EPSTEIN
page 2 / 670 . OCR, unverified
You may execute a "Health Care Proxy" to do this. The law governing Powers of Attorney is contained in the
New York General Obligations Law, Artiste 5, Title 15. This law is available at a law library, or online through
the New York State Senate or Assembly websites, www.senate.stete.ny.us or www.assembly.state.ny.us.
If there is anything in this document that you do not understand, you should consult with your lawyer.
AUTHORITY
The undersigned Principal (the "Undersigned" or "Principal") hereby appoints:
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as the Undersigned's agent's) and attomey(s)
in-fact ("Agent(s)") to act INDIVIDUALLY with respect to any and aM accounts, if applicable (see below) in the
Undersigned's name ("Account(s)"), held individually or jointly (provided that all joint account holders have
executed this fonn) with DBSI, as well as individual retirement accoonts held for the benefit of the Undersigned
("IRAs"). with the authority to direct DBSI to buy, sell (including short sales) and otherwise transact in any
security, including but not limited to stocks, bonds, mutual fund shares, limited partnership interests, call and put
options (covered and uncovered), on margin or otherwise, and any instrument, agreement or contract relating
to same, on margin or otherwise, or enter into futures, options on futures bad forward contracts, interest rate,
currency, equity or commodity swap transactions, deposit accounts at financial institutions and direct or indirect
interests in securities, deposit instruments or contracts whore all or part of the retum is calculated by reference
to changes in, among other things, the value of securities, commodities, currencies, interest rates, property of
any description or indices, in each case in accordance with DBSI's terms and conditions for the Undersigned's
account, account type, and risk and in the Undersigned's names, or number(s) on DBSI's books. Agent(s) must
exercise the authority granted herein pursuant to the Undersigned's instructions, or otherwise for purposes
which the Agent(s) reasonably deems to be in the Undersigned's best interest. By giving this authority, the
Undersigned authorizes Agent(s) to make inquiries on the Account(s), including requesting information about
account transactions, balances and holdings.
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' 10 COPY
c
g 1(-9-•
11-PWM-08116 (011121
009611-010512
CONFIDENTIAL - PURSUANT TO FED. R. CRI M. P. 6(e)
DB-SDNY-0098308
CONFIDENTIAL
SDNY_GM_00244492
EFTA01392971
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METADATA_SOURCE: IMAGES0061
METADATA_FILENAME: EFTA01392972.pdf
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The Undersigned understands and agrees that DBSI has the right to require additional verification and
. documentation from the Undersigned or the Undersigned's Agent(s) in certain transactions that DBSI, in its
sole discretion, deems necessary. In addition, DBSI has the right to request that either a new Authorization/
Power of Attorney be executed or that the Agent(s) verify in writing the validity of the current Authorization/
Power of Attorney.
Agent Name:
: Lei
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Address: F teo Pal Neck 0.-4v4" -- al I
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TIN of Agent:
Relationship
to Principal:
Agent Name:
Address.
TIN of Agent:
THIS DOCUMENT DOES NOT REVOKE ANY OTHER POWERS OF ATTORNEY THAT THE UNDERSIGNED
HAS PREVIOUSLY EXECUTED, UNLESS THE UNDERSIGNED HAS SPECIFIED OTHERWISE ON THE
LINES BELOW.
Relationship
to Principal:
INDEMNIFICATION
The Undersigned acknowledges and agrees that the Undersigned is responsible for all acts of the Agent(s). The
Undersigned hereby agrees, individually and on behalf of his/her heirs, executors, legal representatives, and
assigns to indemnify and hold harmless DBSI and its parents, affiliates, subsidiaries, officers, employees, and
agents (collectively, "DB") from all claims that may arise in connection herewith, and to pay DB promptly, on
demand, any and all losses and liabilities arising therefrom or from any action taken or not taken by DB in reliance
hereon, including without limitatiiin, any debit balance due with respect to the Account(s). The Undersigned
further hereby ratifies and confirms any and all transactions (including any payments or transfers) made by the
Undersigned's Agent(s) in connection with the Account(s) prior or subsequent to the execution of this document
and holds harmless DB regarding same.
This AuthorizationlPower of Attorney shall inure to the benefit of DB and its successors and assigns irrespective
of any change or changes at any time in the personnel thereof for any cause whatsoever.
The Undersigned understands and agrees that the DBSI may require joint account holder(s) to sign all requests
for withdrawals from an account jointly with the Agent(s).
IS/WM-0985 101/121
009611.010512
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0098310
CONFIDENTIAL
SDNY_GM_00244494
EFTA01392972
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