Substitute Form W. 9: Taxpayer Identification Number certification and backup withholding statement. PRIVACY ACT STATEMENT: Section 6109 of the Internal Revenue Code requires you (Issuer) to provide us with your correct Taxpayer Identification Number (TIN). Name of Business: To The Stars Academy of Arts and Science Inc. Tax Identification Number: 80-0000000 Under penalty of perjury, by signing this Agreement below I certify that: 1) the number shown above is our correct business taxpayer identification number; 2) our business is not subject to backup withholding unless we have informed Prime Trust in writing to the contrary; and 3) our Company is a U.S. domiciled business. Consent is Hereby Given: By signing this Agreement electronically, Issuer explicitly agrees to receive documents electronically including its copy of this signed Agreement and the Business Custodial Agreement as well as ongoing disclosures, communications, and notices. Agreed as of the date set forth above by and between: To The Stars Academy of Arts and Science Inc. By: __________________ Name:______ Lxxx Xxxxxxxx Title:_______ Officer Prime Trust, LLC By:____________________ Name:__________________ Title:___________________ Exhibit A Fees and Costs July 24, 2017 Summary of Fiduciary & Administrative Fees Trust (fiduciary) Set-Up Annual College $0 $0* Personal Savings $0 $0* Family $1,500 $795 Dynasty $3,500 $795 Life Insurance $1,250 $795 plus $100 per policy Other, Specialized Varies Custodial & Retirement Set-Up Annual Self-Directed IXX $0 $395 Prime Managed IXX $0 $0 Custody, Self-Directed (cash & securities) $0 $195 Fiduciary Services & Administration Assessed Fees Funds Processing - Wire $15 domestic/ $35 international - Check $10 - ACH/eCheck $0.50 - Credit Card 3% - Debit Card 1% - Returned payment fee $35 Review & Process Disbursement Requests $35 Real Estate Deposit or Purchase/Sale & Title Update $400 plus costs Real Estate Management Fee $295/yr per property Business Interest Deposit & Title Update $250 Legal as incurred Staff Costs - Trust Officer $150/hr - Sr Trust Officer $350/hr - Chief Trust Officer $750/hr - Accounting $100/hr - Administration Asst $85/hr Co-Trustee, Protector, or Investment Committee 35bps Trust Termination $495 Tax Returns for NING Trusts or Other Trusts $600 Self-Directed Asset Purchase- DTC Eligible $35 Self-Directed Asset Purchase- Private, non-DTC Eligible $65 plus costs * Fee is $0 provided the only asset deposited & managed is cash. For trusts with non-cash deposited assets such as real estate or business interests the annual fee is $795. July 26, 2017 Summary of Fiduciary & Administrative Fees Crowd-Direct Escrow Reg CF 506b/c Reg A Intrastate EB-5 Escrow Setup (one-time fee) $500 $500 $500 $500 $1500 Escrow Bank Account Fee $25 /mo $25 /mo $25 /mo $25 /mo $0 (no fee) Accounting Fee 1 $0 (no fee) $5 $5 $5 $0 (no fee) Funds Processing - ACH / BACS $1 $1 $1 $1 n/a - Credit Cards $0 (no fee) $0 (no fee) $0 (no fee) $0 (no fee) n/a - Check $10 $10 $10 $10 $10 - Wire (US / lnt'l) $15 / $35 $15 / $35 $15 / $35 $15 / $35 $15 / $35 - ACH Exceptions $5 $5 $5 $5 n/a Issuer Reconciliation & Cash Management Part of issuer custody 100bps, $4,000 max Bank Surcharges May apply for check returns, NSF's, etc (fees vary) Specialized Services Quoted as requested Brokers & Portals Tri-party escrow agreements $0 (no additional fees) $0 $0 $0 $0 Legal Fees Reimburse our attorneys' costs if/when redline drafts are requested
Appears in 2 contracts
Samples: Escrow Services Agreement (To the Stars Academy of Arts & Science Inc.), Escrow Services Agreement (To the Stars Academy of Arts & Science Inc.)
Substitute Form W. 9: Taxpayer Identification Number certification and backup withholding statement. PRIVACY ACT STATEMENT: Section 6109 of the Internal Revenue Code requires you (Issuer) to provide us with your correct Taxpayer Identification Number (TIN). Name of Business: To The Stars Academy of Arts and Science Inc. XY - the Findables Company Tax Identification Number: 80-0000000 [ ] Under penalty of perjury, by signing this Agreement below I certify that: 1) the number shown above is our correct business taxpayer identification number; 2) our business is not subject to backup withholding unless we have informed Prime Provident Trust in writing to the contrary; and 3) our Company is a U.S. domiciled business. Consent is Hereby Given: By signing this Agreement electronically, Issuer explicitly agrees to receive documents electronically including its copy of this signed Agreement and the Business Custodial Agreement as well as ongoing disclosures, communications, and notices. Agreed as of the date set forth above by and between: To The Stars Academy of Arts and Science Inc. XY - the Findables Company By: __________________ /s/ Xxxxxx Xxxxxxxx Name:______ Lxxx : Xxxxxx Xxxxxxxx Title:_______ Officer Prime Trust: Controller Provident Trust Group, LLC By:____________________ : /s/ Xxxxxxx Xxxxxx Name:__________________ : Xxxxxxx Xxxxxx Title:___________________ Exhibit : Controller EXHIBIT A Fees and Costs July 24, 2017 Summary of Fiduciary & Escrow Agent’s Administrative Fees Trust shall be calculated on the following schedule. Fee Description: Cost: Cash Management/Escrow Servicing Fee (fiduciaryon total amount of funds remitted from Escrow Account) 25 basis points Master Fund Escrow Account Set-Up Annual College $0 $0* Personal Savings $0 $0* Family $1,500 $795 Dynasty $3,500 $795 Life Insurance $1,250 $795 plus $100 per policy Other, Specialized Varies Custodial & Retirement Set-Up Annual Self-Directed IXX $0 $395 Prime Managed IXX $0 $0 Custody, Self-Directed (cash & securities) $0 $195 Fiduciary Services & Administration Assessed Fees Funds Processing - Wire $15 domestic/ $35 international - Check $10 - ACH/eCheck $0.50 - Credit Card 3% - Debit Card 1% - Returned payment fee $35 Review & Process Disbursement Requests $35 Real Estate Deposit or Purchase/Sale & Title Update $400 plus costs Real Estate Management Fee $295/yr per property Business Interest Deposit & Title Update $250 Legal as incurred Staff Costs - Trust Officer $150/hr - Sr Trust Officer $350/hr - Chief Trust Officer $750/hr - Accounting $100/hr - Administration Asst $85/hr Co-Trustee, Protector, or Investment Committee 35bps Trust Termination $495 Tax Returns for NING Trusts or Other Trusts $600 Self-Directed Asset Purchase- DTC Eligible $35 Self-Directed Asset Purchase- Private, non-DTC Eligible $65 plus costs * Fee is $0 provided the only asset deposited & managed is cash. For trusts with non-cash deposited assets such as real estate or business interests the annual fee is $795. July 26, 2017 Summary of Fiduciary & Administrative Fees Crowd-Direct 500.00 Monthly Escrow Reg CF 506b/c Reg A Intrastate EB-5 Escrow Setup (one-time fee) $500 $500 $500 $500 $1500 Escrow Bank Account Fee $25 /mo $25 /mo $25 /mo $25 /mo $0 (no fee) 25.00 Accounting Fee 1 $0 Per Investor (no feeupon receipt of funds) $5 5.00 Inbound and Outbound Fund Transfer Fees: ACH Transfer Check Fee Domestic Wire Transfer International Wire Transfer $ .50 $5 10.00 $5 15.00 $0 50.00 AML Review Fee Per Investor: Domestic International (no fee) Funds Processing - ACH / BACS $1 $1 $1 $1 n/a - Credit Cards $0 (no feedepending on domicile) $0 2.00 $5.00-60.00 AML and Fund Transfer Exception Processing Fee $20.00 Misc. Administrative Services (no feenot under contract, but which Escrow Agent has agreed to perform) $0 (no fee) $0 (no fee) n/a - Check $10 $10 $10 $10 $10 - Wire (US / lnt'l) $15 / $35 $15 / $35 $15 / $35 $15 / $35 $15 / $35 - ACH Exceptions $5 $5 $5 $5 n/a Issuer Reconciliation & Cash Management Part of issuer custody 100bps, $4,000 max Bank Surcharges May apply for check returns, NSF's, etc (fees vary) Specialized Services Quoted as requested Brokers & Portals Tri-party escrow agreements $0 (no additional fees) $0 $0 $0 $0 Legal Fees Reimburse our attorneys' costs if/when redline drafts are requested100.00 per hour
Appears in 1 contract
Substitute Form W. 9: Taxpayer Identification Number certification and backup withholding statement. PRIVACY ACT STATEMENT: Section 6109 of the Internal Revenue Code requires you (Issuer) to provide us with your correct Taxpayer Identification Number (TIN). Name of Business: To The Stars Academy of Arts and Science ManeGain Inc. Tax Identification Number: 80-0000000 [ ] Under penalty of perjury, by signing this Agreement below I certify that: 1) the number shown above is our correct business taxpayer identification number; 2) our business is not subject to backup withholding unless we have informed Prime Provident Trust in writing to the contrary; and 3) our Company is a U.S. domiciled business. Consent is Hereby Given: By signing this Agreement electronically, Issuer explicitly agrees to receive documents electronically including its copy of this signed Agreement and the Business Custodial Agreement as well as ongoing disclosures, communications, and notices. Agreed as of the date set forth above by and between: To The Stars Academy of Arts and Science Inc. MANEGAIN INC. By: __________________ Name:______ Lxxx Xxxxxxxx : Title:_______ Officer Prime Trust, LLC : PROVIDENT TRUST GROUP INC. By:____________________ : Name:__________________ : Title:___________________ Exhibit : EXHIBIT A Fees and Costs July 24, 2017 Summary of Fiduciary & Escrow Agent’s Administrative Fees Trust shall be calculated on the following schedule. Fee Description: Cost: Cash Management/Escrow Servicing Fee (fiduciaryon total amount of funds remitted from Escrow Account) 25 basis points Master Fund Escrow Account Set-Up Annual College $0 $0* Personal Savings $0 $0* Family $1,500 $795 Dynasty $3,500 $795 Life Insurance $1,250 $795 plus $100 per policy Other, Specialized Varies Custodial & Retirement Set-Up Annual Self-Directed IXX $0 $395 Prime Managed IXX $0 $0 Custody, Self-Directed (cash & securities) $0 $195 Fiduciary Services & Administration Assessed Fees Funds Processing - Wire $15 domestic/ $35 international - Check $10 - ACH/eCheck $0.50 - Credit Card 3% - Debit Card 1% - Returned payment fee $35 Review & Process Disbursement Requests $35 Real Estate Deposit or Purchase/Sale & Title Update $400 plus costs Real Estate Management Fee $295/yr per property Business Interest Deposit & Title Update $250 Legal as incurred Staff Costs - Trust Officer $150/hr - Sr Trust Officer $350/hr - Chief Trust Officer $750/hr - Accounting $100/hr - Administration Asst $85/hr Co-Trustee, Protector, or Investment Committee 35bps Trust Termination $495 Tax Returns for NING Trusts or Other Trusts $600 Self-Directed Asset Purchase- DTC Eligible $35 Self-Directed Asset Purchase- Private, non-DTC Eligible $65 plus costs * Fee is $0 provided the only asset deposited & managed is cash. For trusts with non-cash deposited assets such as real estate or business interests the annual fee is $795. July 26, 2017 Summary of Fiduciary & Administrative Fees Crowd-Direct $ 500.00 Monthly Escrow Reg CF 506b/c Reg A Intrastate EB-5 Escrow Setup (one-time fee) $500 $500 $500 $500 $1500 Escrow Bank Account Fee $25 /mo $25 /mo $25 /mo $25 /mo $0 (no fee) $ 25.00 Accounting Fee 1 $0 Per Investor (no feeupon receipt of funds) $5 $5 $5 $0 (no fee) Funds Processing - $ 5.00 Inbound and Outbound Fund Transfer Fees: ACH / BACS $1 $1 $1 $1 n/a - Credit Cards $0 (no fee) $0 (no fee) $0 (no fee) $0 (no fee) n/a - Transfer $ .50 Check $10 $10 $10 $10 $10 - Fee $ 10.00 Domestic Wire (US / lnt'l) $15 / $35 $15 / $35 $15 / $35 $15 / $35 $15 / $35 - ACH Exceptions $5 $5 $5 $5 n/a Issuer Reconciliation & Cash Management Part of issuer custody 100bps, $4,000 max Transfer $ 15.00 International Wire Transfer $ 35.00 Bank Surcharges May apply for (check returns, NSF's’s, etc etc) Variable Misc. Administrative Services (fees varynot under contract, but which Escrow Agent has agreed to perform) Specialized Services Quoted as requested Brokers & Portals Tri-party escrow agreements $0 (no additional fees) $0 $0 $0 $0 Legal Fees Reimburse our attorneys' costs if/when redline drafts are requested$ 100.00 per hour
Appears in 1 contract
Substitute Form W. 9: Taxpayer Identification Number certification and backup withholding statement. PRIVACY ACT STATEMENT: Section 6109 of the Internal Revenue Code requires you (Issuer) to provide us with your correct Taxpayer Identification Number (TIN). Name of Business: To The Stars Academy of Arts and Science StartEngine Crowdfunding, Inc. Tax Identification Number: 8040-0000000 Under penalty of perjury, by signing this Agreement below I certify that: 1) the number shown above is our correct business taxpayer identification number; 2) our business is not subject to backup withholding unless we have informed Prime Trust in writing to the contrary; and 3) our Company is a U.S. domiciled business. Consent is Hereby Given: By signing this Agreement electronically, Issuer explicitly agrees to receive documents electronically including its copy of this signed Agreement and the Business Custodial Agreement as well as ongoing disclosures, communications, and notices. Agreed as of the date set forth above by and between: To The Stars Academy of Arts and Science StartEngine Crowdfunding, Inc. By: __________________ Name:______ Lxxx Xxxxxxxx : Title:_______ Officer : Prime Trust, LLC By:____________________ : Name:__________________ : Title:___________________ Exhibit A Fees and Costs July 24, 2017 : Summary of Fiduciary & and Administrative Fees Trust (fiduciary) Set-Up Annual College $0 $0for Standard Offerings ** Personal Savings $0 $0CONFIDENTIAL | Exclusive for SxxxxXxxxxx.xxx’s Regulation A Offering of its Own Securities ** Family $1,500 $795 Dynasty $3,500 $795 Life Insurance $1,250 $795 plus $100 per policy Other, Specialized Varies Custodial & Retirement Set-Up Annual Self-Directed IXX $0 $395 Prime Managed IXX $0 $0 Custody, Self-Directed (cash & securities) $0 $195 Fiduciary Services & Administration Assessed Fees Funds Processing - Wire $15 domestic/ $35 international - Check $10 - ACH/eCheck $0.50 - Credit Card 3% - Debit Card 1% - Returned payment fee $35 Review & Process Disbursement Requests $35 Real Estate Deposit or Purchase/Sale & Title Update $400 plus costs Real Estate Management Fee $295/yr per property Business Interest Deposit & Title Update $250 Legal as incurred Staff Costs - Trust Officer $150/hr - Sr Trust Officer $350/hr - Chief Trust Officer $750/hr - Accounting $100/hr - Administration Asst $85/hr Co-Trustee, Protector, or Investment Committee 35bps Trust Termination $495 Tax Returns for NING Trusts or Other Trusts $600 Self-Directed Asset Purchase- DTC Eligible $35 Self-Directed Asset Purchase- Private, non-DTC Eligible $65 plus costs * Fee is $0 provided the only asset deposited & managed is cash. For trusts with non-cash deposited assets such as real estate or business interests the annual fee is $795. July 26, 2017 Summary of Fiduciary & Administrative Fees Crowd-Direct Escrow Reg CF 506b/c Reg A Intrastate EB-5 Escrow Setup (one-time feeper offering) $500 $500 $500 $500 $1500 350$250 Escrow Bank Account Fee $25 /mo 25/mo Accounting fee1 $25 /mo $25 /mo $25 /mo $0 (no fee) Accounting Fee 1 $0 (no fee) $5 $5 $5 $0 (no fee) 3 Funds Processing - Fees: ACH / BACS BACs $1 $1 $1 $1 n/a - Credit Cards $0 (no fee) $0 (no fee) $0 (no fee) $0 (no fee) n/a - Check Checks $10 $10 $10 $10 $10 - Wire Wires (US / lnt'lInt’l) $15 / $35 $15 / $35 $15 / $35 $15 / $35 $15 / $35 - ACH Exceptions $5 $5 $5 $5 n/a 7 Issuer Reconciliation & Cash Management - Part of issuer custody - 100bps, $4,000 4,000$2,000 max Bank Surcharges - May apply for check returns, NSF's’s, etc (fees vary) - Fees Vary Specialized Services - Quoted as requested Brokers & Portals - Tri-party escrow agreements - $0 (no additional fees) $0 $0 $0 $0 Legal Fees - Reimburse our attorneys' ’ costs if/when redline drafts are requestedrequested 1 One-time fee per investment transaction to manually post funds received. Bad Actor Checks2 Reg A US Individual $65 US Entity $65 Int’l Individual $150 Int’l Entity $240 AML / BSA (optional)3 Reg A US Individual $2 US Entity $5 CA/UK Individual $5 CA/UK Entity $75 Int’l Individual $60 Int’l Entity $75
Appears in 1 contract
Samples: Escrow Services Agreement (Startengine Crowdfunding, Inc.)
Substitute Form W. 9: Taxpayer Identification Number certification and backup withholding statement. PRIVACY ACT STATEMENT: Section 6109 of the Internal Revenue Code requires you (Issuer) to provide us with your correct Taxpayer Identification Number (TIN). Name of Business: To The Stars Academy of Arts and Science Med-X Inc. Tax Identification Number: 80-0000000 000000000 Under penalty of perjury, by signing this Agreement below I certify that: 1) the number shown above is our correct business taxpayer identification number; 2) our business is not subject to backup withholding unless we have informed Prime Trust Escrow Agent in writing to the contrary; and 3) our Company is a U.S. domiciled business. Consent is Hereby Given: By signing this Agreement electronically, Issuer explicitly agrees to receive documents electronically including its copy of this signed Agreement and the Business Enhanced Services Custodial Agreement as well as ongoing disclosures, communications, and notices. Agreed as of the date set forth above by and between: To The Stars Academy of Arts and Science Inc. By: Med-X Inc., as Issuer By __________________ Name:______ Lxxx Xxxxxxxx Title:_______ Officer Prime Trust, LLC By:____________________ Name:Name __________________ Title:___________________ Exhibit Title ______________________________ Prime Trust By ______________________________ Name ______________________________ Title ______________________________ NMS Capital Advisors, LLC as Broker By ______________________________ Name ______________________________ Title ______________________________ Schedule A Fees and Costs July 24, 2017 ** CONFIDENTIAL | Exclusive for XxxxxXxxxxx.xxx ** Summary of Fiduciary & and Administrative Fees Trust (fiduciary) Set-Up Annual College $0 $0* Personal Savings $0 $0* Family $1,500 $795 Dynasty $3,500 $795 Life Insurance $1,250 $795 plus $100 per policy Other, Specialized Varies Custodial & Retirement Set-Up Annual Self-Directed IXX $0 $395 Prime Managed IXX $0 $0 Custody, Self-Directed (cash & securities) $0 $195 Fiduciary Services & Administration Assessed Fees Funds Processing - Wire $15 domestic/ $35 international - Check $10 - ACH/eCheck $0.50 - Credit Card 3% - Debit Card 1% - Returned payment fee $35 Review & Process Disbursement Requests $35 Real Estate Deposit or Purchase/Sale & Title Update $400 plus costs Real Estate Management Fee $295/yr per property Business Interest Deposit & Title Update $250 Legal as incurred Staff Costs - Trust Officer $150/hr - Sr Trust Officer $350/hr - Chief Trust Officer $750/hr - Accounting $100/hr - Administration Asst $85/hr Co-Trustee, Protector, or Investment Committee 35bps Trust Termination $495 Tax Returns for NING Trusts or Other Trusts $600 Self-Directed Asset Purchase- DTC Eligible $35 Self-Directed Asset Purchase- Private, non-DTC Eligible $65 plus costs * Fee is $0 provided the only asset deposited & managed is cash. For trusts with non-cash deposited assets such as real estate or business interests the annual fee is $795. July 26, 2017 Summary of Fiduciary & Administrative Fees Standard Offerings† Crowd-Direct Escrow Reg CF 506b/c Reg 506(b)and 506(c) Reg A Intrastate EB-5 Escrow Setup (one-time feeper offering) $500 200 $500 350 $500 350 Escrow bank account maintenance fee $500 $1500 Escrow Bank Account Fee $25 /mo $25 /mo $25 /mo $25 /mo 25/mo Accounting fee1 $0 (no fee) Accounting Fee 1 $0 (no fee) $5 $5 $5 $0 (no fee) 3.00 Funds Processing - Fees ACH / BACS BACs $1 $1 $1 $1 n/a - 1.00 Credit Cards $0 Cards2 (no feewhere StartEngine is the merchant) $0 (no fee) $0 (no fee) $0 (no fee) n/a - Check Checks3 $10 $10 $10 $10 $10 - Wire Wires (US / lnt'lInt’l) $15 / $35 $15 / $35 $15 / $35 $15 / $35 $15 / $35 - ACH Exceptions $5 $5 $5 $5 n/a 7 Issuer Reconciliation & Cash Management Part of issuer custody 100bps, 50 bps ($4,000 max 4k max) 100 bps ($4k max) Bank Surcharges May apply for (check returns, NSF's’s, etc (fees varyetc) Fees Vary Specialized Services Quoted as requested Brokers & Portals Tri(tri-party escrow agreements $0 (no additional feesagreements) $0 $0 $0 $0 Legal Fees Reimburse our attorneys' ’ costs if/when redline drafts are requestedrequested 1 One-time fee per investment transaction to manually post funds received. 2 ACH transfer fees may apply if sweeps are required from a master account to offering-specific escrow accounts. 3 Checks must be denominated in US dollars. Non-USD checks will not be accepted. Bad Actor Checks4 Reg CF Reg 506(b) and 506(c) Reg A US Individual $65 US Entity $65 Int’l Individual $150 Int’l Entity $240 4 Note: Bad Actor Checks (“BACs”) are one-time fees per issuer “covered person” per SEC Regulations. If provided by an attorney or broker-dealer, we will assess one US Entity BAC fee for administrative services. If provided by Prime Trust, BACs will be completed within two business days of receipt of all required data for each covered person. The results of BACs will be delivered to XxxxxXxxxxx.xxx on an individual basis. BACs older than 90 days are considered stale and must be re-conducted. AML / BSA (optional)5 Reg CF Reg 506(b) and 506(c) Reg A US Individual6 $2 US Entity6 $5 CA/UK Individual6 $5 CA/UK Entity $75 Int’l Individual $60 Int’l Entity $75 5 (Optional) Provides identity verification and other PATRIOT Act compliant BSA checks. This also includes automated exception-handling email notifications to investors, but does not include manual processing by our staff. 6When our 3rd party identification services are unable to verify an investor’s identity, an AML Exception is created, which requires manual intervention and enhanced due diligence. AML Exceptions incur an $8 fee for each instance. † Offerings for Issuers whose business is substantially related to cannabis, firearms, adult entertainment, or gambling may be considered Enhanced Offerings, the determination of which is made exclusively by the Prime Trust Compliance Department. Enhanced Offerings are subject to additional bank scrutiny and therefore require deeper screening and incur additional fees relative to the Standard Offering fees identified above. A summary of considerations for Enhanced Offerings is here: · AML for all investors is required and must be conducted by Prime Trust; · All BACs are required to be conducted by Prime Trust every 90 days while the offering is ongoing and will be billed at twice the Standard Offering BAC rates; · Issuer Reconciliation & Cash Management Fees will be assessed at four times the Standard Offering bps rate, subject to four times the Standard Offering cap, if any exists. ** CONFIDENTIAL | Exclusive for XxxxxXxxxxx.xxx ** Summary of Technology Fees for Standard Offerings Technology Reg CF Reg 506(b) and 506(c) Reg A API License Fee (per offering) $0/mo $300/mo Transaction Fee (per completed investment) $0 $15 eSign Subscription Agreements $0.60 Investor Accreditation n/a $50 n/a Investor & Cap Table Mgmt Toolkit Disabled Disabled Disabled As the Med-X Reg A offering is considered enhanced here are the fees that are updated from the above schedule: Issuer Reconciliation & Cash Management 400 bps ($16k max) Bad Actor Checks Enhanced US Individual $130 US Entity $130 Int’l Individual $300 Int’l Entity $480
Appears in 1 contract
