Certification of Trust Form - LPL Financial

Certification of TrustTCInstructions: Submit this form along with the title page, signature page, and powers pages of the trust when establishing a trust account with LPL Financial(LPL). In some cases, it may be necessary to provide a full copy of the plan or trust document to facilitate a transfer of securities. All trustees must sign in SectionVI. Mail the completed form to LPL Financial, Attn: Trade Direct, P.O. Box 509049 San Diego, CA 92150-9049 or fax to (858) 202-8500.Account Information1.RegistrationAccount NumberAccount RegistrationNew Trust Account (Complete Sections I, II, V [if applicable], VI, and VII)Existing Trust Account Update (Select one of the below options)Trust Title Update (Complete sections III, VI, and VII)Trustee Update (Complete sections II, IV, VI, and VII)Section I: Trust Information1.Trust Information and DatesProvide the complete Title of the Trust to which this Certification applies:This Trust is: Revocable IrrevocableThis Trust was established by:Agreement, DatedWill, Date of DeathDate on which this Trust was last amended (if applicable)Date on which this Trust was re-written (if applicable)2.For Non-Qualified Trusts, complete the following:Grantor/DecedentGrantorGrantorGrantorEmployer NameIf this is a participant directed Self Sponsored Qualified Plan, please providethe name of the participant (FBO):Section II: Trustee Information1.Current Trustee(s) (Do not include successor trustee(s)):1. 2.3. 4.If the Trust provides for less than the unanimous consent among the Trustee(s) to establish an account with respect to Trust assets, pleaseindicate the minimum number of consenting Trustee(s) required to sign any document to bind the Trust.If left blank, all current trustee(s) must signMinimum number of Trustee(s) required to sign any documents on behalf of trust:all documents.Member FINRA/SIPCF29-CTD-0214Page 1 of 3

LPL Account NumberTCSection III: Trust Title Update1.Changing Trust Title / Plan NameChanging Trust Title/Plan Name Due to:New Trust Title/Plan Name:Amendment (Include copy of amendment)Court Order (Include copy of courtorder)Plan Minute Notes (Include copy of signed Planminute notes)Converting from Revocable to Irrevocable (Include copyof Trust amendment or other legal document to convertto irrevocable under the provisions of the Trust)Section IV: Trustee Update1.Trustee UdpateRemove a co-trustee without replacement due to:Death(Include copy of death certificate and instructions to remove trustee)Resignation(Include copy of resignation letter(s) or Plan meeting notes and instructions to remove trustee)Removal(Include copy of Trust amendments or Plan meeting notes and instructions to remove trustee)Incapacitation(Include copy of letter(s) of medical opinion or court order and instructions to remove trustee)Replace a trustee/co-trustee due to death(Include copy of death certificate and updated New Account Form/Confidential Client Profile)Replace a trustee/co-trustee due to resignation(Include copy of resignation letter(s) or Plan meeting notes and updated New Account Form/Confidential Client Profile)Replace a trustee/co-trustee due to incapacitation(Include copy of letter(s) of medical opinion or court order and updated New Account Form/Confidential Client Profile)Replace a trustee/co-trustee due to other circumstances(Include copy of updated New Account Form/Confidential Client Profile)Explanation (Provide copy of the supporting documentation):Section V: Beneficial Owner Information (Optional)1. Beneficial Owner InformationProvide the names of all beneficial owners of the Trust (if applicable).Beneficial OwnerDate of BirthBeneficial OwnerDate of BirthBeneficial OwnerDate of BirthBeneficial OwnerDate of BirthMember FINRA/SIPCF29-CTD-0214Page 2 of 3

LPL Account NumberTCSection VI: Certification1.Certification and Trustee SignaturesTo: LPL Financial LLC, 4707 Executive Drive, San Diego, CA 92121I/We, the Trustee(s), acknowledge that I/we have received and reviewed thoroughly all account documentation, agreements and riskdisclosure forms.I/We, the Trustee(s), hereby certify that I/we have the power under the Trust and applicable law to (1) open all types of accounts, (2) invest,reinvest and enter into transactions, both purchases and sales, in all types of securities unless noted below, and (3) appoint LPL FinancialLLC as Investment Adviser, pay the adviser reasonable compensation and give such adviser discretionary powers to invest Trustassets as agreed to in writing.Specify the types of securities not permitted in this Trust:I/We, the Trustee(s), jointly and severally agree to indemnify and hold harmless LPL Financial LLC, its agents and employees fromany liability that may result from relying on this Certification when opening accounts or effecting transactions of the type specified above,pursuant to instructions given by any of the Trustee(s) listed in Section II. This indemnification shall survive termination of the Trust or of the account(s).I/We, the Trustee(s), agree at all times to retain the sole power to vote any corporate stock by proxy, to execute general or unrestricted proxies as to oneor more nominees, and to exercise any options or rights issued in connection with bonds or stocks as held as part of the Trust property unless otherwiseagreed in writing by all parties. I/We certify that if this is an account for a self-sponsored qualified retirement plan and the plan instructs the trustee todeliver all proxies to another party having investment authority or discretion, we have amended the client agreement to authorize the IAR to place tradeson a non-discretionary basis only by executing the Non-Discretionary Amendment to Client Agreement (form A1D). I/We certify that if this is an advisoryOptimum Market Portfolios (OMP) account for a self-sponsored qualified retirement plan, the plan does not instruct the trustee to deliver proxies to anyother party having investment authority or discretion.I/We certify that each Fiduciary of the Plan or Trust described herein, and each person who handles funds or other property of the Plan orTrust, shall be bonded as provided in ERISA Section 412 and the regulations thereunder. No further bonding shall be required other than asdescribed by ERISA Section 412.I/We, the Trustee(s), certify that this Trust is still in full force and effect as of the date signed below.In consideration of your accepting one or more Trust accounts, the undersigned Trustee(s), jointly and severally, warrant and agree that allof the information contained in this Certification is accurate and correctly details the terms of the Trust defined above. I/We further warrant and agree thatthis Certification shall remain in full force and effect until such time as you are notified in writing of any change in the information or authority containedherein. I/We hereby certify that the above information is correct and that the undersigned are all current Trustees. I/We further certify that this Certificationrepresents an amendment to the original Trust document or that we have taken all actions necessary to so amend the original Trust document to conformwith this Certification.Note: All current trustees must sign this document.Trustee's Signature Date Trustee's Signature DateTrustee's Signature Date Trustee's Signature DateMember FINRA/SIPCF29-CTD-0214Page 3 of 3