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Investor Name:

       

Account Number:

     

Name of Parish/Organization:

     

Name of Fund (if different from above):

     

Tax Identification Number:

     

Address:

       

Phone Number:

     

City / State:

     ,    

 

ZIP:

     

 

Purchase Instructions (check one):

Combined Fund

 

Money Market Fund (Hold Cash Only)

Income Instructions (check only one)

REINVEST in The Combined Fund Month

 

Remit Check:  Quarterly

 

Remit Check:  Annually

 

Neither (Keep All Income in Money Market Fund)        

Statement Instructions (check one)

Send Statements Annually Only

 

Send Statements Annually and Quarterly

Form of Payment (check one):

By Check:

$     

 

Payable to: U.S. Bank, N.A. – Private Client Group

 

Mail to:

Richard M. Bottoni

U.S. Bank, Private Client Group

MK-FC-WIPT

P.O. Box 3194

Milwaukee, WI 53201-3194

 

By Wire:

$     

 

Contact:

Richard M. Bottoni, U.S. Bank, phone 414-765-6038

OR

Kathie Krueger, U.S. Bank, phone 414-765-5574

Signature

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.

 

 

 

Signature

 

Date

 

 

 

Type or Print Name

 

Title

Acceptance

 

 

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

By:

 

Date:

 

 

C: Jon P. Barsanti