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Investor Name: |
Account Number: |
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Name
of Parish/Organization: |
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Name
of Fund (if different from above): |
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Tax
Identification Number: |
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Address: |
Phone Number: |
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City / State: |
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ZIP: |
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Purchase Instructions (check one): |
Combined Fund |
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Money Market Fund
(Hold Cash Only) |
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Income Instructions (check only one) |
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REINVEST in The
Combined Fund Month |
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Remit Check: Quarterly |
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Remit Check: Annually |
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Neither (Keep All
Income in Money Market Fund) |
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Statement Instructions (check one) |
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Send Statements
Annually Only |
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Send
Statements Annually and Quarterly |
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Form of Payment (check one): |
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By Check: |
Payable to: U.S.
Bank, N.A. – Private Client Group |
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Mail to: |
Richard M. Bottoni U.S. Bank, Private
Client Group MK-FC-WIPT P.O. Box 3194 Milwaukee, WI
53201-3194 |
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By Wire: |
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Contact: |
Richard M. Bottoni, U.S. Bank, phone
414-765-6038 OR Kathie
Krueger, U.S. Bank, phone 414-765-5574 |
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Signature |
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On behalf of the parish/organization,
I sign this application and certify that the taxpayer identification number
is correct. We understand that units
of the Combined Fund can be purchased and sold only on the last business day
of each month (the valuation dates) at the then current net asset value of a
fund unit. We agree to give written
notice of our intention to sell units to the Trustees of Funds and
Endowments, Inc. (c/o Jon Barsanti, P.O. Box 510348, Milwaukee, WI 53203-0061)
and to U.S. Bank Private Client Group c/o Rick Bottoni, P.O. Box 3194,
Milwaukee, WI 53201-3194) at least 15 days prior to the month-end (valuation
date). If we intent to withdraw more
than $100,000, we understand that we must give notice to the Trustees of
Funds and Endowments, Inc. and U.S. Bank at least six weeks prior to the
month-end (valuation date). If we
wish to purchase additional units, we will send U.S. Bank a check with our
account number identified, at least five days prior to the month-end
(valuation date). We authorize U.S.
Bank to invest cash in the First American Money Market Fund. We understand that U.S. Bank, N.A. –
Private Client Group receives fees from First American Funds for its
services. |
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Signature |
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Date |
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Type
or Print Name |
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Title |
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Acceptance |
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On
behalf of the Trustees of Funds and Endowments, Inc., U.S. Bank, N.A. –
Private Client Group acknowledges receipt of the deposit and confirms that it
has mailed a prospectus for the First American Money Market Fund to the
Investor. U.S. Bank, N.A. – Private Client Group |
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By: |
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Date: |
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C: Jon P. Barsanti