Durable Power Of Attorney - New York (Page 10 of 10) in pdf

8. Account Owner Signature and date, continued

favor of Fidelity, its successors (by merger,

Accounts with multiple Attorneys-in-Fact

consolidation, or otherwise) and assigns.

• Authorize each Attorney-in-Fact to act

margin or options customers

alone (severally) and without the consent of

any other Attorney-in-Fact, with respect to

• Acknowledge that the Attorney-in-Fact may

each power granted in this form.

open new option positions or close existing

positions, and exercise options contracts or

• Notwithstanding the previous bullet,

sell options contracts as either a covered or

acknowledge that Fidelity may freeze all

uncovered writer if the account is approved

activity on your account(s) if Fidelity receives

to trade options; however, if the Attorney-

conflicting or inconsistent instructions

in-Fact engages in either margin or option

from your Attorneys-in-Fact, and that your

transactions, you recognize the inherent

accounts will remain frozen until the conflict

risks involved and are fully prepared finan-

is resolved by either a) written instructions

cially to undertake such risks.

from you, b) joint written instructions from

all Attorneys-in-Fact, or c) a court order

instructing Fidelity how to proceed.

This durable POA shall be governed by New York law, except with respect to its conflict

of laws provisions.

You acknowledge that the account(s) and this durable POA are governed by a pre-

dispute arbitration clause, which appears on the last page of the Fidelity Customer

Agreement, and that you have read the predispute arbitration clause.

Owner Signature

Date

mm dd yyyy

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

, subscribed and sworn to before me by the above-named Account

owner who is personally known to me or who has produced

identification, that the foregoing statements were true and accurate and made of his/her

own free act and deed, on

NOTARY SEAL / STAMP

Print Notary Name

Notary Signature

Date

mm dd yyyy

My commission expires

Use postage-paid envelope, drop off at a Fidelity

Investor Center, OR deliver to:

Did you sign the form and attach any necessary documents?

Regular mail

Overnight mail

Send the ENTIRE form and any attachments to Fidelity Investments.

Fidelity Investments

Questions?

Go to or call 1-800-544-6666.

PO Box 770001

100 Crosby Parkway KC1K

Cincinnati, OH 45277-0002

Covington, KY 41015

Brokerage services are provided by Fidelity Brokerage Services LLC, member NySE, SIPC.

National Financial Services LLC. 596097.2.0 (05/12)

1.933269.101

027750110

Page 10 of 10

Durable Power Of Attorney - New York Page 10

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