urities indicated below to; DTCC#: Name of Receiving Firm: Account Name: Check Q Issue a check m the amount of Recipient's Name: Recjpiant's Maing Address- pai^deto; Account Number: at Receiving Firm Qty/Svmboi/Security: QiyrSymboi/Sfecuiily. Standing Authorization Q The undersigned hereby

urities indicated below to, DTCC#- Name of Becerving Firm: Account Name; Check G Issue a check m the amount of $ Recipient's Name. Recipient's Maing fiMsss: parydUeto: Account Number, at Receiving Firm Oly/Symbol/Secunty- Qty/Symbol/Secunty- EFTA01403174 Standing Authorization G The undersi