A.

Applying entity (Account Holder):

Please complete the attached Entity Account Application. In
Entity Onboarding addition to the application, p lease provide the following
documentation:.

Thank you for choosing TrustToken 1. A copy of the entity’s registration document, such as
certificate of incorporation, certificate of good
to purchase and redeem your
standing, a copy of the secretary of state registration
TrueCurrencies.
or any applicable document showing that the entity
has registered with its country or state of
incorporation.
TrustToken, Inc. and its affiliates,
including TrueCoin, LLC, are 2. A copy of the entity’s formation or organizational
required to comply with the documents, such as articles of association and by-
applicable laws and regulations laws, operating agreement, partnership agreement,
offering memorandum or trust agreement as
relating to Anti-Money Laundering
applicable
and know your customer (KYC).
Below is the required 3. Proof of ownership of the entity evidencing which
documentation and information entities or individuals own 25% or more, such as an
that would be required to open an operating agreement, share registry, stock certificate,
organization account. Please note partnership agreement
that TrustToken will require
4. A full copy of the company’s BSA/AML program if
information relating to the
applicable
organization, its authorized
signatories as well as its beneficial 5. Proof of address dated within 90 days for entity
and ultimate beneficial owners. incorporated outside the United States

B. Individual Beneficial Owner

If an individual owns 25% or more of the applying entity,
please complete the attached Beneficial ownership (individual)
section and attach the following:

1. A copy of a valid government issued identification

card for each beneficial owner or control person that
directly or indirectly owns and/or controls 25% or
more of the entity.

2. Proof of address dated within 90 days for beneficial

owners residing outside the United States

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C. Entity Beneficial Owner
If another entity owns 25% or more, please complete the
Beneficial ownership (entity) section and attach the following:

1. A copy of the entity’s registration document, such as

certificate of incorporation, certificate of good
standing, a copy of the secretary of state registration
or any applicable document showing that the entity
has registered with its country or state of
incorporation.

2. A copy of the entity’s formation or organizational

documents, such as articles of association and by-
laws, operating agreement, partnership agreement,
offering memorandum or trust agreement as
applicable

3. Proof of ownership of the entity evidencing which

entities or individuals own 25% or more, such as an
operating agreement, share registry, stock certificate,
partnership agreement

4. Proof of address dated within 90 days if entity is

incorporated outside the United States

D. Authorized Signatory Individual

For individuals authorized to act on behalf of the entity, please
complete the Authorized.

Signatory (individual) section and provide the following:

1. A copy of a valid government issued identification

card for each authorized signatory.

2. Proof of address dated within 90 days for authorized

signatory residing outside the United States

3. A corporate resolution listing the authorized

signatories allowed to transact on behalf of the entity
signed and dated.

TrustToken reserves the right to deny an entity account

based on the completion of our review of the entity

Entity Application on next page

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Application for Entity Account

Legal Entity Name:

Doing Business As (DBA):

Type of Entity: (please select one)

Not for Profit / Charities / Foundations

Registered Entity Street Address: Operating Address (if different):

City: City:

State/Province/Region: Zip/Postal Code: State/Province/Region: Zip/Postal Code:

Country: Country:

Country/ State of Incorporation:

Tax Identification Number:

Please state the purpose of this account and how it will be used: (please select at least one)

Commercial Trading Cryptocurrency Trading Proprietary Trading

If other, please state the purpose:

Page · 3
Business Activity Information

Nature of business:

Company website:

Do any of the beneficial owners / authorized signatories or any other entity associations have
an existing account with TrustToken? If yes, please list them:

Please list the countries of operations of business activity:

Please provide an overview of your customer types and their geographies:

Please describe the source of funds for the company:

Please provide the anticipated monthly activity in volume: (please select one)

Over $5 million – $15 million

Is the company a publicly listed company? (please select one)

Yes No

Based on the nature of business and activity, is the customer required to register with
its local regulatory authority? (please select one)
Yes No

If Yes - Please provide the name of the regulator and type of license:

If No - Please provide how the determination was made :

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Account Signatory (Individual)

Name (first, last)

Role and Description:

Current Residential Street Address:

City:

State/Province/Region: Zip/Postal Code:

Country:

Date of Birth: (mm/dd/yyyy):

Social Security Number: (Gov’t ID Number if not a U.S. Resident):

Country of Citizenship:

Page · 5
Beneficial Owners:
Beneficial Owners (Individual):

For Trusts, please complete this section for Grantors of the trust

For Pooled investment funds and not-for-profit organizations, please provide information for all control persons of the
fund or organization

#1 Beneficial Owner (Individual): #2 Beneficial Owner (Individual):

Name (first, last) Name (first, last)

Current Residential Street Address: Current Residential Street Address:

City: City:

State/Province/Region: Zip/Postal Code: State/Province/Region: Zip/Postal Code:

Country: Country:

Date of Birth: (mm/dd/yyyy): Date of Birth: (mm/dd/yyyy):

Social Security Number: Social Security Number:

(Gov’t ID Number if not a U.S. Resident): (Gov’t ID Number if not a U.S. Resident):

Country of Citizenship Country of Citizenship

Source of Wealth / Funds: Source of Wealth / Funds:

% Direct beneficial owner: % Direct beneficial owner:

% Indirect beneficial owner: % Indirect beneficial owner:

Page · 6
#3 Beneficial Owner (Individual): #4 Beneficial Owner (Individual):

Name (first, last) Name (first, last)

Current Residential Street Address: Current Residential Street Address:

City: City:

State/Province/Region: Zip/Postal Code: State/Province/Region: Zip/Postal Code:

Country: Country:

Date of Birth: (mm/dd/yyyy): Date of Birth: (mm/dd/yyyy):

Social Security Number: Social Security Number:

(Gov’t ID Number if not a U.S. Resident): (Gov’t ID Number if not a U.S. Resident):

Country of Citizenship Country of Citizenship

Source of Wealth / Funds: Source of Wealth / Funds:

% Direct beneficial owner: % Direct beneficial owner:

% Indirect beneficial owner: % Indirect beneficial owner:

Page · 7
Beneficial Owners (Entities):

#1 Beneficial Owner (Entity) #2 Beneficial Owner (Entity)

Name (first, last) Name (first, last)

Registered Company Address: Registered Company Address:

City: City:

State/Province/Region: State/Province/Region:

Country: Zip/Postal Code: Country: Zip/Postal Code:

Country/State of Incorporation: Country/State of Incorporation:

Date of Incorporation: (mm/dd/yyyy) Date of Incorporation: (mm/dd/yyyy)

Tax Identification Number: Tax Identification Number:

% of Direct Ownership: % of Direct Ownership

% of Indirect Ownership: % of Indirect Ownership:

Nature of Business: Nature of Business:

Please list the countries of operations of Please list the countries of operations of
business activity: business activity:

Page · 8
Beneficial Owners (Entities):

#3 Beneficial Owner (Entity) #4 Beneficial Owner (Entity)

Name (first, last) Name (first, last)

Registered Company Address: Registered Company Address:

City: City:

State/Province/Region: State/Province/Region:

Country: Zip/Postal Code: Country: Zip/Postal Code:

Country/State of Incorporation: Country/State of Incorporation:

Date of Incorporation: (mm/dd/yyyy) Date of Incorporation: (mm/dd/yyyy)

Tax Identification Number: Tax Identification Number:

% of Direct Ownership: % of Direct Ownership

% of Indirect Ownership: % of Indirect Ownership:

Nature of Business: Nature of Business:

Please list the countries of operations of Please list the countries of operations of
business activity: business activity:

Page · 9
I/we hereby certify that all the information provided in this form is true and current and that I will
provide TrustToken with updated information as and when it changes. By submitting this
application, I/we have read and agree to TrueCoin’s Terms of Use and Privacy Policy.
I/we hereby authorize TrustToken to make inquiries into the company and conduct all required
validation and verification of the information provided.

Name (first, last): Title:

Signature: Date (mm/dd/yyyy):

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