PART I. GENERAL INFORMATION

A. Is this certification and information

provided by a Compliance Entity of a consolidated compliance program? Y/N

1. If yes, provide the names and WPEINs of the members of the consolidated compliance program. B. Did WP make a pooled reporting elec tion? Y/N
2. If this certification and information is provided by a Compliance Entity of a consolidated compliance program, provide the names and WPEINs of each WP that made a pooled reporting election. C. The number of partnerships or trusts to

which WP applied the agency option (if none enter 0).

1. Each partnership or trust to which WP applied the agency option has provided WP with a certification that it has maintained status as a certified deemed-compliant FFI, an owner-documented FFI with respect to WP, an NFFE, or an exempt beneficial owner as required under section 9.02(A)(2) of the WP Agreement. Y/N
2. Each partnership or trust to which WP applied the agency option has provided WP with either (1) its documentation and other information for inclusion in WP’s periodic review (as described in section 9.02(A)(6) of the WP Agreement) or (2) a certification described in section 8.03 of the WP Agreement and the results of the periodic review described in section 8.06 of the WP Agreement for the certification period. Y/N D. The number of partnerships or trusts to

which WP applied the joint account option (if none enter 0).

1. Each partnership or trust to which WP applies the joint account option has provided WP with a certification that it has maintained status as a certified deemed-compliant FFI, an owner-documented FFI with respect to WP, an exempt beneficial owner, or an NFFE as required under section 9.01(A)(1) of the WP Agreement. Y/N

PART II: CERTIFICATION OF INTERNAL CONTROLS BY RESPONSIBLE OFFICER AND GENERAL INFORMATION