EX-99.2 4 c72949exv99w2.txt FIRST CLEARING CORPORATION ACCOUNT AGREEMENT EXHIBIT 99.2 Medallion Account(SM) Agreement [440] THIS IS AN UPDATE TO AN EXISTING MEDALLION ACCOUNT, PLEASE CHECK THIS BOX [ ] ACCOUNT REGISTRATION [ ] Corporate [x] Partnership LLC [ ] Pension or Profit-sharing Plan [ ] Non-Corporate/Non-Profit [ ] Estate (Certificate of Qualification (IRAs, KEOGHS and ESOPs are not [ ] Trust must be attached / Affidavit of eligible) [ ] Investment Club Domicile must be provided) CHECK ONE [ ] Trustee Directed (Partnership or Corporate [ ] Prototype only) [ ] Participant Directed --------------------------------------------------------------------------------------------------------------- TITLE OF ACCOUNT NAME BERTHEL SBIC, LLC --------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------- NAME FIRM INV SAVINGS 1 --------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------- NAME ATTN Connie Eicher --------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------- STREET ADDRESS (CAN NOT BE A P.O. BOX) 701 TAMA STREET --------------------------------------------------------------------------------------------------------------- --------------------------------------------------------------------------------------------------------------- CITY STATE ZIP MARION IA 52302 --------------------------------------------------------------------------------------------------------------- PREFIX ACCOUNT NUMBER FC NO. CHECK APPROPRIATE BOX: [ ] TAX I.D. [ ] S.S.N. 41 15192026 EI07 522040126 --------------------------------------------------------------------------------------------------------------- MONEY MARKET [x] Money-Market Portfolio [ ] Government Securities Portfolio [ ] Tax Exempt Portfolio FUND PORTFOLIO [ ] New York Tax-Exempt Portfolio [ ] California Tax-Exempt Portfolio PLEASE INDICATE THE GOVERNMENT SECURITIES PORTFOLIO WILL AUTOMATICALLY BE SELECTED IF YOU DO NOT INDICATE YOUR CHOICE. YOUR CHOICE. [x] MARGIN: MARK THIS BOX IF THIS ENTITY IS NOT PERMITTED TO HAVE A MARGIN ACCOUNT (Pension Plans, Profit- Sharing plans and Investment Clubs are not eligible for Margin) OR, IF YOU DO NOT WANT MEDALLION PRIVATE CREDIT LINE PRIVILEGES (NO OVERDRAFT PROTECTION WILL BE PROVIDED). ACCOUNT PLAN [ ] STANDARD PACKAGE (no annual fee) [ ] PLATINUM PACKAGE ($35 annual fee) [x] BASIC PACKAGE (no annual DESCRIPTIONS Includes an initial supply of 40 Includes an initial supply of 200 fee) complimentary personal-style complimentary personal-style No checkwriting NON-CORPORATE/ checks. checks. No ATM debit card NON-PROFIT, PENSION Do you prefer corporate-style Do you prefer corporate-style AND PROFIT-SHARING checks? checks? PLANS, ESTATES AND [ ] yes (additional fee) [ ] no [ ] yes (additional fee) [ ] no INVESTMENT CLUBS Do you want an ATM debit card? Two Visa Check cards will be issued. (UP TO TWO ADDITIONAL CARDS ARE NOT ELIGIBLE [ ] yes [ ] no $35) FOR ATM OR VISA Mother's maiden name (identity safeguard) _____________________ CHECK CARD Primary cardholder date of birth _____ / _____ / _____ TAX CERTIFICATION & SIGNING INSTRUCTIONS INSTRUCTIONS - The undersigned must cross out item (2) if he/she has been notified by the IRS that he/she is currently subject to backup withholding as a result of failure to report all interest or dividends. By signing this Agreement, I also state that I become subject to backup withholding following the opening of my account I will notify you in writing. UNDER PENALTIES OF PERJURY, I CERTIFY THAT: (1) The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and (2) I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest and dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding (does not apply to real estate transactions, mortgage interest paid, the acquisition or abandonment of secured property, contributions to an individual retirement arrangement, and payments other than interest and dividends). SIGNING INSTRUCTIONS: By signing this Agreement, the undersigned "Institution" and all individuals authorized to act on behalf of it (collectively the "undersigned") acknowledge that they have received a copy of and read, understand, and agree to the accompanying Medallion Agreement Terms and Conditions and acknowledge receipt of a Cash Resource Trust Prospectus. Specifically, with respect to the persons authorized to give any instructions on behalf of this Account, the undersigned represent that, at a duly called meeting of the undersigned Institution or in its governing instrument, as applicable, the individuals signing below in Section 1 are authorized to give any and all instructions with respect to this Medallion Agreement,* and those signing Section 2 are specifically authorized to issue and sign Medallion Account Checks on behalf of the Institution. The undersigned agrees that FCC may rely on this list of authorized names until FCC has received written notice from the undersigned revoking, changing or adding authorized persons in accordance with the notice provisions in the accompanying Terms and Conditions. In Section 1, all Fiduciaries of Trusts, Estates, Pension and Profit Sharing Plans and general partners of Partnerships must sign. For Corporations and all other organizations, the President and Secretary (for those with equivalent titles) must sign along with any other officer(s) authorized to give instructions on behalf of the Account. *If the Account has authorized an Investment Advisor, Plan Administrator or other third party to give trading or other instructions, please provide a copy of such authorization. THE UNDERSIGNED ACKNOWLEDGES AND AGREES THAT THE AGREEMENT'S TERMS AND CONDITIONS CONTAIN A PRE-DISPUTE ARBITRATION CLAUSE AND ACKNOWLEDGE RECEIPT OF A COPY OF THOSE TERMS AND CONDITIONS. If requested, does client want us to provide clients account name and address to an issuer in which we hold securities in street name? SEC Rule 14b-1 prohibits such issuer from using the name and address for any purpose other than corporate communications. [ ] Yes [ ] No AUTHORIZING SIGNATURE(S) AND TITLE(S) SECTION 1 - ACCOUNT CONTROL: Those authorized to establish and control accounts and VISA Check Cardholders (all applicable individuals must sign). Two authorized persons are required to sign below in order to effect any type of transaction on this account. ----------------------------------------------------------------- ----------------------------------------------------------------- SIGNATURE & TITLE 1 SIGNATURE & TITLE 3 [ ] CHECK FOR ADDITIONAL /s/ CONNIE J. EICHER -- Accounting Admin VISA CHECK CARD ----------------------------------------------------------------- ----------------------------------------------------------------- PRINT NAME & TITLE Connie J. Eicher/ACCT ADMIN DATE 07/13/01 PRINT NAME & TITLE DATE ---------------------------- ------------ ---------------------------- ------------ ----------------------------------------------------------------- ----------------------------------------------------------------- SIGNATURE & TITLE 2 SIGNATURE & TITLE 4 [ ] CHECK FOR ADDITIONAL /s/ DANIEL P. WEGMANN VISA CHECK CARD ----------------------------------------------------------------- ----------------------------------------------------------------- DANIEL P. WEGMANN/ PRINT NAME & TITLE CONTROLLER PLANNING, INC. DATE 07/13/01 PRINT NAME & TITLE DATE ---------------------------- ------------ ---------------------------- ------------ SECTION 2 - CHECK SIGNATURES: (as they will appear on checks) All authorized persons must sign; Indicate number required to sign each check: [ ] 1 [ ] 2 [ ] 3 [ ] ----------------------------------------------------------------- ----------------------------------------------------------------- SIGNATURE SIGNATURE ----------------------------------------------------------------- ----------------------------------------------------------------- PRINT NAME & TITLE DATE PRINT NAME & TITLE DATE ---------------------------- ------------ ---------------------------- ------------ ----------------------------------------------------------------- ----------------------------------------------------------------- SIGNATURE SIGNATURE ----------------------------------------------------------------- ----------------------------------------------------------------- PRINT NAME & TITLE DATE PRINT NAME & TITLE DATE ---------------------------- ------------ ---------------------------- ------------ Accounts carried by First Clearing Corporation, member New York Stock Exchange and SIPC. 0000 543292 (100/pkg Rev 03)