Association Or Non-Corporate Organization Account Certification Form

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ASSOCIATION OR NON-CORPORATE ORGANIZATION
ACCOUNT CERTIFICATION
RESOLUTION
I
, hereby certify that I am duly elected, qualified and
(Non-Trading Representative)
acting
of
(Title)
(Association/Organization)
located at
(Street)
(City)
in the State of
I further certify that the following is a true and exact copy of a
.
resolution duly adopted by the:
Board of Directors
Board of Trustees
Other Governing Body:
,
of the above-named Association/Organization at a meeting duly held on the
day of
,
at which a quorum was present and voting throughout, and that same has not been repealed or amended, and remains in full force and
effect and does not conflict with the by-laws or rules of the above named Association/Organization.
X
Signature of Non-Trading Representative
Date
CERTIFICATE OF AUTHORITY
Be it Resolved: That any of the following person(s) listed below are authorized to enter into an Account Agreement and open a
Brokerage Account in the name of the above named organization with Scottrade, Inc. This authority includes the authority to buy and sell
securities and enter instructions for such transactions in the account; to assign and endorse for transfer certificates representing stock,
bonds or other securities at any time registered in the name of the Association/Organization; to withdraw any and all monies,securities or
other property in said account; and to give any other necessary or appropriate instructions with respect to said account.
That
agrees that Scottrade, Inc. be indemnified and held harmless for any
(Association/Organization)
loss, damage, cost or claim that may arise from any authorized or unauthorized use of the assets of the Association/Organization in
connection with holdings in the said account.
All Trading Representatives Must Sign Below
Print Name
Title
Social Security Number
X
Signature
Date
Print Name
Title
Social Security Number
X
Date
Signature
Print Name
Title
Social Security Number
X
Signature
Date
Print Name
Title
Social Security Number
X
Signature
Date
*SF1020*
SF1020/7-14

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