ax ID Number 66-0799192 Salsa Securltyrrax ID Number (Secondenc /I applicable) Account Type (select one) 01nOMOual - (Non IRA) aoint OTrust ['Corp/Business O UGMANTMA ElEstate El Traditional or Rollover IRA EI Roth IRA K Beneficiary IRA K Beneficiary Roth IRA K Qualified Plan (401k, 403B, PSI? etc