Fluz Customer Co-Branding Due Diligence Questionnaire

Fluz Customer Co-Branding Due Diligence Questionnaire
This questionnaire is issued by the Fluz Compliance team to a Fluz customer that has requested to co-brand a Fluz product. Your responses will be reviewed by Fluz and provided to the applicable sponsor bank as part of its third-party due diligence. Please answer every question completely and accurately.
General Information
Name of Fluz Entity Customer Seeking Co-Branding
Name of Company Representative Completing the Questionnaire

First NameLast Name
Fluz does not intend or expect any response to this questionnaire to contain confidential information, the disclosure of which would breach an agreement entered into by the Fluz Customer or any other duty it owes.
Affirmation
Legal, Regulatory and Reputation Risk
Please disclose any pending, threatened, settled, or concluded within the past five (5) years litigation, arbitration, mediation, administrative proceeding, government investigation, class action, or regulatory matter involving the Company or any of its affiliates, owners, directors, officers, or key employees. For each matter, please indicate the Company's role in the matter, describe the subject matter of the dispute, and provide the current status, how it was or is expected to be resolved, and any steps taken by the Company in connection with the matter.
Within the past five (5) years, has the Company, any affiliate, owner, director, officer, or key employee been subject to any consent order, memorandum of understanding (MOU), enforcement action, supervisory action, civil monetary penalty, regulatory settlement, examination finding, license denial, suspension, revocation, restriction, subpoena, civil investigative demand, law enforcement inquiry, or other regulatory action?
Provide details of the adverse actions.
Has the Company received any allegations, complaints, inquiries, investigations, or legal claims relating to consumer protection, UDAAP, deceptive marketing, discrimination, fair lending, FCRA, debt collection, privacy, data protection, or similar regulatory matters?
If yes, provide details and remediation efforts.
Is management aware of any current practice, business activity, product feature, marketing practice, customer segment, or planned initiative that could reasonably be expected to create legal, regulatory, compliance, consumer protection, or reputational risk?
If yes, please provide further details.
Customer and Market Risk
Describe the Company's target customer base, products, services, distribution channels, and geographic footprint. Include the percentage of customers that are consumers, businesses, and sole proprietors.
Does the Company currently serve, or intend to serve within the next twenty-four (24) months, customers or industries that may be considered higher risk, including but not limited to cryptocurrency, cannabis, gaming/gambling, money services businesses, foreign nationals, non-U.S. residents, cross-border payment activities, or other regulated or high-risk industries?
Select all that apply

Other
Describe the activity and related controls.
Identify all countries and jurisdictions in which the Company currently operates, markets, serves customers, or conducts business, and any countries or jurisdictions into which the Company intends to expand within the next twenty-four (24) months.
Complaints and Partner History
Describe the volume and nature of customer complaints received during the past three (3) years, including primary complaint drivers, complaints escalated to regulators or government agencies, and any resulting corrective actions.
Has the Company ever been terminated, restricted, declined, denied, or required to remediate deficiencies by a bank, sponsor bank, payment processor, card network, program manager, regulator, or similar financial institution?
If yes, provide details, including the reason and any corrective actions taken.
Open Disclosure and Supporting Documentation
What additional information would you like the Sponsor Bank to understand during due diligence that is not otherwise addressed in this questionnaire? If there is nothing further to disclose, state “Nothing further to disclose.”
Attach any supporting documentation for responses throughout the questionnaire.

Cancelof
Attestation and Certification
Please review each statement below and check each box to confirm.
Attestation
Authorization to verify
Signature
Full legal name of signer

First NameMiddle NameLast Name
Title of signer
Signer email address
example@example.com
Electronic signature consent
Signature of authorized officer
Date of signature

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Fluz Customer Co-Branding Due Diligence Questionnaire

General Information

Legal, Regulatory and Reputation Risk

Customer and Market Risk

Complaints and Partner History

Open Disclosure and Supporting Documentation

Attestation and Certification

Signature