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California <br />CL California Cooperative Liquid Assets Securities System <br />P Q Y <br />Additional Contact (Optional) <br />Print First and Last Name <br />Authorized Contacts (cont.) <br />Title <br />*(Signature Required if Authorized Signer) <br />Phone <br />Email <br />Fax <br />Permissions (check one only) <br />Email Notifications (notice of report availability in the online portal) <br />❑ Authorized Signer to Move Funds* <br />❑ Monthly Statements <br />❑✓ Read -Only Access <br />❑ Transaction Confirmations <br />Additional Contact (Optional) <br />Print First and Last Name <br />Title <br />*(Signature Required if Authorized Signer) <br />Phone <br />Email <br />Fax <br />Permissions (check one only) <br />Email Notifications (notice of report availability in the online portal) <br />❑ Authorized Signer to Move Funds* <br />❑ Monthly Statements <br />❑✓ Read -Only Access <br />❑ Transaction Confirmations <br />Additional Contact (Optional) <br />Print First and Last Name <br />Title <br />*(Signature Required if Authorized Signer) <br />Phone <br />Email <br />Fax <br />Permissions (check one only) Email Notifications (notice of report availability in the online portal) <br />❑ Authorized Signer to Move Funds* ❑ Monthly Statements <br />❑✓ Read -Only Access ❑ Transaction Confirmations <br />717 17th Street, Suite 1850 T (877) 930-5213 clientservices@caIiforniaclass.com <br />Denver, Colorado 80202 F (877) 930-5214 www.californiaclass.com <br />Page 7 <br />