Laserfiche WebLink
California <br />CL California Cooperative Liquid Assets Securities System <br />P Q Y <br />Entity Information <br />Entity Name (Participant) <br />Entity Type: ❑ City/Town <br />❑ Other (Specify) <br />Mailing Address <br />City <br />Participant Registration <br />❑ County ❑ School District ❑ Special District <br />Physical Address (if different than above) <br />City <br />Tax ID <br />Zip <br />Zip <br />Fiscal Year End Date (Month/Day) <br />County <br />County <br />California CLASS is hereby authorized to honor any telephone, faxed, or electronic request believed to be authentic for withdrawal of <br />funds. The withdrawal proceeds can be sent only to the bank(s) indicated below unless changed by written instructions. Each <br />Participant is responsible for notifying California CLASS of any changes to its account by filling out and sending via mail or email the <br />Forms available on the California CLASS website. <br />Wires will be distributed every hour with the final distribution ending at 11:00 a.m. PT; distribution times are subject to change as <br />needed by the California CLASS Administrator. Additionally, California CLASS must be notified of any contributions by 11:00 a.m. PT <br />to receive same day credit. If funds are not received by 2:00 p.m. PT, contribution orders will be voided. <br />Banking Information <br />Bank Name <br />Account Title <br />Bank Contact <br />❑ Wire ❑ ACH <br />❑ Both <br />Additional Banking Information (Optional) <br />Bank Name <br />Account Title <br />Bank Contact <br />❑ Wire ❑ ACH <br />❑ Both <br />717 17th Street, Suite 1850 <br />Denver, Colorado 80202 <br />Bank Routing Number (ABA) <br />Account Number <br />Contact's Phone Number <br />Bank Routing Number (ABA) <br />Account Number <br />Contact's Phone Number <br />T (877) 930-5213 <br />F (877) 930-5214 <br />clientservices@californiaclass.com <br />www.caIiforniaclass.com <br />Page 5 <br />