PRIMARY ACCOUNT HOLDER INFORMATION. To help the government fight the funding of terrorism and money laundering activities, federal laws require that all financial organizations obtain, verify and record information that identifies each person who opens an account. What this means for you: when you open an account, we will ask for your name, address, date of birth and other information that will allow us to identify you. We may also require a copy of your driver’s license or other government-issued identifying document. Complete Step 2 for only the primary registration type (Individual or Entity). Include either the Social Security Number or the Employer Identification Number. If completed incorrectly, a new W9 will be required. Entity Name (if applicable) Employer Identification Number (EIN) Social Security Number Date of Birth Specified Adult Yes No — — Email Address Home Phone Business Phone Mobile Phone City State/Province Zip/Postal Code Country City State/Province Zip/Postal Code Country City State/Province Zip/Postal Code Country Please check only one: U.S. U.S. Resident Alien Non-Resident Alien (please provide a valid Government ID and a form W-8) Additional Citizenship Primary Citizenship Employed Self-Employed Retired Unemployed Homemaker Student Employer Name Years Employed Occupation Employer’s Address City State/Province Zip/Postal Code Country Check if you are affiliated with a broker-dealer. If you are affiliated with a broker-dealer that is not your employer, please provide the name of that broker-dealer below. Broker-Dealer Name Check if a member of your immediate family is affiliated with a broker dealer. Broker-Dealer Name Employee Name Relationship Check if you are a member/employee or related to a member/employee of a national securities association (i.e. NYSE or FINRA). If checked, please list the affiliation here Check if you, or an immediate family member, are a director, 10% shareholder, policy-making officer or controlling person of a publicly traded company. If checked, please provide company(ies) and symbol(s)
Appears in 10 contracts
Samples: Account Application and Agreement, Account Application and Agreement, Account Application and Agreement
PRIMARY ACCOUNT HOLDER INFORMATION. To help the government fight the funding of terrorism and money laundering activities, federal laws require that all financial organizations to obtain, verify and record information that identifies each person who opens an account. What this means for you: when you open an account, we will ask for your name, address, date of birth and other information that will allow us to identify you. We may also require a copy of your driver’s license or other government-issued identifying document. Complete Step 2 for only the primary registration type (Individual or Entity). Include either the Social Security Number or the Employer Identification Number. If completed incorrectly, a new W9 will be required. Entity Name (if applicable) Employer Identification Number (EIN) Social Security Number Date of Birth Specified Adult Yes No — — Email Address Home Phone Business Phone Mobile Phone Legal Address (no P.O. box) City State/Province Zip/Postal Code Country Mailing Address (if different from legal address) City State/Province Zip/Postal Code Country Previous Physical Address (if current address less than two years old) City State/Province Zip/Postal Code Country Citizenship Please check only one: U.S. U.S. Resident Alien Non-Resident Alien (please provide a valid Government ID and a form W-8) Additional Citizenship Primary Citizenship Country of legal and tax residence: U.S. Other (specify) *JOINT ACCOUNT AGREEMENT IS REQUIRED FOR TENANTS IN COMMON. PRIMARY ACCOUNT HOLDER MAY INCLUDE OWNER, MINOR, XXXX, EXECUTOR OR ENTITY. UGMA/UTMA ACCOUNT: MINOR IS THE PRIMARY ACCOUNT HOLDER; CUSTODIAN IS THE SECONDARY ACCOUNT HOLDER. IF DISREGARDED ENTITY, ENTER INFORMATION FOR THE OWNER. SPECIFIED ADULT: DEFINED BY FINRA AS (A) A PERSON AGE 65 AND ABOVE; OR (B) A PERSON AGE 18 OR ABOVE THAT IS UNABLE TO PROTECT HIS/HER OWN INTERESTS. IF YOU WISH TO ADD A TRUSTED CONTACT, PLEASE COMPLETE THE TRUSTED CONTACT SECTION. PROOF OF ADDRESS IS REQUIRED FOR EACH NON-US PERSON AND US CITIZENS LIVING ABROAD. Employment and Industry Affiliations Employed Self-Employed Retired Unemployed Homemaker Student Employer Name Years Employed Occupation Employer’s Address City State/Province Zip/Postal Code Country Check if you are affiliated with a broker-dealer. If you are affiliated with a broker-dealer that is not your employer, please provide the name of that broker-dealer below. Broker-Dealer Name Check if a member of your immediate family is affiliated with a broker dealer. BrokerName of Family Member If your broker-Dealer Name Employee Name Relationship Check if you are a member/employee or related to a member/employee of a national securities association (i.e. NYSE or FINRA). If checkeddealer affiliation is not with the employer listed above, please list provide the name and address of the affiliated entity and the nature of the affiliation here below. Nature of the Affiliation Check if you, or an immediate family member, are a director, 10% shareholder, policy-making officer or controlling person of a publicly traded company. IF EMPLOYED/ SELF-EMPLOYED IS INDICATED, PLEASE COMPLETE ALL EMPLOYMENT FIELDS. IF CHECKED, OBTAIN AND ATTACH THE COMPLIANCE OFFICER’S LETTER OF APPROVAL (AS REQUIRED BY FINRA RULE 3210). If checked, please provide company(ies) and symbol(s)
Appears in 1 contract
Samples: Account Application and Agreement