SUBS MOS Financial Services Inc ific.aiunt PWMOtkn _ - - Pon!. Wealth Ayy,ita Power of Attorney (PWM) (Not for use when naming a professional Investment Advisor) OCco..mi Mame rubel he...Halal, aoltintitaliOn agar MAO &cowl. At us% lei010.1 Sane, me n int woo name ocrethei <Amenity open Ot opened m lulus, tie Moswelconhnn the aulliailv 01 r_eStie( (Apia Mai io pc."--fom, tact, anne saws vittsge0 bees and to take ally and all anon neCtistai ta a modentof to coition Cu' WC° aorm"gilhon't IsChAing the etteCut.On Of documents a lams a Ohre at.teCetta10, MOW When shoo in this clocunhint the saes ow" a 'my' feta go cacti of the tM sepenctpatt, Jseksselualls: a ("Want. Ilse executes its POVIet of Altana deed nal initial in the box next to each agency guatiled. PLEASE SEE IWORIAN1 IPSO tOSuRIS REGARDING TRADING • AulmONZATION FOR ORS PACE MO STRATEGIC A0vKOR ACCOUNTS ON PAGES 2 ANO 3 ' Trading Authorization initial ANC to thltnCli)* my Agynt b NON VOWS With you 10 P.I.these eV tact Weurifiet ana Sendai reepetty ,.mtltAng Options er.ponat.041%;. nm atoll:large Witt OM qualitcatorli NOON and VMS Wm, and ConOitiOns lot my accosi s,. at bon.ers leek, ' etImola my own MC cacao,. or as Orbit t1 lu mono othim [arson t• Managed Account Authorization rein a0thocie my Agent to emelt my account to1 any tewestment soon/ picgtam *title." by ues. to mecum me investment AbeM1001 Tietatiaishoo Agttitment a agoOlabte tams. and spec/Iv* to Me and wombat. elsoeicegary and not discretionary inyeitMent managers I unitkcStancl that the tohtsont Retaliating) Ogleememl. Myth., en< wed by me a my Ageni 4c0y 10 all ilttS atSchay parent accounts that I may open os the luitee Dishurstirmint Authorizations Wt.)r mil W Piece to aulhine my Agent to chew? ORS to tlatillet money a annum to accounts held in my name Of IV my ben. lit moo to mate osthnoccting et tides CO my bona at comedian rem any llama/ atehotento uncie. trio Cower of Attorney Such Igniter. may OP ohm tea by MrthOcIS which "loge ad are not wooed to esiai hal motel item oectiocic finds 0 OW*. M Chats tax docianants Authonzation moil hem to auttionce my Agent to make. eatiCule and µHit la lams, axtochnh seithool Immfahcc aY VS woeful Rnenue >e we folios We and W4. as .1000athe. anet ant 1(14110 date tints Duplicate Ottawa; inStamation Authorizatkm 41.14.0 tithe to autnocce my Agent 10 recent a &sonata ropy a d statements ea other ratrrtunc nobs Agants nave neitgAlk`b MO*. agents to ad On my aCCounOtes lot NI that each agent 5 &Other/tea ICI act 1.16/padOntly CI any Ott* agent. If UBS Financial SeriSCA Inc determine. in At tap 6.011.00, hit It li tereenng cOntlittag inittorhons hoen agents mil 1 have designated. I authwee IBS Financial *ewesInc in its bit Main MUM along mewled fiCim any a my arms unlit Ire tenth( na,OMd mesa at my be( lid or by my designated agents ,On ton Woof, APpu mend ter bsuibLvt mem must mrholndy Unk53 SaW OS*. Sal surly:neat agent to me tapataly r nave oesloated mx• than ale agent foe my A(04/111. dyed that teS Financial Seine. Inc act only igion the rant eittiations Of al JewinMeu agents IN Chamilint Name ant Name AC .M7 :Rev IMES; 020t4 uBS Final& Servo., *piston late mminirinChITIAI UBSTERRAMAR00000788 EFTA00236477
(*) UBS Agfornorit Ry Nomen Dekt. I n*. to endemnify and riOtd haernlevt OM and dl Mohairi and all Ot ISW ~Kl anti ageni5 I: om and arm, any ani Al darm% that may ante Oy enten o1 ulteS honnig 'Sen nn tne flOvniOnS ot dm enilturnent satirowleOge ion agree Mat my teert .s authOteitd tO mate any ni« tor want] my atcOun: is elrbe a afwrong. mooding magn 'facies arm Woei wies ma :0 Wette any and al' « Stront rnfOrfnaleur I hettlOy tany.<0Miltri sid agat IJ OP ~Kl Oy any and at Ifinetburs.lradén or rangs Medio aflaten <X verba& effinwo in and ta nv accOunttS; by my aplInl th COOrn.1.00 enm In autliceiy waren, in ind instrument aan«). Out rol eenden to the eirrutiOn Ol da omegt' forms or agreenores or any aultsyrialions d 1 ham mstoucle4 Pst Oss Pater ol Altorner oe Arcerecl in a Trutl or (konen Serwe Annurd. I ermiressly acknowledge and snee Mat ty sgoing below I Gelegd* in. Wrap.% ontroer 1 have as Trustee or Office.. Member. . Partner aOthtli rtOteléntaleye dWy aUltoOrOnt. arm uyin dut etal ut el noch reOtentyntalnt hinnety ahatIlle• aN aPhld•It hitit the accounts ki Mom Ihn tahoe/MI.0n aneithin Inl. :Wang of AIR/0nm wal beloer° :o. <Ontrollen by and rob/peter; rn a<tadanc. Wan Om UW> 0.! Stal. W New York. nntleOut nortnn enecl lo any Oneer" Cd <Mr. ot law no conflui 0/ Ina InOlyhtMlandn) ana tetnevon IO Int tonitaty tOntoned en eng applhatho tor any actOunt at CAS or in arn ome. docurnem: INS .5 entriko to 'Sv On Ibis ~ei of Arme, rein roten nome of in gevangi n owyereo ro air beanch ollne ~el, 1M .(<0.ont ~ford arm tempi acknonletdded br Vin grwollment In dieratkeislny WIS Moest:~ Achisonr programs wit Tor thOse Mcounts. Immediatify and effietively moge any traden authonation gramod Mankt in ~Won somp of thy wfwas yen have *Ms" abn' SuM•cl lo IdndanCen cn thee ArarbOMY aferboire0 <Y Iscr. rergasOn rure or Out prots ano und!' non orturmlarxes. ta° VphIpt may be lennenaled 01 ~glad m tIBS' loge nnoetton tor trarnple. Finandal Advisers ~not be ~MMS %OS of Attomey in any retiremint account nos is an important legal document Betont enrcuting tes document you thould asos these nipt:alant teert' • Th,. document —y prOvode th* person yOu dissignine as your agentattorney-rn-frut witti berd pesoen. rotloding POwar to Inallapit Wl. despose of trassen in your account w borrow money ming voor ~party es inunly lor dm loen. • el you are wing Mis Power of Atomry in • Ratirement Account you s0Ø no amore tint Ine agent 18 not cusnonsed undes this document to mate or Mango beneficiary designations ot] your acCount. • ' ,met ot Alle", n "AOW' On wend of al eind, e o unit. £#ase pont We <bent nanse:s. sno nut dinar n inttexhitaltn el lbo hert? • g 'al Puien': ifAKMTANT OPTICI POR PACEMTRATEGK AD4/5011 ACCOUNTS: Oroong Mare trom Me :An /manou ~mor n • concOaff ornuonent of Trit Wint" <bents pay 10, in these prOgonn As su" r bent. In« nOt donna* a PM*, ot AfforMY lot Ine ~Min Ol ! nmenmg trweitfenill miste an a LIAS PAU/Water ACRO1414 «room ins ,nitides regestered or onferinterecl ~rent annh- tants. lereargial ~10101 lantdat mam (-11.1tSiC4e. 1-viMen (tem fint enne tal Name ;heisiest NO» ...w.c. ot Canto: II. IhP Agent tb\ eJA 'flitness f n st Nann• last Nor sy w. — Dar Syretyr. Pli_ra 2. 22S::› last Name ~bei Cases muft Sr and dato in th* menene of a wimess mto mrt Mosign and date Mis Soms Dra. %t t - -Vr gace IMPORTANT NOTICE FOR PACE/STRATEMC ADVITOR ACCOUNTS: Oreer.; advent fl Om th! as /Mantra' Arsof n a wincoall COMonnen1 Of Pie sennon dab pay k• In liftte naprann AS wtn. dna may not clinaltnal/ a brr of nnbioney ta Ina Duimt* olj obtammg investmern acNrce en J IRS MCE/Stfater hrknn aCtnn Ihn onnudin tartend De unligriteted hylharhin doMOIS.I rompetaph, snanoal prooien or wrat parties Ry Nonmg [Wow. I «intern tnai t an not worrilrg ~Omen: e or tOnlulling wreef to. hitl pi inloop wie apoitty Pre Int aCCOunl . _ Oc_mgi V-PSnri Arnt hist Plan tast Name A. MI :om 12/14, 02D: futaned Sennas rros rewryw bou<byi sak 041P nnntcfllchlTlGl UBSTERRAMAR00000789 EFTA00236478
UBS AODMONAL INFORMATION (To Be Completed by Agent) Basic Information E. Check here if agent is 1.185 Financial Advisor or a registered associated person at UBS K-ESnete It Agent Mai Middle Name last Name Country of Citizenship USA K Other (specify) Passpoil/Cedula SSN Address Line 1 City Address line 2 United States of America State/Province Zip/Postal Code Country Home phone Agent's Relationship. If Any, to Principal Agent's Account No With UBS Of Any; Financial Information Investment Experience: How many years have you held investment accounts, years Which best describes your knowledge of investments., C i know very little about financial markets and market investments - I have a good understanding of financial markets and market investments - I am an emenenced investor in financial markets and market investments Personal information Date of Birth *f, Is the Agent affiliated with any securities firm, excluding U8S and its affifiates, biokeddeiler subudiaiy of a financial institution, securities or commodities exchange. self-regulatory organization or the UBS auditor (cut:tinny Ernst B Young), (NYSE Rule 407) C No C I Yes bI blank. Firm assumes No) If S. SOWN aflihaied finVorganuation If you answer 'yes' to the NYSE Rule 407 question. approval must be obtained from the specified haniorganization before the account can be went° or trading authority becomes effective Is the Agent an employee or related to an employee of UBS AG. its subsidiaries or affiliates le g, UBS Financial Services Inc U85 Securities 1.1.0 ) 9 No K yes . specify Alf ilia leSUbSidialy Employee Fail Name Last Name SW Employment Information Occupation. Employer Name and Address are only required il your employment status is 'employed' or 'self-employed' Status (select one: C Employed LI Self.Employed C Student 9 Retired 5 Self•Supponed 5 Volunteer 9 Unemployed C Work in the Home Occupation Busmen Phone (00henal) Business Fax (oPtiOnal) Employer Name kit uStry Ice, Construction. setvice. etcl (optional) Address Line 1 Address Line 2 City AC•M2 )Rev 12/14) State/Province Diatoms' Code nay 02014 U8S Financial Senvlceslnc.AY oh ts @serve° Member SIPC Page 3/3 rnntctllCNTt At UBSTERFtAMAR00000790 EFTA00236479




