust, or otherwise) with total assets of at
least $50 million
None of the Above
Institutional Account Suitability Obligation
If None of the Above was selected in the previous section, this section is not required
Waived for all recommendations
Accepted for all recommendations
Waived exclusively for the recommendations involving the following asset classes:
Please select those which are applicable:
Equities Options Fixed Income Mutual Funds Unit Investment Trusts
Exchanged Traded Funds Other
Determined at the time of each recommendation
For Broker-Dealer Use Only
if the selection above represents a full or partial waiver of the servicing broker/dealer’s suitability obligation, the servicing broker/dealer
represents that the institutional client account is capable of exercising independent judgment with respect to security and investment strategy
decisions made in connection with the waiver.
STEP 3. USA PATRIOT ACT INFORMATION
What is the initial source of funds for this account? If you are transferring assets from another financial
institution, please indicate the origin of those investments.
Accounts Receivable Accumulated Savings Alimony Gift
Income From Earnings Inheritance Insurance Proceeds Investment Proceeds
Legal Settlement Lottery/Gaming
Pension/IRA/Retirement Savings
Rollover Rental Income Sale of Business Sales of Real Estate
Spouse/Parent Other
PAGE 2 OF 15
H W T
Account Number
New Account Agreement
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
Disclosures Required Under the USA PATRIOT ACT
Is this account for a Foreign Financial Institution (e.g. non-U.S. bank; non-U.S. branch
of a U.S. bank; broker-dealer; futures merchant; commodities introducing broker;
mutual fund; money transmitter or currency exchanger)?
Yes No
Is this account a private banking account as defined under the USA PATRIOT Act?
Yes No
Is this an account for a Foreign Bank as defined under the USA PATRIOT Act?
Yes No
• If yes, is the bank a Central Bank?
Yes No
• If yes, is this a Foreign Bank operating under an Oshore Banking License?
Yes No
• If yes, is this a Foreign Bank operating under a banking license issued by a Non-Cooperative
 Country or Territory?
Yes No
• If yes, is this a Foreign Bank operating under a banking license issued by a jurisdiction
 subject to Section 311 measures?
Yes No
If the answer to any of the three questions above is yes, how many people or entities
own 10% or more of the Bank (if its shares are not publicly traded?
Are you, or anyone with an interest in this account, currently or formerly, either (1) a senior
military, governmental, or political ocial, or (2) closely associated with an immediate family
member of such an ocial?
Yes No
If yes, identify the name of the ocial, oce held and country
STEP 4. PRIMARY ACCOUNT HOLDER INFORMATION
Name
Social Security (SSN)
Person Entity
Employee Identification Number (EIN)
Email Date of Birth
Specified Adult
Yes No
Home Phone Business Phone Mobile Phone
Legal Address (no P.O. box)
City State/Province Zip/Postal Code
Country
Mailing Address (if dierent from legal address)
City State/Province Zip/Postal Code
Country
Primary Citizenship(s) Additional Citizenship(s)
U.S. Resident Alien
Yes No
Country of Birth
Gender Marital Status
Male Female Single Married Divorced Domestic Partner Widowed
Dependents
Number of Dependents
PAGE 3 OF 15
SPECIAL NOTE FOR NON-U.S.
ACCOUNTS: WITH RESPECT
TO ASSETS CUSTODIED BY
PERSHING ON YOUR BEHALF,
YOU ACKNOWLEDGE THAT
INCOME AND CAPITAL GAINS
OR DISTRIBUTIONS TO YOU
FROM THIS ACCOUNT MAY
BE TAXABLE IN YOUR HOME
JURISDICTION AND/OR
YOUR JURISDICTION OF TAX
RESIDENCE IF DIFFERENT FROM
YOUR HOME JURISDICTION.
YOU ACKNOWLEDGE TO YOUR
FINANCIAL ORGANIZATION AND
TO PERSHING THAT YOU HAVE
TAKEN YOUR OWN TAX ADVICE
IN THIS REGARD.
IF NUMBER IS GREATER
THAN ZERO, A FOREIGN
BANK BENEFICIAL
OWNERSHIP FORM MUST
ACCOMPANY THIS REQUEST.
IF DISREGARDED
ENTITY, ENTER
INFORMATION FOR
THE U.S. OWNER.
“SPECIFIED ADULT”
SHALL MEAN: (A) A
NATURAL PERSON
AGE 65 AND OLDER;
OR (B) A NATURAL
PERSON AGE 18 AND
OLDER WHO THE
MEMBER REASONABLY
BELIEVES HAS A
MENTAL OR PHYSICAL
IMPAIRMENT THAT
RENDERS THE
INDIVIDUAL UNABLE
TO PROTECT HIS OR
HER OWN INTERESTS.
IF YOU WISH TO ADD
A TRUSTED CONTACT,
PLEASE COMPLETE THE
TRUSTED CONTACT
FORM.
A COPY OF THE ID
IS REQUIRED FOR
EACH NON-U.S.
PERSON AND FOR
U.S. CITIZENS LIVING
ABROAD. PROOF OF
ADDRESS MAY ALSO
BE REQUIRED.
H W T
Account Number
New Account Agreement
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
Employment and Industry Aliations
Employed Self-Employed Retired Unemployed Homemaker Student
Occupation Years Employed Type of Business
Employer Name
Employer’s Address
City State/Province Zip/Postal Code
Country
General Investment Knowledge and Experience
Limited Moderate Extensive None
Knowledge and Experience by Investment Type
INVESTMENT INVESTMENT KNOWLEDGE INVESTMENT EXPERIENCE
Commodities, Futures Limited Moderate Extensive None Since Year:
Equities Limited Moderate Extensive None Since Year:
Exchange Traded Funds Limited Moderate Extensive None Since Year:
Fixed Annuities Limited Moderate Extensive None Since Year:
Fixed Income Limited Moderate Extensive None Since Year:
Insurance Limited Moderate Extensive None Since Year:
Mutual Funds Limited Moderate Extensive None Since Year:
Options Limited Moderate Extensive None Since Year:
Precious Metals Limited Moderate Extensive None Since Year:
Real Estate Limited Moderate Extensive None Since Year:
Unit Investment Trusts Limited Moderate Extensive None Since Year:
Variable Annuities Limited Moderate Extensive None Since Year:
Other: Limited Moderate Extensive None Since Year:
Financial Information
Identify Verification Method Used
Compliance Data Center Inc. Report (CDCR) Internal Review (INRV)
Regulatory Data Corporation (RDCR) Other ID Vendor (OTHR)
Annual Income
From $ To $
Net Worth (excluding home)
From $ To $
Liquid Net Worth
From $ To $
Check box if aggregated with other joint tenants.
Tax Bracket: 0–15% 15.1%–32% 32.1%–50% 50.1% +
PAGE 4 OF 15
H W T
Account Number
New Account Agreement
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
Unexpired Government Identification
GOVERNMENT PHOTO ID #1 GOVERNMENT PHOTO ID #2
Type of Unexpired Photo ID Type of Unexpired Photo ID
ID Number ID Number
Country of Issue Country of Issue
State/Province/Subdivision of ID State/Province/Subdivision of ID
Date of Issue Date of Expiration Date of Issue Date of Expiration
ID Verification Comments
Corporate/Business Information
Corporate/Business ID Number Formation Date of Corporation/Business
State/Province of Incorporation Country of Incorporation
Legal Entity Identifier (LEI)
Are you an employee of this broker-dealer?
Yes No
Are you related to an employee at this broker-dealer?
Yes No
Employee Name Relationship
Are you an employee of another broker-dealer?
Yes No
Broker-Dealer Name
Are you related to an employee at another broker-dealer?
Yes No
Broker-Dealer Name Employee Name Relationship
Are you maintaining any other brokerage accounts?
Yes No
With what firm(s) are you maintaining other brokerage accounts? Years of Investment Experience
Are you or any member of your immediate family aliated with or employed by a
member of a stock exchange or the Financial Industry Regulatory Authority?
Yes No
Employer authorization is required. What is the aliation?
Are you a senior ocer, director, or 10% or more shareholder of a public company?
Yes No
Company Name(s)
PAGE 5 OF 15
GOVERNMENT ISSUED
UNEXPIRED PHOTO
IDENTIFICATION
SHOULD BE PROVIDED
FOR ALL INDIVIDUALS
THAT WERE NOT
VERIFIED USING
NON-DOCUMENTARY
METHODS, AND
FOR NON-RESIDENT
ALIENS, ALONG WITH
AN IRS FORM W-8BEN.
IF APPLICABLE.
H W T
Account Number
New Account Agreement
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
STEP 5. SECONDARY ACCOUNT HOLDER INFORMATION
Name
Social Security (SSN)
Person Entity
Employee Identification Number (EIN)
Email Date of Birth
Specified Adult
Yes No
Home Phone Business Phone Mobile Phone
Legal Address (no P.O. box)
City State/Province Zip/Postal Code
Country
Mailing Address (if dierent from legal address)
City State/Province Zip/Postal Code
Country
Primary Citizenship(s) Additional Citizenship(s)
U.S. Resident Alien
Yes No
Country of Birth
Gender Marital Status
Male Female Single Married Divorced Domestic Partner Widowed
Dependents
Number of Dependents
Employment and Industry Aliations
Employed Self-Employed Retired Unemployed Homemaker Student
Occupation Years Employed Type of Business
Employer Name
Employer’s Address
City State/Province Zip/Postal Code
Country
General Investment Knowledge and Experience
Limited Moderate Extensive None
PAGE 6 OF 15
“SPECIFIED ADULT”
SHALL MEAN: (A) A
NATURAL PERSON
AGE 65 AND OLDER;
OR (B) A NATURAL
PERSON AGE 18 AND
OLDER WHO THE
MEMBER REASONABLY
BELIEVES HAS A
MENTAL OR PHYSICAL
IMPAIRMENT THAT
RENDERS THE
INDIVIDUAL UNABLE
TO PROTECT HIS OR
HER OWN INTERESTS.
IF YOU WISH TO ADD
A TRUSTED CONTACT,
PLEASE COMPLETE THE
TRUSTED CONTACT
FORM.
A COPY OF THE ID
IS REQUIRED FOR
EACH NON-U.S.
PERSON AND FOR
U.S. CITIZENS LIVING
ABROAD. PROOF OF
ADDRESS MAY ALSO
BE REQUIRED.
H W T
Account Number
New Account Agreement
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
Knowledge and Experience by Investment Type
INVESTMENT INVESTMENT KNOWLEDGE INVESTMENT EXPERIENCE
Commodities, Futures Limited Moderate Extensive None Since Year:
Equities Limited Moderate Extensive None Since Year:
Exchange Traded Funds Limited Moderate Extensive None Since Year:
Fixed Annuities Limited Moderate Extensive None Since Year:
Fixed Income Limited Moderate Extensive None Since Year:
Insurance Limited Moderate Extensive None Since Year:
Mutual Funds Limited Moderate Extensive None Since Year:
Options Limited Moderate Extensive None Since Year:
Precious Metals Limited Moderate Extensive None Since Year:
Real Estate Limited Moderate Extensive None Since Year:
Unit Investment Trusts Limited Moderate Extensive None Since Year:
Variable Annuities Limited Moderate Extensive None Since Year:
Other: Limited Moderate Extensive None Since Year:
Financial Information
Identify Verification Method Used
Compliance Data Center Inc. Report (CDCR) Internal Review (INRV)
Regulatory Data Corporation (RDCR) Other ID Vendor (OTHR)
Annual Income
From $ To $
Net Worth (excluding home)
From $ To $
Liquid Net Worth
From $ To $
Tax Bracket: 0–15% 15.1%–32% 32.1%–50% 50.1% +
Unexpired Government Identification
GOVERNMENT PHOTO ID #1 GOVERNMENT PHOTO ID #2
Type of Unexpired Photo ID Type of Unexpired Photo ID
ID Number ID Number
Country of Issue Country of Issue
State/Province/Subdivision of ID State/Province/Subdivision of ID
Date of Issue Date of Expiration Date of Issue Date of Expiration
ID Verification Comments
Corporate/Business Information
Corporate/Business ID Number Formation Date of Corporation/Business
State/Province of Incorporation Country of Incorporation
Legal Entity Identifier (LEI)
PAGE 7 OF 15
GOVERNMENT ISSUED
UNEXPIRED PHOTO
IDENTIFICATION
SHOULD BE PROVIDED
FOR ALL INDIVIDUALS
THAT WERE NOT
VERIFIED USING
NON-DOCUMENTARY
METHODS, AND
FOR NON-RESIDENT
ALIENS, ALONG WITH
AN IRS FORM W-8BEN.
IF APPLICABLE.
H W T
Account Number
New Account Agreement
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
Broker-Dealer Aliations
Are you an employee of this broker-dealer?
Yes No
Are you related to an employee at this broker-dealer?
Yes No
Employee Name Relationship
Are you an employee of another broker-dealer?
Yes No
Broker-Dealer Name
Are you related to an employee at another broker-dealer?
Yes No
Broker-Dealer Name Employee Name Relationship
Are you maintaining any other brokerage accounts?
Yes No
With what firm(s) are you maintaining other brokerage accounts? Years of Investment Experience
Are you or any member of your immediate family aliated with or employed by a
member of a stock exchange or the Financial Industry Regulatory Authority?
Yes No
Employer authorization is required. What is the aliation?
Are you a senior ocer, director, or 10% or more shareholder of a public company?
Yes No
Company Name(s)
Additional Participants
Are there more than two participants for this account? If Yes, complete the
Additional Holder/Participant Information Supplement sheet.
Yes No
FinCen Certification
FinCEN Certification Form Signed by Certification Date
Position Held by FinCEN Certifier
Trusted Contact
Has an account holder indicated there are Trusted Contacts?
If Yes, complete the Trusted Contact Form.
Yes No
STEP 6. INTERESTED PARTIES
First Interested Party
Name Date of Birth
Email
Home Phone Business Phone Mobile Phone
Mailing Address
City State/Province Zip/Postal Code
Country
Type of Notification: Statement Confirmation Proxy
PAGE 8 OF 15
H W T
Account Number
New Account Agreement
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
Second Interested Party
Name Date of Birth
Email
Home Phone Business Phone Mobile Phone
Mailing Address
City State/Province Zip/Postal Code
Country
Type of Notification: Statement Confirmation Proxy
STEP 7. CASH MANAGEMENT
The sweep program consists of sweep options, which may include money market mutual funds as well as bank
deposit products. The options available to you are subject to change and you should contact your advisor for
additional information on the products available to you through your sweep program.
Once a sweep option is elected, any free credit balance in your brokerage account will be automatically invested
into the sweep product selected and any debits in your brokerage account will also be covered automatically by
redemptions, to the extent you have a balance in the sweep product sucient to cover the debit balance.
How would you like to handle proceeds?
Remit Hold
If you opt to hold proceeds and wish to utilize the sweep feature, please enter your sweep option below.
Product Name or Acronym of Your Sweep Option
STEP 8. ELECTRONIC DELIVERY OF DOCUMENTS
For your convenience, brokerage account statements, trade confirmations, prospectuses, account notifications
and other documents will be delivered to you electronically. You will be notified by e-mail when documents
become available for you to retrieve online at our NetXInvestor™ website (www.netxinvestor.com).
To link this account to your existing NetXInvestor ID, please provide the ID here
Electronic delivery is subject to the Terms and Conditions that apply to this Account Application and Agreement.
A valid email address must be provided for delivery of notification emails.
For access to NetXInvestor, please provide this required information:
Mother’s Maiden Name (last name) Date of Birth (required to establish a User ID)
Email Address
If you are requesting a new User ID, indicate your first and second choices below. User IDs must have a minimum
of 7 and maximum of 15 characters.
User ID Desired (first choice) User ID Desired (second choice)
If you prefer to receive documents by mail, please check the appropriate box below. You may be charged fees for
certain paper documents.
Brokerage Account Statements Trade Confirmations
Quarterly Performance Reports Account Notifications
PAGE 9 OF 15
FOR MONEY MARKET
FUND, FDIC INSURED
DEPOSIT OR BANK SWEEP.
PLEASE ADD A
SEPARATE SHEET
FOR ADDITIONAL
INTERESTED PARTIES.
H W T
Account Number
New Account Agreement
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
STEP 9. OBJECTIVE AND INVESTMENT DETAILS
Risk Exposure Low Moderate Speculation High Risk
Account Investment Objectives Income Long-Term Growth Short-Term Growth
Other Investments
INVESTMENT INVESTMENT VALUE INVESTMENT INVESTMENT VALUE
Equities Value $ Fixed Annuities Value $
Options Value $ Precious Metals Value $
Fixed Income Value $ Commodities and Futures Value $
Mutual Funds Value $ Other: Value $
Unit Investment Trusts Value $ Other: Value $
Exchange-Traded Funds Value $ Other: Value $
Real Estate Value $ Other: Value $
Insurance Value $ Other: Value $
Variable Annuities Value $ Other: Value $
Investment Time Horizon and Liquidity Needs
Time Horizon Liquidity Needs
High Medium Low
STEP 10. TAX LOT DISPOSITION METHODS
Please choose one disposition method as your default for a) Mutual Funds, b) Stocks in Pershing’s Dividend
Reinvestment Plans and c) All other securities. If a default disposition method is not chosen by you or your
Financial Organization, the federally mandated default method will be applied on the account.
DISPOSITION METHODS FOR MUTUAL FUNDS
DISPOSITION METHODS FOR STOCKS IN
PERSHING’S DIVIDEND REINVESTMENT PLAN
DISPOSITION METHODS
FOR ALL OTHER SECURITIES
Average Cost (using FIFO) Average Cost (using FIFO) First In, First Out (FIFO)
First In, First Out (FIFO) First In, First Out (FIFO) High Cost
High Cost High Cost High Cost Long-Term
High Cost Long-Term High Cost Long-Term High Cost Short-Term
High Cost Short-Term High Cost Short-Term Last In, First Out (LIFO)
Last In, First Out (LIFO) Last In, First Out (LIFO) Low Cost
Low Cost Low Cost Low Cost Long-Term
Low Cost Long-Term Low Cost Long-Term Low Cost Short-Term
Low Cost Short-Term Low Cost Short-Term Minimize Short-Term Gains
Minimize Short-Term Gains Minimize Short-Term Gains
PAGE 10 OF 15
H W T
Account Number
New Account Agreement
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
STEP 11. BOND ELECTIONS
Election 1 – Bond Premium Amortization (tax free bonds must be amortized)
Yes/IRS Default: Amortize.
No/Alternative: Do not amortize.
Election 2 – Market Discount Accrual Method
Ratable/Alternative
Constant Yield/IRS Default
Election 3 – Include Market Discount as Income
No/IRS Default: Don’t include market discount as income.
Yes/Alternative: Include market discount in income.
STEP 12. ADDITIONAL INFORMATION
Municipal Bond Oering Ocial Statements
Municipal bond oering ocial statements are available electronically at: http://www.emma.msrb.org/
Are you interested in hard copy delivery of Municipal Bond Ocial Statements for this account? Yes No
If the account is established for a trust, corporation, estate, or other entity, Yes No
has a Trustee Certification of Investment Powers form, corporate resolution, letter of
appointment, or other appropriate documentation establishing and appropriate authority been submitted?
Please provide the names and addresses of your banks:
PAGE 11 OF 15
IF YOU DO NOT
CHOOSE BOND
ELECTIONS, THE
NOTED IRS DEFAULTS
WILL BE SELECTED.
This space intentionally left blank.
H W T
Account Number
New Account Agreement
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
STEP 13. STANDING/PERIODIC INSTRUCTIONS
How would you like to handle Interest and Dividends?
Remit Credit
Income Distribution
Method
First-Party Check Third-Party Check (provide name and address below and a completed letter of authorization)
ACH (requires a completed ACH authorization form) Journal (requires a completed letter of authorization)
Account for Journal
Frequency
Annually Semiannually Quarterly Bimonthly Monthly Semimonthly
First Payment Date
Information for Third-Party Check (if applicable)
Name Email
Home Phone Business Phone Mobile Phone
Mailing Address
City State/Province Zip/Postal Code
Country
Type of Notification: Statement Proxy Confirmation
Principal Distribution
Method
First-Party Check Third-Party Check (provide name and address below and a completed letter of authorization)
ACH (requires a completed ACH authorization form) Journal (requires a completed letter of authorization)
Account for Journal
Frequency
Annually Semiannually Quarterly Bimonthly Monthly Semimonthly
First Payment Date
Information for Third-Party Check (if applicable)
Name Email
Home Phone Business Phone Mobile Phone
Mailing Address
City State/Province Zip/Postal Code
Country
Type of Notification: Statement Proxy Confirmation
PAGE 12 OF 15
H W T
Account Number
New Account Agreement
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
STEP 14. U.S. TAXPAYER NUMBER CERTIFICATION
Taxpayer Certification
Under penalties of perjury, I certify that:
1. The number shown on this form in Step 4 is my correct Social Security Number or Taxpayer Identification
Number (or I am waiting for a number to be issued to me);
2. I am not subject to backup withholding because (a) I am exempt from backup withholding or (b) I have
not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a
result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer
subject to backup withholding; and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.
Certification instructions.
You must cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup
withholding because you have failed to report all interest and dividends on your tax return. For mortgage
interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an
individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are
not required to sign the certification, but you must provide your correct TIN. If you are an exempt payee
(if you are unsure, ask us for a complete set of IRS instructions), enter your exempt payee code (if any) here:
If you are exempt from FATCA reporting (if you are unsure, ask us for a complete set of IRS instructions), enter
your exemption from FATCA reporting code (if any) here:
Definition of a U.S. person.
For federal tax purposes, you are considered a U.S. person if you are:
An individual who is a U.S. citizen or U.S. resident alien,
A partnership, corporation, company or association created or organized in the United States or under
the laws of the United States,
An estate (other than a foreign estate), or
A domestic trust (as defined in Regulations section 301.7701-7)
STEP 15. SIGNATURES
The Internal Revenue Service does not require your consent to any provision of this document other than the
certifications required to avoid backup withholding.
I ACKNOWLEDGE AND AGREE THAT THIS AGREEMENT CONTAINS A PREDISPUTE ARBITRATION CLAUSE, IN
PARAGRAPHS 13 AND 14, ON PAGES 13 AND 14. I HEREBY ACKNOWLEDGE RECEIPT OF THIS NEW ACCOUNT
AGREEMENT WITH PREDISPUTE ARBITRATION CLAUSE THEREIN.
Primary Account Holder or Entity Authorized Person
Print Name Date
Signature
Secondary Account Holder (if applicable)
Print Name Date
Signature
For Broker-Dealer Use Only Accepted: Investment professional is registered in the state of client’s residence.
Investment Professional Printed Name Principal Printed Name
Date Date
Signature Signature
PLEASE REVIEW YOUR
INFORMATION, READ
THE AGREEMENT ON
PAGES 13 AND 14,
AND SIGN HERE. KEEP
A COPY FOR YOUR
RECORDS.
X
X
PAGE 13 OF 15
THIS SECTION IS NOT
TO BE USED BY NON-
U.S. PERSON (SEE
DEFINITION OF U.S.
PERSON BELOW).
X
X
H W T
Account Number
New Account Agreement
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
TO: FINANCIAL ORGANIZATION AND ITS ASSIGNS
1. Provisions in the Event of Failure to Pay or Deliver
Whenever I (we) do not, on or before the settlement date, pay in
full for any security purchased for my (our) account, or deliver any
security sold for such account, you are authorized (subject to the
provisions of any applicable statute, rule, or regulation):
(A) Until payment or delivery is made in full, to pledge, repledge,
hypothecate, or rehypothecate, without notice, any or all securities
which you or your clearing agent may hold for me (either individually
or jointly with others), separately or in common with other securities
or commodities or any other property, for the sum then due or for a
greater or lesser sum and without retaining in your possession and
control for delivery a like amount of similar securities.
(B) To sell any or all securities which you or your clearing agent may
hold for me (either individually or jointly with others), to buy in any
or all securities required to make delivery for my (our) account, or to
cancel any or all outstanding orders or commitments for my (our)
account.
2. Cancellation Provisions
You are authorized, in your discretion, should I (we) die or should
you for any reason whatever deem it necessary for your protection,
without notice, to cancel any outstanding orders in order to close
out my (our) accounts, in whole or in part, or to close out any of the
commitments made on my (our) behalf.
3. General Provisions
Any sale, purchase, or cancellation authorized hereby may be made
according to your judgement and at your discretion on the exchange
or other market where such business is then usually transacted,
at public auction, or at private sale without advertising the same
and without any notice, prior to tender, demand, or call. You may
purchase the whole or any part of such securities free from any right
of redemption, and I (we) shall remain liable for any deficiency. It is
further understood that any notice, prior to tender, demand, or call,
from you shall not be considered a waiver of any provision of this
agreement. I (we) shall include any person executing this agreement.
With my (our) signature on this document, I (we) authorize any
free credit balance in my account to be automatically invested
into the sweep product elected, unless I (we) instruct my financial
organization dierently. Pershing LLC is further authorized to rely on
instructions that I (we) give to my financial organization regarding
my (our) sweep elections. I (we) agree, that my (our) sweep option
may be changed, including changes between money market funds
and bank deposit products, with prior notification to me (us).
4. Successors and Assigns
This agreement and its provisions shall be continuous, and shall
inure to the benefit of your present organization, and any successor
organization or assigns, and shall be binding upon me (us) and/or the
estate, executors, administrators, and assigns of my (our) account.
5. Age
I (we), if an individual, represent that I (we) am (are) of full age.
6. Interest in Account
No one except me (us) has an interest in any of my (our) accounts
with you unless such interest is revealed in the title of such account,
and in any case, I (we) have the interest indicated in such title.
7. Orders and Statements
Reports of the execution of orders and statements of my (our)
account shall be conclusive if not objected to in writing, the former
within two days and the latter within ten days, after forwarding by
you to me (us) by mail or otherwise.
8. Extraordinary Events
You shall not be liable for loss or delay caused directly or indirectly
by war, natural disasters, government restrictions, exchange, or
market rulings, or other conditions beyond your control.
9. Fees and Charges
I (we) agree to the fees and charges on the fee schedule received by
me (us). You may change the fee schedule from time to time.
10. Joint Accounts
If this is a joint account, unless we notify you otherwise and provide
such documentation, as you require, the brokerage account(s) shall
be held by us jointly with rights of survivorship (payable to either or
the survivor of us). Each joint tenant irrevocably appoints the other as
attorney-in-fact to take all action on his or her behalf and to represent
him or her in all respects in connection with this Agreement. You
shall be fully protected in acting, but shall not be required to act upon
the instructions of either of us. Each of us shall be liable, jointly and
individually, for any amounts due to you pursuant to this Agreement,
whether incurred by either or both of us.
11. Address
Communications may be sent to me (us) at my (our) current address
which is on file at your oce, or at such other address as I (we) may
hereafter give you in writing. All communications so sent, whether
by mail, telegraph, messenger, or otherwise, shall be deemed given
to me (us) personally, whether actually received or not.
12. Recording Conversations
I (we) understand and agree that for our mutual protection you may
electronically record any of my (our) telephone conversations.
13. ARBITRATION DISCLOSURES
THIS AGREEMENT CONTAINS A PREDISPUTE ARBITRATION
CLAUSE. BY SIGNING AN ARBITRATION AGREEMENT THE
PARTIES AGREE AS FOLLOWS:
• ALL PARTIES TO THIS AGREEMENT ARE GIVING UP THE RIGHT
TO SUE EACH OTHER IN COURT, INCLUDING THE RIGHT TO A
TRIAL BY JURY, EXCEPT AS PROVIDED BY THE RULES OF THE
ARBITRATION FORUM IN WHICH A CLAIM IS FILED.
ARBITRATION AWARDS ARE GENERALLY FINAL AND BINDING;
A PARTY’S ABILITY TO HAVE A COURT REVERSE OR MODIFY
AN ARBITRATION AWARD IS VERY LIMITED.
THE ABILITY OF THE PARTIES TO OBTAIN DOCUMENTS,
WITNESS STATEMENTS, AND OTHER DISCOVERY IS
GENERALLY MORE LIMITED IN ARBITRATION THAN IN COURT
PROCEEDINGS.
THE ARBITRATORS DO NOT HAVE TO EXPLAIN THE
REASON(S) FOR THEIR AWARD, UNLESS, IN AN ELIGIBLE
CASE, A JOINT REQUEST FOR AN EXPLAINED DECISION HAS
BEEN SUBMITTED BY ALL PARTIES TO THE PANEL AT LEAST 20
DAYS PRIOR TO THE FIRST SCHEDULED HEARING DATE.
PAGE 14 OF 15
H W T
Account Number
New Account Agreement
©2018 Pershing LLC. Pershing LLC, member FINRA, NYSE, SIPC, is a wholly owned subsidiary of
The Bank of New York Mellon Corporation (BNY Mellon). Trademark(s) belong to their respective owners. FRM-NEW-ACCT-SS-10-18
THE PANEL OF ARBITRATORS WILL TYPICALLY INCLUDE A
MINORITY OF ARBITRATORS WHO WERE OR ARE AFFILIATED
WITH THE SECURITIES INDUSTRY.
THE RULES OF SOME ARBITRATION FORUMS MAY IMPOSE
TIME LIMITS FOR BRINGING A CLAIM IN ARBITRATION. IN
SOME CASES, A CLAIM THAT IS INELIGIBLE FOR ARBITRATION
MAY BE BROUGHT IN COURT.
THE RULES OF THE ARBITRATION FORUM IN WHICH THE
CLAIM IS FILED, AND ANY AMENDMENTS THERETO, SHALL
BE INCORPORATED INTO THIS AGREEMENT.
14. ARBITRATION AGREEMENT
ANY CONTROVERSY BETWEEN YOU OR PERSHING AND US
SHALL BE SUBMITTED TO ARBITRATION BEFORE AND ONLY
BEFORE THE FINANCIAL INDUSTRY REGULATORY AUTHORITY.
NO PERSON SHALL BRING A PUTATIVE OR CERTIFIED CLASS
ACTION TO ARBITRATION, NOR SEEK TO ENFORCE ANY
PREDISPUTE ARBITRATION AGREEMENT AGAINST ANY
PERSON WHO HAS INITIATED IN COURT A PUTATIVE CLASS
ACTION; OR WHO IS A MEMBER OF A PUTATIVE CLASS WHO
HAS NOT OPTED OUT OF THE CLASS WITH RESPECT TO ANY
CLAIMS ENCOMPASSED BY THE PUTATIVE CLASS ACTION
UNTIL; (I) THE CLASS CERTIFICATION IS DENIED; (II) THE CLASS
IS DECERTIFIED; OR (III) THE CUSTOMER IS EXCLUDED FROM
THE CLASS BY THE COURT. SUCH FORBEARANCE TO ENFORCE
AN AGREEMENT TO ARBITRATE SHALL NOT CONSTITUTE A
WAIVER OF ANY RIGHTS UNDER THIS AGREEMENT EXCEPT TO
THE EXTENT STATED HEREIN. THE LAWS OF THE STATE OF NEW
YORK GOVERN.
15. Specified Adult and Trusted Contact Disclosure
By completing a physical or electronic contact form or providing
Trusted Party information to my broker or advisor for electronic
capture, I/we authorize the named Financial Institution and Pershing
LLC (“Pershing”) and their aliates to share my nonpublic personal
information* held at Financial Institution and Pershing with the
named trusted contact person(s) (the “Trusted Contact Person(s)”)
identified as such. Additionally, I/we authorize this information to
be shared with the Trusted Contact Person(s) at the discretion of
Financial Institution and Pershing. This authorization includes, but
is not limited to, sharing or disclosing any information regarding
securities, insurance, bank related, financial planning or other
financial products or services oered by or through Financial
Institution and/or Pershing or any financial information I/we may
have provided to Financial Institution and Pershing. I/we understand
that Financial Institution and Pershing, LLC may contact the named
Trusted Contact Person(s) if there are questions/concerns about
my whereabouts or health status (i.e., if Financial Institution and
Pershing becomes concerned that I may no longer be able to handle
my financial aairs) or in the event that Financial Institution and
Pershing becomes concerned that I may be a victim of fraud or
exploitation.
Account owners should contact their Financial Institution or financial
representative with additional questions.
Account owners may also contact FINRA at its toll-free number for
senior investors to get assistance or raise concerns about issues with
brokerage accounts and investments.
CALL: 844-57-HELPS (844-574-3577)
MONDAY – FRIDAY; 9 – 5 P.M. ET
* “Nonpublic personal information” includes, but is not limited to:
financial account information and balances, information regarding
the purchase of a security or insurance product, and any other
personally identifiable financial information: (i) provided by a me/us
to my/our Financial Institution; (ii) resulting from any transaction in
my/our account or any service performed on behalf of me/us by the
Financial Institution; or (iii) otherwise obtained from me/us by the
Financial Institution.
16. Amendment and Modification of Agreement
I (we) agree that you or your successors or assigns may unilaterally,
at any time, change or modify the terms and conditions of this New
Account Agreement by sending me notice of the change as required
by law or regulation.
17. Electronic Delivery Terms
You agree that account communications may be available in an
electronic form.
Account communications will be available in portable document
format (PDF). You arm that you have installed a recent version of
Adobe Acrobat Reader or other software application that enables
you to view and print your account communications. You may print
or save a copy of any of the account communications at any time. You
may request a mailed copy of any of your account communications
by contacting your financial organization.
An electronic mail (“email”) notification will be sent when
account communications are available to be accessed. The email
notification(s) will be sent to the email address(es) you provided
directly to your financial organization or provided by registering for
electronic delivery.
In the event that a notice of undeliverable status of an email
notification is received by Pershing, your financial organization or
Pershing may send a paper notification by U.S. mail to the postal
address you provided directly to your financial organization.
In the event of an email notification failure, Pershing may discontinue
your enrollment in electronic delivery and reset your account
communications delivery preferences so that future documents
will be delivered to your mailing address of record in paper form.
By providing this Electronic Delivery Consent, you arm that you
have provided a valid email address, have access to the Internet and
are at least 18 years of age. You agree that electronic delivery of the
account communications is deemed accepted, regardless of whether
you access or view a particular account communication document.
You acknowledge that any authorized users for your account are able
to make changes to the electronic delivery settings for your account,
and you agree to accept responsibility for such changes.
You may change your delivery preferences at any time by following
the instructions on the website, or by contacting your financial
organization directly for assistance.
PAGE 15 OF 15
H W T
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