Common use of Primary Account Holder Clause in Contracts

Primary Account Holder. Minor (if Uniform Gift / Transfer to Minors Account) / Trustee / Authorized Signatory Name (first, middle, last) Social Security Number Date of Birth (mm/dd/yyyy) Legal Street Address City State Zip Mailing Street Address City State Zip Email Address Phone Number Please indicate if you are a: ☐ U.S. Citizen ☐ Resident Alien ☐ Non-Resident Alien Country of Citizenship if non-U.S. Citizen (A completed applicable Form W-8 is required for subscription) Please specify if you are a Fidelity employee/officer/director/trustee/affiliate (required): ☐ Fidelity Employee ☐ Fidelity or Fidelity Fund Officer or Directors/Trustees ☐ Immediate Family Member of Fidelity Officer or Directors/Trustees ☐ Fidelity Affiliate ☐ Not Applicable

Primary Account Holder. Minor (if Uniform Gift / Transfer to Minors Account) / Trustee / Authorized Signatory Name (first, middle, last) Social Security Number Date of Birth (mm/dd/yyyy) Legal Street Address City State Zip Mailing Street Address City State Zip Email Address Phone Number Please indicate if you are a: ☐ U.S. Citizen ☐ Resident Alien ☐ Non-Resident Alien Country of Citizenship if non-U.S. Citizen (A completed applicable Form W-8 is required for subscription) Please specify if you are a Fidelity employee/officer/director/trustee/affiliate (required): ☐ Fidelity Employee Officer or Director/Trustee1 ☐ Fidelity or Employee2 ☐ Fidelity Fund Officer or DirectorsDirector/Trustees Trustee3 ☐ Immediate Family Member of Fidelity Officer or DirectorsDirector/Trustees Trustee ☐ Fidelity Affiliate ☐ Private Fund4 ☐ Not Applicable