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re Physician (PCP) ID Number: PCP Name: (If an coistais patient of PCP, check "Yes".) O Yes O yes 0 Yes O Yes Check all that apply: O Domestic Penner O Full-time Student O Young Adult O Full4ime Student O Young Adult Prior Carrier Carrier: (List coverage prior to this.) Poky Number: From D

rcumstances. Section 6. General Provisions. 6.1 Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of New York applicable to contracts executed, delivered and to be fully performed in such jurisdiction, without giving effect to the principles of conflicts of

n Employer ID No. 6"799192 Date 7 — S (f-(2 Signature of Officer. Partner. Trustee. Authonzed Party Date Prom Nameffnle Signature of Officer. Penner. Trustee. Authorized Party Date Print Name/Tole i7 CONFIDENTIAL 13AWM-0196 012145 032813 SDNY_GPil_00037908 CONFIDENTIAL - PURSUANT TO FED.

ment. shall operate as a waiver of that right or power or term. 29. Controlling Law. This Account Agreement shall be datelined to have been made in the State of New York and shall be construed, and the rights of the parties determined, in accordance with the laws of the State of New York and the United States, as am

thorized P. Print Name/TifieJeffriT EPI/lein Signature of Officer. Partner. Trustee, Authorized Party Date Print Nameilltle Signature of Officer. Penner, Trustee. Authorized Party Dote Print Narnerrid• 13AWM.0196 .7 012145032813 SDNY_GM_00038201 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R.

reement. shall operate as a waiver of that right or power or term. 29. Controlling Law. This Account Agreement shall be deemed to have been made in the State of New York and shall be construed, and the rights of the parties determined, in accordance with the laws of the State of New York and the United States, as am

e tr,„1 1 19.4+;ti "Oft itust (///5/i; Signature of Officer. Partner, Trustee. Authorized Party .Date PtIM Name/Title Signature of Officer. Penner, Trustee. Authorized Party Date Print Nemafiltle 13-AWLS-Oise 7 012145.032813 SDNY_GM_00037856 CONFIDENTIAL CONFIDENTIAL — PURSUANT TO FED R

reement, shall operate as a waiver of that right or power or term. 29. Controlling Law. This Account Agreement shall be deemed to have boon made in the State of New York and shall bo construed, and the rights of the parties determined, in accordance with the laws of the State of New York and the United States, es am

ce 2007 DALIAN WED COMNARCATIONS EX( UL INC Owing tinge,. Peaking IIC.. Sally owned subsidiary el TIM &onkel New York Mellon Colnatim(N V meta) Penner; u.C...teter HlislatiAiN2PA-00C41883 DB-SDNY-0010707 EFTA_00158492 EFTA01290520 Money Market Fund Detail Dolt Activity Type Sweep Money Market

o 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. Pershing's contact information is as follows: Pershing ILLC, Legal Department, One Pershing Plaza, Jersey City, New Jersey 07399; (201) 413-