/BOSTON/xinet/BosWork/Jobs/34761/PIECE28/34761 28 FRM 49State POA Fill

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1 Questions? Go to Fidelity.com/poa or call 800-343-3548. All states except New York Durable Power of Attorney Use this form to grant or modify the power of a third party (your agent or “Attorney-in-Fact”) to act on your behalf on one or more Fidelity accounts. NY residents must use the NY Durable Power of Attorney form. Do NOT use this form for any custodial, business, defined benefit, investment-only (also known as non-prototype), or fiduciary accounts, ABLE accounts that have a Person with Type on screen or print out and fill in using CAPITAL letters Signature Authority (PSA), or workplace retirement plans, such as a 401(k). and black ink. If you need more room for information or signatures, make a copy of the relevant page. Helpful to Know • This form appoints an Attorney-in-Fact for one person. Joint account • In Sections 1–5 and 8 of this form, “You,” “you,” and “your” refer to the account owner. In Sections 6 and 7 of this form, owners or other individuals must complete a separate form. “You,” “you,” and “your” refer to the Attorney-in-Fact. • Check the laws of your state for any additional requirements. In Section 9, “you” refers to the Fidelity Retirement Plan see additional notices at Residents of CA, ME, MI, and PA: Administrator or Employer, if applicable. the end of the document that you, and in some cases your This is a very important legal document. It gives another person Attorney-in-Fact, may be required to review and complete. • control over your accounts listed in Section 2 and direct access • For 529 plans, references to Principal shall mean Participant. to your money. The person will have the power to buy, sell, trans- • For ABLE accounts, references to Principal shall mean the fer, and dispose of any assets in the accounts you identify here, Designated Beneficiary/Eligible Individual. Review it carefully including assets you may acquire in the future. with a trusted legal professional before you sign it. • If the existing account(s) have options or checkwriting, new forms must be completed to maintain the features • This form cannot be used to add an individual who will be paid Fidelity.com/forms on the account(s). Visit to obtain the for the investment management of the account(s). To establish necessary forms. a Registered Investment Advisor relationship, please contact Once your Attorney-in-Fact is added, there Fidelity Institutional Wealth Services at 800-735-3756. Important to Note: • will be a 30-day restriction on making withdrawals that total • Your Attorney-in-Fact (the person to whom you grant power of more than $10,000 from the account, but exceptions can be attorney) may have the right to take reasonable payment from made in certain situations. Please contact a Fidelity representa- your account for his or her services. tive for more information. • This is a durable power of attorney (POA), meaning it remains in Trust Accounts effect regardless of your physical or mental health — even if you • You must also provide your initials in Section 3, Optional become incompetent and can no longer make your own deci- sions or manage your own affairs. From the moment you sign Powers, to indicate you are delegating your fiduciary powers in connection with a trust. this form, your Attorney-in-Fact will have the powers granted by this form until we receive written notice revoking those powers. ABLE Accounts • You have the right to modify or revoke this POA. To do so, sub- • ABLE accounts that have a PSA cannot add an Attorney-in-Fact. mit a new POA form or a letter of instruction (LOI). Should you If there is NOT a PSA, the Designated Beneficiary can add be declared incompetent, you lose the option of modifying or an Attorney-in-Fact. Do not use this form to add or change a revoking this POA. to download the ABLE Fidelity.com/forms PSA; instead, go to Account — PSA Maintenance form. • You must complete Sections 1–5 and 8 yourself, your Attorney- in-Fact must complete Sections 6 and 7, and your Fidelity Fidelity Retirement Plan (Keogh) Accounts Retirement Plan Administrator (if applicable) must complete • Only a plan participant can add an Attorney-in-Fact. Do NOT use Section 9. this form to add an Attorney-in-Fact for the Plan Administrator. You MUST sign and date this form within 90 days of receipt • Instead, contact a Fidelity representative for more information. by Fidelity in the presence of two separate witnesses and a • The plan participant and Plan Administrator must both sign Your Attorney-in-Fact cannot also act Note: notary public. this form. in the capacity of a witness and MUST also have his or her signature notarized within 90 days of receipt by Fidelity. 1. Account Owner Name This phone number may be used if we have Extension Social Security or Taxpayer ID Number Daytime Phone questions but will not be used to update your account information. Form continues on next page. 021130801 1.929445.108 Page 1 of 8

2 2. Account(s) Included Eligible personal investing accounts include individual and joint nonretirement accounts; trust accounts; 529 plan accounts (excluding UTMA/UGMA 529); ABLE accounts that do not have a PSA established; traditional, Roth, rollover, SEP, SIMPLE, and inherited IRAs; Fidelity Retirement Plan (Keogh) accounts; and Health Savings Accounts (HSAs). If you do NOT check ALL eligible personal investing accounts currently maintained at Fidelity that are either (1) owned by you, either this box, we will only individually or jointly, as evidenced by the fact that your Social Security number noted above is associated with list the Attorney-in- the account or (2) a trust account where you serve as a trustee. In the case of a trust, by completing this form, Fact on the eligible you also warrant and represent that this appointment is consistent with the terms of the trust. accounts listed below. OR ONLY these accounts: Do not list account numbers here if you checked the “ALL eligible personal investing accounts” box above. Account Number Account Number Account Number List accounts that you want this form to apply to. To appoint a different Attorney-in- Account Number Account Number Account Number Fact for other accounts, use a copy of this form. 3. Powers to be Granted Powers granted by the account owner identified in Section 1. Standard Powers Access accounts and place trades • Buy, sell, sell short, exchange, convert, tender, or otherwise acquire or dispose By completing this of all types of securities and other investments, including the right to borrow on margin and conduct options trans- form, you grant all of actions to whatever extent any account is approved for these features. these powers to the Attorney-in-Fact • Remove assets from the accounts — by any means available for that account type and regard- Withdraw money identified in Section 6. less of any tax consequences. Withdrawn assets may be distributed to you or to any third party, including your Attorney-in-Fact. Make rollovers, Roth IRA conversions, IRA recharacterizations, or other transfers of Move money among accounts • assets within and between account(s). Modify or close any account named on this form and use your taxpayer ID to • Modify, close, or open accounts open any number or type of new accounts, including managed accounts, for your benefit. • Answer for tax matters Make, execute, present, modify, and exercise any certification (including, without limita- tion, IRS Forms W-8 and W-9 and any substitutes for or successors to those forms) or election available or required under federal, state, local, or foreign tax law related to the account(s) or any accounts your Attorney-in-Fact may open, to the extent permitted by the applicable taxing authority. Change addresses • Change the legal or mailing address on the accounts. • Write checks Set up checkwriting and/or sign checks drawn on the accounts. Requires an additional form, signed by the Attorney-in-Fact and all account owners. Visit Fidelity.com/checkwriting to obtain the form(s). Not available for 529 Plans; ABLE, Fidelity Retirement Plan, or Fidelity managed accounts; or Inherited, Roth, or SIMPLE IRAs. Optional Powers The Attorney-in-Fact identified in Section 6 will only be granted these powers if you write your initials next to the appropriate option. Name others as beneficiaries Add, change, or remove beneficiaries (in accordance with Account Owner Initials specific account rules) and 529 College Savings Plan successor participants, provided that this does not grant the Attorney-in-Fact the authority to name him/herself as a beneficiary. Name others or self as beneficiary Add, change, or remove beneficiaries (in accor - Account Owner Initials dance with specific account rules) and 529 College Savings Plan successor participants, including the ability to self-appoint. ABLE accounts cannot grant this power. Exercise the aforementioned Delegate fiduciary powers in connection with a trust Account Owner Initials Required for “Standard Powers” in connection with such trust. trust accounts. Form continues on next page. Page 2 of 8 1.929445.108 021130802

3 4. Duplicate Materials If you would like your Attorney-in-Fact to receive copies of account statements and/or transaction confirmations, check the appropriate boxes below. If your Attorney-in-Fact is an existing Fidelity customer and his or her email address is provided, account statements and/or transaction confirmations will be sent electronically. If an email address is not provided, any duplicate materials will be sent by U.S. mail. If the Attorney-in-Fact indicates in Section 6 that he or she is associated with a firm engaged in the securities business, Fidelity must also send copies of your account statements to that firm. If you do not authorize Fidelity to send duplicate statements to those parties, Fidelity will be unable to process this POA. Indicate which Account statements materials should Transaction confirmations be sent to your Attorney-in-Fact Email and any securities firm with which he or she is affiliated. 5. Remove Existing Attorneys-in-Fact Complete this section ONLY if you want to remove one or more existing Attorney(s)-in-Fact from your account(s). If you do not want to make any changes to your existing Attorneys-in-Fact, skip to Section 6. If you are not appointing a new Attorney-in-Fact with this form, skip to Section 8, and no notary or witness is required. Check only one. Remove ALL existing Attorneys-in-Fact. Remove ONLY the following Attorney(s)-in-Fact: Name(s) 6. Add an Attorney-in-Fact Sections 6 and 7 must be completed by the Attorney-in-Fact. In this Section 6, “You,” “you,” and “your” refer to the Attorney-in-Fact. Individuals who are being paid for their investment management of the account(s) are not permitted. Enter full name as Middle Name First Name Last Name evidenced by a government-issued, unexpired document (e.g., Extension Social Security or Taxpayer ID Number Date of Birth MM DD YYYY Daytime Phone driver’s license, passport, permanent resident card). Attorney-in-Fact Initials Initial here to confirm that you will not be paid for Required the investment management of the account(s). This is your legal address used for tax reporting. Residential Address (where you live) Street Address City State ZIP Code Mailing Address This may be a P.O. box, drop box, or c/o location. Default if no other information indicated below. Same as residential address Mailing Address ZIP Code State City Add an Attorney-in-Fact continues on next page. Page 3 of 8 1.929445.108 021130803

4 6. Add an Attorney-in-Fact, continued Citizenship U.S. citizen Indicate your citizenship status. Foreign citizen Information in this box must be completed. Nonresident of U.S. Permanent U.S. resident Non-permanent U.S. resident Only applicable to nonresidents of the U.S. Country of Tax Residency Country of Citizenship City, State/Province, and Country of Birth attach Check one and a copy of a valid and Employment Authorization Document Passport unexpired government ID DHS Permanent Resident Card Foreign National Identity Document showing number and photo. Income Source Industry regulations require us to ask for this information. Check one and Employed Self-employed provide information. Occupation Employer Leave blank if self-employed. Employer Address Country City State/Province ZIP/Postal Code Not employed Retired Source of Income Pension, investments, spouse, etc. Associations If you are employed by or associated with a broker-dealer, stock exchange, exchange member firm, the Financial Industry Regulatory Authority (FINRA), a municipal securities dealer, or other financial institution, or are the spouse or an immediate family member residing in the same household of someone who meets the aforementioned employ- ment criteria, provide the company’s name and address below. By providing this information and completing this form, you hereby authorize Fidelity to provide the associated person’s employer with duplicate copies of confirmations and statements, or the transactions data contained therein, for your account(s) and any accounts you choose to have on a As a person associated consolidated statement for purposes of their compliance review. with a member firm, you Company Name are obligated to receive consent from that firm. Fidelity has existing consent agreements Company Address with many firms for their employees to maintain accounts with Country State/Province City ZIP/Postal Code Fidelity and to deliver transactional data. If your firm is not one If you are, or an immediate family/household member is, a director, corporate officer, or 10% shareholder of a publicly held of them, Fidelity will company, or a control person of a publicly traded company under SEC Rule 144, you must provide the information below. attempt to contact your Company Name Trading Symbol or CUSIP firm’s compliance office. Form continues on next page. Page 4 of 8 1.929445.108 021130804

5 7. Attorney-in-Fact Signature and Date Named Attorney-in-Fact must sign and date this section within 90 days of receipt by Fidelity in the presence of a notary public. In this Section 7, “You,” “you,” and “your” refer to the Attorney-in-Fact. force and effect, until Fidelity has received to determine the incapacity of or to appoint By signing below, you: what it considers to be satisfactory written a guardian for the account owner. • Affirm that you have read, and that you notice of either the account owner’s death understand and agree to be bound by, • Agree not to issue or relay any instructions or your removal or resignation as Attorney- the provisions of this form as well as the that you believe to be inconsistent with in-Fact. Written notice to the account owner your powers or responsibilities as Attorney- terms and conditions set forth in all appli- and to any co-agent, successor agent, or the cable customer agreements between the in-Fact. account owner’s guardian (if one has been Account Owner and Fidelity (collectively, • Agree to avoid conflicts that would impair appointed), will ordinarily constitute satisfac- the “Agreement”), including the Fidelity your ability to act in the account owner’s tory notice of resignation. Brokerage Commission and Fee Schedule, best interest. as are currently in effect and as may be Agree to cease acting as Attorney-in-Fact if • • Agree to keep the account owner’s prop- you know, or have reason to know, that your amended in the future, as well as any erty separate from any assets you own or applicable state notices. capacity to act as Attorney-in-Fact has been control, unless otherwise permitted by law. limited or terminated for any reason. • Affirm that you are the Attorney-in-Fact • Agree to keep a record of all receipts, pay- named in Section 6. Certify that you will not be paid for the • ments, and transactions conducted for the investment management related to the • Accept appointment as Attorney-in-Fact for account owner. account(s). If you are looking to establish a the owner identified in Section 1, accord- • Agree to identify yourself as Attorney-in- Registered Investment Advisor relationship, ing to all terms and conditions described in Fact when signing documents on behalf of please contact Fidelity Institutional Wealth this form. the account owner, using either of these Services. • Agree that any information given on this accepted forms: “[account owner name] by For Fidelity Retirement Plan (Keogh) Durable Power of Attorney is subject to [your signature] as Agent,” or “[your signa- Accounts, if the current Plan Administrator verification. If this applies to a brokerage ture] as Agent for [account owner name]”. is being added as the Attorney-in-Fact: account, you authorize Fidelity Brokerage • In the event that more than one Attorney- • State that you are also the Plan Services LLC, National Financial Services in-Fact is named, represent that you are LLC and their agents, affiliates, assigns, Administrator or Employer responsible authorized to act severally or individu- for the Plan for which authority is being control persons, employees, successor cus- ally, and that Fidelity may follow any of todians, officers and directors (collectively, requested on this form. your instructions independent of all other “Fidelity”) to act on all instructions given • Consent to your appointment as the Attorneys-in-Fact, including the delivery of on this form, to obtain a credit or other Attorney-in-Fact identified in this form, assets to you personally. financial responsibility report on yourself understanding that: • Understand that in the event of any conflict and upon written request, to provide the – As the Attorney-in-Fact, you will be between instructions given by Attorneys- name and address of the credit reporting granted only the powers described in this in-Fact or by an account owner and an agency used. form, and will be authorized only to place Attorney-in-Fact, Fidelity may restrict the • Represent and warrant that if you have not orders that are permitted by the Plan. account until it has received joint written completed the section titled Associations, instructions that it finds satisfactory. – As the Attorney-in-Fact, you are not you are not associated with or employed by authorized to establish a new Plan. • Indemnify and hold harmless Fidelity from a stock exchange or a broker-dealer and that and against any and all losses, liabilities, – Fidelity Management Trust Company you are not a control person or associate of claims, and costs (including reasonable acts only as custodian or trustee for this a public company under SEC Rule 144 (such attorneys’ fees) resulting from transactions Plan, and has no discretionary fiduciary as a director, 10% shareholder, or a policy- authority or responsibility; the account made in accordance with your instructions. making officer), or an immediate family or owner, therefore, is solely responsible • Agree that Fidelity may restrict or suspend household member of such a person. for determining the suitability of, and your ability to remove money from the • Affirm that the account owner is not for accepting all consequences of accounts listed in Section 2. deceased, has not partially or totally revoked, all investments and actions taken on • Agree to serve as Attorney-in-Fact, and suspended, or terminated the authority del- the account(s). acknowledge that this POA remains in full egated and that there is no petition pending This durable POA shall be governed by Massachusetts law, except with respect to its conflict of laws provisions. To help the government fight financial crimes, federal regulation requires Fidelity to obtain your name, date of birth, address, and a government-issued ID number before opening your account, and to verify the information. In certain circumstances, Fidelity may obtain and verify comparable information for any person authorized to make transactions in an account. Also, federal regulation requires Fidelity to obtain and verify the beneficial owners and control persons of legal entity customers. Requiring the disclosure of key individuals who own or control a legal entity helps law enforcement investigate and prosecute crimes. Your account may be restricted or closed if Fidelity cannot obtain and verify this information. Fidelity will not be responsible for any losses or damages (including, but not limited to, lost opportunities) that may result if your account is restricted or closed. Attorney-in-Fact Signature and Date continues on next page. Page 5 of 8 1.929445.108 021130805

6 Attorney-in-Fact Signature and Date, continued 7. You acknowledge that this account and durable POA are governed by a predispute arbitration clause, which appears on the last page of the Agreement, and that you have read the predispute arbitration clause. PRINT ATTORNEY-IN-FACT NAME ATTORNEY-IN-FACT SIGNATURE MM/DD/YYYY DATE X X SIGN Important Note: CA Notaries are permitted to submit a separate page notary document. If used, it must identify the document being notarized. Notice to CA Residents: A Notary Public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. Certificate of Acknowledgement of Notary Public Must be a U.S. Notary. Foreign notary or consular seals may NOT be substituted. State of , in the County of , subscribed and sworn to before me by the as identification, that the above-named individual who is personally known to me or who has produced . / foregoing statements were true and accurate and made of his/her own free act and deed, on / NOTARY SEAL / STAMP PRINT NOTARY NAME MM/DD/YYYY NOTARY SIGNATURE DATE X X SIGN My commission expires / / . 8. Account Owner Signature and Date Account owner must sign and date this form within 90 days of receipt at Fidelity. Only if appointing a new Attorney-in-Fact: Account Owner must sign and date this section in the presence of a notary public and two witnesses. of your state), and affirm that you have By signing below, you: any powers specifically granted by you by consulted your attorney prior to executing writing your initials next to them. • Affirm that you have read, and that you this form about any aspects of this form that Warrant and represent that if you have • understand and agree to be bound by, the you did not understand. delegated to your Attorney-in-Fact the provisions of this form and any applicable Acknowledge that Fidelity has no duty to, • state notices. authority to exercise fiduciary powers in and does not, monitor the activities of your connection with a trust in Section 3, that • Authorize Fidelity Brokerage Services LLC, Attorney-in-Fact. you are permitted as the trustee under National Financial Services LLC and their the governing trust instrument to hire • Authorize Fidelity to send duplicate agents, affiliates, assigns, control persons, agents and delegate all authority as employees, successor custodians, officers account statements and/or transaction outlined herein. confirmations to your Attorney-in-Fact if and directors (collectively, “Fidelity”) to Ratify and confirm all instructions given • act on all instructions given on this form, indicated in Section 4 and if your Attorney- by your Attorney-in-Fact to the extent including providing any securities firm with in-Fact indicates in Section 6 that he/she is permitted by this form and any applicable associated with a firm engaged in the secu- which your Attorney-in-Fact is affiliated with account agreements. copies of any duplicate materials rities business, further authorize Fidelity to send copies of your account statements provided to your Attorney-in-Fact as • Certify that you are the registered owner of indicated in Section 4. and/or transaction confirmations to both the account(s) identified in Section 2, and the Attorney-in-Fact and the firm. • Affirm that you appoint the individual that all information you provided is correct. identified in Section 6 as your agent and • Agree to be responsible for all costs and • Acknowledge that Fidelity has not offered Attorney-in-Fact, granting all powers obligations, including trading fees and you any tax or legal advice (including advice commissions, incurred in connection with identified in Section 3 with respect to all as to whether this agreement satisfies the laws accounts identified in Section 2, including Account Owner Signature and Date continues on next page. Page 6 of 8 1.929445.108 021130806

7 8. Account Owner Signature and Date, continued from your Attorneys-in-Fact, and that your • Agree that this form is in addition to (and in the accounts identified in Section 2 by your Attorney-in-Fact, including any costs accounts will remain frozen until the conflict no way limits or restricts) any and all rights which Fidelity may have under any other and obligations that remain unpaid at the is resolved by either a) written instructions agreement or agreements between Fidelity time an Attorney-in-Fact ceases to serve from you, b) joint written instructions from all in that capacity for any reason. and you, and shall inure and continue in Attorneys-in-Fact, or c) a court order instruct- ing Fidelity how to proceed. favor of Fidelity, its successors (by merger, • Indemnify and hold Fidelity harmless from consolidation, or otherwise) and assigns. and against any and all losses, liabilities, For Fidelity Retirement Plan (Keogh) claims, and costs (including reasonable • Certify that you are not adding an individual Accounts, if the current Plan Administrator attorney fees) that are in any way con- who will be paid for his or her investment is also the Account Owner: management of the account(s). nected with your instructions or with any State that you are also the Plan • action or instruction of your Attorney- Margin or options customers Administrator or Employer responsible in-Fact, even if your Attorney-in-Fact’s for the Plan for which authority is being • Acknowledge that the Attorney-in-Fact may authorization has been terminated but requested on this form. open new option positions or close existing Fidelity has not yet received notice of the positions, and exercise options contracts or • Consent to the appointment of the Attorney- termination. (The indemnifications in this sell options contracts as either a covered or in-Fact identified in this form, understanding bullet are in addition to, and do not limit, uncovered writer if the account is approved that: any rights that Fidelity may have under any to trade options; however, if the Attorney- other agreement with you.) – The Attorney-in-Fact will be granted only in-Fact engages in either margin or option the powers described in this form, and will • Agree that to induce any transfer agent or transactions, you recognize the inherent risks be authorized only to place orders that are other third party (collectively, “Third Parties”) involved and are fully prepared financially to permitted by the Plan. to act, any such Third Parties receiving a duly undertake such risks. executed copy or facsimile of this POA may – The Attorney-in-Fact is not authorized to act upon it, and that revocation or termina- Accounts with multiple Attorneys-in-Fact establish a new Plan. tion hereof shall be ineffective as to Third • Authorize each Attorney-in-Fact to act – Fidelity Management Trust Company acts Parties, unless and until actual written notice alone (severally) and without the consent of only as custodian or trustee for this Plan, of such revocation or termination shall have any other Attorney-in-Fact, with respect to and has no discretionary fiduciary author - been received by such Third Parties. each power granted in this form. ity or responsibility; therefore, you, as • Affirm that you understand that your the account owner, are solely responsible • Notwithstanding the previous bullet, Attorney-in-Fact may be entitled to receive for determining the suitability of, and for acknowledge that Fidelity may freeze all compensation out of your accounts for accepting all consequences of all invest- activity on your account(s) if Fidelity receives services performed. ments and actions taken on the account(s). conflicting or inconsistent instructions This durable POA shall be governed by Massachusetts law, except with respect to its conflict of laws provisions. You must sign and date this form in the presence of two witnesses and a notary public. You acknowledge that this account and durable POA are governed by a predispute arbitration clause, which appears on the last page of the Agreement, and that you have read the predispute arbitration clause. PRINT OWNER NAME OWNER SIGNATURE DATE MM/DD/YYYY X X SIGN PRINT WITNESS NAME WITNESS SIGNATURE MM/DD/YYYY DATE X X SIGN PRINT WITNESS NAME WITNESS SIGNATURE DATE MM/DD/YYYY X X SIGN Account Owner Signature and Date continues on next page. 021130807 1.929445.108 Page 7 of 8

8 8. Account Owner Signature and Date, continued Important Note: CA Notaries are permitted to submit a separate page notary document. If used, it must identify the document being notarized. A Notary Public or other officer completing this certificate verifies only the identity of the Notice to CA Residents: individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. Certificate of Acknowledgement of Notary Public Must be a U.S. Notary. Foreign notary or consular seals may NOT be substituted. State of , in the County of , subscribed and sworn to before me by the as identification, that the above-named individual who is personally known to me or who has produced / . / foregoing statements were true and accurate and made of his/her own free act and deed, on NOTARY SEAL / STAMP PRINT NOTARY NAME MM/DD/YYYY DATE NOTARY SIGNATURE X X SIGN / My commission expires / . / Employer Signature and Date 9. Plan Administrator Required ONLY for Fidelity Retirement Plan (Keogh) accounts. In this Section 9, “you” refers to the Plan Administrator or Employer signing below. By signing below, you: • State that you are the Plan Administrator or – The Attorney-in-Fact will be granted only Plan, and has no discretionary fiduciary the powers described in this form, and Employer responsible for the Plan for which authority or responsibility; the account authority is being requested on this form. will be authorized only to place orders owner, therefore, is solely responsible that are permitted by the Plan. for determining the suitability of, and • Consent to the appointment of the for accepting all consequences of, – The Attorney-in-Fact is not authorized to Attorney-in-Fact identified in this form, all investments and actions taken on establish a new Plan. understanding that: the account(s). – Fidelity Management Trust Company acts only as custodian or trustee for this PRINT ADMINISTRATOR/EMPLOYER NAME DATE ADMINISTRATOR/EMPLOYER SIGNATURE MM/DD/YYYY X X SIGN Use the postage-paid envelope, drop off at a Fidelity Did you sign the form and attach any necessary documents? Investor Center, OR deliver to: Send the ENTIRE form and any attachments to Fidelity Investments. Regular mail Overnight mail Read and, if applicable, sign and return CA, ME, MI, and PA residents Fidelity Investments Fidelity Investments state disclosures. P.O. Box 770001 100 Crosby Parkway KC1K or call 800-343-3548. Fidelity.com/poa Go to Questions? Cincinnati, OH 45277-0002 Covington, KY 41015 On this form, “Fidelity” means Fidelity Brokerage Services LLC and its affiliates. Brokerage services are provided by Fidelity Brokerage Services LLC, Member NYSE, SIPC. 579950.9.0 (06/18) Page 8 of 8 1.929445.108 021130808

9 Notice for California Residents Pursuant to Cal. Prob. Code § 4128 Notice To Person Executing Durable Power Of Attorney it is signed by two witnesses, they must wit- this durable power of attorney unless you This notice must also be read and signed by ness either: provide otherwise in this power of attorney. the Attorney-in-Fact. The powers you give your agent will con- A durable power of attorney is an important 1. The signing of the power of attorney. legal document. By signing the durable tinue to exist for your entire lifetime, unless 2. The principal’s signing or acknowledg- - you state that the durable power of attor power of attorney, you are authorizing ment of his or her signature. another person to act for you, the principal. ney will last for a shorter period of time or A durable power of attorney that may affect unless you otherwise terminate the durable - Before you sign this durable power of attor real property should be acknowledged ney, you should know these important facts: power of attorney. The powers you give before a notary public so that it may easily your agent in this durable power of attorney Your agent (Attorney-in-Fact) has no duty to be recorded. will continue to exist even if you can no lon- act unless you and your agent agree other - ger make your own decisions respecting the You should read this durable power of attor - wise in writing. ney carefully. When effective, this durable management of your property. This document gives your agent the pow- power of attorney will give your agent the You can amend or change this durable ers to manage, dispose of, sell, and convey right to deal with property that you now power of attorney only by executing a new your real and personal property, and to have or might acquire in the future. The durable power of attorney or by executing use your property as security if your agent durable power of attorney is important to an amendment through the same formalities borrows money on your behalf. This docu- you. If you do not understand the durable as an original. ment does not give your agent the power power of attorney, or any provision of it, You have the right to revoke or terminate to accept or receive any of your property, then you should obtain the assistance of an in trust or otherwise, as a gift, unless you this durable power of attorney at any time, attorney or other qualified person. specifically authorize the agent to accept or so long as you are competent. receive a gift. This durable power of attorney must be Your agent will have the right to receive rea- dated and must be acknowledged before a notary public or signed by two witnesses. If sonable payment for services provided under Notice To Person Accepting The Appointment As Attorney-In-Fact You may not transfer the principal’s property the time that the property is transferred to By acting or agreeing to act as the agent you without authority, you may also be pros- - to yourself without full and adequate con- (Attorney-in-Fact) under this power of attor sideration or accept a gift of the principal’s ecuted for elder abuse under Penal Code ney you assume the fiduciary and other legal responsibilities of an agent. These property unless this power of attorney spe- Section 368. In addition to criminal prosecu- responsibilities include: cifically authorizes you to transfer property tion, you may also be sued in civil court. to yourself or accept a gift of the principal’s 1. The legal duty to act solely in the interest I have read the foregoing notice and I property. If you transfer the principal’s of the principal and to avoid conflicts of understand the legal and fiduciary duties property to yourself without specific authori- interest. that I assume by acting or agreeing to act as zation in the power of attorney, you may be the agent (Attorney-in-Fact) under the terms 2. The legal duty to keep the principal’s prop- prosecuted for fraud and/or embezzlement. of this power of attorney. erty separate and distinct from any other If the principal is 65 years of age or older at property owned or controlled by you. PRINT AGENT/ATTORNEY-IN-FACT NAME AGENT/ATTORNEY-IN-FACT SIGNATURE DATE MM/DD/YYYY X X SIGN Page 1 of 3

10 Pursuant to 18-A M.R.S. § 5-905. Notice for Maine Residents under this power of attorney you may be Important Notice to the Important Notice to the Agent liable for damages and may be subject to Account Owner As the “Agent” you are given power under criminal prosecution. this power of attorney to make decisions As the Account Owner, you are using this You must stop acting on behalf of the about the property belonging to the Principal power of attorney to grant power to another Principal if you learn of any event that and to dispose of the Principal’s property person (called the Agent) to make deci- terminates this power of attorney or on the Principal’s behalf in accordance with sions about your property and to use your your authority under this power of attor - the terms of this power of attorney. This property on your behalf. Under this power ney. Events of termination are more fully power of attorney is valid only if the Principal of attorney you give your Agent broad explained in the Maine Uniform Power of is of sound mind when the Principal signs and sweeping powers to sell or otherwise Attorney Act and include, but are not lim- it. When you accept the authority granted dispose of your property without notice to ited to, revocation of your authority or of under this power of attorney a special legal you. Under this document your Agent will the power of attorney by the Principal, the relationship is created between you and the continue to have these powers after you death of the Principal or the commence- Principal. This relationship imposes upon you become incapacitated. The powers that you ment of divorce proceedings between you legal duties that continue until you resign give your Agent are explained more fully in and the Principal. If there is anything about or the power of attorney is terminated or the Maine Uniform Power of Attorney Act, this power of attorney or your duties under revoked. The duties are more fully explained Maine Revised Statutes, Title 18-A, Article it that you do not understand you should in the Maine Uniform Power of Attorney Act, 5, Part 9. You have the right to revoke this ask a lawyer to explain it to you. Maine Revised Statutes, Title 18-A, Article 5, power of attorney at any time as long as Part 9. As the Agent, you are generally not you are not incapacitated. If there is any- entitled to use the Principal’s property for thing about this power of attorney that you your own benefit or to make gifts to yourself do not understand you should ask a lawyer or others unless the power of attorney gives to explain it to you. you such authority. If you violate your duty Pursuant to MCLS § 700.5501 (2012) Notice for Michigan Residents • I must maintain records of my transactions • I must take reasonable steps to follow the Important Notice to Attorney-in-Fact as Attorney-in-Fact, including receipts, dis- instructions of the principal. This notice must be read and signed by the bursements, and investments. • Upon request of the principal, I must keep Attorney-in-Fact. • I may be liable for any damage or loss the principal informed of my actions. I must provide an accounting to the prin- to the principal, and may be subject to I, , cipal upon request of the principal, to a any other available remedy, for breach of have been appointed as Attorney-in-Fact for guardian or conservator appointed on fiduciary duty owed to the principal. In the durable power of attorney, the prin- behalf of the principal upon the request of , that guardian or conservator, or pursuant cipal may exonerate me of any liability to the principal, under a durable power of the principal for breach of fiduciary duty to judicial order. except for actions committed by me in bad • I cannot make a gift from the principal’s . By signing attorney dated faith or with reckless indifference. An exon- property, unless provided for in the dura- this document, I acknowledge that if and eration clause is not enforceable if inserted ble power of attorney or by judicial order. when I act as Attorney-in-Fact, all the follow- as the result of my abuse of a fiduciary or ing apply: • Unless provided in the durable power of confidential relationship to the principal. attorney or by judicial order, I, while act- • Except as provided in the durable power • I may be subject to civil or criminal penal- ing as Attorney-in-Fact, shall not create of attorney, I must act in accordance with ties if I violate my duties to the principal. an account or other asset in joint tenancy the standards of care applicable to fidu- between the principal and me. ciaries acting under durable powers of attorney. PRINT ATTORNEY-IN-FACT NAME ATTORNEY-IN-FACT SIGNATURE DATE MM/DD/YYYY X X SIGN Page 2 of 3

11 Notice for Pennsylvania Residents Pursuant to 20 PA.C.S.A. § 5601. ALIVE OR TO SUBSTANTIALLY CHANGE YOUR AGENT MAY EXERCISE THE POW- Notice HOW YOUR PROPERTY IS DISTRIBUTED ERS GIVEN HERE THROUGHOUT YOUR THIS NOTICE MUST BE SIGNED BY THE LIFETIME, EVEN AFTER YOU BECOME AT YOUR DEATH. BEFORE SIGNING THIS ACCOUNT OWNER. INCAPACITATED, UNLESS YOU EXPRESSLY DOCUMENT, YOU SHOULD SEEK THE THE PURPOSE OF THIS POWER OF LIMIT THE DURATION OF THESE POWERS ADVICE OF AN ATTORNEY AT LAW TO ATTORNEY IS TO GIVE THE PERSON YOU OR YOU REVOKE THESE POWERS OR A MAKE SURE YOU UNDERSTAND IT. DESIGNATE (YOUR “AGENT”) BROAD COURT ACTING ON YOUR BEHALF TERMI- A COURT CAN TAKE AWAY THE POWERS OF POWERS TO HANDLE YOUR PROPERTY, NATES YOUR AGENT’S AUTHORITY. YOUR AGENT IF IT FINDS YOUR AGENT IS WHICH MAY INCLUDE POWERS TO SELL NOT ACTING PROPERLY. YOUR AGENT MUST ACT IN ACCORDANCE OR OTHERWISE DISPOSE OF ANY REAL WITH YOUR REASONABLE EXPECTATIONS THE POWERS AND DUTIES OF AN AGENT OR PERSONAL PROPERLY WITHOUT TO THE EXTENT ACTUALLY KNOWN BY UNDER A POWER OF ATTORNEY ARE ADVANCE NOTICE TO YOU OR APPROVAL YOUR AGENT AND, OTHERWISE, IN YOUR EXPLAINED MORE FULLY IN 20 PA.C.S. BY YOU. BEST INTEREST, ACT IN GOOD FAITH CH. 56. THIS POWER OF ATTORNEY DOES NOT AND ACT ONLY WITHIN THE SCOPE OF IF THERE IS ANYTHING ABOUT THIS IMPOSE A DUTY ON YOUR AGENT TO AUTHORITY GRANTED BY YOU IN THE FORM THAT YOU DO NOT UNDERSTAND, EXERCISE GRANTED POWERS, BUT, WHEN POWER OF ATTORNEY. YOU SHOULD ASK A LAWYER OF YOUR POWERS ARE EXERCISED, YOUR AGENT THE LAW PERMITS YOU, IF YOU CHOOSE, OWN CHOOSING TO EXPLAIN IT TO YOU. MOST USE DUE CARE TO ACT FOR YOUR TO GRANT BROAD AUTHORITY TO AN BENEFIT AND IN ACCORDANCE WITH I HAVE READ OR HAD EXPLAINED TO AGENT UNDER POWER OF ATTORNEY, THIS POWER OF ATTORNEY. ME THIS NOTICE AND I UNDERSTAND INCLUDING THE ABILITY TO GIVE AWAY ITS CONTENTS. ALL OF YOUR PROPERTY WHILE YOUR ARE PRINT OWNER NAME DATE OWNER SIGNATURE MM/DD/YYYY X X SIGN ME AND, OTHERWISE, IN THE PRINCIPAL’S ACKNOWLEDGE THAT WHEN I ACT Agent Acknowledgment BEST INTEREST, ACT IN GOOD FAITH AS AGENT: I ACKNOWLEDGE THAT I HAVE READ THE AND ACT ONLY WITHIN THE SCOPE OF I SHALL ACT IN ACCORDANCE WITH THE ATTACHED POWER OF ATTORNEY AND AUTHORITY GRANTED TO ME BY THE PRINCIPAL’S REASONABLE EXPECTATIONS AM THE PERSON IDENTIFIED AS THE PRINCIPAL IN THE POWER OF ATTORNEY. TO THE EXTENT ACTUALLY KNOWN BY AGENT FOR THE PRINCIPAL. I HEREBY PRINT AGENT NAME AGENT SIGNATURE DATE MM/DD/YYYY X X SIGN Page 3 of 3

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