EFTA00299832.pdf

Pnnr Rccrt ,0401,11.3, Questions? Go to or call 800-544-6666. Fidelity Certification of Trust • Use this form to certify your trust to Fidelity. This form is for domestic trusts only. Do NOT use this form for foreign trusts. If your account is in the name of a foreign trust, or if you prefer not to complete this form, certify your trust by providing pages of the trust document that include the full name of the trust, trust date, name of the trustee(s), and all signatures. Do not include the entire trust document. Trustee signatures must be notarized. Type on screen or fill in using CAPITAL letters and black ink. If you need more room for information or signatures, make a copy of the relevant page. 1. Trust Information ALL fields are required unless indicated otherwise. Provide the tax reporting number for the trust. AR fields are required unless indicated otherwise. If there are more than two trustees, make copies of this page. Write "none" on each line if there are no person(s) who can AMEND or REVOKE the trust. Name of Trust BUTTERFLY TRUST Trust Account Number Dated Trust 0O rev Trust TaxpayerIDISooal Socunty Number Name of Grantor(s) JEFFREY EPSTEIN Name of Trwt c RICHARD KAHN AND ERIKA KELLERHALS Name of Go•Tnssteo Requeed debar.> a mom than ono wu co Provide the name(s) of the pcnonfshrho can AMEND the Trust REOLIIRE0 RICHARD KAHN AND ERIKA KELLERHALS Provide the name(') of the pecan's, v.ho can REvOKE the Trust REOURED RICHARD KAHN AND ERIKA KELLERHALS 2. Trustee Certification ALL Trustees must sign and date on the next page. Each Trustee must sign and have his or her signature notarized. Make copies of this page and the next as needed. By signing on the next page, you certify as Trustee that: • Every trustee (whether you are the sole trustee • You agree to indemnify us (jointly and or there is more than one) has signed below severally) from and hold us harmless for with you. and is authorized to make these statements. • The trust has not been revoked, modified, or amended in any manner that would cause the statements contained in this trust certification to be incorrect. • The trust exists under applicable state laws. • You have the authority under the trust and applicable law to enter into transactions, issue instructions on this account for, and at the risk of, the trust, and agree that all transactions and instructions will be in full compliance with the trust. any and all losses, liabilities, claims, and costs (including reasonable attorneys fees) resulting from our effecting any transaction or acting upon any instruction given by you or any authorized agent, advisor, or any third party you authorize on your account, or from your action or inaction, whether intentional or not, including losses resulting from the action or inaction of any authorized agent, advisor, or any other third party you authorize on your account You further agree that the indemnifications in this bullet are in addition to, and do not limit, any rights that Fidelity may have under any other agreement • We may verify all information provided in connection with this form and account, and may obtain credit or other financial responsibility reports with respect to the trust, the trustees, and any authorized individuals; and you have the express consent of all individuals who may be the subject of these reports. If requested in writing, we will provide the name and address of the credit reporting agency used. • You will inform us in writing of any changes to these certifications (such as a change of trustees). Trustee Certification continues on next page. 1 . 900844 .107 Page 1 of 2 022770701 ■ EFTA00299832 2. Trustee Certification, continued • PRINT TRUSTEE NAME TRUSTEE SIGNATURE DATE MM/DO/TYYT PRINT TRUSTEE NAME TRUSTEE SIGNATURE DATE W. /DOPIYVY Important Note: CA Notaries are permitted to submit a separate page notary document. If used, it must identify the document being notarized. Notice to CA Residents: A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. Certificate of Acknowledgement of Notary Public Must be a U.S. Notary. Foreign notary or consular seals may NOT be substituted. State of in the County of subscribed and swom to before me by the above-named trustee who is personally known to me or who has produced as identification, that the foregoing statements were true and accurate and made of his/her own free act and deed, on I PRINT NOTARY NAME INOTARY SIGNATURE DATE MM/DDMYYY "Or NOTARY SEAL / STAMP "Ily My commission expires Certificate of Acknowledgement of Notary Public Must be a U.S. Notary. Foreign notary or consular seals may NOT be substituted. State of in the County of subscribed and sworn to before me by the above-named trustee who is personally known to me or who has produced as identification, that the foregoing statements were true and accurate and made of his/her own free act and deed, on PRINT NOTARY NAME NOTARY SIGNATURE DATE MM/D0MYYY "Or NOTARY SEAL / STAMP "Iir My commission expires Did you sign the form and attach any necessary documents? Send the ENTIRE form and any attachments to Fidelity Investments. Questions? Go to or call 800-544-6666. Use the postage-paid envelope, drop off at a Fidelity Investor Center, OR deliver to: Regular mail Fidelity Investments M. Box 770001 Cincinnati, OH 45277-0039 Overnight mail Fidelity Investments Account Reregistration Services 100 Crosby Parkway KC1C Covington, KY 41015 On this form, "Fidelity" means Fidelity Brokerage Services LLC and its affiliates. Brokerage services are provided by Fidelity Brokerage Services LLC, Member NYSE, SIPC. 532335.7.0 (11/16) L 1.900844.107 Page 2 of 2 022770702 • EFTA00299833