Please Type or Print. Please provide a listing of Fund officers or other individuals who will be CALLED BACK to verify the initiation of repetitive wires of $10 million or more and all non-repetitive wire instructions: NAME CALLBACK PHONE NUMBER DOLLAR LIMITATION (IF ANY)
Please Type or Print. Please provide a listing of Fund officers or other individuals who will be CALLED BACK to verify the initiation of repetitive wires of $10 million or more and all non-repetitive wire instructions: NAME CALLBACK PHONE NUMBER DOLLAR LIMITATION (IF ANY) SCHEDULE A STATE STREET GLOBAL CUSTODY NETWORK SUBCUSTODIANS Market Subcustodian Argentina Citibank, N.A. Australia The Hongkong and Shanghai Banking Corporation Limited Citigroup Pty. Limited Austria Bank Austria Creditanstalt AG Bahrain HSBC Bank Middle East Limited (as delegate of The Hongkong and Shanghai Banking Corporation Limited) Bangladesh Standard Chartered Bank Belgium Deutsche Bank AG, Netherlands (operating through its Amsterdam branch) Benin via Société Générale de Banques en Côte d’Ivoire, Abidjan, Ivory Coast Bermuda Bank of Bermuda Limited Botswana Barclays Bank of Botswana Limited Brazil Citibank, N.A. Bulgaria ING Bank N.V. Burkina Faso via Société Générale de Banques en Côte d’Ivoire, Abidjan, Ivory Coast Canada State Street Trust Company Canada Cayman Islands Close Trustees (Cayman) Limited Chile Banco Itaú Chile SCHEDULE A STATE STREET GLOBAL CUSTODY NETWORK SUBCUSTODIANS Market Subcustodian People’s Republic of China (Shanghai and Shenzhen) HSBC Bank (China) Company Limited (as delegate of The Hongkong and Shanghai Banking Corporation Limited) Colombia Cititrust Colombia S.A. Sociedad Fiduciaria Costa Rica Banco BCT S.A. Croatia Privredna Banka Zagreb d.d Cyprus Czech BNP Paribas Securities Services, S.A., Greece (operating through its Athens branch) Republic Ceskoslovenská obchodní Banka, a.s. Denmark Skandinaviska Enskilda Xxxxxx XX, Sweden (operating through its Copenhagen branch)
Please Type or Print. Aggrieved Person:
Please Type or Print. Beneficial Owner’s First Name MI Beneficial Owner’s Last Name Co-Beneficial Owner’s First Name MI Co-Beneficial Owner’s Last Name Entity Name (if claimant is not an individual) Representative or Custodian Name (if different from Beneficial Owner(s) listed above) Address1 (street name and number) Address2 (apartment, unit, or box number) City State ZIP/Postal Code Foreign Country (only if not USA) Social Security Number Taxpayer Identification Number Telephone Number (home) Telephone Number (work) Email address Account Number (if filing for multiple accounts, file a separate Proof of Claim for each account) Claimant Account Type (check appropriate box): □ Individual (includes joint owner accounts) □ Pension Plan □ Trust □ Corporation □ Estate □ XXX/401K □ Other (please specify) E. SCHEDULE OF TRANSACTIONS IN OSIRIS COMMON STOCK
Please Type or Print. Please provide a listing of Fund officers or other individuals who will be CALLED BACK to verify the initiation of repetitive wires of $10 million or more and all non-repetitive wire instructions: NAME CALLBACK PHONE NUMBER DOLLAR LIMITATION (IF ANY) REMOTE ACCESS SERVICES ADDENDUM TO AMENDED AND RESTATED MASTER CUSTODIAN AGREEMENT ADDENDUM to that certain Amended and Restated Master Custodian Contract dated as of January 1, 2013 (the “Custodian Agreement”) between each management investment company identified on Appendix A thereto and each management investment company made subject to the Custodian Agreement in accordance with Section 18.5 thereof (each, a “Customer”) and State Street Bank and Trust Company, including its subsidiaries and affiliates (“State Street”). State Street has developed and/or utilizes proprietary or third-party accounting and other systems in conjunction with the services that State Street provides to the Customer. In this regard, State Street maintains certain information in databases under its ownership and/or control that it makes available to its customers (the “Remote Access Services”). The Services State Street agrees to provide the Customer, and its designated investment advisors, consultants or other third parties who agree to abide by the terms of this Addendum (“Authorized Designees”) with access to State Street proprietary and third-party systems as may be offered by State Street from time to time (each, a “System”) on a remote basis.
Please Type or Print. Please provide a listing of Fund officers or other individuals who will be CALLED BACK to verify the initiation of repetitive wires of $10 million or more and all non-repetitive wire instructions: NAME CALLBACK PHONE NUMBER DOLLAR LIMITATION (IF ANY) REMOTE ACCESS SERVICES ADDENDUM to MASTER CUSTODIAN AGREEMENT ADDENDUM to that certain Master Custodian Agreement dated as of October 17, 2005 (the “Custodian Agreement”) by and among each management investment company identified on Appendix A thereto and made subject thereto pursuant to Section 18.5 thereof (each, a “Customer”) and State Street Bank and Trust Company, including its subsidiaries and affiliates (“State Street”). State Street has developed and utilizes proprietary accounting and other systems in conjunction with the services which State Street provides to the Customer. In this regard, State Street maintains certain information in databases under its control and ownership which it makes available to its customers (the “Remote Access Services”). The Services State Street agrees to provide the Customer, and its designated investment advisors, consultants or other third parties authorized by State Street (“Authorized Designees”) with access to In~SightSM as described in Exhibit A or such other systems as may be offered from time to time (the “System”) on a remote basis. Security Procedures The Customer agrees to comply, and to cause its Authorized Designees to comply, with remote access operating standards and procedures and with user identification or other password control requirements and other security procedures as may be issued from time to time by State Street for use of the System and access to the Remote Access Services. The Customer agrees to advise State Street immediately in the event that it learns or has reason to believe that any person to whom it has given access to the System or the Remote Access Services has violated or intends to violate the terms of this Addendum and the Customer will cooperate with State Street in seeking injunctive or other equitable relief. The Customer agrees to discontinue use of the System and Remote Access Services, if requested, for any security reasons cited by State Street.
Please Type or Print. Complete the entire application. PURPOSE OF USE REQUESTED: League Practice Organized Game Tournament Pick-Up Game Organization Name/Team Name: Team Manager/Coach/Responsible Person (Last, First, Middle): Street Address: Street Address: City, State, Zip: City, State, Zip: Phone Number: Cell Phone Email: Email: FOR TEAM/ORGANIZATIONS ONLY FOR INDIVDUALS ONLY Is your organization a 501(C)(3)? (Documentation required) Yes No Are you a San Dimas resident? Yes No Are your participants under 18 years of age? Yes No Are you over 18 years of age? Yes No Are 51% of your participants San Dimas residents? (Complete Roster required) Yes No Are you requesting more than one day of use? (If yes, insurance required) Yes No Are you a registered San Dimas Youth Organization? (Documentation required) Yes No OFFICE USE ONLY (NOTES): Is participation in your program based on a player’s skill or ability to pay? (ex. travel/club ball) Yes No Admission or entry fee charged? Yes No Proceeds used for: *Insurance required for more than one day of use and all, tournaments, leagues, and organized games. *Dormancy periods & fees are subject to change, see Fields Allocation Policy manual for more details. *Fields will be CLOSED: September 2nd (Labor Day), November 11th (Veterans Day), November 28th-30th (Thanksgiving Break) PLEASE READ AND UNDERSTAND CAREFULLY I have read the rules and regulations on pertaining to the facility use and will be responsible for their enforcement. I certify that I/we shall be personally responsible on behalf of our organization for any damage or unnecessary abuse of any of the facilities, ground or equipment, and that I/we assume all liability for damage to or theft of City property which is made available to us, and hold the City of San Xxxxx, Xxxxxx Unified School District, and its employees, agents and representatives free and blameless for any injuries, damages, or suffering which we, I or members of our group or invited guest might sustain from using the facilities, equipment or services. Initial: I have received, read, and understand all policies and will abide by all policies in the Field Allocation Policy. Sports Fee Schedule Group 1 Group 2 Group 3 Group 4 Group 5 Group 6 Field Activities conducted and/or sponsored by the City of San Dimas. Xxxxxx Unified School District 1.Resident (the total number of members/participa nts is 51% or more San Dimas residents) 2.Non-Profit 3.Youth Focused Program/Team(s) OR Single Day use for Residents of San Dimas 1...
Please Type or Print. Please provide a listing of Fund officers or other individuals who will be CALLED BACK to verify the initiation of repetitive wires of $10 million or more and all non-repetitive wire instructions: NAME CALLBACK PHONE NUMBER DOLLAR LIMITATION (IF ANY) I am duly authorized to sign this document on behalf of each mutual fund or other entity listed on Schedule A attached hereto. EACH FUND/ENTITY LISTED ON SCHEDULE A ATTACHED HERETO By: Type or Print Name Authorized Signature Title Date Schedule A Fund/Entity Name(s): Signature by Duly-authorized Fund Officer: Date:
Please Type or Print. PART I: CLAIMANT IDENTIFICATION Owner’s Name (First, Middle, Last) Street Address City State or Province Zip Code or Postal Code Country Social Security Number or Taxpayer Identification Number Individual Corporation/Other Area Code Telephone Number (work) Area Code Telephone Number (home) E-Mail Address PART II: SCHEDULE OF TRANSACTIONS IN RUBICON COMMON STOCK
Please Type or Print. Clearly State of Kansas, County of Secured Party’s Name principal place of business is Address City ST ZIP Secured Party’s Contact Person: Name Phone No.: Email: Date Security Agreement was Made, Executed & Delivered Date Vehicle was Repossessed Debtor(s) Name , of Address City ST ZIP Vehicle was repossessed in accordance to Kansas statutes Voluntary Surrender by Xxxxxx Peaceable Seizure and under the terms of the security agreement through: VEHICLE INFORMATION Replevin Other Year Make Style VIN I, the undersigned, certify to the best of my knowledge that the odometer reading is: and this reading is (Must check one of the below): No Ø ‚ ∙ Tenth’s Actual Exempt The odometer reading stated is in excess of its mechanical limits The odometer reading is not actual mileage* *WARNING - ODOMETER DISCREPANCY I, the undersigned have read and understand the warning below and hereby certify that: I am authorized to act on behalf of and file this affidavit for the secured party shown above. That a security agreement was made, executed and delivered on the vehicle shown above. A certified copy of the security agreement is attached to this affidavit. Due to default, the secured party did on the date shown above repossess said vehicle in accordance with Kansas statutes and under terms specified in the security agreement. Therefore, the secured party now claims said vehicle and title document by reason of such default and repossession. Reasonable efforts were made to obtain the debtor’s certificate of title. By my signature I swear or affirm that the information contained in this affidavit is true and correct, the supporting documentation listed on the back of this affidavit has been attached and all requirements and laws of the State of Kansas have been complied with. I am aware the law provides severe penalties for making false statement under oath. Signature of Authorized Agent Date Hand Printed Name of Person Signing Above Agent’s Position w/Secured Party VIN INSPECTION EXEMPTION When a vehicle is titled and registered outside the State of Kansas, but is financed originally by a financial institution chartered in the State of Kansas, and is repossessed in another state and such vehicle will not be returned to Kansas, by the financial institution or a purchaser, before being titled in another JURISDICTION, the VIN inspection will not be required for the purpose of obtaining a valid Kansas repossession title. Financial institutions claiming VIN inspection exemption MUST ...