PRIMARY ACCOUNT HOLDER INFORMATION Sample Clauses

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. First Name Middle Initial Last Name 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 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 PRIMARY ACCOUNT HOLDER MAY INCLUDE OWNER, MINOR, XXXX OR ENTITY. UGMA/UTMA ACCOUNT: MINOR IS THE PRIMARY ACCOUNT HOLDER; CUSTODIAN IS THE SECONDARY ACCOUNT HOLDER. IF DISREGARDED ENTITY, ENTER INFORMATION FOR THE REGARDED/ OWNER. LIST DISREGARDED ENTITY IN THE ADDITIONAL ACCOUNT HOLDER SECTION. 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. IF EMPLOYED/ SELF-EMPLOYED IS INDICATED, PLEASE COMPLETE ALL EMPLOYMENT FIELDS. IF CHECKED, OBTAIN AND ATTACH THE COMPLI...
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Related to PRIMARY ACCOUNT HOLDER INFORMATION

  • Holder Information Each Holder agrees, if requested in writing, to represent to the Company the total number of Registrable Securities held by such Holder in order for the Company to make determinations hereunder.

  • Shareholder Information Within five days after receipt of a request from the Company, the Subscriber hereby agrees to provide such information with respect to its status as a shareholder (or potential shareholder) and to execute and deliver such documents as may reasonably be necessary to comply with any and all laws and regulations to which the Company is or may become subject. Subscriber further agrees that in the event it transfers any Securities, it will require the transferee of such Securities to agree to provide such information to the Company as a condition of such transfer.

  • Stockholder Information Within five (5) days after receipt of a request from the Company, Investor hereby agrees to provide such information with respect to its status as a stockholder (or potential stockholder) and to execute and deliver such documents as may reasonably be necessary to comply with any and all laws and regulations to which the Company is or may become subject, including, without limitation, the need to determine the accredited investor status of the Company’s stockholders. Investor further agrees that in the event it transfers any Shares, it will require the transferee of such Shares to agree to provide such information to the Company as a condition of such transfer.

  • Purchaser Information Each Purchaser covenants that it will promptly notify the Company of any changes in the information set forth in the Registration Statement regarding such Purchaser or such Purchaser's "Plan of Distribution."

  • Account Reporting Information Italian residents who, at any time during the fiscal year, hold foreign financial assets (including cash and shares of Common Stock) which may generate income taxable in Italy are required to report these assets on their annual tax returns (UNICO Form, RW Schedule) for the year during which the assets are held, or on a special form if no tax return is due. These reporting obligations will also apply to Italian residents who are the beneficial owners of foreign financial assets under Italian money laundering provisions.

  • Shareholder Information Services (i) Make information available to shareholder servicing unit and other remote access units regarding trade date, share price, current holdings, yields, and dividend information.

  • Investor Information Within five (5) days after receipt of a request from the Company, Investor hereby agrees to provide such information with respect to Investor’s status as a Company shareholder and to execute and deliver such documents as may reasonably be necessary to comply with any and all laws and regulations to which the Company is, or may become, subject, including, without limitation, the need to determine the accredited investor status of the Company’s shareholders. Investor further agrees that, in the event Investor transfers any Offered Shares, Investor will require the transferee of any such Offered Shares to agree to provide such information to the Company as a condition of such transfer.

  • Member Information a. ODM, or its designee, will provide membership notices, informational materials, and instructional materials to members and eligible individuals in a manner and format that may be easily understood. At least annually, ODM or its designee will provide current MCP members with an open enrollment notice which describes the managed care program and includes information on the MCP options in the service area and other information regarding the managed care program as specified in 42 CFR 438.10.

  • Foreign Asset/Account Reporting Information Italian residents who, at any time during the fiscal year, hold foreign financial assets (including cash and Shares) which may generate income taxable in Italy are required to report these assets on their annual tax returns (UNICO Form, RW Schedule) for the year during which the assets are held, or on a special form if no tax return is due. These reporting obligations will also apply to Italian residents who are the beneficial owners of foreign financial assets under Italian money laundering provisions.

  • Foreign Assets/Account Reporting Information Italian residents who, during the fiscal year, hold investments abroad or foreign financial assets (e.g., cash, Shares and RSUs) which may generate income taxable in Italy are required to report such on their annual tax returns (UNICO Form, RW Schedule) or on a special form if no tax return is due. The same reporting obligations apply to Italian residents who, even if they do not directly hold investments abroad or foreign financial assets (e.g., cash, Shares and RSUs), are beneficial owners of the investment pursuant to Italian money laundering provisions.

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