te and return via email (PDF). Please reach out with any 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

t with any questions. Thank you, Chelsey 1. Authorized Agent/Dual Signor Addendum Form CONFIDENTIAL UBSTERRAMAR00000944 EFTA00236617 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 on

te and return via email (PDF). Please reach out with any 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 on

s 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 on

t with any questions. Thank you, Chelsey 1. Authorized Agent/Dual Signor Addendum Form CONFIDENTIAL UBSTERRAMAR00000931 EFTA00236604 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 on

plete and return via email (PDF). Please reach out with any 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 on

te next to his name • Please note the client and witness date should be the same because they are signing in the presence of the witness • Page 3 (Daniel Only) o Daniel complete all the information on this page From: Shkreli, Juliana Sent: Wednesday, January 07, 2015 5:20 PM To: Cc: Ramdeen, Vijai; Wal

RFtAMAR00000874 EFTA00236556 Please reach out with any 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 on

n 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 on

ith any questions. Thank you, Chelsey 1. Authorized Agent/Dual Signor Addendum Form CONFIDENTIAL UBSTERRAMAR00000833 EFTA00236516 • 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 (Ghi

plete and return via email (PDF). Please reach out with any 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 on

te next to his name • Please note the client and witness date should be the same because they are signing in the presence of the witness • Page 3 (Daniel Only) o Daniel complete all the information on this page From: Sent: Wednesday, January 07, 2015 5:20 PM To: Cc: Ramdeen, Vijai; Waldron, Chelsey Dev

te and return via email (PDF). Please reach out with any 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 on

tions 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 on

te next to his name • Please note the client and witness date should be the same because they are signing in the presence of the witness • Page 3 (Daniel Only) o Daniel complete all the information on this page From: Sent: Wednesday, December 17, 2014 4:24 PM To: Waldron, Chelsey Devon Cc: Subject: FW