From: Sent: Wednesday, January 07, 2015 1:07 PM To: Waldron, Chelsey Devon; Cc: Ramdeen, Vijai; Shkreli, Juliana Subject: Re: MAXWELL - RE: Adding Signatory to accounts Good afternoon, Please see attached the signed POA from Ghislaine. Best, From: Chelsey Waldron Date: Thursday, December 18, 2014 at 4:50 PM To: Cc: Chelsey Waldron, ' ", Juliana Shkreli Subject: RE: MAXWELL - RE: Adding Signatory to accounts Hi NI and Daniel, Attached please find the two forms that need to be completed. Below are instructions on how to complete each form. Please call me with at questions ( ). Thank you, Chelsey 1. Authorized Agent/Dual Signor Addendum Form Page 1 (Daniel Only) o First, Last name o Date of Birth o Social Security Number o Address O Home Phone O Sign and Date for "Agent Signature" Page 2 (Ghislaine only) o Sign and date bottom of page where it says 'Account Holder Signature' 2. Power of Attorney Form • Page 1 (Ghislaine only) o Ghislaine initials in the space below her name (this will allow this POA to be applied to any future accounts open under the same name) o Ghislaine initials each authorization she would like to grant to you (there are 5 authorizations) o Do not sign the bottom of page 1 Page 2 (Ghislaine, Daniel & Witness) o Ghislaine signs and dates next to her name o Complete First and Last name of a Witness and they sign and date next to their name (= you can serve as witness) o Daniel signs and date next to his name • Please note the client and witness date should be the some because they are signing in the presence of the witness • Page 3 (Daniel Only) CONFIDENTIAL UBSTERRAMAR00000982 EFTA00236652


