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2005-23
=r • Resolution 2005-23 Certified Resolution for Depository Authorization Non-Profit Organizations 007 2000024544074 (~tr•) (Acca~nt Number) I, the undersigned, hereby certify to Wachovia Beak, N . A. , that I am PA TR. tc ~ A (~ ~ Q-h «r (complete bank name) ( I Name) ~, ~ ~~ ~ ~ n~ac- ~~ , of Tovrn o! Pulaski (~ or Y) (Full Name d church or Non-Pmflt Orpanlzatlon) ' a oMNldi/non profit organization duty organized and existing under the taws of State of Virginia (state) ' that the following is a true copy of Resolutions duty adopted by the (co~eml~ ~ of saideh/non-profit organization at its meeting duly held on the (~) , at which a quorum was present and acted throughout; and that such Resolutions are in full force and effect, have not been amended or rescinded, and that there is no provision in the Charter or By-Laws of sald.glmed~{non-profit organization limiting power of the (~~++tna ems) of said ~clynon-profd organ~ation to pass the following Resolutions, which are in full conformity with the provisbns of said Charter and By-Laws: (1) RESOLVED, the Wachovia B~' ~'A' (hereinafter the "BANK") is herewith designated as an (complete baNc name) authorized depository of this abe~reh/non-profit anization, and that one or more checking, savings, and/or other deposit a opened and maintained with said Bank; that , (onty if checked here) any two -otherwise, each: of the present hot following offices and/or positions of this church/non-profit organization and his (their) successors in office or position, to wib ~S ~.`o r h / ~~- . .L~Q (~~-~ ~ qtr P ~~ ~Jr-~~"~/^ (Name) ~ (~~.t~ ~ hr~s ~, r (Nam) T ~: Tn 7; /~Qh!!cl~i~' (C)ar /~ s LJ~t co . ~I a t.rl y- ~t 1~© t/' Is/are authorized on behalf of this churoh/nonprofit organization, and in its name however, more than one individual is solety for your convenience and internal control purposes: to sign checks, drafts, instruments, bills of exchange, acceptances and/or other orders for the payment of money from said church/rion-profit organization; to endorse checks, instruments, evidences of indebtedness, and orders payable, owned or held by this church/non-profit organization; to accept drafts, acceptances, instruments and/or other evidences of indebtedness payable at or through said Bank; to waive presentment, demand, protest and notice of protest or dishonor of any check(s), instruments(s), draft(s), acceptance(s), or other evidences of indebtedness made, drawn or endorsed by this church/non-profd organization; and otherwise to deal with said Bank in connection with the foregoing activities. RESOLVED FURTHER, that in the opening and maintaining of the above church/non-profit organization accounts and all transactions in connection therewith shall be governed by the proNsions of the agreements pertaining to such account(s), as amended from time to time by the Bank, and by such rules and regulations as the Bank shall, from time to time, promulgate and establish. This church/non- proflt organization is also authorized to obtain other related services from the Bank, such as the rental of safe deposit boxes from the Bank, obtaining of the night depository services, and the like. The rendering of such services by the Bank shall be governed by night depository agreement(s), safe deposit box lease agreement, and any other such agreement(s) contained on the application or signature cards pertaining to any such services offered to this church/non-profit organization by the Bank, as amended from time to time. Each of the above identified or described officers or representatives of the chunth/non-profit organization us herewith authorized to sign and execute such signature cants, applications and forms as the Bank shall deem appropriate, from time to time, in connection with the opening and maintaining of such account(s) and/or paying of such additional related services. Each is also authorized on behalf of this church/non-proftt organization, and in its name to execute applications for the issuance of any such savings instrument in the name of this churohlnon-profd organization. (RESOLUTIONS CONTINUED ON REVERSE SIDE HEREOF) C7 I, finely, certify that the above described persons who now hold offices and/or positions referred to in the first of the above R and that their bona fide signatures are set forth above. IN WITNESS WHEREOF, I have hereunto subscribed my name and affixed if applicable the seal of this church/non-profit o (~~) (OfflcedAutliorksd Perly) 582275 (Rev 01) Page 1 d 2 Send to: Document Storage (NC 8538) t- ~' ~ Deposit Account Application To help fight the funding of terrorism and matey laundering actlvities, Federal law requires all finandal insfiwfions b obtain, verity and rewrd infatuation that identifies each person who opens an account SIGNATURE CARD -The words I, me and rm which also mean we, us and our, H mere than one wsksrrer, mean the person(s) sr9drtg This agreemwd. It Ls agreed That Wadtovia wit recognize the s(gnahses bebw b ste paymam of Yards a in the tratsactim of filter bustrtess fa Yte aaouM(s). VVVe agree to the bans and eonditbro d Nte Wacltoria Deposit Ageemant for this atcouM(s) and attMottre Wachovia b abWish my/our aecoungs). UWa hanby xknowledga receipt of a Deposit AgreemanR scMdub of teas and Rob Diadaure, B appliabls. Rehr b Right of Survkrorehip provWona for NC and VA eceounb. ,[] It checked, Vwe request a Wachovia Banking Card far eases b the indicated aocoutts. NNe agree to the tem~5 and oondi6ans of Yre Wadtovia Card Agreement. Bank Use lMty: 0 NEW ~ SUPERSEDES ALL SIGNATURE CARDS ON FlLE f SUBSTIME FORM W.9 CERTIFICATR)N - Under panelGes of parjuy, I certify that: (1 The number shown m INs form is my coned accts! sewdty nurber a employer identlficatiort nranber (a I have applied for and I am waiting br a number w be issued b me) and (2 I am rat subject b backup witliroldfng bersuse: (a) I am ezerrpt Yen backup witlthddng; a (b) l have notlteen notified by the ktlertreV Revenue Service (IRS) that I am subject to backup wiUdwlding as a result of a faiwre b report all interest a dividerMs: a {c) fire IRS has notified ma titer 1 am rto brger ed b backup wiWgldrg. (3) I am a U.S. person (inducting a U.S. resident alien . Tha algnatutss subscribed below are the dory authoraed and gatuirte signatures wfikh yet w31 roeognizs recd honor in payment of funds or the transaction of ofMr business relating to our account The Ytbmal Revenue Service does not require your consent to any provbion of this doctattmt other than the certlifedioru requlrod to avoid backup withholding. SI re Protect Name Sh~r~ ~.~- v r/ Signatu Prn[ed Nama ~vk-~ ~UeSe.nb~f~ Signature Printed Name Title .~^~ f't-N({YICQ d/r~ Data ~- rde A ~sfi. To To~.v h N1 an Date Title Data . .,. M.x ~.,,.._. ... re ,_~~ Printed me Sigrtalure~~ ~~~ j J i Printed Name !r/,p+JIII/~/(,,,~,~ `' ~,hurles ~~~c~e . SiBtawre Prktted Name Title '.'i'"t7 W h /Yl~t tnrr~ e j'' Date ~. Y- ~i 7 me Date Pfachovia Bank, N.A. New Deposit Account COMPLETE THE APPROPRIATE W-8 FOREIGN Ong. Loc. Branch Visit No. Sold ey Referred By CERTIFICATION FORM IF YOU ARE CLAIMING ~~,, FOREIGN EXEMPTION STATUS. 007 VA 13035 ~~~ ~", ~ ; PAYABLE ON DEATH (POD) ACCOUNT (SIGNATURE REOUIRI.D FOR NC ACCOUNTS ONLY) I uralerstartd tltat by establisldng a trust acarrnt tauter the provisions of North Carokna Garters! Slabde s3-tes.z roar: 1. During my Hetrme I may wilh~aw the matey kt the acaunt and 2. By wriden dredion b Wachovia I may charge the benefidary; and 3. Upon my death the money remaining b the aaouM wit bektng to the beneficiary and Ute matey wR not be inheribd by my heirs a be cantrdlad by my wit. I desigreb (Pratt name of benefidary) as bertafidary b receive the balance of my acatrM at my deaM (Signatae of Accowtl tTvner) (SEAL) Product Type Account Number ~ GAIC 2000024544074 2 f _ ,~. 4 - Name/Address Town of Pulaski Downtown Revitalizatioa Grant P. 0. Sox 660 Pulaski, VA 24301 Tax ID No. ,,,. ,,::::: of First Name T54-6001538 Date of Birth 1"~""" POWER OF ATTORNEY (POA) ACCOUNT (SIGNATURE REDU6tED FOR NC ACCOUNTS IHILY) I understand first by eslablishkg a personal agenq eaouM order the provisiorta of Nortlt Carairta Generel Sbwb 53-146.3 that file agent named in the acaatt may: t. Skyt checks Aawn m fire account; and 2. Make deposia inw the aaotatt. I also understand that upon my death fire money remeidrg it the account wit be mnirdled by my wit a irJtailed by my heirs. I (write b'rio' a'do not? abd b have my agent wrditue b ed in my behdl it regard b my acoounl wta my inrppadry or menld incompetency b the future. ISignawre of AgenQ {Pool Agents Name! ...... tsgrtanae oraccoum Owner) 562295 (Rev 02) Page 1 of 1 (SEAL) RIGHT OF SURVIVORSHIP (ONLY NC ACCOUNTS): We urMasbnd tltat by estadisNng a joint accent order the provisicns of ^ North CaroYna Generel Statub 53.116.1 Ihat: t. Wadtwie may pay fire money b the account to, a on fire ceder of, anY Person named in fire aaoart unless we have agreed wilt the bank Utat witltdrew~s require mare than one skyrawre; and 2. Upon the death of one joint owner fire money rernaiNng in the account wit belong w the srnrivirg join) owners and wit not pass by kdtaritartce b Ure heirs of the deceased jdnt owner a be contrdled by the deceased jaim awrrer's wi6. Wa DO ehct b crash the Right oT Survivorship in this account Signahre Signatrre RIGHT OF SURVVORSHIP (ONLY VA ACCOUNTS): If wish to eslab6sh a jdnt aaount under Virgiria Law, please check one of the fdbwirg and sign: JOINT ACCOUNT WITH SURVNOItSHIP • On fire deatl+ of a pony to the account, Yte deceased party's ownership in Yoe account passes b the surviving party a parries b Ure aaotnt JOINT ACCOUNT - NO SURVNORSHW - On fire death of a party b the aaaunl, tlta deceased pariys ownersNp b the account Dosses ere a part of the pariys estate order the pony's wit, trust or by intesbq. SignaYse Signasxe PART 1-SIGNATURE CARD -DOCUMENT STORAGE SEND TO NC 8538