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

  • 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.

  • User Information Any user or usage data or information collected via Station’s digital properties or related to Station’s digital properties, or any information collected from websites operated by Station’s affiliates under this Agreement, shall be the property of Station and/or such affiliates. Advertiser shall have no rights in such information by virtue of this Agreement.

  • Information Access Each Party (“Disclosing Party”) shall make available to another Party (“Requesting Party”) information that is in the possession of the Disclosing Party and is necessary in order for the Requesting Party to: (i) verify the costs incurred by the Disclosing Party for which the Requesting Party is responsible under this Agreement; and (ii) carry out its obligations and responsibilities under this Agreement. The Parties shall not use such information for purposes other than those set forth in this Article 25.1 of this Agreement and to enforce their rights under this Agreement.

  • Information The Buyer and its advisors, if any, have been, and for so long as the Note remain outstanding will continue to be, furnished with all materials relating to the business, finances and operations of the Company and materials relating to the offer and sale of the Securities which have been requested by the Buyer or its advisors. The Buyer and its advisors, if any, have been, and for so long as the Note remain outstanding will continue to be, afforded the opportunity to ask questions of the Company. Notwithstanding the foregoing, the Company has not disclosed to the Buyer any material nonpublic information and will not disclose such information unless such information is disclosed to the public prior to or promptly following such disclosure to the Buyer. Neither such inquiries nor any other due diligence investigation conducted by Buyer or any of its advisors or representatives shall modify, amend or affect Buyer’s right to rely on the Company’s representations and warranties contained in Section 3 below. The Buyer understands that its investment in the Securities involves a significant degree of risk. The Buyer is not aware of any facts that may constitute a breach of any of the Company's representations and warranties made herein.

  • Identifying Information Issuer and Broker acknowledge that a portion of the identifying information set forth on Exhibit A is being requested by NCPS in connection with the USA Patriot Act, Pub.L.107-56 (the “Act”). To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who opens an account. For a non-individual person such as a business entity, a charity, a Trust, or other legal entity, we ask for documentation to verify its formation and existence as a legal entity. We may also ask to see financial statements, licenses, identification and authorization documents from individuals claiming authority to represent the entity or other relevant documentation.

  • Disclosure of Account Information to Third Parties It is our general policy to treat your account information as confidential. However, we will disclose information to third parties about your account or the transactions you make in the following situations pursuant to our Privacy Policy (as further described in Section 10 (Your Privacy) of the General Terms), in addition to the circumstances set forth in Section 20 of the General Terms (Information Authorization):

  • FUNDING INFORMATION A. Grantee must establish and maintain a separate cost center to capture costs incurred for carrying out the FY22 activities for each allocation within this Contract as provided below.

  • Supporting Information Each Franchise Fee payment shall be accompanied by a brief report prepared by a representative of Franchisee showing the basis for the computation.

  • Disclosure of Account Information We may disclose information to third parties about Your Account or transfers You make: (1) when it is necessary to complete an electronic transaction; or (2) in order to verify the existence and conditions of Your Account for a third party such as a credit bureau or merchant; or (3) in order to comply with a government agency or court order, or any legal process; or (4) if You give Us written permission.

  • Safeguarding Information Not to use or disclose any information concerning a recipient of services under this contract for any purpose not in conformity with state and federal law except upon written consent of the recipient, or the responsible parent or guardian when authorized by law.

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