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2008-44FIFTH THIRD SECURITIES SOLUTION 2008— 44 0 Institutional Account Application Account Number: € _ s �I I To 11 1 ° r � � a IT[ IC7NVAL C Ql31 l�1FOR M T QN� � �� E W Type of Organization ❑ Bank* ❑ Financial Advisor or Investment Advisor ❑ Pension Fund/ Profit Sharing Plan ❑ Bank/ Broker Dealer* ✓❑ Government Agency (Public Funds)* ❑ Private Agency or Charity ❑ Broker ❑ Insurance Company* ❑ Savings & Loan* ❑ Corporation/ LLC ❑ Investment Company* ❑ Trust ❑ Credit Union* ❑ Partnership ❑ Other If you are a domestic financial institution, indicate the name of the government agency that serves as the primary regulator. *These accounts are exempt from CIP requirements. However, all other accounts types must provide data for entity and person authorizing account (depending on FTS /Fifth Third Bank- relationship type). FIFTH THIRD SECURITIES (FTS) / FIFTH BANK (FTB) RELATIONSHIP Please select the category below that best describes the client's current relationship with FTS and /or FTB: ❑ Category I* - Client's current relationship with FTS and /or FTB began prior to October 1, 2003. Please provide date client relationship began: Complete only Customer Identification Section I below. Category II* - This is an existing client with FTS and /or FTB for which the relationship began after October 1, 2003. ❑ Please provide date client relationship began: Complete only Customer Identification Sections I & 11 below. © Category 111 - This client is new to FTS and/or FTB. Complete Customer Identification Sections I, 11, & III below. *If representative is not personally familiar with client, all customer identification standards for Category III should be met regardless if the client has an existing relationship with FTS and /or FTB. CUSTOMER IDENTIFICATION SECTION 1 ACCOUNT TITLE & ENTITY INFORMATION Title: Village of Buffalo Grove TIN 36- 2525051 SSN Legal Address (No P.O. Boxes or private mail boxes) 50 Raupp Blvd City Buffalo Grove State IL Documentation Used To Verify Entity ACCEPTABLE TYPES OF DOCUMENTATION Zip Code 60089 SEC Filing Filed Tax Return Certified Articles of Incorporation Financial Statements Business License Tax Determination Letter Partnership or Trust Agreement FICA Statement Type of Document: Financial Statements Statelcounty of Issuance: Illinois/Cook Expiration Date (if applicable): N/A Account Application Delivered To Customer Must be provided prior to account opening. ❑ In Person ❑ Fax © Mail FTS #410 Brokerage Account carried with National Financial, LLC. Member NYSE /SIPC Rvs 06/08 Page 1 of 3 0 FIFTH THIRD SECURITIES 0 Institutional Account Application CUSTOMER IDENTIFICATION SECTION II LIMITED VERIFICATION OF PERSON AUTHORIZING ACCOUNT Person authorizing account: Scott D. Anderson SSN or ID Number. *Please ensure that an appropriate ID is reviewed for this individual (per instructions below). Are you a Non -U.S. citizen with more than $500,000 on No ❑ Yes (Complete PATRIOT ACT form) deposit with Fifth Third? Are you a Senior Foreign Official of a government branch, military branch, political party, or foreign government -owned company, or a close personal or professional associate of No ❑ Yes (Complete PATRIOT ACT form) one of these persons? CUSTOMER IDENTIFICATION SECTION III ADDITIONAL VERIFICATION nF PFRSnN Al rTNnRVrNC: Acrnr ruT DOB: 8/24/68 Legal Home Address: 50 Raupp Blvd, Buffalo Grove, IL 60089 ACCEPTABLE TYPES OF ID The following are acceptable types of ID (must be unexpired) for individuals: Diver's License State ID Card Passport Military ID Mexican Consulate Type of ID: Driver's License ID Number State /Country if Issuance: IL Date of Issuance: Expiration Date: yVf R j( k{.� s+�£`$'{ SF p'13T 4Ff l.l��.J�Ekl■ - zZ° C RQ :6 :T Y - r-is -Navy. r 4' ,s G• rc 6 k'"3`.5 #his imi f Y ?�.c �'�'. '23 .` izd:_ - rcp"'�'",o3'✓sao�, Primary Contact: Scott Anderson Work Phone Number. 847 -459 -2509 Email Address: sanderson(avbg.org Secondary Contact: Katie Skibbe Phone Number. 847 - 808 -2641 9Rg Jy F - y'.' .£-.. ; ; i+.€ $¢ � ,tlltil'C P#f?FIL.E� mow' 3.} h �£Q �: fl Portfolio Size Investment Objective ❑ Less than $10 million ❑ $100 million - $500 mffWn Q Preservation of Capital ® $10 million -$100 million ❑ $500 million + ❑ income ❑ Capital Appreciation ❑ Trading Asset Size ❑ Less than $50 million ❑ $500 million - $1 billrron ❑ Taxable m $50 million - $500 million ❑ $1 billion + ❑ Tax Exempt ❑ Other Fixed Income Maturity & Quality Ratings Sought Tax Bracket (please specify) Maximum Maturity (number of years) Minimum Allowable Quality Rating (AAA, AA, A, BBB, BB, B, etc.) Minimum Short-Term Rating (Al. P1, A, P, A2, P2, etc.) Other: Investment Experience (Check All That Apply) ❑ Agencies ❑ Corporate Debt ❑ Mortgage - Backed ❑ Asset Backed ❑ Governments ❑ Municipals ❑ Certificates of Deposit ❑ High Yield ❑ Mutual Funds/ UITs ❑ Commercial Paper ❑ Money Market ❑ Zero - Coupon FTS #410 Brokerage Account carried with National Financial, LLC. Member NYSE /SIPC Rvs 06/08 Page 2 of ILLAGE RESIDENT :LLAGE [ANAGER :LLAGE .EASURER 'ANCE :RECTOR r� L FIFTH THIRD SECURITIES Delivery vs. Payment Payment by Wire Money Market (please specify) Debit/Credit Fifth Third* W debit/credit Fifth Third ❑ DDAAccount: ❑ SAV Account: ❑ Other: very Instructions: Delivery by DTC DTC Number NSCC Number Agent Bank Number ID Customer Number Agent Internal Account Interested Party Number 0 Institutional Account Application Duplicate Statements & Confirms Sent To: ❑ Statement ❑ Confirm ❑ Both Name: Address: City: State: Zip: ❑ Statement ❑ Confirm ❑ Both Name: Address: City: State: Zip: ❑ Delivery by Fed Wire ABA Number Federal Reserve Short Name Account Number ❑ Instructions Attached (Cross out item 21 if subject to backup withholding.) Under penalties of perjury, I certify [1] The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and [2] 1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and [3] 1 am a U.S. person (including a U.S. resident alien) To Brokerage Services: In consideration of your accepting this account, I hereby acknowledge that I understand and agree to the terms set forth in the Customer Agreement (including the pre - dispute arbitration clause, a copy of which I have received, and the Certification Statement, which I have both read. I UNDERSTAND THAT THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE MY CONSENT TO ANY PROVISIONS OF THIS DOCUMENT OTHER THAN CERTIFICATIONS REQUIRED TO AVOID BACKUP WITHHOLDING. PRIVACY POLICY ACKNOWLEDGEMENT Only required for individual consumers & trusts Clients must initial the following acknowledgements: I acknowledge that I have received a copy of the Fifth Third Privacy Policy. I acknowledge that I have received a copy of the Fifth Third Securities Business Continuity Plan. Date: ;. -0h — Affinr L�%t�v1 .�, Date: IJ610124pr h9yestme_. E..eeti.,. _-. Date Aeeept Date: tZlLZ,�ioe8 FTS #410 Brokerage Account carried with National Financial, LLC. Member NYSE /SIPC Rvs 06/08 Page 3 of 3