Change of Ownership ederated The USA PATRIOT Act requires the Funds to obtain, verify, and record information that identifies each person who opens an account. Failure to provide required information may result in processing delays. Additional documentation may be requested. If we are unable to verify this information, your account may be closed and you will be subject to all applicable costs. Complete this form to change the registration of an account. If there is more than one account number and registration, complete a separate form for each account number. If transferring shares to multiple accounts, complete a separate form for each new account. Please be aware that Federated does not act as a fiduciary with respect to shareholder accounts and does not provide investment, tax or legal advice. In each applicable section, please complete ALL fields. IMPORTANT NOTE: A signature is required in Section 10 and Section 11. Please use blue or black ink and print clearly in CAPITAL LETTERS. 1. Current Account Information and Transfer Instructions Please choose ALL to transfer all shares or enter a percentage, dollar or share amount for each fund. Full Account Number I have multiple funds under this number; apply this change to all funds. Fund Name or Fund Number Fund Name or Fund Number Fund Name or Fund Number Fund Name or Fund Number All % $ Shares All % $ Shares All % $ Shares All % $ Shares Enter %, $, or Share Amount Enter %, $, or Share Amount Enter %, $, or Share Amount Enter %, $, or Share Amount Please update the address on the current account to the following address: Street Address/Apt. # City State Zip Code 2. Financial Intermediary Information (i.e., Broker, Planner, Advisor, etc.) Selection of the appropriate box is REQUIRED. I do not want a Financial Intermediary on the new account. I would like to add the following Financial Intermediary to the account. Please note: If this option is selected, the new instructions must be provided and the Financial Intermediary must sign below. If he/she does not provide a signature, no Financial Intermediary information will be added to the account. Firm or Institution Name Dealer Number/Branch or Group Number/Branch Branch Address City State Zip Code Intermediary Name and Number Intermediary Phone Number Intermediary Signature Date Attention Financial Intermediaries: Please ensure your firm s corporate policy permits direct at fund accounts prior to establishment, to avoid potential delays in processing or account rejections. Form Continues on Next Page 1 of 9
3. Account Registration Please complete either Section 3A. Individual or Joint Account Registrations OR Section 3B. Fiduciary Registrations. 3A. Individual or Joint Account Registrations Select only one type of ownership and enter the registration for the new account. A street address is required in this section. Individual Ownership Joint Ownership Individual Joint Tenants with Rights of Survivorship (JTWROS) Individual with Transfer on Death Beneficiary Tenants in Common JTWROS with Transfer on Death Beneficiary Tenants by the Entirety Community Property Full Name of Owner Social Security or Tax ID Number Citizenship U.S. Resident Alien Nonresident Alien Tax Residency U.S. Other Country of Citizenship, if not U.S. + Country of Tax Residence, if not U.S. + To claim tax treaty benefits, also complete and submit an IRS Form W8-BEN. Joint Owner, if applicable Full Name of Joint Owner Social Security or Tax ID Number Citizenship U.S. Resident Alien Nonresident Alien Tax Residency U.S. Other Country of Citizenship, if not U.S. + Country of Tax Residence, if not U.S. + To claim tax treaty benefits, also complete and submit an IRS Form W8-BEN. Note: If you are adding a Joint Owner to the new account in your name, an original Medallion guarantee of your signature in Section 10 is required. Form Continues on Next Page 2 of 9
3. Account Registration (continued) 3A. Individual or Joint Account Registrations (continued) Transfer on Death Beneficiary Information If adding a Transfer on Death Beneficiary, please provide a percentage for each beneficiary. Percentages must total 100%. If the Beneficiary is a minor at the time of distribution, a Custodian/Guardian must be named. If you need additional space to name beneficiaries, attach a separate sheet that includes this information. Please sign and date the sheet. A. Name of Beneficiary: Primary Secondary Name of Custodian/Guardian if Beneficiary is Minor Street Address Apt. # Date of Birth City State Zip Code Percentage B. Name of Beneficiary: Primary Secondary Name of Custodian/Guardian if Beneficiary is Minor Street Address Apt. # Date of Birth City State Zip Code Percentage C. Name of Beneficiary: Primary Secondary Name of Custodian/Guardian if Beneficiary is Minor Street Address Apt. # Date of Birth City State Zip Code Percentage D. Name of Beneficiary: Primary Secondary Name of Custodian/Guardian if Beneficiary is Minor Street Address Apt. # Date of Birth City State Zip Code Percentage Form Continues on Next Page 3 of 9
3. Account Registration (continued) 3B. Fiduciary Registrations Select only one type of ownership and enter the registration for the new account. A street address is required in this section. Trust Under Agreement or Under Will (The title (first) and signature pages of the Trust Agreement must be provided to Federated.) Name of Trust Trust s Tax Identification Number Date of Trust Name of Trustee Name of Co-Trustee Country Where Trust Was Established U.S. Other Tax Residency U.S. Other Country of Establishment, if not U.S. + To claim tax treaty benefits, also complete and submit an IRS Form W8-BEN. + Country of Tax Residence, if not U.S. Executor/Estate (To register the account to the deceased owner s estate, provide a copy of the court issued document (i.e., Order of Appointment, Letters of Administration, or Letters Domiciliary), naming the estate s personal representative.) Name of Executor Estate s Tax Identification Number Name of Co-Executor Form Continues on Next Page 4 of 9
3. Account Registration (continued) 3B. Fiduciary Registrations (continued) Power of Attorney (Provide Federated with a completed Indemnification Agreement for Power of Attorney Registration form.) Guardian/Conservator (Provide Federated with Letters of Guardianship or Conservatorship originally certified and dated within 60 days of the proposed transfer.) Uniform Gift/Transfer to Minor s Act (UGMA/UTMA) Name of Beneficial Owner/Minor State Under Which the Gift/Transfer Is Being Established (UGMA/UTMA only) Name of Power of Attorney/Guardian/Custodian 4. Mailing Address If you would like to receive mail at an address other than the one provided in Section 3A/B, please complete this section. Post Office Box and Rural Routes are acceptable. Mailing Address/Apt. # City State Zip Code 5. Escheatment 5A. Lost Shareholder It is very important that you notify the Fund of any change to your home and/or email addresses. If the Fund s communications to you are returned as undeliverable, the Fund will try to reestablish contact with you. If those efforts fail and the Fund reasonably determines that you are a lost shareholder, the Fund may elect to suspend account activity, program elections (including systematic investment, withdrawal or exchange) and mailings. In addition, most states require entities like the Fund to turn over the assets of lost shareholders following a period of time. Your property may also be transferred to the appropriate state if no activity occurs in the account within the time period specified by state law. Once shares are escheated to a state, a shareholder will not be able to access the shares through the Fund. To avoid escheatment, we urge you to keep your contact information with the Fund accurate at all times. 5B. Designated Representative Residents of the state of Texas may opt to designate a representative to receive abandoned or unclaimed property (escheatment) notifications by completing the Unclaimed Property Designation of Representative form (the Form ), which can be found on Texas Comptroller s website. While the designated representative does not have any rights to claim or access the Shareholder s account or assets, the escheatment period will cease if the representative communicates knowledge of the Shareholder s location and confirms that the Shareholder has not abandoned his or her property. The completed Form must be mailed to the Fund (if your Shares are held directly with the Fund) or to your financial intermediary (if your Shares are not held directly with the Fund). If a Texas Shareholder opts to designate a representative to receive escheatment notifications, any escheatment notices will be delivered both to the Shareholder and the designated representative. Form Continues on Next Page 5 of 9
6. Cost Basis Account Election Methods Please select one of the cost basis accounting methods. Internal Revenue Service regulations require mutual funds that produce tax Form 1099-B to report cost basis information on covered shares beginning January 1, 2012. Average Cost (ACST) First In First Out (FIFO) Last In First Out (LIFO) High Cost First Out (HIFO) Low Cost First Out (LOFO) Loss Gain Utilization (LGUT)* Specific Lot Identification (SLID)+ If electing Specific Lot Identification as a standing order, please choose a secondary standing order: If no standing order is elected or if no instructions are received with the redemption order, Federated will apply our default cost basis method of Average Cost (ACST). The default will control the selection of shares used to calculate the cost basis and compute the loss or gain on the redemption. This is a general interpretation of the tax laws. Specific questions about your situation can be directed to your tax or investment professional. * Loss Gain Utilization will decrement lots taking losses first. For lots that yield a loss, short-term lots will be redeemed ahead of long-term lots. For gain, long-term lots will be redeemed ahead of short-term lots. + Average Cost can not be chosen as a secondary cost basis accounting method. If you would like to learn more about these methods, please visit FederatedInvestors.com or call 1-800-341-7400. Client Service Representatives are available to help you Monday - Friday, from 8:00 a.m. to 6:00 p.m. ET. 7. Type of Transfer If applicable, please select the reason for the transfer and complete the related information. Gift SIGN HERE Date shares were gifted If the shares are a gift and Average Cost is the cost basis accounting method on the receiving account, we require written acceptance of the gifted shares at Fair Market Value below. Sign here only if accepting gifted shares. I accept the gifted shares at Fair Market Value. Signature Death/Inheritance Name of Deceased Owner/Trustee Date of Death Name of Deceased Owner/Trustee Please provide the following document(s), if applicable: A Small Estate Affidavit originally certified and dated within 60 days. Date of Death An original Tax Waiver, if required by the decedent s state of residence. Additional documentation may be required. Please mail these documents and any other required information to The Federated Funds at the address in Section 12. A. Transfer Due to Death (Joint Accounts Only) Surviving joint owner is surviving spouse - Cost basis will be adjusted per IRS regulations. Surviving joint owner is not the surviving spouse - To properly adjust the cost basis, provide the percentage of assets invested by each owner. Name of Owner Percentage Name of Owner Percentage Form Continues on Next Page 6 of 9
8. Distribution Options Please select options for each fund. If you do not choose distribution options, dividends and capital gains will be reinvested at the net asset value to purchase additional shares. Fund Name(s) or Fund Number(s) Dividends Capital Gains Cash Reinvest Cash Reinvest Cash Reinvest Cash Reinvest Cash Reinvest Cash Reinvest Generally, a dividend and/or capital gain distribution by check that is less than $25.00 will automatically be reinvested into your account. This policy does not apply if you have elected to receive cash distributions that are directly deposited into your bank account via wire or ACH. If checks remain uncashed for 180 days, future dividends and capital gains will not be distributed but will be reinvested into your account. 9. Fund Document Delivery 9A. Householding If two of more members of a household with the same last name own separate accounts in the same fund, only one mailing of the following documents will be sent: Prospectus Annual and semi-annual report Any proxy or information statement (each account receives a separate proxy card) If you prefer to receive duplicate documents one for each account check this box. To update this preference in the future, please call the number listed on the last page of this form. 9B. Account Service Options REMINDER: All services established for the former account will be cancelled. Please call Federated or their transfer agent for details. The Federated Funds offer a full range of easy-to-use services to help you manage your investment. To have the Federated Funds make account information available to you online and to effect your orders for purchase, redemption, or exchange of shares, you must create a unique User ID and password at FederatedInvestors.com/MyInvestments. There may be trade restrictions if you opt to place orders for transactions through My Investments: Shareholder Account Access. 9C. Electronic Delivery Manage your account instantly and securely online with E-Delivery. Select any or all of the listed documents to access electronically. Fund summary prospectuses, statements of additional information, and annual and semi-annual reports. Account Statements Fund Proxy Materials Tax Documents (Forms 1099 and 5498) Marketing Materials By consenting to Electronic Delivery, I understand: 1. Federated will send an email in place of paper documents to notify me when the items I choose to receive electronically are available through its website, FederatedInvestors.com. 2. E-Delivery will continue until I revoke my consent. Federated must be made aware of any changes to my email address. If emails are returned as undeliverable, my account will be reset to receive paper documents until I provide a valid email address. 3. E-Delivery is a free service and there is no cost to view information on the website. My internet service provider and telephone company may charge me for internet access. Please notify me when the selected information is available at: Enter the email address you will use for E-Delivery Form Continues on Next Page 7 of 9
10. Required Signature(s) of Individual(s) Requesting the Change The individual requesting the change (e.g., surviving owner, trustee, executor, POA, guardian, etc.) MUST sign this section and include capacity, if applicable (e.g., John Smith, Executor). Please sign exactly as your name(s) appears in the current registration, Order of Appointment, or Trust Agreement. 1. An original STAMP2000 Medallion guarantee is not required if: A. You provide a certified death certificate for the deceased owner and you are the surviving owner of a joint tenant with rights of survivorship account and the new registration will be: in your name only; or registered as a Transfer on Death account. in your name as the sole Trustee under a Trust Agreement registered in your name (e.g. John Smith, Trustee; The John Smith Trust). B. The current account is registered as an individual account in your name only and the new registration will be in your name as sole Trustee under a Trust Agreement registered in your name (e.g. John Smith, Trustee; The John Smith Trust). 2. An original STAMP2000 Medallion guarantee is required for all other registration changes. SIGN HERE Signature of Surviving Owner, Trustee, Executor, etc. Date SIGN HERE Capacity (Owner, Trustee, Executor) Signature of Surviving Co-Owner, Co-Trustee, Co-Executor, etc. Date Capacity (Co-Owner, Co-Trustee, Co-Executor) If an original STAMP2000 Medallion guarantee is required, this form must be signed in the presence of the authorized guarantor, who should be contacted in advance to confirm the documentation required and that the amount of the proposed transaction can be insured. A Medallion guarantee is designed to protect the account from fraud and may be obtained from any of the following institutions participating in one of the Medallion guarantee programs. bank or trust company; savings association; credit union; or broker, dealer, or securities exchange member. Notarization by a notary public is not a Medallion guarantee and is not an acceptable substitute. MEDALLION GUARANTEE If the surviving owner is requesting the change and will be an owner in the new account registration, the surviving owner MUST also sign in Section 11. Please contact your guarantor regarding the documentation required prior to submitting your signature. Form Continues on Next Page 8 of 9
11. Required Signature(s) of New Owner(s) for Tax Identification Number Certification SIGN HERE SIGN HERE All registered owners (new or surviving) of the new account MUST sign below. If the new account registration includes the name of the surviving owner of a jointly held account, the surviving owner MUST sign in this section. If applicable, please include capacity with your signature (i.e., Trustee, Guardian, Executor, Administrator, etc.). Social Security/Tax Identification Number Certification Under penalties of perjury, I certify that: 1. I have provided my correct taxpayer identification number on this form (or I am waiting for a number to be issues 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 or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. person (including a U.S. resident alien). The Internal Revenue Service does not require your consent to any provision of this form other than the certifications required to avoid Backup Withholding. If you were a Transfer on Death (TOD) beneficiary on the former account, by signing below you also certify that: under penalty of perjury, there are no known disputes as to the persons entitled to a distribution under the non-probate transfer or the amounts to be distributed to each person, and no known claims that would affect the distribution requested. Signature of New Owner Title (Trustee, Custodian, Executor, etc.) Signature of New Co-Owner Title (Co-Trustee, Co-Executor, etc.) Your signature must match your name as it appears in Section 3A/B. 12. Mailing Instructions Please mail this form and any other documentation to: The Federated Funds Regular Mail: Overnight Delivery: PO Box 8600 30 Dan Road Boston, MA 02266-8600 Canton, MA 02021-2809 Federated Client Services 1-800-341-7400 For more information, visit our website at FederatedInvestors.com G27569-17 (11/17) Federated is a registered trademark of Federated Investors, Inc. 2017 Federated Investors, Inc. 9 of 9
ederated Privacy Policy and Notice Federated is committed to maintaining the confidentiality, security and integrity of client and shareholder information. We want you to understand how Federated obtains information, how that information is used and how it is kept secure. Personal Information Federated Collects Federated may collect nonpublic personal information about you from the following sources: We may collect information from you or your financial representative on account applications, other forms or electronically, such as your name, address,, assets and income. We may collect information from you or your financial representative through transactions, correspondence and other communications, such as specific investments and account balances. We may obtain other personal information in connection with providing you a financial product or service, such as depository or debit account numbers. Information Sharing Policy Except as described below, Federated does not share customer information or disclose any personal information about you. If you decide to close your account(s) or become an inactive customer, we will continue to follow these privacy policies and practices. Federated will not disclose personal information, account numbers, access numbers or access codes for deposit or transaction accounts to any nonaffiliated third party for use in telemarketing, direct mail or other marketing purposes. Federated limits the sharing of nonpublic personal information about you with financial or non-financial companies or other entities, including companies affiliated with Federated, and other, nonaffiliated third parties, to the following: Information that is necessary and required to process a transaction or to service a customer relationship. For example, with a company that provides account record keeping services or proxy services to shareholders. Information that is required or permitted by law. For example, to protect you against fraud or with someone who has a legal or beneficial interest, such as your power of attorney, or in response to a subpoena. We may disclose some or all of the information described above with companies that perform marketing or other services on our behalf. For example, with the financial intermediary (bank, investment advisor, or broker-dealer) through whom you purchased Federated products or services, or with providers of marketing, legal, accounting or other professional services. Notwithstanding any other provision of this policy, for the avoidance of doubt, nothing herein prevents reporting possible violations of federal law or regulation to any governmental agency or entity, or making other disclosures, protected under the whistleblower provisions of federal law or regulation. However, the protections provided for non-public personal information under state and federal privacy rules are not superseded by the federal whistleblower rules. As a result, the release of non-public personal information, even to a government agency or entity, remains protected under state and federal privacy rules, and could be considered a violation of federal privacy rules, until the SEC or other government entity specifically request the non-public personal information to support a claim made by the whistleblower. Information Security Federated maintains physical, electronic, and procedural safeguards to protect your nonpublic personal information, and has procedures in place for its appropriate disposal and protection against its unauthorized access or use when we are no longer required to maintain the information. When Federated shares nonpublic personal information, the information is made available for limited purposes and under controlled circumstances. We require third parties to comply with our standards for security and confidentiality. These requirements are included in written agreements between Federated and such third-party service providers. Each of the following sections explains an aspect of Federated s commitment to protecting your personal information and respecting your privacy.
Employee Access to Information All Federated employees must adhere to Federated s privacy and confidentiality policies. Employee access to nonpublic personal information is authorized for business purposes only and is based on an employee s need for the information to service a customer s account or comply with legal requirements. Visiting A Federated Website Federated s website maintains statistics about the number of visitors and the information viewed most frequently. These statistics are used to improve the content and level of service we provide to our clients and shareholders. Information or data entered into a website will be retained. Where registration or reentering personal information on a website is required, cookies are used to improve your online experience. A cookie is a small file stored on your computer that recognizes whether you have visited our site before and identifies you each time you visit. Cookies provide faster access into the website. We may also obtain non-personally identifiable Internet Protocol ( IP ) addresses for all other visitors to monitor the number of visitors to the site; these addresses are never shared with any third party. Restricted Access Website Federated provides restricted sections of its websites for Investment Professionals and certain clients or shareholders. Information entered in these sites is only accessible by those individual clients or shareholders, persons with whom they share access information, a limited number of Federated employees and Federated s service providers who maintain website functionality. Federated does not permit the use of that information for any purpose, or the renting, selling, trading, or otherwise releasing or disclosing of information to any other party. Email If you have opted to receive marketing information from Federated by email, our policy requires that all messages include instructions for canceling subsequent email programs. Some products or services from Federated are intended to be delivered and serviced electronically. Email communication may be utilized in such cases. Please do not provide any account or personal information such as s, account numbers, or account balances within your email correspondence to us. We will not use unsecured email to execute transaction instructions, provide personal account information, or change account registration. Surveys / Aggregate Data Periodically, Federated may conduct surveys about financial products and services or review elements of customer information in an effort to forecast future business needs. We then generate reports that are used for Federated s planning, analytical and other corporate purposes. Changes to Our Privacy Statement Federated reserves the right to modify this privacy statement at any time. We will notify you of any changes that may affect your rights under this policy statement. We Welcome Your Comments Federated welcomes your questions and comments about our Privacy Policy. Client Service Representatives are available at 1-800-341-7400, Monday through Friday from 8:00 a.m. to 6:00 p.m. ET. This privacy disclosure applies to: Federated Investors, Inc. and each of its wholly owned broker-dealer, investment advisor and other subsidiaries. December 1, 2017 26485 (12/17) Federated is a registered trademark of Federated Investors, Inc. 2017 Federated Investors, Inc.