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Resolution 6103 - Amds Reso 5881 - Glacier Bank AuthorizationsRESOLUTION NO.6103 A RESOLUTION AMENDING RESOLUTION 5881, AUTHORIZING THE CITY MANAGER, FINANCE DIRECTOR, AND CITY TREASURER TO EXECUTE CHECKS, DRAFTS OR OTHER ORDERS WITHDRAWING FUNDS FROM CITY ACCOUNTS WITH GLACIER BANK. BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF KALISPELL, MONTANA, AS FOLLOWS: SECTION 1. Exhibit "A", attached hereto and fully incorporated herein shall, until later amended, be the controlling authorization for the named city officers with signatory authority over City accounts held with Glacier Bank. SECTION 2. This Resolution shall become effective immediately upon passage by the City Council and approval by the Mayor. PASSED AND APPROVED BY THE CITY COUNCIL AND SIGNED BY THE MAYOR OF THE CITY OF KALISPELL THIS 6TH DAY OF SEPTEMBER 2022. ATTEST: Ainke Brunckhorst, CMC City Clerk Mark Johns Mayor OF'�. •o 0 ice. =U�EAL:M= 1892 0 Q.: Account Nnreemenc o,t.. 10/11/2004-. AddressInstitution Name & GLACIER BANK 202 MAIN STREET KALISPELL, MT 59901 (406) 756-4200 BY: S M PURDOM C005076 Revised Date: 08/22/2022 Revision Reason: UPDATE SIGNERS JULIE HAWES Name Relationship SIGNER Address Mailing Address lif different) Gov't Issued Photo ID !type, number, state. issue date, exp. date) - - OtherlD (description. detailsl Employer Previous Fbiriline I, E-Mail Work Phone Home Phone: Mobile Phone: Birth Date: SSNfrIN: Ownership ot Account The specified ownership will remain the same for all accounts. (For consumer accounts, select and initial.) ❑ Single -Party Account ❑ Multiple -Party Account ❑ Sole Proprietorship or Single Member LLC ❑ Partnership ❑ LLC-enter tax classification (❑ C Corp ❑ S Corp ❑ Partnership) ❑ C Corporation ❑ S Corporation ❑ ❑ Trust -Separate Agreement Dated: x❑ Public Funds Beneficiary Designation (Check appropriate ownership above - select and initial below.) ❑ Single -Party Account ❑ Single -Party Account with Pay -On -Death (POD) ❑ Multiple -Party Account with Right of Survivorship ❑ Multiple -Party Account with Right of Survivorship and POD ❑ Multiple -Party Account without Right of Survivorship (Check appropriate beneficiary designation above.) Inte CITY OF KALISPELL RURAL DEVELOPMENT GRANT PO BOX 1997 KALISPELL MT 59903-1997 Enter Non -Individual Owner Information on page 2. There is additional Owner/Signer Information space on page 2. ❑ If checked, this is a temporary account agreement. Number of signatures required for withdrawal: 1 The undersigned authorize the financial institution to investigate credit and employment history and obtain reports from consumer reportir•g agency(ies) on them as individuals. Except as otherwise provided by law or other documents, each of the undersigned is authorized to make withdrawals from the account(s), provided the required number of signatures indicated above is satisfied. The undersigned personally and as, or on behalf of, the account owner(s) agree to the terms of, and acknowledge receipt of copy(ies) of, this document and the following: © Terms & Conditions ❑ Truth in Savings 0 Funds Availability ❑ Electronic Fund Transfers © Privacy ❑ Substitute Checks ❑ Common Features 2 specific AccOU.nt Details ❑ Agency Designation iSee Owner/Signer Information for Agency Design ation(s).) Agency Designation (select and initiah: ❑ Survives OR ❑ Terminates on disability or incapacity of parties. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. JULIE HAWES I.D. # D.O.B. (2): IX AIMEE COOKE I.D. # (3): [X I.D. # (4): IX LID. # D.O.B. D.O.B D.O.B. S.,; sture Card -MT MPMP LAZ•MT 3/16/2016 aanke•3 Systems to VMP t Page 1 of 2 we tan K:uwer Rnanaai Services 2016 OwnerlSigner Information AIMEE COOKE Name Relationship SIGNER Address Mailing Address (if different) Gov't lzoued Photo ID hype, numbu. state, issue date, exp. date) Other ID (description, detailsl Employer Previotn in E-Mail Work Phone Home Phone: Mobile Phone: Birth Date: SSNlTIN: Name Relationship Address Mailing Address (if different) Gov': Issued Photo ID (type, number, state, issue date, exp. date) Other 10 !description, details) Employer Previous F' E-mail _ Work Phone Home Phone: Mobile Phone: Birth Data: SSNMN: OwnerlSigner Name Information Relotiorahip Address Mailing Address (if different) Gov't Issued Photo ID type, number, state, iosue date, exp. date) Other ID (destsiption, detains) Employer Frevicus Financial E-Mail Work Phone Home Phone: Mobile Phone: Birth Date: SSN,'T1N: Important Account Opening Information. Federal law requires us to obtain sufficient Information to verify your identity. You may be asked several questions and to provide one or more forms of Identification to fulfill this requirement. In some instances we may use outside sources to con`Irm the information. The information you provide is protected by our nrivacv oolicv and federal law. Stgnsture Card -MT Bankers Systems m VMP' Wo•tera K'uwer Ftnencial So- ces = 20' 6 Non -Individual Information Name CITY OF KALISPELL State/Country & Date MT UNITED STATES of Organization 08/16/1945 Nature of Business CITY OF KALISPELL/PUBLIC FUNDS Address 35 1ST AVE E KALISPELL MT 59901-4556 Mailing Address PO BOX 1997 lit different) KALISPELL MT 59903-1997 AuthorzetioN 08/22/2022 Previous E-Mail jhawesekalispell.com Phone (406) 758-7700 EIN: 81- 6 0 01281 Mobile Phone: t ❑ cash ❑ Check Checking 10213024 t ❑ Cash ❑ Chook L ❑ Cash ❑ Check Services Requested ❑ ATM ❑ Debit/Check Cards (No. Requested: ) ❑ ❑ Backup I ♦Certifications (If not a "U.S. Person", certify foreign status separately) Q By signing signature field (1) on this document. I certify under penalties of perjury that the statements made in this section are true and that I am a U.S. citizen or other U.S. person (as defined in the instructions). 0 Taxpayer I.D. Number • TIN: 81-6001281 The Taxpayer Identification Number (TIN) shown is my correct taxpayer identification number. Q Backup Withholding. I am not slbject to backup withholding either because I have not been notified that I amsubject to backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service has notified me that I amno longer subject to backup withholding. ❑ Exempt Recipients. 1 am an exempt recipient under the Internal Revenue Service Regulations. Exempt payee code (if any) FATCA Code. The FATCA code entered on this form(if arty) indicating that I am exempt from FATCA reporting is correct. Changingof Account lSekct and im/tal below.! ❑ Multiple -Parry Account's Terns may be Changed by a Single Party ❑ Multiple -Party Account's Terns may be Changed Only by Agreement of All Parties Other Tefryislinforniation Additional information provided with new account disclosures: Fee Schedule Important Information about FDIC Insurance Coverage Business Electronic Funds Transfer Information (business accounts only) MPMP-LAZ•MT 3/15/2015 Page 2 of 2 I�I�IMI�NIII���IA��Ifll!IIWII�I�NnflpII1�IIIB�M�INI� Entity Authorization GLACIER BANK 202 MAIN STREET' KALISPELL, MT 59901 Referred to in this doclvnew as "Financial Institution' By: CITY OF KALISPELL RURAL DEVELOPMENT GRANT PO BOX 1997 KALISPELL MT 59903-1997 Referred to in this document as "Entity' ENTITY CERTIFICATIONS. The undersigned certify that: I am designated to act on behalf of the above named Entity. I am authorized and directed to execute an original or a copy of this Authorization to Financial Institution, and anyone else requiring a copy. Authorizing Entity is duly organized, validly existing and in good standing under state law and is duly qualified, validly existing and in good standing in all jurisdictions where Authorizing Entity operates or owns or leases property. Authorizing Entity has the power and authority to provide this Authorization, to confer the powers granted in this Authorization and to carry on Authorizing Entity's business and activities as now conducted. The designated Agents have the power and authority to exercise the actions specified in this Authorization and Authorizing Entity properly adopted these authorizations and appointed the Agents and me to act on its behalf. Authorizing Entity will notify Financial Institution before reorganizing, merging, consolidating, recapitalizing, dissolving or otherwise materially changing ownership, management or organizational form. Authorizing Entity will be fully liable for failing to notify Financial Institution of these material changes. GENERAL AUTHORIZATIONS. 1 certify Authorizing Entity authorizes and agrees that: (Financial Institution) is designated to provide Authorizing Entity the financial accommodations indicated in this Authorization, subject to the Financial Institution's rules and regulations from time to time. All prior transactions obligating Authorizing Entity to Financial Institution by or on behalf of Authorizing Entity are ratified by execution of this Authorization. Any Agent, while acting on behalf of Authorizing Entity, is authorized, subject to any expressed restrictions, to make all other arrangements with Financial Institution which are necessary for the effective exercise of the powers indicated within this Authorization. The signatures of the Agents are conclusive evidence of their authority to act on behalf of Authorizing Entity. Unless otherwise agreed to in writing, this Authorization replaces any earlier related Authorization and will remain effective until Financial Institution receives and records an express written notice of its revocation, modification or replacement. Any revocation, modification or replacement of this Authorization must be accompanied by documentation, satisfactory to Financial Institution, establishing the authority for the change. Authorizing Entity agrees not to combine proceeds from collateral securing any debts owed to Financial Institution with unrelated funds. SPECIFIC AUTHORIZATIONS. The following persons (Agents) are authorized to act on behalf of Authorizing Entity in fulfilling the purposes of this Authorization: NAME AND TITLE OR POSITION SIGNATURE FACSIMILE SIGNATURE (if used) A. JULIE HAWES SIGNER B. AIMEE COOKE DIRECTOR C FRI X X X E. X F ►2 r2 /1 X X X Authorizing Entity has adopted any facsimile signatures indicated above. Financial Institution may rely on those facsimile signatures that resemble the specimens within this Authorization or the specimens that Authorizing Entity periodically files with Financial Institution, regardless of by whom or by what means the signatures were affixed AUTH-ENTITY 911 /2018 Entity Authorization (18091.00 0 2019 Wolters Kluwer Finerxial Services, Inc. 11g. 1 of 2 All rights reserved Ctmom EMTAUTHE Authorizing Entity authorizes and directs the designated Agents to act, as indicated, on Authorizing Entity's behalf to. (Indicate a, b, c, d, a and/or f to exercise each specific power): Enter into and execute any preauthorized electronic transfer agreements for automatic withdrawals, deposits or transfers Initiate - through an electronic ATM or point -of -sale terminal, telephone, computer or magnetic tape using an access device like an ATM or debit card, a code or other similar means. Enter into and execute commercial wire transfer agreements that authorize transfers by telephone or other communication systems through the network chosen by Financial Institution. Endorse for cash, deposit, negotiation, collection or discount by Financial Institution any and all deposit checks, drafts, certificates of deposit and other instruments and orders for the payment of money owned or held by Trust. AB Sign checks or orders for the payment of money, withdraw or transfer funds on deposit with you. Enter into and execute a written night depository agreement, a lock -box agreement or a safe deposit box lease agreement. INTERPRETATION. Whenever used, the singular includes the plural and the plural includes the singular. The section headings are for convenience only and are not to be used to interpret or define the terms of this Authorization. This authorization is specific to account number: SIGNATURES. By signing, I certify and agree to the terms contained in this Authorization on behalf of Authorizing Entity. I also acknowledge receipt of a copy of this Authorization. AUTHORIZATION'S SIGNERS: Signature:_ Printed Name: Title Date Signature• _ Printed Name: Title: Date: AUTH•ENTITY 9/1/2018 Entity Authorization 119091-00 0 2018 Wolters Kluwer Ftnanc-al Services, Inc. Pape 2 of 2 All rights reserved. Custom EMTAUTHE IIiA�Ol�IM�I�Atll�l�lledllltl�gl�l�l&1111�8�1�IIIf�I�lA1�Gll Account Agreement o.t=.�_� AddressInstitution Name & GLACIER BANK 202 MAIN STREET KALISPELL, MT 59901 (406 756-4200 BY: S M PURDOM COOS076 Revised Date: 08/22/2022 Revision Reason: UPDATE SIGNERS JULIE HAWES Name Relationship SIGNER Address Mailing Address lit different) Gov't Issued Photo PO (type, rwmber, state, issue date, exp. date! - - OtherlD (description, details) Employer Previous E-Mail Work Phone Home Phone: Mobile Phone: Birth Date: SSN/fIN: Ownership of Account The specified ownership will remain the same for all accounts. [for consumer accounts, select and initial.! ❑ Single -Party Account ❑ Multiple -Party Account ❑ Sole Proprietorship or Single Member LLC ❑ Partnership ❑ LLC-enter tax classification (❑ C Corp ❑ S Corp ❑ Partnership) ❑ C Corporation ❑ S Corporation ❑ ❑ Trust -Separate Agreement Dated: x❑ Public Fluids Beneficiary Designation lCheck appropriate ownership above - select and initial below./ ❑ Single -Party Account ❑ Single -Party Account with Pay -On -Death (POD) ❑ Multiple -Party Account with Right of Survivorship ❑ Multiple -Party Account with Right of Survivorship and POD ❑ Multiple -Party Account without Right of Survivorship [Check appropriate beneficiary designation above.! Signature Card -MT Bankers Systems to VMP(b Welters Kluwer Financial Services 0 2016 Internal CITY OF KALISPELL CDBG PO BOX 1997 KALISPELL MT 59903-1997 Enter Non -Individual Owner Information on page 2. There is additional Owner/Signer Information space on page 2. ❑ If checked, this is a temporary account agreement. Number of signatures required for withdrawal: 1 The undersigned authorize the financial institution to investigate credit and employment history and obtain reports from consumer reporting agency(ies) on them as individuals. Except as otherwise provided by law or other documents, each of the undersigned is authorized to make withdrawals from the account(s), provided the required number of signatures indicated above is satisfied. The undersigned personally and as, or on behalf of, the account owner(s) agree to the terms of, and acknowledge receipt of copy(ies) of, this document and the following: © Terms & Conditions ❑ Truth in Savings 0 Funds Availability ❑ Electronic Fund Transfers Privacy ©Substitute Checks ❑ Common Features 0 Specific Account Details ❑ Agency Designation (See Owner/Signer Information for Agency Designation(s).) Agency Designation (select and initian: ❑ Survives OR ❑ Terminates on disability or incapacity of parties. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. (1}: [X .1 JULIE HAWES I.D. # Do a. (2): IX AIMEE COOKE ID. q D.O.B. (3): [X J I.D. N D.O.B. (4): LX I.D. # D.O.B. MPMP LAZ MT 3/15/2015 Page 1 of 2 OwnerlSigner Information 2 AIMEE COOKE Name Relationship SIGNER Address Mailing Address 'it diVerentl Gov'; Issued Photo 10 (type, number, state, -slue sate, exp. date) Other 10 (description, details) Employer Previous E-Mail Work Phone Home Phone: Mobile Phone: Birth Date: SSN/TIN: Information Name Relationship Address Mailing Adores: (if different) Gov't I:sued Photo ID (type, number, state, ,sue date, sap. date) Other I (de,cription, details) Employer Previous i I I E-Mail Work Phone Home Phone: Mobile Phone: Birth Date: - SSNlrIN: OwnerlSigner • on 4 Name Relationship Address Mailing Address of different) Gov't Issued Photo ID (type, number, state, issue date. exp. date) Other 10 (description, detail.) Employer Prevous F E-Mail Work Phone Nome Phone: Mobile Phone: Birth Date: SSN,71N: Important Account Opening Information. Federal law requires us to obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulfill this requirement. In some instances we may use outside sources to confirm the information. The information you provide is protected by our nrivary nnitcv and federal law. Signature Card -MT Bankers Systems n' VMP' We leis Kluwer Financ a1 So- cas - 2016 Non -Individual Owner Information CITY OF KALISPELL Name State/Country & Date MT UNITED STATES of Organization 08/16/1945 Nature of Bumncsa CITY OF KALISPELL/PUBLIC FUNDS Address 35 1ST AVE E KALISPELL MT 59901-4556 Mailing Address PO BOX 1997 fit difterenr) KALISPELL MT 59903-1997 Authorization/Resolution Date 08/22/2022 Prevrou: Inv- E-Mail jhawes@kalispell.com Phone (406) 758-7700 EI N: 81- 6 0 01281 Mobile Phone: • • I' • I • • 1"so f5 10313840 ❑ Cash ❑ Check Checking ❑ 5 ❑ Cash ❑ Check ❑ a ❑ Cash ❑ Check ❑ RequestedServices ❑ ATM ❑ Debit/Check Cards (No. Requested: ) ❑ El ❑ C Backup WithholdingCertifications (If not a "U.S. Person', certify foreign status separately) Q By signing signature field (1) on this document, I certify under penalties of perjury that the statements made in this section are true and that I am a U.S. citizen or other U.S. person (as defined in the instructions). El Taxpayer I.D. Number - TIN: 81-6001281 The Taxpayer Identification Number (TIN) shown is my correct taxpayer identification number. E Backup Withholding. I am not subject io backup withholding either because I have not been notified that I am subject to backup withholding as a resuh of a failure to report all interest or dividends, or the internal Revenue Service has notified me that I amno longer subject to backup withholding. ❑ Exempt Recipients. I am an exempt recipiani under the Internal Revenue Service Regulations. Exempt payee code (if any( FATCA Code. The FATCA code entered on this form (if any) indicating that I amexerrpt from FATCA reporting is correct. Changing Terms of Account /Select and initial below./ ❑ Multiple -Party Account's Terms may be Changed by a Single Party ❑ Multiple -Party Account's Terms may be Changed Only by Agreement of All Parties Other Termsfinformation Additional information provided with new account disclosures: Fee Schedule Important information about FDIC Insurance Coverage Business Electronic Funds Transfer Information (business accounts only) •MPMP.AZ-MT 311612016 Page 2 of 2 enmv Authorization GLACIER BANK 202 MAIN STREET KALISPELL, MT 59901 Referred to in this document as 'Financial Institution" By: CITY OF KALISPELL CDBG PO BOX 1997 KALISPELL MT 59903-1997 Referred to in this document as "Entity' ENTITY CERTIFICATIONS. The undersigned certify that: I am designated to act on behalf of the above named Entity. I am authorized and directed to execute an original or a copy of this Authorization to Financial Institution, and anyone else requiring a copy. Authorizing Entity is duly organized, validly existing and in good standing under state law and Is duly qualified, validly existing and in good standing in all jurisdictions where Authorizing Entity operates or owns or leases property. Authorizing Entity has the power and authority to provide this Authorization, to confer the powers granted in this Authorization and to carry on Authorizing Entity's business and activities as now conducted. The designated Agents have the power and authority to exercise the actions specified in this Authorization and Authorizing Entity properly adopted these authorizations and appointed the Agents and me to act on its behalf. Authorizing Entity will notify Financial Institution before reorganizing, merging, consolidating, recapitalizing, dissolving or otherwise materially changing ownership, management or organ-zational form. Authorizing Entity will be fully liable for failing to notify Financial Institution of these material changes. GENERAL AUTHORIZATIONS. I certify Authorizing Entity authorizes and agrees that: (Financial Institution) is designated to provide Authorizing Entity the financial accommodations indicated in this Authorization, subject to the Financial Institution's rules and regulations from time to time. All prior transactions obligating Authorizing Entity to Financial Institution by or on behalf of Authorizing Entity are ratified by execution of this Authorization. Any Agent, while acting on behalf of Authorizing Entity, is authorized, subject to any expressed restrictions, to make all other arrangements with Financial Institution which are necessary for the effective exercise of the powers indicated within this Authorization. The signatures of the Agents are conclusive evidence of their authority to act on behalf of Authorizing Entity. Unless otherwise agreed to in writing, this Authorization replaces any earlier related Authorization and will remain effective until Financial Institution receives and records an express written notice of its revocation, modification or replacement. Any revocation, modification or replacement of this Authorization must be accompanied by documentation. satisfactory to Financial Institution, establishing the authority for the change. Authorizing Entity agrees not to combine proceeds from collateral securing any debts owed to Financial Institution with unrelated funds. SPECIFIC AUTHORIZATIONS. The following persons (Agents) are authorized to act on behalf of Authorizing Entity in fulfilling the purposes of this Authorization: NAME AND TITLE OR POSITION A JULIE HAWES X B SIGNER AIMEE COOKE X C. DIRECTOR X D. X E. X F Fi SIGNATURE FN M rN X V-1 01- FACSIMILE SIGNATURE (if used) Authorizing Entity has adopted any facsimile signatures indicated above. Financial Institution may rely on those facsimile signatures that resemble the specimens within this Authorization or the specimens that Authorizing Entity periodically files with Financial Institution, regardless of by whom or by what means the signatures were affixed AUTH-ENTITY/1/2018 9 Entity Authorization 11 so91.00 2 2018 Wolters Kluwer Financial Services, Inc. Pepe 1 of 2 Al r'Chts recerve0. Custom EMTAUTHE Authorizing Entity authorizes and directs the designated Agents to act, as indicated, on Authorizing Entity's behalf to: (Indicate a, b, c, d, a and/or f to exercise each specific power): Enter into and execute any preauthorized electronic transfer agreements for automatic withdrawals, deposits or transfers initiate through an electronic ATM or point -of -sale terminal, telephone, computer or magnetic tape using an access device like an ATM or debit card, a code or other similar means. Enter into and execute commercial wire transfer agreements that authorize transfers by telephone or other communication systems through the network chosen by Financial Institution. Endorse for cash, deposit, negotiation, collection or discount by Financial Institution any and all deposit checks, drafts, certificates of deposit and other instruments and orders for the payment of money owned or held by Trust. pg Sign checks or orders for the payment of money, withdraw or transfer funds on deposit with you. Enter into and execute a written night depository agreement, a lock -box agreement or a safe deposit box lease agreement. INTERPRETATION. Whenever used, the singular includes the plural and the plural includes the singular. The section headings are for convenience only and are not to be used to interpret or define the terms of this Authorization. This authorization is specific to account number: SIGNATURES. By signing, I certify and agree to the terms contained in this Authorization on behalf of Authorizing Entity. I also acknowledge receipt of a copy of this Authorization. AUTHORIZATION'S SIGNERS: Signature: _ Printed Name: Title: Cate: Entity Authorization 0 2018 Wolters Kluwer Financial Services, Inc. All rights reserved. Ctatorn EMTAUTHE Signature: _ Printed Name: Title: Date: AUTH-ENTITY 9/1/2018 (1809).00 Pape 2 of 2 A�NMIRIIASIIIAI�Ohftllm�6111111111d991�1�16111tl1a�11111�6�apA�l1 Account Agreement v,t.. 0_0 Addressinstitution Name & GLACIER BANK 202 MAIN STREET KALISPELL, MT 59901 (406) 756-4200 BY: S M PURDOM C005076 Revised Dace: 08/23/2022 Revision Reason: UPDATE SIGNERS f JULIE HAWES Name Relationship SIGNER Address Mailing Address (if drHerem) Gov't Issued Photo ID (rype. number. state. issue dote, exp. datel Other 10 (description, details) Employer Previous E-Mail Work Phone Horne Phone: Mobile Phone: Girth Date: SSNITIN: Ownership of Accbunt The specified ownership will remain the same for all accounts. (for consumer accounts, select and initial.! ❑ Single -Party Account ❑ Multiple -Party Account ❑ Sole Proprietorship or Single Member LLC ❑ Partnership ❑ LLC-enter tax classification (❑ C Corp ❑ S Corp ❑ Partnership) ❑ C Corporation ❑ S Corporation ❑ ❑ Trust -Separate Agreement Dated: x❑ Public Funds Beneficiary Designation (Check appropriate ownership above select and initial below.) ❑ Single -Party Account ❑ Single -Party Account with Pay -On -Death (POD) ❑ Multiple -Party Account with Right of Survivorship ❑ Multiple -Party Account with Right of Survivorship and POD ❑ Multiple -Party Account without Right of Survivorship (Check appropriate beneficiary designation above.) 1 S.gnature Card -MT Bankers Systems- VMPO Wolters Kluwer Financial Sarieaa 0 20 15 CITY OF KALISPELL SHADOW #10163583 PO BOX 1997 KALISPELL MT 59903-1997 Enter Non -Individual Owner Information on page 2. There is additional Owner/Signer Information space on page 2. ❑ If checked, this is a temporary account agreement. Number of signatures required for withdrawal: 1 The undersigned authorize the financial institution to investigate credit and employment history and obtain reports from consumer reporting agency(ies) on them as individuals. Except as otherwise provided by law or other documents, each of the undersigned is authorized to make withdrawals from the account(s), provided the required number of signatures indicated above is satisfied. The undersigned personally and as, or on behalf of, the account owner(s) agree to the terms of, and acknowledge receipt of copy(ies) of, this document and the following: ® Terms & Conditions ❑ Truth in Savings ❑x Funds Availability ❑ Electronic Fund Transfers © Privacy ® Substitute Checks ❑ Common Features E) Specific Account Decails ❑ Agency Designation (See Owner/Signer Information for Agency Designation(s).) Agency Designation (select and initia/): ❑ Survives OR ❑ Terminates on disability or incapacity of parties. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. (1): LX JULIE HAWES I.D. # D.O.B. (2): IX DOUGLAS R RUSSELL I.D. # D.O.B. (3): [X AIMEE COOKE I.D. q D.O.B. (4): IX I.D. l/ D.O.B. MPMP LAZ MT 311612015 Page 1 or 2 Name- Infittmation DOUGLAS R RUSSELL Pelationship SIGNER Address I Meiling Address (if different) Gov't Issued Photo ID (type, number, state, issue date, exp. date) Other ID (description, detailsl Employer Previous E•Moil Work Phone Home Phone: Birth Date: Mobile Phone: SSN,TIN: OwnerlSigner Information AIMEE COOKE Name Pelat-onship SIGNER Address Mailing Address (if different) Gov't Issued Photo ID (type, number, state, Issue dale, exp. date) Other ID (deaeription, detaisl Employer Previous E-Moil Work Phone Home Phone: Mobile Phone: Birth Data; OwnerlSigner Name Relationship Inf6rmation' SSN?IN: Address Mailing Address . (if differenll Gov't Issued Photo 10 (type, number, state, issue date, exp. date) Other ID (description, details) Employer Previous E-Mail Work Phone Home Phone: Mobile Phone: Birth Date: SSN,TIN: Important Account Opening Information. Federal law requires us to obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulfill this requirement. In some instances we may use outside sources to confirm the information. The information you provide is protected by our n ;nr —li— anA fP.rlP.rsl law_ S,onatwe Card•MT Bankers Systems- VMP> W. ters K —a, Fnanciol Services 2016 Non -Individual Information CITY OF KALISPELL Name State/Country 8 Date MT UNITED STATES of organization 08/16/1945 Nature of Business CITY OF KALISPELL/PUBLIC FUNDS Address 35 1ST AVE E KALISPELL M'i 59901-4556 Mailing Address PO BOX 1997 (if different) KALISPELL MT 59903-1997 Authorization/ Re3olu:ion Date 08/23/2022 Previous E•Mail jhawesekalispell.com Phone (406) 758-7700 EIN: 81-6001281 1 Mobile Phone: / •- • • / •flopI-•• / a Checking ❑ Cash ❑ Check El ❑ Cash ❑ Check El ❑ Cash ❑ Check 'Services Requested ❑ ATM ❑ Debit/Check Cards (No. Requested: ) ❑ ❑ Backup Withholding (If not a *U.S. Person", certify foreign status separately) 0 By signing signature field (1) on this document, I certify under penalties of perjury that the statements made in this section are true and that I am a U.S. citi2en or other U.S. person (as defined in the instructions). 21 Taxpayer I.D. Number - TIN: 81-6001281 The Taxpayer Identification Number (TIN) shown is my correct taxpayer identification number. j x❑ Backup Withholding. 1 am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service has notified ma that I am no longer subject to backup withholding. ❑ Exempt Recipients. I am an exempt recipient under the Internal Revenue Service nay..,, a ucoyr pulcc •.«•. t .+••r FATCA Code. The FATCA code entered on this form (if any) indicating that I amezertpt from FATCA reporting is correct. iSekct and initial below./ ❑ Multiple•Pany Account's Terms may be Changed by a S:ngle Party ❑ Multiple -Party Account's Tema may be Changed Only by Agreement of All Parties tional information provided with new account losures: Schedule Irtant Information about FDIC Insurance Coverage nesa Electronic Funds Transfer Information (business ,ants only) MPMPAAZ•MT 3/1612015 Page 2 of 2 1191��1N�Ii1m��I�I�1��I���If�1�aSS�INIll��111�11 IIIIEIat�G� Entity Authorization _ GLACIER BANK By: CITY OF KALISPELL aw 202 MAIN STREET PO BOX 1997 KALISPELL, MT 59901 KALISPELL MT 59903-1997 Referred to in this document as 'Financial Institution' Referred to in this document as 'Entity' ENTITY CERTIFICATIONS. The undersigned certify that: I am designated to act on behalf of the above named Entity. I am authorized and directed to execute an original or a copy of this Authorization to Financial Institution, and anyone else requiring a copy. Authorizing Entity is duly organized, validly existing and in good standing under state law and is duly qualified, validly existing and in good standing in all jurisdictions where Authorizing Entity operates or owns or leases property. Authorizing Entity has the power and authority to provide this Authorization, to confer the powers granted in this Authorization and to carry on Authorizing Entity's business and activities as now conducted. The designated Agents have the power and authority to exercise the actions specified in this Authorization and Authorizing Entity properly adopted these authorizations and appointed the Agents and me to act on its behalf. Authorizing Entity will notify Financial Institution before reorganizing, merging, consolidating, recapitalizing, dissolving or otherwise materially changing ownership, management or organizational form. Authorizing Entity will be fully liable for failing to notify Financial Institution of these material changes. GENERAL AUTHORIZATIONS. I certify Authorizing Entity authorizes and agrees that: (Financial Institution) is designated to provide Authorizing Entity the financial accommodations indicated in this Authorization, subject to the Financial Institution's rules and regulations from time to time. All prior transactions obligating Authorizing Entity to Financial Institution by or on behalf of Authorizing Entity are ratified by execution of this Authorization. Any Agent, while acting on behalf of Authorizing Entity, is authorized, subject to any expressed restrictions, to make all other arrangements with Financial Institution which are necessary for the effective exercise of the powers indicated within this Authorization. The signatures of the Agents are conclusive evidence of their authority to act on behalf of Authorizing Entity. Unless otherwise agreed to in writing, this Authorization replaces any earlier related Authorization and will remain effective until Financial Institution receives and records an express written notice of its revocation, modification or replacement. Any revocation, modification or replacement of this Authorization must be accompanied by documentation, satisfactory to Financial Institution, establishing the authority for the change. Authorizing Entity agrees not to combine proceeds from collateral securing any debts owed to Financial Institution with unrelated funds. SPECIFIC AUTHORIZATIONS. The following persons (Agents) are authorized to act on behalf of Authorizing Entity in fulfilling the purposes of this Authorization: NAME AND TITLE OR POSITION SIGNATURE FACSIMILE SIGNATURE (if rcted) A JULIE HAWES SIGNER B. DOUGLAS R RUSSELL SIGNER C. AIMEE COOKE DIRECTOR r E F X X X X X X X X X X X X Authorizing Entity has adopted any facsimile signatures indicated above. Financial Institution may rely on those facsimile signatures that resemble the specimens within this Authorization or the specimens that Authorizing Entity periodically files with Financial Institution, regardless of by whom or by what means the signatures were affixed. Entity Authorization o 2018 Wolters Kluwer Firs —al Services, Inc. All r ghts reserved. Custom EMTAUTHE AUTH-ENTITY 9/1/2018 ' 18091.00 Page 1 of 2 Authorizing Entity authorizes and directs the designated Agents to act, as indicated, on Authorizing Entity's behalf to: (Indicate a, b, c, d, a and/or f to exercise each specific power): Enter into and execute any preauthorized electronic transfer agreements for automatic withdrawals, deposits or transfers Initiate: through an electronic ATM or point -of -sale terminal, telephone, computer or magnetic tape using an access device like an ATM or debit card, a code or other similar means. Enter into and execute commercial wire transfer agreements that authorize transfers by telephone or other communication systems through the network chosen by Financial Institution. Endorse for cash, deposit, negotiation, collection or discount by Financial Institution any and all deposit checks, drafts, certificates of deposit and other instruments and orders for the payment of money owned or held by Trust. ABC Sign checks or orders for the payment of money, withdraw or transfer funds on deposit with you. Enter Into and execute a written night depository agreement, a lock -box agreement or a safe deposit box lease agreement. INTERPRETATION. Whenever used, the singular includes the plural and the plural includes the singular. The section headings are for convenience on y and are not to be used to interpret or define the terms of this Authorization. This authorization is specific to account number: SIGNATURES. By signing, I certify and agree to the terms contained in this Authorization on behalf of Authorizing Entity. 1 also acknowledge receipt of a copy of this Authorization. AUTHORIZATION'S SIGNERS: Signature: _ Printed Name. Title: Date: Signature: _ Printed Name: Title: Date: AUTH•ENTITY 9/1/2018 Entity Authoritation 118091.00 C 2018 Wolters Kluwer Financial Services. Inc. Page 2 of 2 All rights reserved. Custom EMTAUTHE Account Agreement internalinternalUse onie. �, a• YSIS �" a i. GLACIER BANK 202 MAIN STREET F.ALISPELL, MT 59901 (406) 756-4200 HY. S' M PURDOM C005076 Revised Date: 08/22/2022 Revision Reason: UPDATE SIGNERS OwnerlSigner Information DOUGLAS R RUSSELL Name Relationship SIGNER Address Moiling Addre---s (if different) Gov't Issued Photo ID (type number, state. issue date, exp. date) - - O:har ID (dcscrlotion. details) Employer Previous E-Mail Work Phone Home Phom: Mobite Phone: Birth Data: 'Ownership SSN/tiN: of The specified ownership will remain the same for all accounts. (For consumer accounts, select and initial.) ❑ Single -Party Account ❑ Multiple -Party Account ❑ Sole Proprietorship or Single Member LLC ❑ Partnership ❑ LLC-enter tax classification (❑ C Corp ❑ S Corp ❑ Partnership) ❑ C Corporation ❑ S Corporation ❑ ❑ Trust -Separate Agreement Dated: x❑ Public Funds DesignationBeneficiary (Check appropriate ownership above - select and in,"6. below./ ❑ Single -Party Account ❑ Single -Party Account with Pay -On -Death (POD) ❑ Multiple -Party Account with Right of Survivorship ❑ Multiple -Party Account with Right of Survivorship and POD ❑ Multiple -Party Account without Right of Survivorship ❑ err rr•w.,..r, e,.,..,.,..:nra hunnfirinru d";nr;A6bn above.] CITY OF KALISPELL FINANCE DIRECTOR PO BOX 1997 KALISPELL MT 59903-1997 Enter Non -Individual Owner Information on page 2. There is additional Owner/Signer Information space on page 2. ❑ If checked, this is a temporary account agreement. Number of signatures required for withdrawal: 1 The undersigned authorize the financial institution to investigate credit and employment history and obtain reports from consumer reporting agency(ies) on them as individuals. Except as otherwise provided by law or other documents, each of the undersigned is authorized to make withdrawals from the account(s), provided the required number of signatures Indicated above is satisfied. The undersigned personally and as, or on behalf of, the account owner(s) agree to the terms of, and acknowledge receipt of copy(ies) of, this document and the following: ® Terms & Conditions ❑ Truth in Savings Funds Availability ❑ Electronic Fund Transfers ® Privacy ® Substitute Checks ❑ Common Features Q _specific Account Details ❑ Agency Designation (See Owner/Signer Information for Agency Designation(s).) Agency Designation (select and initial): ❑ Survives OR ❑ Terminates on disability or incapacity of parties. The Internal Revenue Service does not require your consent to �to provision of this document other than the certifications require avoid backup withholding. (1): LX DOUGLAS R RUSSELL I.D. # __ D.0 B (2): IX I JULIE RAWES f.D. # D.O.B. (3): [X AIMEE COOKE I.D. # D.O.B (4): IX I.D. # D.O.B Signature Card -MT MPMP-LAZ MT 3/1512015 6—kers Systems- VMP' Page 1 of 2 Wo ters Kluwer F moral Services ` 2015 • Name JULIE Fi}1WES Relationship SIGNER Address Mai Address fit different) - Gov't Issued Photo rD {type. number, state, issue date, exp. dato) Other lD (description, details) Employer Previota E-Mad Work Phone Home Phone: Mobile Phone: Birth Date: SSNrrIN: OwnerlSigner InfiCirmation AIMEE COOKE SIGNER Name Relationship Address Ma ling Address (if different) Gov't Issued Photo ID (type, number, state, issue date, exp. date) Other ID (description, details) Employer Previous F;narii Inst. E-Mail Work Phone Home Phone: Mobile Phone. Birth Date: SSN/TIN: OwnerlSigner Information Name Relationship Address Meiling Address ('f different) Gov't Issued Photo ID fir pe, number, state, issue date, exp. dote) --.J other ID (description, details) Employer Previo n F' ld Inst. E-Mai Work Phone Home Phone: Mobile Phone: Birth Date: SSNi?IN: Important Account Opening Information. Federal law requires us to obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulf'dt this requirement. In some instances we may use outside sources to confirm the Information. The Information you provide is protected by our privacy policy and federal law. Signature Card-M' Bankers Syvemsn VMPP Wo tors K uwer Finsnc-er Services 2015 Owner Information CITY OF KALISPELL Name State/Country & Date MT UNITED STATES of Organization 08/16/1945 Nature of Business CITY OF KALISPELL/PUBLIC FUNDS Address 35 1ST AVE E KALISPELL MT 59901-4556 Mailing Address PO BOX 1997 (if different) KALISPELL MT 59903-1997 Sr,uilgtion Date Authorization/ 08/22/2022 Prevous E-MoI jhawesekalispell.com Prone (406) 758-7700 EIN: 81-6001281 J Mobile Phone: i ❑ Cash D Check Checking 10163583 ❑ 5 ❑ Cash D Check D s ❑ Cash D Check Services Requested ❑ ATM ❑ Debit/Check Cards (No. Requested: ) ❑ D Backup Withholding Certifications (If not a'U.S. Person ; certify foreign status separately) 0 By signing signature field (1) on this document, I certify larder penalties of perjury that the statements made in this section are true and that I am a U.S. citaen or other U.S. person (as defined in the instructions). Z) Taxpayer I.O. Number - TIN: 81-6001281 The Taxpayer Identification Number (TIN) shown is my correct taxpayer identification number. El BackupWithholding. I am not subject to backup withholding either because I have ` not been notifed that I am subject to backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service has notified me that I am no longer subject to backup withholding. ❑ Exempt Recipients. I am an exempt recipient under the internal Revenue Service Regulations. Exempt payee code (if any) FATCA Code. The FATCA code entered on this (arm (if any) indicating that I am exempt from FATCA reporting is correct. Changing Terms of Account t$ekcf Bird x,rw1 below./ ❑ Multiple -Party Account's Terms may be Changed by a Single Party ❑ Multiple -Party Account's Tents may be Changed Only by Agreement of AD Parties I -Other, Additional information provided with new account disclosures: Fee Schedule Important Information about FDIC Insurance Coverage Business Electronic Funds Transfer Information (business accounts only) MPMP LAZ-MT 311512015 Page 2 of 2 enmr Authorization GLACIER BANK 202 MAIN STREET KALISPELL, MT 59901 Referred to in this document as 'Financial Institution' By. CITY OF KALISPELL FINANCE DIRECTOR PO BOX 1997 KALISPELL MT 59903-1997 Referred to in this document as 'Entity' ENTITY CERTIFICATIONS. The undersigned certify that: I am designated to act on behalf of the above named Entity. I am authorized and directed to execute an original or a copy of this Authorization to Financial Institution, and anyone else requiring a copy. Authorizing Entity is duly organized, validly existing and in good standing under state law and is duly qualified, validly existing and in good standing in all jurisdictions where Authorizing Entity operates or owns or leases property. Authorizing Entity has the power and authority to provide this Authorization, to confer the powers granted in this Authorization and to carry on Authorizing Entity's business and activities as now conducted. The designated Agents have the power and authority to exercise the actions specified in this Authorization and Authorizing Entity properly adopted these authorizations and appointed the Agents and me to act on its behalf. Authorizing Entity will notify Financial Institution before reorganizing, merging, consolidating, recapitalizing, dissolving or otherwise materially changing ownership, management or organizational form. Authorizing Entity will be fully liable for failing to notify Financial Institution of these material changes. GENERAL AUTHORIZATIONS. I certify Authorizing Entity authorizes and agrees that: (Financial Institution) is designated to provide Authorizing Entity the financial accommodations indicated in this Authorization, subject to the Financial Institution's rules and regulations from time to time. All prior transactions obligating Authorizing Entity to Financial Institution by or on behalf of Authorizing Entity are ratified by execution of this Authorization. Any Agent, while acting on behalf of Authorizing Entity, is authorized, subject to any expressed restrictions, to make all other arrangements with Financial Institution which are necessary for the effective exercise of the powers Indicated within this Authorization. The signatures of the Agents are conclusive evidence of their authority to act on behalf of Authorizing Entity. Unless otherwise agreed to in writing, this Authorization replaces any earlier related Authorization and will remain effective until Financial Institution receives and records an express written notice of its revocation, modification or replacement. Any revocation, modification or replacement of this Authorization must be accompanied by documentation, satisfactory to Financial Institution, establishing the authority for the change. Authorizing Entity agrees not to combine proceeds from collateral securing any debts owed to Financial Institution with unrelated funds. SPECIFIC AUTHORIZATIONS. The following persons (Agents) are authorized to act on behalf of Authorizing Entity in fulfilling the purposes of this Authorization: NAME AND TITLE OR POSITION SIGNATURE FACSIMILE SIGNATURE (if used) A DOUGLAS R RUSSELL X X SIGNER B. JULIE HAWES }{ SIGNER C. AIMEE COOKE }{ DIRECTOR ❑C E. F X X EN FJ 9i KI X Authorizing Entity has adopted any facsimile signatures indicated above. Financial Institution may rely on those facsimile signatures that resemble the specimens within this Authorization or the specimens that Authorizing Entity periodically files with Financial Institution, regardless of by whom or by what means the signatures were affixed AUTH-ENTITY 9/1/2018 Entity Authorization 118091.00 2018 Wo ten wice Kluwer Financial Services. Inc. Pape 1 or 2 All rights reserved Custom EMTAUTHE Authorizing Entity authorizes and directs the designated Agents to act, as indicated, on Authorizing Entity's behalf to: (Indicate a, b, c, d, a and/or f to exercise each specific power): Enter into and execute any preauthorized electronic transfer agreements for automatic withdrawals, deposits or transfers initiate, through an electronic ATM or point -of -sale terminal, telephone, computer or magnetic tape using an access device like an ATM or debit card, a code or other similar means. Enter into and execute commercial wire transfer agreements that authorize transfers by telephone or other communication systems through the network chosen by Financial Institution. Endorse for cash, deposit, negotiation, collection or discount by Financial Institution any and all deposit checks, drafts, certificates of deposit and other instruments and orders for the payment of money owned or held by Trust. ABC Sign checks or orders for the payment of money, withdraw or transfer funds on deposit with you. Enter into and execute a written night depository agreement, a lock -box agreement or a safe deposit box lease agreement. INTERPRETATION. Whenever used, the singular includes the plural and the plural includes the singular. The section headings are for convenience only and are not to be used to interpret or define the terms of this Authorization. This authorization is specific to account number: SIGNATURES. By signing, I certify and agree to the terms contained in this Authorization on behalf of Authorizing Entity. I also acknowledge receipt of a copy of this Authorization. AUTHORIZATION'S SIGNERS: Signature: Printed Name: Title: Date: Signature: _ Printed Name: Title: Date: AUTH•ENTITY 9/1/2018 Entity Authorizetion 080900 0 2018 Wolters Kluwer Financial Services, Inc. Pope 2 of 2 All rights reserved. Custom EMTAUTHE i�lIM1Y1nIIII�n9Ni�INhNIIli�N6sitlll�l Account AddressInstitution Name & GLACIER BANK 202 MAIN STREET KALISPELL, MT 59901 (406) 756-4200 M PURDOM BY. S C005076 Revised Date: 08/22/2022 Revision Reason: UPDATE SIGNERS LORI A ADAMS Name Ft.1.60mhip SIGNER Address Moiling Address W different) Gov't Issued Photo ID (type, number, state. issue date, exp. date) - - OtherlD (description. details) Employer Previous in ' Ins t. E-Msil Work Phone Home Ph.—: Mobile Phone: Birth Data: SSN/TIN: 'Ownership of , The specified ownership will remain the same for all accounts. (For consumer accounts, select and initia/.) ❑ Single -Party Account ❑ Multiple -Party Account ❑ Sole Proprietorship or Single Member LLC ❑ Partnership ❑ LLC-enter tax classification (❑ C Corp ❑ S Corp ❑ Partnership) ❑ C Corporation ❑ S Corporation ❑ ❑ Trust -Separate Agreement Dated: x❑ Public Funds Beneficiary Designation (Check appropriate ownership above - select end initial below.) ❑ Single -Party Account ❑ Single -Party Account with Pay -On -Death (POD) ❑ Multiple -Party Account with Right of Survivorship ❑ Multiple -Party Account with Right of Survivorship and POD ❑ Multiple -Party Account without Right of Survivorship Fl 7Check appropriate beneficiary designation above.) Signature Card -MT aankera Systems to VMPU Wolters Kluwer Firs ncial Services 0 2016 '' ll 111 llll ll l l it loll �� ll� ll� �Q l�� llll �l � Ireement Date: 12/19/2005 Internal Use TOTALLY FREE Bus 10239193 CITY OF KALISPELL KALISPELL MUNICIPAL COURT BOND TRUST ACCOUNT PO BOX 1997 KALISPELL MT 59903-1997 Enter Non -Individual Owner Information on page 2. There is additional Owner/Signer Information space on page 2. ❑ If checked, this is a temporary account agreement. Number of signatures required for withdrawal: 1 The undersigned authorize the financial institution to investigate credit and employment history and obtain reports from consumer reporting agency(ies) on them as individuals. Except as otherwise provided by law or other documents, each of the undersigned is authorized to make withdrawals from the account(s), provided the required number of signatures indicated above is satisfied. The undersigned personally and as, or on behalf of, the account owner(s) agree to the terms of, and acknowledge receipt of copy(ies) of, this document and the following: © Terms & Conditions ❑ Truth in Savings 0 Funds Availability ❑ Electronic Fund Transfers x❑ Privacy Substitute Checks ❑ Common Features Q Specific Account Details ❑ Agency Designation (See Owner/Signer Information for Agency Designation(s).) Agency Designation (select and initial): ❑ Survives OR ❑ Terminates on disability or incapacity of parties. The Internal Revenue Service does not require your consent to any i provision of this document other than the certifications required to avoid backup withholding. (t)' [X J LORI A ADAMS I.D. # D.O.B. (2): [X JULIE HAWES I.D. # D.O-B. (3): [X J JOLENE R SHIMA I.D. # D.O B. (4): [X AIMEE COOKE I.D. # D O.B MPMP LAZ-MT 311512015 Page 1 of 2 'OwnerlSigner Information JULIE HAWES Name Relationship SIGNER Address Mailing Address (if different) Gov't Issued Photo ID (type, number, state, issue date, exp. date) , Other 10 Idesaiption, details) Employer Previous E-Mail Work Phone Home Phone: Mobile Phone: Birth Date: SSN/TIN: JOLENE R SHIMA Name Relationship SIGNER Address Mmling Address (d ddlerent) Gov't Issued Photo 10 (type, number, state, issue date, exp. date) Other ID (description, details) Employer Previous E-Mail Work Plane Home Phone: _ Mobile Phone: Birth Date: SSN/TIN: Name AIMEE COOKE Relationship SIGNER Add,=S Mailing Address (if different) Gov't Issued Photo ID (type, number, state, issue date, exp. date) Other ID (description, details! Employer Previous F' E-Mail Work Phone Home Phone: Mobile Plane: Birth Date: SSNr'rIN: Important Account Opening Information. Federal law requires us Eo obtain sufficient information to verify your identity. You may be asked several questions and to provide one or more forms of identification to fulfill this requirement. In some instances we may use outside sources to confirm the information. The information you provide is protected by our privacy policy and federal law. S.gneturo Card -MT Bankers Systems- VMP Wo ters K uwer Financial Sery cars 2016 Non -Individual Owner Information CITY OF KALISPELL Name State/Country & Date MT UNITED STATES of Organization 08/16/1945 Nature of Business CITY OF KALISPELL/PUBLIC FUNDS Address 35 1ST AVE E KALISPELL MT 59901-4556 Mailing Address PO BOX 1997 (It differenO KALISPELL MT 59903-1997 Authorization/ Re3olumn Date 08/22/2022 Previous Financial Inv E-Mail jhawesokalispell.com Phone (406) 758-7700 EI N: 81- 6 0 012 81 Mobile Phone: s ❑ Cash ❑ Check Checking 10239193 a ❑ Cash ❑ Check s ❑ Cash ❑ Check RequestedServices ❑ ATM ❑ Debit/Check Cards (No. Requested: ) ❑ ❑ ❑ ❑ Backup Withholding Certifications (If not a'U.S. Person', certify foreign status separately) 0 By signing signature field (1) on this document, I certify under penalties of penury that the statements made in this section are true and that I am a U.S. citizen or other U.S. person (as i defined in the instructions). ❑x Taxpayer I.O. Number - TIN: 81-6001281 The Taxpayer Identification Number (TIN) shown is my correct taxpayer identification number. Q BeokuPP Withholding. I am not subject to backup withholding either because 1 have I subject to backup withholding as a result of a failure to report all not been notified that am interest or dividends, or the Internal Revenue Service has notified me that I am no longer abject to backup withholding. ❑ Exempt Recipients. I am an exempt recipient under the Internal Revenue Service Regulations. Exempt payee code (if any) FATCA Code. The FATCA code entered an this form (if any) indicating that I smexempt from FATCA reporting is correct. Changing Terms of Account JSehct and mitt/below./ ❑ Multiple -Party Account's Tem-s may be Changed by a Single Party ❑ Multiple -Party Account's Tema may be Changed Only by Agreement of All Parties Other Terms1h7formation Additional information provided with new account disclosures: Fee Schedule ortant Information about FDIC Insurance overage ImpC Business Electronic Funds Transfer Information (business accounts only) MPMP-IAZ-M' 3/1512015 Page 2 of 2 Im�I��Y�INIIIp�IdIlA�611RIIIB1�A91NI�IIISIn91�16�1�IpIMdI� ennry Authorization GLACIER BANK 202 MAIN STREET KALISPELL, MT 59901 Referred to in this document as 'Financial Institution' By. CITY OF KALISPELL KALISPELL MUNICIPAL COURT BOND TRUST ACCOUNT KALISPELL MT 59903-1997 Referred to in this document as 'Entity' ENTITY CERTIFICATIONS. The undersigned certify that: I am designated to act on behalf of the above named Entity. 1 am authorized and directed to execute an original or a copy of this Authorization to Financial Institution, and anyone else requiring a copy. Authorizing Entity is duly organized, validly existing and in good standing under state law and is duly qualified, validly existing and in good standing in all jurisdictions where Authorizing Entity operates or owns or leases property. Authorizing Entity has the power and authority to provide this Authorization, to confer the powers granted in this Authorization and to carry on Authorizing Entity's business and activities as now conducted. The designated Agents have the power and authority to exercise the actions specified in this Authorization and Authorizing Entity properly adopted these authorizations and appointed the Agents and me to act on its behalf. Authorizing Entity will notify Financial Institution before reorganizing, merging, consolidating, recapitalizing, dissolving or otherwise materially changing ownership, management or organizational form. Authorizing Entity will be fully liable for failing to notify Financial Institution of these material changes. GENERAL AUTHORIZATIONS. I certify Authorizing Entity authorizes and agrees that: (Financial Institution) is designated to provide Authorizing Entity the financial accommodations indicated in this Authorization, subject to the Financial Institution's rules and regulations from time to time. All prior transactions obligating Authorizing Entity to Financial Institution by or on behalf of Authorizing Entity are ratified by execution of this Authorization. Any Agent, while acting on behalf of Authorizing Entity, is authorized, subject to any expressed restrictions, to make all other arrangements with Financial Institution which are necessary for the effective exercise of the powers indicated within this Authorization. The signatures of the Agents are conclusive evidence of their authority to act on behalf of Authorizing Entity. Unless otherwise agreed to in writing, this Authorization replaces any earlier related Authorization and will remain effective until Financial Institution receives and records an express written notice of its revocation, modification or replacement. Any revocation, modification or replacement of this Authorization must be accompanied by documentation, satisfactory to Financial Institution, establishing the authority for the change. Authorizing Entity agrees not to combine proceeds from collateral securing any debts owed to Financial Institution with unrelated funds. SPECIFIC AUTHORIZATIONS. The following persons (Agents) are authorized to act on behalf of Authorizing Entity in fulfilling the purposes of this Authorization: NAME AND TITLE OR POSITION SIGNATURE FACSIMILE SIGNATURE (if tied) A. LORI A ADAMS SIGNER B. JULIE HAWES SIGNER C. JOLENE R SHIMA SIGNER D. AIMEE COOKE DIRECTOR E F X X X X X X X X X X X X Authorizing Entity has adopted any facsimile signatures indicated above. Financial Institution may rely on those facsimile signatures that resemble the specimens within this Authorization or the specimens that Authorizing Entity periodically files with Financial Institution, regardless of by whom or by what means the signatures were affixed. Entity Authorization AUTWENTITY 9/1/2018 (z 2018 Wolters Kluwerurvi hnanal Seces, Inc Pf Ail rights resem6d. Custom EMTAUTHE epge. I oof 2 f 2 Authorizing Entity authorizes and directs the designated Agents to act, as indicated, on Authorizing Entity's behalf to: (Indicate a, b, c, d, a and/or f to exercise each specific power): Enter into and execute any preauthorized electronic transfer agreements for automatic withdrawals, deposits or transfers initlate❑ through an electronic ATM or point -of -safe terminal, telephone, computer or magnetic tape using an access device like an ATM or debit card, a code or other similar means. Enter into and execute commercial wire transfer agreements that authorize transfers by telephone or other communication systems through the network chosen by Financial Institution. Endorse for cash, deposit, negotiation, collection or discount by Financial Institution any and all deposit checks, drafts, certificates of deposit and other instruments and orders for the payment of money owned or held by Trust. ABCD Sign checks or orders for the payment of money, withdraw or transfer funds on deposit with you. Enter into and exect.te a written night depository agreement, a lock -box agreement or a safe deposit box lease agreement INTERPRETATION. Whenever used, the singular includes the plural and the plural includes the singular. The section headings are for convenience on y and are not to be used to interpret or define the terms of this Authorization. This authorization Is specific to account number: SIGNATURES. By signing, I certify and agree to the terms contained in this Authorization on behalf of Authorizing Entity. I also acknowledge receipt of a copy of this Authorization. AUTHORIZATION'S SIGNERS: Signature: _ Printed Name: Title: Date: Entity Authorixetion W 2018 Wolters Kluwer Financial Services, Inc. All rights reserved. Custom EMTAUTHE Signature: Printed Name: Title: Date: AUTH-ENTITY 9/1/2018 118091.00 Page 2 or 2