s for the account a listed below: n Physical Address E Blling Address I Mailing Address Account Numbec: Name: Apt./ Sub: City: Stale: 21p: Phalle' I Fax: I Authorizing Signature: CONFIDENTIAL SDNY_GM_00341798 EFTA_00214493 EFTA01314510 Invoice Number: 5-380-11447 Invace Date: Feb 21.

Estimates of value suppled ty Issuers of cenan program (which are generally' net asset value' eslawes) ae shown as 'Issuer est. value per tine'. For Phalle eguty fund.. • Est vaue per urn' is a value updated quarterly, battlers the Net Asset value ( NAY' ) In the fund en of the date specified ac lusted