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Change of Ownership:
Business and Non-Profit Entities
ederated
The USA PATRIOT Act requires the Funds to obtain, verify, and record information that identifies each person who opens an
account. Failure to provide required information may result in processing delays. Additional documentation may be requested.
If we are unable to verify this information, your account may be closed and you will be subject to all applicable costs.
DON’T BECOME A “LOST SHAREHOLDER”: It is very important that you notify the Fund of any change to your address information,
including your email address. If the Fund’s communications to you are returned as undeliverable, the Fund will try to reestablish contact with
you. If those efforts fail and the Fund reasonably determines that you are a “lost shareholder,” the Fund may elect to suspend account activity,
program elections (including systematic investment, withdrawal or exchange) and mailings. In addition, most States require entities like the
Fund to turn over the assets of lost shareholders following a period of time. Your property may also be transferred to the appropriate state if
no activity occurs in the account within the time period specified by state law. Once shares are “escheated” to a State, a shareholder will not
be able to access the shares through the Fund. To avoid these kinds of problems, we urge you to keep your contact information with the Fund
accurate at all times.
Complete this form to change the registration of an account. Instructions for completing each section are included in the left margin. If there is
more than one account number and registration, complete a separate form for each account number. If transferring shares to multiple
accounts, complete a separate form for each new account.
Please be aware that Federated does not undertake to provide impartial investment advice, or to give advice in a fiduciary capacity for
purposes of the Employee Retirement Income Security Act of 1974, as amended (“ERISA”), Section 4975 of the Internal Revenue Code of 1986,
as amended (“Code”) or otherwise in connection with the sale or distribution of its products and services to you and your retirement account
customers. Also be aware that Federated does not provide legal or tax advice.
Please use blue or black ink and print clearly in CAPITAL LETTERS.
IMPORTANT NOTE: A signature is required in Section 8 and Section 9.
* Required Fields
1. Current Account Information and Transfer Instructions
Please choose ALL to
transfer all shares or enter
a percentage, dollar or share
amount for each fund.
Full Account Number:
◻ I have multiple funds under this number; apply this change to all funds.
Fund Name or Fund Number
Fund Name or Fund Number
Fund Name or Fund Number
Fund Name or Fund Number
◻ All
◻%
◻ All
◻%
◻ All
◻%
◻ All
◻%
Enter %, $, or Share Amount
◻$
◻ Shares
Enter %, $, or Share Amount
◻$
◻ Shares
Enter %, $, or Share Amount
◻$
◻ Shares
Enter %, $, or Share Amount
◻$
◻ Shares
◻ Please update the address on the current account (listed above) to the following address:
Street Address/Apt. #
City/State/Zip Code
Form Continues on Next Page
Change of Ownership: Business and Non-Profit Entities
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2. Financial Intermediary Information (i.e., Broker, Planner, or Advisor)
Please select the appropriate
box and if applicable, provide
the new Financial Intermediary
instructions.
Attention Financial
Intermediaries: Please ensure
your firm’s corporate policy
permits direct at fund accounts
prior to establishment, to avoid
potential delays in processing
or account rejections.
□ I do not want a Financial Intermediary on the new account.
□ I would like to add the following Financial Intermediary to the account. Please note: If this option
is selected, the Financial Intermediary must sign below. If he/she does not provide a signature,
no Financial Intermediary information will be added to the account.
Firm or Institution Name
Dealer Number/Branch or Group Number/Branch
Branch Address
City/State/Zip Code
Intermediary Name and Number
Intermediary Phone Number
Intermediary Signature
Date
X
3. Corporation, Partnership or Other Business Entity Registration
Select only one type of
ownership; enter the
registration for the new
account. Please understand
that a Post Office box or
a Rural Route number cannot
be provided in this section
(see Section 4).
+ Must have Inc. or Corp in
entity name.
◻ C-Corporation or Incorporated Bank, Savings & Loan+
◻ S-Corporation or S-Incorporated Bank, Savings & Loan+
◻ Partnership
◻ Non-Profit
◻ Non-Exempt
Full Name of Corporation, Partnership or Other Entity*
Contact Person
Email Address
Taxpayer/Employer Identification Number*
Establishment Date*
Street Address/Apt. #*
City/State/Zip Code*
Daytime Phone Number*
Evening Phone Number
If a publicly Traded Corporation, provide CUSIP number or Ticker Symbol
If Banking Institution, provide FDIC number
4. Mailing Address
If you would like to receive mail
at an address other than the
one provided in Section 3,
please complete this section.
Post Office Box and Rural
Routes are acceptable.
Form Continues on Next Page
Mailing Address/Apt. #
City/State/Zip Code
Change of Ownership: Business and Non-Profit Entities
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5. Citizenship Information
+ To claim tax treaty benefits,
also complete and submit an
IRS Form W8-BEN.
Country Where Organization Was Established
◻ U.S.
◻ Other
Tax Residency
◻ U.S.
◻ Other + (please list)
6A. Cost Basis Account Election Methods
Internal Revenue Service regulations require mutual funds that produce tax Form 1099-B to report
cost basis information on covered shares beginning January 1, 2012.
Please select one of the cost
basis accounting methods listed.
◻ Average Cost (ACST)
◻ Loss Gain Utilization (LGUT)*
◻ First In First Out (FIFO)
◻ Specific Lot Identification (SLID)+
If electing Specific Lot Identification as a
standing order, please choose a secondary
standing order:
◻ Last In First Out (LIFO)
◻ High Cost First Out (HIFO)
◻ Low Cost First Out (LOFO)
If you would like to learn more
about these methods, please
visit FederatedInvestors.com
or call 1-800-341-7400.
Client Service Representatives
are available to help you,
Monday - Friday, from 8:00 a.m.
to 6:00 p.m., Eastern time
If no standing order is elected or if no instructions are received with the redemption order, Federated will
apply our default cost basis method of Average Cost (ACST). The default will control the selection of
shares used to calculate the cost basis and compute the loss or gain on the redemption.
Note to Money Market Fund Investors: Institutional, retail and government money market funds do
not issue 1099-Bs. Therefore, it is not necessary to select a cost basis accounting method if you are only
investing in money market funds. In addition, the IRS has provided a simplified, elective method for the
recognition of gains/losses realized upon the disposition of fluctuating, institutional money market
fund shares, referred to as the NAV method. To read more about this simplified method of computing
gains/losses, select “Liquidity Management Center” from the Quick Links drop down menu on the
FederatedInvestors.com homepage. Then click “Tax Reporting for FNAV Money Market Fund Shareholders”
from the “Materials” tab. (Registration on FederatedInvestors.com is required to view this document.) You
should also consult your tax advisor to review this elective recognition method in light of your specific tax
circumstances. Shareholders of all money market fund types will continue to receive Form 1099-DIVs, if
applicable, reporting distributions paid by the funds.
This is a general interpretation of the tax laws. Specific questions about your situation can be
directed to your tax or investment professional.
* Loss Gain Utilization will decrement lots taking losses first. For lots that yield a loss, short-term lots will be
redeemed ahead of long-term lots. For gain, long-term lots will be redeemed ahead of short-term lots.
+
Form Continues on Next Page
Average Cost can not be chosen as a secondary cost basis accounting method.
Change of Ownership: Business and Non-Profit Entities
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6B. Type of Transfer
Select the reason for the
transfer and complete the
applicable information.
□ Change of Ownership/Registration
□ Gift
Date shares were gifted
If the shares are a gift and Average Cost is the cost basis accounting method on the receiving
account, we require written acceptance of the gifted shares at Fair Market Value below.
Sign here only if accepting
gifted shares.
I accept the gifted shares at Fair Market Value
Signature of Authorized Individual
SIGN HERE
X
Title
□ Death/Inheritance
Name of Deceased Owner/Trustee
Date of Death
Name of Deceased Owner/Trustee
Date of Death
Additional documentation may be required. Please mail these documents and any other items
outlined in our letter to The Federated Funds at the address in Section 10.
7A. Distribution Options
Please select options
for each fund.
Fund Name(s) or Fund Number(s)
If you do not choose distribution
options, dividends and capital
gains will be reinvested at the
net asset value to purchase
additional shares.
Dividends
Capital Gains
◻ Cash
◻ Reinvest
◻ Cash
◻ Reinvest
◻ Cash
◻ Reinvest
◻ Cash
◻ Reinvest
◻ Cash
◻ Reinvest
◻ Cash
◻ Reinvest
Generally, a dividend and/or capital gain distribution by check that is less than $25.00 will automatically
be reinvested into your account. This policy does not apply if you have elected to receive cash
distributions that are directly deposited into your bank account via wire or ACH.
If checks remain uncashed for 180 days, future dividends and capital gains will not be distributed but will
be reinvested into your account.
Form Continues on Next Page
Change of Ownership: Business and Non-Profit Entities
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7B. Fund Document Delivery
Manage your account instantly
and securely online with
E-Delivery. Select any or all
of the listed documents
to access electronically.
Electronic Delivery
◻ Fund summary prospectus and prospectuses (collectively “Prospectuses”), statements of additional
information (“SAIs”) and reports (annual and semi-annual reports, etc.; collectively “Reports”)
◻ Account Statements
◻ Fund Proxy Materials
◻ Tax Documents (Forms 1099 and 5498)
◻ Marketing Materials
By consenting to Electronic Delivery, I understand:
1. Federated will send an email in place of paper documents to notify me when the items I choose to
receive electronically are available through its website, FederatedInvestors.com.
2. E-Delivery will continue until I revoke my consent. Federated must be made aware of any changes to
my email address. If emails are returned as undeliverable, my account will be reset to receive paper
documents until I provide a valid email address.
3. E-Delivery is a free service and there is no cost to view information on the website. My internet service
provider and telephone company may charge me for internet access.
Please notify me when the selected information is available at:
Enter the email address you will use for E-Delivery
8. Required Signature(s) of Individual(s) Requesting the Change
An original STAMP2000 Medallion guarantee is required.
Signature of Current Trustee, Treasurer, President, etc.*
Date*
SIGN HERE
X
Capacity*
Daytime Phone Number*
Signature of Co-Trustee, Treasurer, President, etc.
Date
SIGN HERE
X
The individual requesting the
change (e.g., Trustee, Secretary,
President, etc.) MUST sign this
section and include capacity, if
applicable (e.g., John Smith,
Treasurer). Please sign exactly
as your name(s) appears in
the current registration or
Order of Appointment.
Form Continues on Next Page
Capacity
Daytime Phone Number
Change of Ownership: Business and Non-Profit Entities
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8. Required Signature(s) of Individual(s) Requesting the Change (continued)
Please contact your guarantor
regarding the documentation
required prior to submitting
your signature.
An original STAMP2000 Medallion guarantee
is required. This form must be signed in the
presence of the authorized guarantor, who
should be contacted in advance to confirm the
documentation required and that the amount of
the proposed transaction can be insured.
MEDALLION GUARANTEE
A Medallion guarantee is designed to protect the
account from fraud and may be obtained from any
of the following institutions participating in one of
the Medallion guarantee programs.
• bank or trust company;
• savings association;
• credit union; or
• broker, dealer, or securities exchange member.
Notarization by a notary public is not a Medallion
guarantee and is not an acceptable substitute.
Please understand that notarization by a notary public is not the same as a Medallion guarantee and
cannot be used as a substitute.
ACCOUNT SERVICE OPTIONS REMINDER: All services established for the former account will be
cancelled. Please call the Funds or their transfer agent for details.
9. Required Signature(s) of New Owner(s) for Tax Identification Number Certification
New Owner MUST sign in
this Section.
Social Security/Tax Identification Number Certification
If applicable, please include
capacity with your signature
(i.e., Trustee, Secretary,
Treasurer, President, etc.).
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a
number to be issued to me); and
An individual authorized
to act for the corporation,
partnership, non-profit, or
other business entity must
sign below.
Under penalties of perjury, I certify that:
2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I
have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding
as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no
longer subject to backup withholding; and
3. I am a U.S. person (including a U.S. resident alien).
The Internal Revenue Service does not require your consent to any provision of this form other than the
certifications required to avoid Backup Withholding.
Signature of Authorized Individual*
SIGN HERE
X
Title (Secretary, Treasurer, President, etc.)*
Your signature must match your name as it appears in Section 3.
To certify the individuals authorized to act and request transactions on this account, Federated requires a
certified Certificate of Incumbency or Corporate Resolution. Certification is valid for 12 months and is void
if not dated.
Please note that Corporate Resolutions and Certificates of Incumbency MUST be renewed annually.
10. Mailing Instructions
Please mail this form along
with any other required
documentation to:
The Federated Funds
Regular Mail:
Overnight Delivery:
PO Box 8600
Boston, MA 02266-8600
30 Dan Road
Canton, MA 02021-2809
Federated Client Services 1-800-341-7400
For more information, visit our website at FederatedInvestors.com
45556 (6/17)
Federated Securities Corp., Distributor
Federated is a registered trademark of Federated Investors, Inc. 2017©Federated Investors, Inc.
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