Fillable Organization Resolution Form (TD Ameritrade)

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Organization Resolution Form (TD Ameritrade)

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The Organization Resolution Form (TD Ameritrade) form is 3 pages long and contains:

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ES_TDR_OR_081901 1119 — Page 1 of 4
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• Complete a separate form for each Account Owner for whom the organization
serves as an agent.
• This form identifies the officers or other persons who are authorized to conduct
transactions on TD Ameritrade 529 College Savings Plan Account(s) on behalf of
an organization.
• Organizations covered by this form include: corporations; partnerships; limited
liability companies or partnerships; professional corporations or associations;
endowments; business trusts; and other entities or organizations.
• This form requires the signature of two authorized persons from your organization,
one of whom must be the secretary or other authorized person who can certify the
names of those authorized to access and transact on a TD Ameritrade 529 College
Savings Plan Account. If your organization has only one authorized signatory, then
a bank officer, practicing attorney or member of a domestic stock exchange must
countersign this form.
• This resolution remains in effect until we have been notified in writing that it has
been revoked or a new Organization Resolution Form has been submitted. You
must file a new Organization Resolution Form when there is any change in the
identity of the persons authorized to act on behalf of your organization.
• Print clearly, preferably in capital letters and black ink. Mail the form to the address listed. Do not staple.
Forms can be downloaded from our website at www.tdameritrade.com/collegesavings, or you can call us to order any form — or request
assistance in completing this form — at 1.877.408.4644 any business day from 8 a.m. to 8 p.m. Central time.
1.
Organization information
Name of Organization
Address
City State Zip Code
Firm Tax ID Number
TD Ameritrade 529 College Savings Plan
Organization Resolution Form
TDA 52916
1.877.408.4644
8 a.m. to 8 p.m. Central time M-F
www.tdameritrade.com/collegesavings
tdameritrade@NEST529.com
Regular mailing address:
TD Ameritrade 529 College Savings Plan
P.O. Box 30278
Omaha, NE 68103-1378
Overnight mailing address:
TD Ameritrade 529 College Savings Plan
920 Main Street, Suite 900
Kansas City, MO 64105
ES_TDR_OR_081901 1119 — Page 2 of 4
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2.
Agent for the TD Ameritrade 529 College Savings Plan Account Owner (Complete only if the organization is
acting as agent for the TD Ameritrade 529 College Savings Plan Account Owner.)
A. Account Owner information (Do not include agent information here; provide as indicated in Section 2B.)
Name (rst, middle initial, last)
Mailing Address
City State Zip Code
Social Security Number or Taxpayer Identication Number (Required)
B. Agent’s authorized persons
• Any one of the persons listed in this Section 2B is authorized to act on behalf of the organization, pursuant to the organization’s
authority as an agent in accordance with an Agent Authorization/Limited Power of Attorney Form led with TD Ameritrade
529 College Savings Plan previously or at the same time as this form, with respect to the Account Owner identied in Section 2A.
• The organization acknowledges that the persons identied in this Section 2B are authorized to act only with respect to the
specied TD Ameritrade 529 College Savings Plan Accounts owned by the Account Owner identied in Section 2A on which
the organization has been authorized as an agent. The organization further acknowledges that it must le separate Organization
Resolutions for each additional Account Owner for whom the organization serves as an agent.
• The organization acknowledges that it is solely responsible for informing the TD Ameritrade 529 College Savings Plan of any changes
in the authority or identity of the persons listed in this Section 2B, and that the TD Ameritrade 529 College Savings Plan or its
agents are not responsible for any acts or omissions taken in regard to any instructions believed to have originated from any person
identied in this Section 2B until the TD Ameritrade 529 College Savings Plan has received written notice of the revocation of such
person’s or receives a new Organization Resolution authority and the TD Ameritrade 529 College Savings Plan has had a reasonable
period of time to act upon such notice. Each Organization Resolution led with the TD Ameritrade 529 College Savings Plan revokes
any Organization Resolution previously led with the TD Ameritrade 529 College Savings Plan in its entirety.
• If the organization has more Authorized Persons than can be completed in the space below, please include a separate sheet that
provides the name and title of each Authorized Person.
Name(s) of Agent’s Authorized Persons
Name of Authorized Person (rst, middle initial, last) and Title
Name of Authorized Person (rst, middle initial, last) and Title
Name of Authorized Person (rst, middle initial, last) and Title
Name of Authorized Person (rst, middle initial, last) and Title
Name of Authorized Person (rst, middle initial, last) and Title
ES_TDR_OR_081901 1119 — Page 3 of 4
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C. Certification and Indemnification (Two authorized signatories must sign below if the organization is acting as an agent for
another Account Owner.)
We, and (names), duly authorized ofcers of the organization identied
in Section 1, hereby certify the following:
That each of the authorized persons listed in Section 2B is authorized to act on behalf of the organization to the extent of the
authority granted the organization in an Power of Attorney or Limited Power of Attorney Form led for the TD Ameritrade
529 College Savings Plan Account Owner identied in Section 2A.
The organization agrees to indemnify and hold harmless the TD Ameritrade 529 College Savings Plan, the Trust, the State of Nebraska,
the Nebraska State Treasurer, the Nebraska Investment Council, or any of their authorized agents or afliates, the Program Manager
or its authorized agents or any of their afliates, or TD Ameritrade, TD Ameritrade Investment Management, LLC or their authorized
agents or afliates and any of their respective afliates, agents, and employees acting hereunder (any of such persons, individually,
a “third party”) from and against all losses, claims, and expenses (including attorney’s fees) of any kind incurred by any of them
for relying in good faith upon information provided in this resolution and for acting on instructions believed by a third party to have
originated from any authorized person identied in Section 2B. This resolution remains in full force and effect until revoked by an
authorized signatory of the organization. Each Organization Resolution Form led with the TD Ameritrade 529 College Savings
Plan or its agents revokes an Organization Resolution Form previously led with the TD Ameritrade 529 College Savings Plan or its
agents in its entirety. Any revocation will not affect any liability resulting from transactions initiated before the TD Ameritrade 529
College Savings Plan has had a reasonable amount of time to act upon the revocation.
We are authorized and directed to certify the above and conrm that these provisions conform to the charter or other organizing
document of our organization.
3.
Signature — YOU MUST SIGN BELOW
I certify that I have read and understand, consent, and agree to all the terms and conditions of the TD Ameritrade 529 College Savings
Plan Program Disclosure Statement and Participation Agreement (Program Disclosure Statement).
SIGNATURE
Name of Authorized Signatory Date (mm/dd/yyyy)
Title
SIGNATURE
Name of Authorized Signatory Date (mm/dd/yyyy)
Title
Third Party Certication — Required if your organization has only one authorized signatory
I certify that the person who signed above is the duly authorized signatory of the organization identied in Section 1.
SIGNATURE
Signature of Bank Ofcer, Practicing Attorney, or Member of a Domestic Stock Exchange Date (mm/dd/yyyy)
Name of Bank Ofcer, Practicing Attorney, or Member of a Domestic Stock Exchange (rst, middle initial, last) and Title
Print name of bank or rm
ES_TDR_OR_081901 1119 — Page 4 of 4
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Securities Products: Not FDIC Insured - No Bank Guarantee - May Lose Value
TD Ameritrade does not provide tax advice. It is suggested that investors seek the advice
of your tax-planning professional with regard to your personal circumstances.
Nebraska Educational Savings Plan Trust, Issuer. First National Capital Markets, Inc.,
Distributor, Member FINRA, SIPC. TD Ameritrade, Inc., sub-administrator. TD Ameritrade
Investment Management, LLC, portfolio consultant. First National Capital Markets and First
National Bank of Omaha are afliates.
TD Ameritrade, Inc. renders certain marketing and administrative services to the TD
Ameritrade 529 College Savings Plan. TD Ameritrade Investment Management, LLC
renders portfolio consulting services to First National Bank of Omaha and the Nebraska
Investment Council. TD Ameritrade is a trademark jointly owned by TD Ameritrade IP
Company, Inc. and the Toronto-Dominion Bank. All rights reserved. Used with Permission.
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Organization Resolution Form (TD Ameritrade)

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Completed 20 September 2020

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