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s for the benefit of) A labor organizatioNunion or Taft-Hartley plan An officer, agent, representative or employee of a labor organization/union A Federal, State or local agency, board, commission or authority (including public hospitals, school districts and universities) or other public entity (if so. plea
In accordance with the term and conditions of the Statutory Major Gifts Rider that supplements this Power of Attorney. DESIGNATION OF MONITOR(S): (OPTIONAL) I designate the following as moroltOKSk (Insert name and address) (Insert name and address) Upon the request of the mortor(s). my agent(s) must
it of): (choose one) A labor organization/union or Tall-Hartley plan An officer, agent, representative or employee of a labor organization/union A Federal, State or local agency, board, commission or authority (including public hospitals, school districts and universities) or other public entity (if so, plea
han one agent above, they must act TOGETHER unless you INMAL the statement below. My agents may act SEPARATELY. DESIGNATION OF SUCCESSOR AGENT(S): (OPTIONAL) If every agent designated above is unable or unwilling to serve, I appoint as my successor agent(s): Your agent con act on your behalf only after
for the benefit of) A labor organization/union or Taft-Hartley plan An officer, agent, representative or employee of a labor organization/union A Federal, State or local agency, board, commission or authority (including public hospitals, school districts and universities) or other public entity lif so, plea
eo, K.a.seti te.s. pia nik sa amide is eauiss t ft Si -royal -1 T.sne_ cat Z.0 Vap MAJOR GIFTS AND OTHER TRANSFERS: STATUTORY MAJOR GIFTS CODER (OPTIONAL) in order to authorize your agent to make major gifts and other transfers of your property, you must INTAL the statement below AND execute a Statut
her public entity (if so, please indicate which country, state or municipality: An official or employee in the legislative or executive branch of a Federal, State or local government (if so, please indicate which country, state or municipality: None of the above B. Please indicate if the account: (choose one
n one agent above, they must act TOGETHER unless you INITIAL the statement below. My agents may act SEPARATELY. DESIGNATION OF SUCCESSOR AGENT(S): (OPTIONAL) If every agent designated above Is unable or unwilling to serve, I appoint as my successor agent(s): (Insert name(s) and addressies) of successor
ence. Routine Use(s): The information collected on this form may be shared.with a criminal, civil, or regulatory law enforcement authority (whether Federal, State, local, territorial, tribal, international or foreign) where the information is necessary for collaboration, coordination and de-confliction of inve
or federal law enforcement agencies: criminal justice agencies: and agencies responsible for national security or public safety PASTE PHOTO HERE (OPTIONAL) FD-353 (Rev. 9-9-13) U.S. GOVERNMENT PUBLISHING OFFICE:OW.02017 11:5138 EFTA01699749 r : EE REVERSE SIDE FOR FukTHER iNSTRuC - IONS PERSONAL
Entities connected to both Federal, State and OPTIONAL

Jeffrey Epstein
PERSON
Samantha Power
PERSONthe State of New York
LOCATION
United States
LOCATIONLeon Black
PERSON
George W. Bush
PERSON
Department of Justice
ORGANIZATION
New York City
LOCATION
Julie K. Brown
PERSON
New York
LOCATION
Barry Diller
PERSONDarren Indyke
PERSONGifts Rider
PERSON
New York State
LOCATIONMONITOR(S
ORGANIZATIONNew York Statutory
ORGANIZATION
Prince Andrew
PERSON
Lesley Groff
PERSON
Paul Ryan
PERSON
Richard Kahn
PERSON