Aug 11 2014 11:00AM HP Fax page 1 3 Bankwell —T , (INCLUDING COVER) _ fed lank Athusee Xan Cl For Review OPlease Comment () Please Reply O Please Recycle Muse tay back or dry i. Thnk ym Tu ‘The information contained in this facsimile message is intended only for the personal and confidential use of the designated recipient named above. This message is privileged and confidential. If the reader of this message is not the intended recipient Of an agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this document in error and any review, dissemination, distribution, or copying of this message is strictly prohibited Ifyou have received this communication in error, please notify me immediately by telephone at (203) 652-6322 and return the onginal Message to me by mail, Thank you "208 Elm Street, New Canaan, CT 06840 Phone (203) 972-3638 Fax (203) 966-7473 EFTA00283612

--=PAGE_BREAK=--

Aug 11 2014 11:00AM HP Fax page 2 NEW ACCOUNT INFORMATION Financial Institution Name And Address SE Bankwell | eeriwer bate 06/07/2014 Check if applicable: [] Temporary {] Replacement ACCOUNT INFORMATION AMOUNT OF DEPOSIT § 25,000.00 PLANE ACCOUNT NUMBER TITLE OF ACCOUNT ACCOUNT I. REDHAWK PARTNERS LLC DANIEL M GROFF LESLEY K GROFF OWNERSHIP TYPE LIC-T PRODUCTNANE Bankweil Business Checking Words, ourriere or ptrauns precected by | are appiientie only when rrarnd, I. (X] Creed ® Laura Torcasio BUSINESS ENTITY INFORMATION BUSINESS FILING STATE BUSINESS NAME AND ADDRESS pocuMeEN REOHAWK PARTNERS LLC tt eine tone FUNG EXPRATION DATE ESTABLISHED NATURE OF BUSINESS PRIMARY LOCATION ASSUMEC NAME iF D/BiA RESOLUTION DATE EMAIL ADORESS CONTACT Ane FACSIMILE AUTHORIZATION ON FILE ) ves [) wo CONTACT TITLe UMITED LABRITY COMPANY TAX CLASSIFICATION: CONTACT PHONE BUSINESS ENGAGES IN INTERNET GAWGLNG* [_] OTHER *Ht box is checked you must provide evidence of authority to engage in internat Garnbling. TAXPAYER IDENTIFICATION NUMBER CERTIFICATION Exempt payee coda, if any: - Under penelties of perjury, | certify that: Exemption from FATCA reporting code, if any: 1. The number shown on this form is my correct taxpayer idemtification number {or | am waiting for a number to be issued to me), ard 2. |_am not subject to backup withholding because: {a) | am exempt from backup withholding, or {b) | have not been notified by the Internal Revenue Service (IRS) that | em subject to backup withholding as a result of a failure to report all interest or dividends, or (c} the IRS has notified me that | am no longer subject to backup withholding (Notice: If you are subject to backup withhalding, cross out this line}, and 3.1 am a U.S, citizen or other U.S. person (defined in the W-8 Instructions), and 4. The FATCA code(s) enterad on this form (if any) indicating that | am exempt from FATCA reporting is correct, _ __ : _ _08/o7/2014 __ Taxpayer Identification Number: 47-1507618 SIGNATURE DANIEL M GROFF DATE Account Alternate Address: JOCEDURES FOR OPENING A NEW ACCOUNT. 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. What this means for you: When you open an account, we will ask for your name, address, to identify you. We may also ask to see your driver's license or othar identitying dooumente. ACKNOWLEDGMENT. By signing this document, the undersigned acknowledge that they have opened the type of account designated above, and have received, understand and agree to be bound by the terms of the Account Agreement for that account type. The undersigned certify that all information provided to the institution is true and accurate, If this is a consumer account, the undersigned acknowledge receipt of an Account Disclosure, and a copy of this institution's Privacy Policy. The undersigned also acknowledge receipt, where applicable, of this Institution's Funds Availability Policy and/or Electronic Fund Transter Agreement. If this account is opened in the name of the business entity, all signers are acting on behalf of the business entity. All signers authorize this institution to make inquiries from any consumer teporting agency, including a check Protection service, in connection with this account. NUMBER OF SIGNATURES REQUIRED: (D) Authorized Ssgner Onty Ts: Auth Signer read Sagres Only Tite: Auth Signe: date of birth, and othar information that will allow us im FACSIMILE ALLOWED ir 0807/2014 a ae _—____08/07/2014 DANIEL M GROFF Dow LESLEY K GROFF Date [] Autrorined Signe Ory Title: [[) Autiorized Signer Only Tie: x wees EFTA00283613