Artisan Funds IRA Account Application

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Artisan Funds IRA Account Application"

Transcription

1 Artisan Funds IRA Account Application use this application to establish an artisan Funds ira account. there is an acceptance fee of $5.00 and an annual maintenance fee of $ to transfer your ira directly from another custodian, you must also complete an ira transfer Form. please type or print in black ink. if you have any questions, please call a customer service representative toll-free at IMPORTANT: Do not use this form to establish an Artisan Funds Coverdell Education Savings or regular Account. For regular mail delivery: artisan Funds p.o. box 8412 boston, ma For overnight delivery: artisan Funds c/o boston Financial 30 Dan road canton, ma ID#: IMPORTANT INFORMATION FOR OPENING A NEW ACCOUNT To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions, including mutual funds, to obtain, verify and record the following information that identifies each person who opens an account: full name, date of birth, social security number and residential address. If any of the information is missing, we will be unable to establish an account and your application and check will be returned. If the Funds are unable to verify your identity from the information you provide, your account will be closed and the redemption proceeds will be paid to you. Please refer to the Anti-Money Laundering Compliance section of the prospectus for further information. If no activity occurs in your account within the timeframe specified by applicable state law, your account may be transferred to the appropriate state. This is called escheatment. 1 registration & address Please print clearly using CAPITAL LETTERS. Do You Have other artisan FunDs accounts? q Yes q no if Yes, provide account number(s) owner s name (First, middle initial, Last) social security number Date of birth (mm-dd-yyyy) street address* city state zip code mailing address (if DiFFerent From street address) city state zip code ( ) ( ) DaYtime telephone number evening telephone number address *You must be a U.S. resident with a U.S. mailing address. If your mailing address is a post office box, you must also provide a U.S. residential address to invest in Artisan Funds. 2 type of ira By selecting one of the following I designate my account as a Traditional IRA (including a SEP-IRA) under code section 408 or as a Roth IRA under code section 408A. Check ONE of the boxes below to indicate the type of IRA you are opening, then complete Section 3, Section 4 or Section 5. q TRADITIONAL IRA - Complete Section 3 q ROTH IRA - Complete Section 4 q RECHARACTERIZED CONTRIBUTION - Complete Section W W W. A R T I S A N P A R T N E R S. C O M

2 3 traditional IRA Check the applicable box(es) below to tell us more about your Traditional IRA. Read the instructions for each box carefully, as you may need to check more than one box. te: amount may be rolled over or transferre d from a Coverdell Education Savings Account, Archer Medical Savings Account or a Health Savings Account to a Traditional IRA. q Annual Contribution Check enclosed for $. For contributions sent between January and April 15, indicate whether it is for q current or q preceding calendar year. If a contribution year is not selected, the contribution will be purchased as current year. This contribution does not exceed the maximum permitted amount for the year of contribution as described in the Disclosure Statement. q 60-day rollover of an existing Traditional IRA Check this option if you are funding this IRA with money you have withdrawn from an IRA at another custodian and are reinvesting at Artisan Funds. Check type of IRA: q Traditional IRA funded with annual contributions. q Rollover IRA originally funded with a distribution from an employersponsored plan, 403(b) arrangement or governmental 457 plan. If this rollover contribution constitutes all or part of either a withdrawal from another Traditional IRA or an eligible rollover distribution from an employer qualified plan or 403(b) arrangement, and if it includes any after-tax (or nondeductible) contributions to such other Traditional IRA or employer qualified plan or 403(b) arrangement, indicate the amount of after-tax (or nondeductible) contributions included in this rollover contribution: $. q Rollover to a Traditional IRA from an employersponsored plan Check this option only if you are funding this IRA with money you accumulated in an employer s retirement plan, 403(b) arrangement or eligible governmental 457 plan which is eligible for rollover. Check method of funding: q A check payable to Artisan Funds is enclosed. q My plan trustee will send a check directly to Artisan Funds. If this is a direct rollover contribution from an employer qualified plan, 403(b) arrangement or governmental 457 plan, and if it includes any after-tax (or non-deductible) contributions to such employer qualified plan, 403(b) arrangement or governmental 457 plan, indicate the amount of after-tax (or nondeductible) contributions included in this direct rollover: $. q Transfer of an existing Traditional IRA Check this option to authorize Artisan Funds to transfer your existing IRA from another custodian to Artisan Funds. You must also complete an IRA Transfer Form. Check type of IRA by selecting one of the following: q Traditional IRA funded with annual contributions. q Rollover IRA originally funded with a distribution from an employer-sponsored plan. If this transfer includes any nondeductible contributions to the transferring account, indicate the amount of nondeductible contributions included in this transfer: $ q SEP-IRA Please see your tax advisor for the maximum contribution limits on your SEP-IRA or SARSEP-IRA. q Regular SEP-IRA Contribution for year q Regular Salary Reduction SEP-IRA (SARSEP) Contribution for year q 60 Day Rollover - Check this option if you have withdrawn funds from a SEP-IRA at another custodian and are reinvesting them at Artisan Funds. q Direct Transfer - Check this option to authorize Artisan funds to transfer your existing SEP-IRA directly from another custodian. Please complete both this application and an IRA Transfer Form. Be sure to notify your employer. q Inherited IRA Check this box (in addition to the applicable box above) if the amount that you are either transferring or rolling over from a Traditional IRA or employer plan consists of assets that you received as a beneficiary of a deceased IRA owner or plan participant (inherited assets). If you do not check this box, you are certifying that you are the owner of this IRA in your own right and are not subject to the special rules for an inheriting beneficiary of a deceased IRA owner or plan participant. In addition, also check the applicable box below: q I am not the surviving spouse of the original IRA owner or plan participant. My IRA will be registered as a decedent (DCD) IRA, and will be subject to special minimum distribution rules. q I am the surviving spouse of the original IRA owner or plan participant, but I want the IRA registered as a DCD IRA. q I am the surviving spouse of the original IRA owner or plan participant, but I want the IRA registered in my name as if I were the original owner (not a DCD IRA). te: If you are the surviving spouse, there are tax implications to this choice please consult a tax advisor for further information. Date of original IRA owner s/plan participant s death: 4 roth IRA Check the applicable box(es) below to tell us more about your Roth IRA. q Annual Contribution Check enclosed for $. For contributions sent between January and April 15, indicate whether it is for q current or q preceding calendar year. If a contribution year is not selected, the contribution will be purchased as current year. This contribution does not exceed the maximum permitted amount for the year of contribution as described in the Disclosure Statement. q Rollover or Transfer from existing non-artisan Traditional IRA or an employer s qualified plan to a Roth IRA with Artisan Funds. This is treated as a conversion and the tax considerations described under Conversion, below apply. Limits apply to the transfer of funds from either a Traditional IRA or an employer plan to a Roth IRA, and you should consult a tax advisor to insure that you are eligible to make the transfer. If you are transferring funds, you must also complete an Artisan Funds IRA Transfer Form. q Rollover or Transfer from existing non-artisan Funds Roth IRA to a Roth IRA with Artisan Funds. If you are transferring funds, you must also complete an Artisan Funds IRA Transfer Form. Date existing roth ira was originally opened (mm-dd-yyyy) q Rollover or Transfer from a designated Roth account in an employer s qualified 401(k) plan, 403(b) arrangement or eligible governmental 457 plan. If you are transferring funds, you must also complete an Artisan Funds IRA Transfer Form. Date existing roth account was originally opened (mm-dd-yyyy)

3 4 roth IRA (Continued) q Conversion of an existing Artisan Funds Traditional IRA to a Roth IRA with Artisan Funds. current artisan traditional ira account number Amount Converted q All q Part (specify how much): $ Under IRS rules, a conversion of a Traditional IRA or qualified plan benefit to a Roth IRA is treated for income tax purposes as a distribution of taxable amounts in the Traditional IRA. IRS rules also require the custodian to withhold 10% of the conversion amount for federal income taxes unless no withholding has been elected. See IRS Publication 505, Tax Withholding and Estimated Tax for more information. State tax withholding may also apply if federal income tax is withheld. Caution: Withholding income taxes from the amount converted (instead of paying applicable income taxes from another source) may adversely impact the expected financial benefits of converting from a Traditional to a Roth IRA (consult your financial adviser if you have a question). Because of this impact, by electing to convert a Traditional IRA to a Roth IRA, you are deemed to elect no withholding unless you check the box below: q Withhold 10% for federal income taxes (if you want a greater percentage withheld, write that percentage here %). q Military death gratuity or payment Rollover of military death gratuity or payment from service member s Group Life Insurance Program received by reason of death of a military service member. Date payment received (mm-dd-yyyy) *te: To facilitate proper recordkeeping and tax reporting for your Roth IRA, we require separate Roth IRA accounts to hold annual contributions and to hold conversion amounts. If you wish to make both annual contributions and conversion contributions by converting, transferring or rolling over an existing Traditional IRA, please complete different IRA Account Applications to set up separate Roth IRAs. If you are transferring or rolling over an existing Roth IRA, please set up separate Roth IRAs for a transfer or rollover of an annual contributions Roth IRA and a conversion Roth IRA. amount may be rolled over or transferred from a Coverdell Education Savings Account, Archer Medical Savings Account or a Health Savings Account to a Roth IRA. 5 recharacterized contribution Check the applicable box(es) and complete the following if you originally made a contribution to a Traditional IRA and wish to recharacterize it as a contribution to a Roth IRA, or vice versa. If the original contribution was made to a non-artisan Funds IRA, you must also complete an Artisan Funds IRA Transfer Form. Indicate what type of IRA the original contribution was made to: q Traditional IRA (recharacterized as Roth IRA contribution) q Roth IRA (recharacterized as Traditional IRA contribution) Date the original contribution was made (mm-dd-yyyy) For Tax Year YEAR q If the original contribution was made to an Artisan Funds IRA, check this box and indicate the IRA account number: ira account number Amount Recharacterized: q Entire account balance q Part (specify how much, including income): $ (If no amount is specified, the entire account balance will be recharacterized.) 6 investment selection Invest the contributions to my IRA Account in the Artisan Funds shown below. Use the column for dollar amounts if you are sending a check or wire, or transferring or exchanging a specific dollar amount. Use the percentage column if you are transferring assets or doing a rollover. The minimum initial investment for the Investor Share Class is $1,000 per Fund. ( minimum initial investment is required in the Investor Share Class if you are using the Automatic Investment Plan Section 8.) The minimum initial investment for the Advisor Share Class is $250,000 per Fund. Select Share Class 1 : Fund Investor Advisor Amount Artisan Developing World Fund q 2463 q 2464 $,,. Artisan Emerging Markets Fund q 1674 $,,. Artisan Global Equity Fund q 1676 $,,. Artisan Global Opportunities Fund q 1675 q 2456 $,,. Artisan Global Small Cap Fund q 2453 $,,. Artisan Global Value Fund q 1673 q 2457 $,,. Artisan High Income Fund q 2454 q 2455 $,,. Artisan International Fund q 661 q 2458 $,,. Artisan International Small Cap Fund* q 1465 $,,. Artisan International Value Fund* q 1466 q 2459 $,,. Artisan Mid Cap Fund* q 962 q 2460,,. Artisan Mid Cap Value Fund* q 1464 q 2461 $,,. Artisan Small Cap Fund* q 660 $,,. Artisan Small Cap Value Fund* q 963 $,,. Artisan Value Fund q 1670 q 2462 $,,. Sub-total $,,. Acceptance fee of $5 per Fund 2 $. TOTAL AMOUNT $,,. NOTE: The Funds noted with an asterisk (*) are closed to most new investors. For new account eligibility criteria, please refer to the Who is Eligible to Invest in a Closed Artisan Fund? section of the prospectus. A separate account will be established for each fund selected. Payment Method: q Check Payable to: Artisan Funds (te: Artisan does not accept cash, drafts, money orders, travelers checks, credit card payments, credit card checks, starter checks, third party checks and checks drawn on non-u.s. financial institutions.) q Wire (te: Wire transfers from a bank outside the U.S. will not be accepted.) Please call for wiring instructions. q By transfer from another IRA Please complete Artisan Funds IRA Transfer Form. q By exchange from my identically registered Artisan Fund Account Number: q By -Minimum Automatic Investment Plan (Complete Sections 10 and 11) q By rollover from employer plan employer plan check payable to Artisan Funds to follow 1 Investor Share Class minimum investment: $1,000 per Fund. ( minimum initial investment is required in the Investor Share Class if you are using the Automatic Investment Plan Section 8.) Advisor Share Class minimum investment: $250,000 per Fund. If you do not meet the minimum investment threshold for the Advisor Share Class your investment will be made into the Investor Share Class. 2 If you do not include the $5 per Fund acceptance fee in your check or wire, it will be deducted from your investment.

4 7 beneficiary designation IMPORTANT: This Beneficiary Designation may have important tax or estate planning effects. If you cannot accomplish your estate planning objectives by using this form to designate your beneficiary(ies) (for example, if you have more than two primary or alternate beneficiaries or wish to provide that the surviving children of a beneficiary who predeceases you should take that beneficiary s share by right of representation), you may submit another form of written beneficiary designation to the Custodian. You may also wish to designate a trust as your beneficiary, in which event you must provide the Custodian with certain information regarding the trust. Any amount remaining in the Account that is not disposed of by a proper Beneficiary Designation will be distributed to your estate (unless otherwise required by the laws of your state of residence). You may change the beneficiary(ies) named below at any time by filing a new Beneficiary Designation with the Custodian. Any subsequent Designation filed with the Custodian will revoke all prior Designations, even if the subsequent designation does not dispose of your entire Account. See your lawyer or other tax professional for additional information and advice. PRIMARY BENEFICIARY OR BENEFICIARIES: (If a beneficiary is a minor, provide the minor s name, social security number, date of birth, residential street address and assign a custodian and provide custodian s name, social security number, date of birth and residential street address. If the beneficiary is a trust, send copies of the first and last pages of the trust agreement with your application and provide the tax identification number or social security number of the trust, the date of the trust agreement and the full name, social security number, date of birth and residential address of each individual authorized to act on behalf of the trust.) In the event of my death, pay any balance I may have in my Account to the following Primary Beneficiary or Beneficiaries who survive me. I revoke all prior IRA beneficiary designations, if any, made by me for these assets. Make payment in the proportions specified below (or in equal proportions if no different proportions are specified). Percentages or proportions for Beneficiaries must total 100%. If any Primary Beneficiary predeceases me, his share is to be divided among the Primary Beneficiaries who survive me in the relative proportions assigned to each such surviving Primary Beneficiary. name of beneficiary (First, middle initial, Last) relationship Date of birth (mm-dd-yyyy) social security number proportion street address (a p.o. box is not acceptable) city state zip code name of beneficiary (First, middle initial, Last) relationship Date of birth (mm-dd-yyyy) social security number proportion street address (a p.o. box is not acceptable) city state zip code ALTERNATE BENEFICIARY OR BENEFICIARIES: If none of the Primary Beneficiaries survives me, pay any balance I may have in my Account to the following Alternate Beneficiary or Beneficiaries who survive me. Make payment in the proportions specified below (or in equal proportions if no different proportions are specified). If any Alternate Beneficiary predeceases me, his share is to be divided among the Alternate Beneficiaries who survive me in the relative proportions assigned to each such surviving Alternate Beneficiary. name of beneficiary (First, middle initial, Last) relationship Date of birth (mm-dd-yyyy) social security number proportion street address (a p.o. box is not acceptable) city state zip code name of beneficiary (First, middle initial, Last) relationship Date of birth (mm-dd-yyyy) social security number proportion street address (a p.o. box is not acceptable) city state zip code SPOUSAL CONSENT I am the spouse of the above-named accountholder. I acknowledge that I have received a full and reasonable disclosure of my spouse s property and financial obligations. Due to any possible interest in this IRA, I have been advised to see a tax professional or legal advisor. I hereby consent to the beneficiary designation(s) indicated. I assume full responsibility for any adverse consequences that may result. tax or legal advice was given to me by the Custodian or Sponsor. If you are married and reside in a community property or marital property state, you may need to obtain your spouse s consent if you have not designated your spouse as primary beneficiary for at least half of your account. See your lawyer or other tax professional for information and advice. signature of spouse Date signature of witness For spouse Date It is the accountholder s responsibility to determine if this section applies. Neither the Custodian nor Artisan is liable for any consequences resulting from a failure of the accountholder to provide proper spousal consent.

5 8 telephone redemption You may redeem shares by telephone unless you choose not to have that option by checking the box below. Any amount of shares may be redeemed if you have provided valid bank information on your account (see Section 11) to transfer funds via Electronic Funds Transfer (EFT) or wire. If no bank information is provided, telephone redemptions will be limited to $50,000 each and a check will be sent to the address of record. For EFT or wire transactions you must provide bank account information in Section 11 and attach a VOIDED check. q, I do not want the telephone redemption option 9 telephone purchase You may purchase shares of any Artisan Fund by telephone with payment by Electronic Funds Transfer (EFT) from your designated U.S. bank account, by checking the option below and completing Section 11. ($50 minimum, $50,000 maximum) q Yes, I want the telephone purchase option. Your purchase will be effected on the business day of your call, if you call before the time as of which the Fund calculates its NAV, or on the next business day after your call if you call after the time as of which the Fund s NAV have been calculated for the day. You must provide bank account information in Section 10 and attach a VOIDED check. 10 automatic investment plan (aip) You may systematically purchase shares of your Artisan account on a monthly, quarterly, semi-annual or annual basis. To establish an Automatic Investment Plan EFT from your U.S. bank account into your Artisan IRA account, complete this section, attach a check clearly marked VOID and complete Section 11. Designate a date between the 3rd and 28th day of the month only. If no day is indicated, the 15th of the month will be the withdrawal date. If a withdrawal date falls on a weekend or holiday, your payment will be transferred from your bank account on the banking day prior to the withdrawal date. Your bank must be a member of the Automated Clearing House (ACH). begin investment on (mm-dd-yyyy) (must be between 3rd and 28th day of the month) FunD name amount ($50 monthly minimum) Investment schedule: q Monthly q Quarterly q Semi-Annually q Annually IRA contributions made through AIP will be credited as contributions for the year in which the shares are purchased. If you want to make prioryear contributions, please indicate which month(s) should be coded as a prior-year contribution(s): q January q February q March q April (must be on or before the 15th) 11 bank account of record If you selected either Sections 8, 9 or 10, you must attach a VOIDED check below. Your U.S. bank account information must be on file in order to exercise telephone privileges or to participate in AIP. Telephone redemption is not available for IRA accounts. At least one name on the bank account must match exactly the name in Section 1. For Checking Accounts: A blank voided check is necessary to provide account and U.S. bank routing information and must accompany this application (mutual fund money market checks may not be used). For Savings Accounts: Provide your U.S. bank s ABA number and your savings account number below. name of u.s. bank q checking (attach voided check) account type q savings (complete information to the right) u.s. bank s aba number (For savings accounts only) savings account number (For savings accounts only) (Please DO NOT Staple) The following authorization is required for EFT transactions: By signing Section 12 below, I authorize Artisan Funds to initiate (i) credit entries (deposits), (ii) debit entries (withdrawals) (for the Automatic Investment Plan or telephone purchases with payment by EFT) and (iii) debit or credit entries and adjustments for any entries made in error to my bank account identified above. This authorization will remain effective until I notify Artisan Funds in writing of its termination and until Artisan Funds has a reasonable amount of time to act on it. To discontinue or change an AIP, please notify us at least 14 days prior to the next scheduled withdrawal date. continued on back page

6 12 signature By signing this form, I certify that: I have received the current Fund prospectus and agree to be bound to its terms. I have full authority and legal capacity to purchase Fund shares and establish and use any related privileges. I acknowledge that I have sole responsibility for my investment choices. All information and certifications on this application are true and correct. I consent to the delivery of a single shared copy of each prospectus and report to shareholders to me and all other shareholders who share my address. I understand that I may revoke my consent by calling Artisan Funds at or by writing to Artisan Funds. I will not place transactions in my account for the benefit of any person other than myself (except for a transfer of shares to another account). I acknowledge that if the Funds determine that I have permitted another person or entity to purchase or redeem shares through my account, the Funds may reject future purchases in my account and any related accounts. If I have indicated a Traditional IRA Rollover or Rollover from an employer-sponsored plan, I certify that, if the distribution is from another Traditional IRA, I have not made another rollover from the same Traditional IRA within the one-year period immediately preceding this rollover; that such distribution was received within 60 days of making the rollover to this account (or such longer period as permitted by law); and that no portion of the amount rolled over is a required minimum distribution under the required distribution rules, a hardship distribution from an employer qualified plan, 403(b) arrangement or eligible 457 plan, or a payment that is part of a series of annuity or installment payments. If I have indicated a Recharacterization of an amount previously contributed to a Traditional IRA or to an Existing Roth IRA, I certify that I have not previously made any other recharacterizations for the same year, and the recharacterization otherwise meets all requirements for a valid recharacterization. If I have indicated a Conversion, Transfer or a Rollover of an existing Traditional IRA or an employer s qualified retirement plan (other than a designated Roth account), to a Roth IRA, I acknowledge that the amount converted will be treated as taxable income (except for prior nondeductible contributions) for federal income tax purposes and certify that no portion of the amount converted, transferred or rolled over is a required minimum distribution under applicable rules. If I have elected to convert an existing Artisan Funds Traditional IRA to a Roth IRA and have elected no withholding, I understand that I may be required to pay estimated tax and that insufficient payments of estimated tax may result in penalties. If I have indicated a rollover from another Roth IRA or designated Roth account, I certify that the information given is correct and acknowledge that adverse tax consequences or penalties could result from giving incorrect information. I certify that any rollover contribution to the Roth IRA was completed within 60 days after the amount was withdrawn from the other IRA or plan or that an exception to the 60 day requirement applies. If I have not checked the box marked Inherited IRA in Section 3, I certify that I am the original owner of this IRA in my own right and that no portion of the funds transferred or rolled over into the IRA were received by me as the beneficiary of a deceased IRA owner or plan participant. I have received and read the applicable sections of the Artisan Funds, Inc. / State Street Bank and Trust Company Universal Individual Retirement Account Disclosure Statement relating to this Account (including the Custodian s fee schedule) and the Custodial Agreement. I acknowledge receipt of the Universal Individual Retirement Account Disclosure Statement and Custodial Agreement at least 7 days before the date inscribed below and acknowledge that I have no further right of revocation. I acknowledge that it is my sole responsibility to report all contributions to, or withdrawals from, the Account correctly on my tax returns, and to keep necessary records of all my IRAs (including any that may be held by another custodian or trustee) for tax purposes. All forms must be acceptable to the Custodian and dated and signed by me. I acknowledge that this application and the Custodial Agreement are the primary documents controlling the terms and conditions of my IRA. I understand and acknowledge that Artisan Funds is required to comply with various anti-money laundering laws and regulations and may be required by law to freeze an account, transfer an account or proceeds of an account to a governmental agency, provide a governmental agency information about transactions that have occurred in an account or take such other action as may be required by law. The Social Security Number in Section 1 is correct. I am a U.S. person (including a U.S. resident alien). PLEASE SIGN HERE. Sign exactly as in Section 1. signature as registered in section 1 Date PLEASE RETURN: 1. This completed application. 2. Voided bank check (if applicable). 3. Check(s) made payable to: Artisan Funds (if applicable). 4. Completed IRA Transfer Form (if applicable). 5. First and last pages of trust agreement, for any beneficiary that is a trust. For regular mail delivery send to: For overnight delivery send to: Artisan Funds Artisan Funds c/o Boston Financial c/o Boston Financial P.O. Box Dan Road Boston, MA Canton, MA W W W. A R T I S A N P A R T N E R S. C O M Artisan Partners Distributors LLC, member FINRA. A15024L - 9/25/2015

7 ARTISAN PARTNERS Rev. 12/ FACTS Why? What? How? WHAT DOES ARTISAN DO WITH YOUR PERSONAL INFORMATION? Financial companies choose how they share your personal information. Federal law gives consumers the right to limit some but not all sharing. Federal law also requires us to tell you how we collect, share, and protect your personal information. Please read this notice carefully to understand what we do. The types of personal information we collect and share depend on the product or service you have with us. This information can include: Social Security number account balances, transaction history and assets checking account information and wire transfer instructions When you are no longer our customer, we continue to share your information as described in this notice. All financial companies need to share customers personal information to run their everyday business. In the section below, we list the reasons financial companies can share their customers personal information, the reasons Artisan chooses to share, and whether you can limit this sharing. Reasons we can share your personal information Does Artisan share? Can you limit this sharing? For our everyday business purposes such as to process your transactions, maintain your account(s), respond to court orders and legal investigations, or report to credit bureaus For our marketing purposes to offer our products and services to you For joint marketing with other financial companies For our affiliates everyday business purposes information about your transactions and experiences For our affiliates everyday business purposes information about your creditworthiness For nonaffiliates to market to you Yes Yes Yes We don t share We don t share We don t share Questions? Call

8 Page 2 Who we are Who is providing this notice? What we do How does Artisan protect my personal information? How does Artisan collect my personal information? Artisan Partners Funds, Inc., Artisan Partners Distributors LLC and Artisan Partners Limited Partnership To protect your personal information from unauthorized access and use, we use security measures that comply with federal law. These measures include computer safeguards and secured files and buildings. Within Artisan, access to information about you is restricted to those employees who need to know the information to service your account. We collect your personal information, for example, when you open an account or give us your contact information make a wire transfer or provide account information make deposits or withdrawals from your account We also collect your personal information from other companies. Why can t I limit all sharing? Definitions Affiliates naffiliates Federal law gives you the right to limit only sharing for affiliates everyday business purposes information about your creditworthiness affiliates from using your information to market to you sharing for nonaffiliates to market to you State laws and individual companies may give you additional rights to limit sharing. Companies related by common ownership or control. They can be financial and nonfinancial companies. Artisan Partners Funds, Inc., Artisan Partners Distributors LLC, Artisan Partners Limited Partnership, Artisan Partners Asset Management Inc. and Artisan Partners UK LLP are affiliates. They may share information among each other. Companies not related by common ownership or control. They can be financial and nonfinancial companies. Artisan does not share with nonaffiliates so they can market to you. Joint marketing A formal agreement between nonaffiliated financial companies that together market financial products or services to you. Artisan does not jointly market. # A /18/14

student s name (first, middle initial, last) social security number Date of birth (mm-dd-yyyy)

student s name (first, middle initial, last) social security number Date of birth (mm-dd-yyyy) Artisan Funds Education Savings Account Application Use this application to establish an artisan funds education savings account. there is an acceptance fee of $5.00 and an annual maintenance fee of $15.00.

More information

INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT

INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new Traditional IRA or Roth IRA. This application must be preceded or accompanied by a current

More information

INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT

INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT INDIVIDUAL RETIREMENT CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new Traditional IRA or Roth IRA. This application must be preceded or accompanied by a current

More information

SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT

SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new SIMPLE IRA. This application must be preceded or accompanied by a current Disclosure Statement and Custodial

More information

SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT

SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new SIMPLE IRA. This application must be preceded or accompanied by a current Disclosure Statement and Custodial Agreement. For Additional Copies or Assistance

More information

SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT

SIMPLE IRA CUSTODIAL ACCOUNT ADOPTION AGREEMENT Please complete this application to establish a new SIMPLE IRA. This application must be preceded or accompanied by a current Disclosure Statement and Custodial Agreement. For Additional Copies or Assistance

More information

IRA APPLICATION STEP 1. IRA Type. Traditional IRA. Roth IRA SEP-IRA. Complete, sign, and mail to the above address

IRA APPLICATION STEP 1. IRA Type. Traditional IRA. Roth IRA SEP-IRA. Complete, sign, and mail to the above address Eventide Funds c/o Gemini Fund Services LLC PO Box 541150 Omaha, NE 68154 877-771-EVEN (3836) WWW.EVENTIDEFUNDS.COM IRA APPLICATION Complete, sign, and mail to the above address IMPORTANT Eventide Funds

More information

The Evermore Funds IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

The Evermore Funds IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs The Evermore Funds IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Evermore Funds Trust c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express

More information

Owner s name (First, M.I., Last) Required. Street (P.O. Box not acceptable except for APO/FPO) Required. Other Information (Suite, Attention, etc.

Owner s name (First, M.I., Last) Required. Street (P.O. Box not acceptable except for APO/FPO) Required. Other Information (Suite, Attention, etc. IRA Application (ADOPTION AGREEMENT) Baron Asset Fund Baron Fifth Avenue Growth Fund Baron Growth Fund Baron Partners Fund Baron Discovery Fund Baron Focused Growth Fund Baron International Growth Fund

More information

Individual Retirement Account (IRA) New Account Application

Individual Retirement Account (IRA) New Account Application Individual Retirement Account (IRA) New Account Application ederated The USA PATRIOT Act requires the Funds to obtain, verify, and record information that identifies each person who opens an account. Failure

More information

STATE STREET BANK AND TRUST COMPANY UNIVERSAL INDIVIDUAL RETIREMENT ACCOUNT INFORMATION KIT (EFFECTIVE JANUARY 1, 2015)

STATE STREET BANK AND TRUST COMPANY UNIVERSAL INDIVIDUAL RETIREMENT ACCOUNT INFORMATION KIT (EFFECTIVE JANUARY 1, 2015) STATE STREET BANK AND TRUST COMPANY UNIVERSAL INDIVIDUAL RETIREMENT ACCOUNT INFORMATION KIT FOR INVESTMENT IN SEQUOIA FUND, INC. (EFFECTIVE JANUARY 1, 2015) 1 SEQUOIA FUND, INC. State Street Bank and Trust

More information

IRA Application. Class C and S Shares

IRA Application. Class C and S Shares IRA Application Class C and S Shares Instructions Use this form for IRA individual, custodial, trust,profit-sharing and pension plan accounts. Do not use this form for ICON Funds Class A accounts. For

More information

First Name Middle Initial Last Name Social Security/Tax ID No. (required)

First Name Middle Initial Last Name Social Security/Tax ID No. (required) PAGE 1 OF 5 Regular mail: Pax World Mutual Funds PO Box 55370 Boston MA 02205-5370 Overnight mail: Pax World Mutual Funds c/o BFDS 30 Dan Road, Suite #55370 Canton, MA 02021-2809 Telephone: 800.372.7827

More information

IRA ADOPTION AGREEMENT

IRA ADOPTION AGREEMENT IRA ADOPTION AGREEMENT Please complete and sign this IRA Adoption Agreement after you have read the prospectus carefully. You may invest in as many of the UMB Scout Funds as you wish using just this application.

More information

IRA APPLICATION STEP 1. IRA Type. Traditional IRA. Roth IRA SEP-IRA. Complete, sign, and mail to the above address

IRA APPLICATION STEP 1. IRA Type. Traditional IRA. Roth IRA SEP-IRA. Complete, sign, and mail to the above address Eventide Funds c/o Gemini Fund Services LLC PO Box 541150 Omaha, NE 68154 877-771-EVEN (3836) WWW.EVENTIDEFUNDS.COM IRA APPLICATION Complete, sign, and mail to the above address IMPORTANT Eventide Funds

More information

Individual Retirement Account (IRA) New Account Application

Individual Retirement Account (IRA) New Account Application Individual Retirement Account (IRA) New Account Application ederated The USA PATRIOT Act requires the Funds to obtain, verify, and record information that identifies each person who opens an account. Failure

More information

Pioneer Investments Retirement Plans. Pioneer Investments Retirement Plans

Pioneer Investments Retirement Plans. Pioneer Investments Retirement Plans Pioneer Investments Retirement Plans IRA Application Pioneer Investments Retirement Plans (For Traditional, Rollover, Roth, Beneficiary, Inherited, and SEP IRAs) It s Easy to Open a Pioneer IRA. 1. Select

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: The Plumb Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: The Plumb Funds

More information

ROTH IRA APPLICATION. SECTION 1: Account Information. SECTION 2: Contribution Type. SECTION 3: Investment Section

ROTH IRA APPLICATION. SECTION 1: Account Information. SECTION 2: Contribution Type. SECTION 3: Investment Section ROTH IRA APPLICATION IMPORTANT: To help the government fight the funding of terrorism and money laundering activities, Federal law requires all financial institutions to obtain, verify, and record information

More information

Owner s Name* (First, M.I., Last) Date of Birth* Social Security Number* Street Address (Physical Address)* Apt # City* State* Zip Code*

Owner s Name* (First, M.I., Last) Date of Birth* Social Security Number* Street Address (Physical Address)* Apt # City* State* Zip Code* *0200070013571* ROTH IRA APPLICATION Use this ROTH IRA Application to open a ROTH IRA. IMPORTANT: In compliance with the USA PATRIOT Act, Federal law requires all financial institutions (including mutual

More information

TRADITIONAL/SEP AND ROTH IRA APPLICATION

TRADITIONAL/SEP AND ROTH IRA APPLICATION Use this IRA Application to open a Traditional, SEP, OR ROTH IRA. IMPORTANT: To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions

More information

Kinetics Mutual Funds, Inc. IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

Kinetics Mutual Funds, Inc. IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs Kinetics Mutual Funds, Inc. IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Kinetics Mutual Funds, Inc. c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight

More information

IRA Application Institutional Class For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application Institutional Class For Traditional, ROTH, SEP, and SIMPLE IRAs Mail to: Hennessy Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 1 Type of IRA IRA Application Institutional Class For Traditional, ROTH, SEP, and SIMPLE IRAs Overnight Express

More information

SIMPLE IRA for Employees

SIMPLE IRA for Employees SIMPLE IRA for Employees State Street Bank and Trust Company SIMPLE Individual Retirement Custodial Account Employee Instructions for Opening Your SIMPLE IRA IMPORTANT: These Instructions and the forms

More information

Individual Retirement Account (IRA) Application

Individual Retirement Account (IRA) Application Individual Retirement Account (IRA) Application Use this form to open a Traditional, SEP or ROTH Individual Retirement Account ( IRA ). If you have questions about completing this form, please contact

More information

Credit Suisse Funds Universal IRA Application

Credit Suisse Funds Universal IRA Application IMPORTANT INFORMATION ABOUT PROCEDURES FOR OPENING A NEW ACCOUNT To help the government fight the funding of terrorism and money laundering activities, federal law requires all financial institutions to

More information

IRA Account Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Account Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Account Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Capital Advisors c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Capital

More information

Direct Rollover IRA Form

Direct Rollover IRA Form Direct Rollover IRA Form PO Box 55932 Boston, MA 02205-5932 800-379-7603 Use this form to invest an eligible rollover distribution from an employer s retirement plan into a new or existing IRA at Janus.

More information

Individual Retirement Account (IRA) Application

Individual Retirement Account (IRA) Application FPA Funds P.O. Box 2175 Milwaukee, WI 53201 Individual Retirement Account (IRA) Application FPA Capital Fund, Inc. FPA Crescent Fund FPA International Value Fund FPA New Income, Inc. FPA Paramount Fund,

More information

IRA Account Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Account Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Account Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Nuance Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Nuance Funds

More information

Authorization to Convert a Janus Traditional IRA

Authorization to Convert a Janus Traditional IRA Authorization to Convert a Janus Traditional IRA PO Box 55932 Boston, MA 02205-5932 800-525-1093 Use this form to convert assets from an existing Janus Traditional IRA to a new or existing Janus Roth IRA.

More information

[FORM RANA.2015.7] IMPORTANT: If you check Spousal IRA in Section II please enter spouse s information in Depositor Information.

[FORM RANA.2015.7] IMPORTANT: If you check Spousal IRA in Section II please enter spouse s information in Depositor Information. Individual Retirement Account THE NEW ACCOUNT FORM [FORM RANA.2015.7] SARATOGA ADVANTAGE TRUST USA PATRIOT ACT: To help the government fight the funding of terrorism and money laundering activities, federal

More information

TRIBUTARY FUNDS. IRA ADOPTION AGREEMENT Institutional Class Shares. 1 General Information. 2 Investment Instructions

TRIBUTARY FUNDS. IRA ADOPTION AGREEMENT Institutional Class Shares. 1 General Information. 2 Investment Instructions TRIBUTARY FUNDS Please Print Clearly PLEASE NOTE: FAILURE TO COMPLETE ALL SECTIONS OF THIS APPLICATION MAY RESULT IN A REJECTION OF YOUR APPLICATION. THE INFORMATION PROVIDED WILL BE VERIFIED AS REQUIRED

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Geneva Advisors Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Geneva Advisors

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Logan Capital Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Logan Capital

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: The Olstein Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: The Olstein

More information

Hatteras Funds IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

Hatteras Funds IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs Hatteras Funds IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Hatteras Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To:

More information

TRADITIONAL/SEP IRA APPLICATION

TRADITIONAL/SEP IRA APPLICATION TRADITIONAL/SEP IRA APPLICATION Use this TRADITIONAL/SEP IRA Application to open a TRADITIONAL/SEP IRA. IMPORTANT: In compliance with the USA PATRIOT Act, Federal law requires all financial institutions

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Mairs & Power Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Mairs & Power

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Bridges Investment Fund c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 In compliance with the USA PATRIOT

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: USA Mutuals Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: USA Mutuals

More information

If you have any questions or need assistance, please do not hesitate to contact us at 800.292.7435.

If you have any questions or need assistance, please do not hesitate to contact us at 800.292.7435. Thank you for choosing to roll over your retirement plan (e.g., 401k, 403b, 457) assets to an Ariel Investments IRA. Please take the steps outlined below to complete the roll over process. 1. If you do

More information

TRADITIONAL AND ROTH IRA APPLICATION AND ADOPTION AGREEMENT INSTRUCTIONS Do not use this Application to establish a SIMPLE IRA.

TRADITIONAL AND ROTH IRA APPLICATION AND ADOPTION AGREEMENT INSTRUCTIONS Do not use this Application to establish a SIMPLE IRA. TRADITIONAL AND ROTH IRA APPLICATION AND ADOPTION AGREEMENT INSTRUCTIONS Do not use this Application to establish a SIMPLE IRA. Please complete the Traditional and Roth Individual Retirement Account (IRA)

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Brandes Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Brandes Funds c/o

More information

TRADITIONAL/SEP AND ROTH IRA APPLICATION

TRADITIONAL/SEP AND ROTH IRA APPLICATION TRADITIONAL/SEP AND ROTH IRA APPLICATION Use this IRA Application to open a Traditional, SEP, OR ROTH IRA. IMPORTANT: To help the government fight the funding of terrorism and money laundering activities,

More information

IRA Account Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Account Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Account Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Hatteras Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 In compliance with the USA PATRIOT

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Aegis Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Aegis Funds c/o U.S.

More information

IRA Account Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Account Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Account Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: EntrepreneurShares c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: EntrepreneurShares

More information

Goldman Sachs IRA IRA

Goldman Sachs IRA IRA Goldman Sachs IRA A P P L I C A T I O N B O O K L E T IRA Instructions for Opening Your Account New Accounts If you are opening a Traditional IRA, Roth IRA or SEP IRA, review this booklet and complete

More information

IRA Account Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Account Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Account Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Tortoise Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Tortoise

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Great Lakes Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Great Lakes

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: The Needham Funds, Inc. c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: The Needham

More information

Osterweis Institutional Equity Fund IRA Application

Osterweis Institutional Equity Fund IRA Application Osterweis Institutional Equity Fund IRA Application For Traditional, ROTH, SEP and SIMPLE IRAs Mail to: Osterweis Funds c/o U.S. Bancorp Fund Services, LLC P.O. Box 701 Milwaukee, WI 53201-0701 Overnight

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Zevenbergen Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Zevenbergen

More information

RBC Funds - Class A IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

RBC Funds - Class A IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs RBC Funds - Class A IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: RBC Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To:

More information

FMI Funds. IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs. 1 Type of IRA. 2 Investor Information. Individual

FMI Funds. IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs. 1 Type of IRA. 2 Investor Information. Individual FMI Funds IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: FMI Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: FMI Funds

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: WBI Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: WBI Funds c/o U.S. Bancorp

More information

Janus SEP/SARSEP IRA Application

Janus SEP/SARSEP IRA Application Janus SEP/SARSEP IRA Application PO Box 55932 Boston, MA 02205-5932 800-525-1093 In order to open a new account directly with Janus, you, or a member of your immediate family or household, must be a current

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Portfolio 21 Global Equity Fund c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 In compliance with the USA

More information

Inheriting an IRA Individual Beneficiary Checklist

Inheriting an IRA Individual Beneficiary Checklist Inheriting an IRA Individual Beneficiary Checklist PO Box 55932 Boston, MA 02205-5932 800-240-4313 Re-registration Requirements Completed Janus IRA Beneficiary Claim Form Individual Beneficiary Certified

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: PRIMECAP Odyssey Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 In compliance with the USA PATRIOT

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Provident Trust Strategy Fund c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 In compliance with the USA

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Scharf Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Scharf Funds c/o

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: The Tocqueville Trust c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: The Tocqueville

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Oaktree Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Oaktree Funds c/o

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: The Torray Fund c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: The Torray Fund

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: IronBridge Funds, Inc. c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: IronBridge

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: LoCorr Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: LoCorr Funds c/o

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Schooner Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Schooner Funds

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Congress Asset Management Company c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs INNOVATOR IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Academy Funds Trust c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To:

More information

Pioneer Investments Retirement Plans

Pioneer Investments Retirement Plans Pioneer Investments Retirement Plans Pioneer Funds Retirement Plans SIMPLE IRA Application It s Easy to Open a Pioneer SIMPLE IRA. 1. Select the Pioneer mutual fund(s) you wish to invest in for your SIMPLE

More information

Street Number Street Name Apartment Number. City State Zip Code

Street Number Street Name Apartment Number. City State Zip Code IRA Application PO Box 55932 Boston, MA 02205-5932 800-525-1093 You must be a current Janus retail shareholder or a member of their immediate family or household to open a new account directly with Janus.

More information

INDIVIDUAL RETIREMENT TRANSFER OF ASSETS FORM

INDIVIDUAL RETIREMENT TRANSFER OF ASSETS FORM INDIVIDUAL RETIREMENT TRANSFER OF ASSETS FORM Please complete this form only if you are transferring assets directly to a new or existing Catalyst Funds IRA, converting from a Traditional IRA to a Roth

More information

IRA Application Advantus Mutual Funds For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application Advantus Mutual Funds For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application Advantus Mutual Funds For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Advantus Mutual Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 In compliance

More information

ALgER family of funds IRA AppLICAtIoN

ALgER family of funds IRA AppLICAtIoN ALgER family of funds IRA AppLICAtIoN Complete this application to establish an Alger Individual Retirement Account (IRA). If you plan to transfer or rollover funds from an existing IRA to an Alger-sponsored

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: SiM Dynamic Allocation Equity Income Fund c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs FUNDS IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Pzena Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Pzena Funds

More information

IRA Application Institutional Class For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application Institutional Class For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application Institutional Class For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Intrepid Capital Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Akre Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Akre Funds c/o U.S.

More information

IRA Application For Traditional, ROTH and IRAs

IRA Application For Traditional, ROTH and IRAs IRA Application For Traditional, ROTH and IRAs >> Mail to: New Covenant Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: New Covenant Funds c/o U.S.

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> For additional information please call toll-free 888-386-3785 or visit us on the web at www.investaaa.com. Mail to: Iman Fund c/o U.S. Bancorp

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Shenkman Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Shenkman Funds

More information

IRA Application For Traditional, Roth, SEP, and SIMPLE IRAs

IRA Application For Traditional, Roth, SEP, and SIMPLE IRAs IRA Application For Traditional, Roth, SEP, and SIMPLE IRAs >> Mail to: Dearborn Partners Rising Dividend Fund c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 In compliance with

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Convergence Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 In compliance with the USA PATRIOT Act,

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Bushido Capital Long/Short Fund c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To:

More information

Goldman Sachs IRA IRA

Goldman Sachs IRA IRA Goldman Sachs IRA A P P L I C A T I O N IRA Instructions for Opening Your Account New Accounts If you are opening a Traditional IRA, Roth IRA or SEP IRA, review this booklet and complete the Goldman Sachs

More information

Traditional, Roth, SEP-IRA, or SIMPLE IRA Application

Traditional, Roth, SEP-IRA, or SIMPLE IRA Application Traditional, Roth, SEP-IRA, or SIMPLE IRA Application A fund family of Everence Please call if you have any questions about filling out this application. (800) 977-2947 Send this application, and if applicable,

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs Toll Free: 1-866-811-0224 www.hodgesfunds.com - Fund www.hodgescapital.com - Advisor >> Mail to: Hodges Mutual Funds c/o U.S. Bancorp Fund Services,

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Direxion Investments c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Direxion

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Angel Oak Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Angel Oak Funds

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs WEBSITE >> Mail to: Prospector Funds, Inc. c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To:

More information

SEP-IRA New Account Application ederated

SEP-IRA New Account Application ederated SEP-IRA New Account Application ederated The USA PATRIOT Act requires Federated to obtain, verify, and record information that identifies each person who opens an account. Failure to provide required information

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Direxion Investments c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Direxion

More information

Street Address (Physical Address)* Apartment # City* State* Zip Code* Mailing Address (if different from above) City State Zip Code

Street Address (Physical Address)* Apartment # City* State* Zip Code* Mailing Address (if different from above) City State Zip Code ROTH IRA APPLICATION Use this ROTH IRA Application to open a ROTH IRA. IMPORTANT: In compliance with the USA PATRIOT Act, Federal law requires all financial institutions (including mutual funds) to obtain,

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: DSM Capital Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 In compliance with the USA PATRIOT Act,

More information

Pioneer 403(b) Withdrawal Request

Pioneer 403(b) Withdrawal Request Pioneer 403(b) Withdrawal Request 2 Pioneer Investments Retirement Plans 403(b) Withdrawal Request Use this form to request a withdrawal from your Pioneer 403(b) account. Mail to Pioneer Funds, P.O. Box

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Rockefeller Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 Overnight Express Mail To: Rockefeller

More information

IRA Application. 1 Type of IRA. 2 Investor Information. William Blair Directional Multialternative Fund For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application. 1 Type of IRA. 2 Investor Information. William Blair Directional Multialternative Fund For Traditional, ROTH, SEP, and SIMPLE IRAs IRA Application William Blair Directional Multialternative Fund For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: William Blair Investment Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee,

More information

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs

IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs Investor Class IRA Application For Traditional, ROTH, SEP, and SIMPLE IRAs >> Mail to: Westchester Capital Funds c/o U.S. Bancorp Fund Services, LLC PO Box 701 Milwaukee, WI 53201-0701 In compliance with

More information