Account Opening Kit for Corporations Online

Persons opening an account on behalf of a legal entity must provide the following information:

A. Full name of person opening account:
First Name:*
Second Name:
Last name:*
B. Name of legal entity for which the account is being opened:*
C. The following information for each individual who directly or indirectly, through any contract, arrangement, understanding, relationship or otherwise, owns 10% percent or more of the equity interests of the legal entity listed in section (B):
Beneficial Owner 1
First Name:*
Second Name:
Last name:*
Date of Birth: (month/day/year)*

MonthDayYear
Social Security Number: (Only for US Persons)
Passport Number (*):*
Country of Issuance:*
Physical Address:*
City:*
State:*
Country:*
Zip Code:*
Number of shares held:*
Beneficial Owner 2
First Name:
Second Name:
Last name:
Date of Birth: (month/day/year)

MonthDayYear
Social Security Number: (Only for US Persons)
Passport Number(*):
Country of Issuance:
Physical Address:
City:
State:
Country:
Zip Code:
Number of shares held:
Beneficial Owner 3
First Name:
Second Name:
Last name:
Date of Birth: (month/day/year)

MonthDayYear
Social Security Number: (Only for US Persons)
Passport Number(*):
Country of Issuance:
Physical Address:
City:
State:
Country:
Zip Code:
Number of shares held:
Beneficial Owner 4
First Name:
Second Name:
Last name:
Date of Birth: (month/day/year)

MonthDayYear
Social Security Number: (Only for US Persons)
Passport Number(*):
Country of Issuance:
Physical Address:
City:
State:
Country:
Zip Code:
Number of shares held:
D.The following information for one individual with significant responsibility for managing the legal entity listed above, such as:
- An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Managing Member, General Partner, President, Vice President, Treasurer)
(If appropriate, an individual listed under section (B) above may also be listed in this section (D).
First Name:*
Second Name:
Last Name:*
Date of Birth: (month/day/year)*

MonthDayYear
Social Security Number: (Only for US Persons)
Passport Number:
Country of Issuance:*
Position in company*
Physical Address:*
City*
State:*
Country:*
Zip Code:*
I,*
Name of person opening account
hereby certify, to the best of my knowledge, that the information provided above is complete and correct.
Signature:*

Clear
Date: (month/day/year):

MonthDayYear
(*) In lieu of a passport number, foreign persons may also provide an alien identification card number, or number and country of issuance of any other government-issued document evidencing nationality or residence and bearing a photograph or similar safeguard.
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(If necessary, include additional sheet)
(1) Name:*
Passport Number:*
Position:*
Country of Birth:*
Country of Residence:*
(2) Name:
Passport Number:
Position:
Country of Birth:
Country of Residence:
(3) Name:
Passport Number:
Position:
Country of birth:
Country of Residence:
(4) Name:
Passport Number:
Position:
Country of birth:
Country of Residence:
(Example Branches, Affiliates, Related, Subsidiaries, Matrix)
(1) Full Name:
Relationship:
City:
Country:
(2) Full Name:
Relationship:
City:
Country:
(3) Full Name:
Relationship:
City:
Country:
(4) Full Name:
Relationship:
City:
Country:
AGREEMENT

Of the first part, the account holder(s) that sign below, from now on called "The Depositor", who has/have the following characteristic and particular facts:
Type of Depositor*

A partnership, or organized societyA commercial EntityA Legal entity
Organized and doing business under the laws of
headquartered in
represented on this act by its
under the name
of civil status
originally from
who has been authorized to appear before this act through a Partnership Resolution by the Partnership or Corporate Resolution by the members of the boards of the Corporation, signed into action on
Day
of (month),
year
which is part of this agreement.
* Incorrect Date
acting under the commercial name written above, represented in this act by its agent, representative or owner; by the name of
of civil status
originally from
who has the power of attorney to stand in, in accordance with the Partnership Agreement, or the Commercial Agreement included as part of this agreement.
Acting by my self or collectively with one or more persons as:

Individual/Solidary (and/or)JointlyIndistinct
represented hereby by agent, representative, owner or administrator, under the name
who is rightfully authorized to stand in here by a General Resolution approved by the Board of Directors of the entity, which is included as part of this agreement.
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	Yes	No
• Are you or any other of the account owners, or beneficiaries or anyone with any interest in this account a public figure? –”Public Figure” is defined for this purpose as a current or former senior official in the executive, legislative, administrative, military, or judicial branches of a foreign government, whether or not they are or were elected officials; a senior official of a major foreign political party; and a senior executive of a foreign government-owned commercial enterprise. This definition also includes a corporation, business, or other entity formed by or for the benefit of such an individual. Senior executives are individuals with substantial authority over policy, operations, or the use of government-owned resources.

	Yes	No
• Is any immediate family member or close associate of yours a public figure, as defined above?

for and in the name of the Entity ignore, yield or mortgage or in any way place a lien on movable and immovable assets and things of this Entity, and complete agricultural refraction contracts, liquidating and paying off said contracts, in the name of this Entity; to complete banking transactions, sign agreements, contracts and other deals to book and subscribe the services of any kind with said Bank, at any point and in the form, mode and manner in which the persons here designated deem necessary; therefore, the Bank is clear to act in all this transactions in accordance of this General Resolution and trusting in it, until the Bank is notified with a certified copy that a later resolution from the board of directors of the Entity renders this resolution modified or revoked.

RESOLUTION, That this resolution will stay in full vigor and effect until the Bank receives written notification of any modifications or annulment, and the receiving of such notification by the Bank will not affect any action taken before receiving the said notification.

RESOLUTION, The Bank is absolved of all responsibility towards this Entity, and will be indemnified, and protected by this Entity from any claim, lawsuit,
expenses, losses and damages that result from the Bank accepting and honoring the signature of a designated official in the name of the Entity; or any
other person that appears in the active resolution at the time of the Bank's actions; or by the Bank's refusal to honor or accept any signature that is not
correctly identified and registered or that has been rendered ineffective by an amend or later modification or in vigor at the time of the Bank's actions.

RESOLUTION, In the event that the Entity had provided a "Facsimile Resolution" corresponding to the valid electronic signatures of the officials according to this General Resolution; and that this General Resolution were to be amended in the future, without submitting simultaneously an amended "Facsimile Resolution", the Bank will keep in effect and full vigor the last version provided.

RESOLUTION, That this General Resolution will remain in effect and full vigor, and will stay in place until the Bank receives proper notification of a newer
certified resolution from the Entity that amends or nullifies the previous General Resolution; and that this amendment or nullification will never affect the
actions already taken by the bank before the Bank was notified of said amendment or annulment.

RESOLUTION, finally, the underwritten from the Entity, is hereby, properly authorized to notify said Bank, with a certified copy, of this General Resolution,
and that the provisions of this General Resolution are in accordance with the documents that governs the Entity. It certifies that no document that governs
the Entity, nor in the applicable laws, there is any disposition that limits the reach and powers of the officials from the Entity to take this General Resolution, and that this General Resolution is in accordance to said documents because it governs said Entity. Similarly, it certifies that the people identified below are officials of the Entity and are designated in this General Resolution, and that they have been properly qualified and are acting as such officials:
(1) Signer's name*
Last Name*
Title/Position*
(2) Signer's name
Last Name
Title/Position
(3) Signer's name
Last Name
Title/Position
(4) Signer's name
Last Name
Title/Position
IN TESTIMONY OF WHICH, I subscribe this General Resolution with my name and stamp in it the Entity seal,
Day*
Month*
Year*
* Incorrect Date
City*
Country*
Authorized Signature of the Entity (The person signing this resolution must be authorized by a valid document of the Entity that is accepted by the Bank)*

Clear
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SECURITY PROCEDURE

The client understands and agrees that the authenticity of all transfer requests made will be verified according to the following parameters:

- The Bank, at the time of authenticating your request, will ask you to provide some personal information, which will be compared to the previously provided with the account application.

- The Bank will confirm the payments according to the limitations established for each one of the authorized signers.

CONDITIONS FOR THE CONFIRMATION OF TRANSFERS
Please select one of the following options:*

We agree with the standard confirmations made by the Bank. We wish to confirm all transaction requests considering the following parameters: (See Table below)I want the bank to confirm ALL our transfer requests regardless of the amount.I DO NOT want to receive confirmation calls for ANY of our transfer requests.
To secure your funds, the bank will make a confirmation call via telephone to the client, to verify the transfer request's authenticity. The bank will only be considering the data provided by the client in the account opening request.

ADDITIONAL SUPPORTS

The client understands that due to bank procedures, supporting documents may be required to support the payment he is making.
The client understands that these documents can be requested at any time by the Bank, even after they have been processed.
The request for additional supporting documents will be sent to the email designated by the client.
Name:*
Account Number:
Signature:

Clear
Date:*

MonthDayYear
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FACTS

WHAT DOES INTERCAM BANCO INTERNACIONAL INC., DO WITH YOUR PERSONAL INFORMATION?

Why?

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..
What?
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 and income
• account balance and payment history
• credit history and credit scores
How?
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 Intercam Banco Internacional Inc., chooses to share; and whether you can limit this sharing.

Reasons we can share your personal information	Does Intercam Banco Internacional Inc., 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	Yes	No
For our marketing purposes - to offer our products and services to you	Yes	No
For joint marketing with other financial companies	Yes	No
For our affiliates’ everyday business purposes - information about your transactions and experiences	Yes	No
For our affiliates’ everyday business purposes - information about your creditworthiness	Yes	Yes
For our affiliates to market to you	Yes	Yes
For nonaffiliates to market to you	No	No

To limit
our sharing

• Call 800-099-0259 - our menu will prompt you through your choice(s)
• Visit us online: www.intercam.com.pr
• Send us the exclusion request that is included below

Please note:

If you are a new customer, we can begin sharing your information 30 days from the date we sent this notice. When you are no longer our customer, we continue to share your information as described in this notice.

However, you can contact us at any time to limit our sharing.

¿Questions?

Call 800-099-0259 or go to www.intercam.com.pr

NO NEED TO COMPLETE if previous option was not to share your information.
Mark any/all you want to limit:

Do not share information about my creditworthiness with your affiliates for their everyday business purposesDo not allow your affiliates to use my personal information to market to me.Do not share my personal information with nonaffiliates to market their products and services to me.
Apply my choices only to me:
Name
Address
City, State,
Zip Code
Account Number
Send to:
Intercam Banco
Internacional Inc.
info@intercam.com.pr
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Who we are
Who is providing this notice?	Intercam Banco Internacional Inc.,. and its affiliates (see definition below).
What we do
How does Intercam Banco Internacional Inc. protect my personal information?	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. In addition, we limit access only to employees to provide products, services or tocomply with local and federal regulations.
How does Intercam Banco Internacional Inc., collect my personal information?	We collect your personal information, for example, when you • open an account or deposit money • pay your bills or apply for a loan • use your credit or debit card We also collect your personal information from others, such as credit bureaus, affiliates, or other companies.
Why can’t I limit all sharing?	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. See below for more on your rights under state law.
What happens when I limit sharing for an account I hold jointly with someone else?	Your choices will apply to everyone on your account—unless you tell us otherwise.

Definitions
Affiliates	Companies related by common ownership or control. They can be financial and nonfinancial companies. • Our affiliates include companies with a Intercam name.
Nonaffiliates	Companies not related by common ownership or control. They can be financial and nonfinancial companies. • Intercam Banco Internacional Inc., 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. • Intercam Banco Internacional Inc., Our joint marketing partners

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Dear Customer:

Since July 1st, 2014, Foreign Account Tax Compliance Act (FATCA) under the Internal Revenue Services of the United States (IRS) has been in effect.
Some of the FATCA requirements includes due diligence when opening of a deposit account (Checking, Savings, CDs and IRAs), or when the customer
changes its residential address. The customer must comply with the requirements of due diligence, which consists of a declaration or statement certifying his/her place of residency by using one of the forms listed below. The form to be use depends on the type of customer and must be delivered to Intercam as evidence of the proper due diligence.

Requirements for the Customer at the Opening of the Account or when Changing Personal Circumstances on Deposit Accounts (Checking, Savings, CDs & IRAs):

• Complete and submit to Intercam the corresponding IRS form during the account opening day. The Regulation grants thirty (30) calendar days from the
day of the opening of the account.

• Submit to Intercam within 90 calendar days from the date of changes in residency address or customer data in the account, known as: Change in
Circumstances. Applicable changes are: Name, postal and residence address, especially if it is in the United States; and changes in percentages of
shareholders’ participation (for legal entities).

• Customer will receive an annual disclosure of interest paid to the IRS (form 1099/1042 form, as applicable).

All IRS forms may be downloaded from their web page: www.irs.gov.

Intercam Responsibility in Case Customer Does Not Bring Required IRS Forms:

• Must withhold 28% to 30% of the income paid for monthly interest or as provided for the accounts maturity of deposit accounts (checking , savings,
CDs and IRAs).

• The withholding will be effective according to the following time-table:
• Day 31st from the date of the opening of the account.
• Day 91st from the change in circumstances.
• No withholding of the income paid is performed once the required IRS forms in received.

• The customer’s withheld amounts under FATCA will be sent to the IRS as tax withheld to the customer's account.

• Intercam does not benefit of the withholding, it is an obligation imposed by the IRS and FATCA.

For any claim about withholdings made to your account you should visit: http://www.irs.gov/uac/Contact-My-Local-Office-in-Puerto-Rico.

By signing this release, you confirm that you were properly oriented on the responsibility of completing the FATCA form/certification applicable at the
opening of an account or when change of address; and the withholding of 28% to 30% of the income paid if the corresponding form pursuant the above
mentioned table is not deliver to Intercam under FATCA Regulation.
Customer Name*
Signature*

Clear
Effective Date (mm/dd/yyyy)*

MonthDayYear
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Download Terms and Conditions PDF
Accept Terms and Conditions
Name*
Signature*

Clear
Date (Month/Day/Year)

MonthDayYear
HourMinutesAM/PM Option
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Please include the following documents in this section:
- Copy of the Latest Financial Statements
- Minutes of Assembly / Modification of capital and administration of the company
- Legal documentation such as Articles of Incorporation showing the existence of the entity
- Copy of Registration Card to the R.F.C. (if apply)
- CURP (Unique Population Registration Key) and RFC (Federal Taxpayer Registry) the company's empowered and the final owner (if apply)
- Proof of address of the company (no greater than 90 days)
- 1 Banking references (no more than 90 days)
SIGNERS or SHAREHOLDERS IN CASE OF POSSESSING MORE THAN 10% IN SHARES
- 2 valid photo Id’s
If you need more information you can contact us by email customer_services@intercam.com.pr or toll-free 800-099-0259
Files to Attach with the Application

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Cancelof
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Should be Empty:

Financial Information

What?

How?

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