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<br />CUSTOMER INFORMATION PROFILE <br /> <br />CUSTOMER INFORMATION <br />Customer Name: <br />Customer Type: <br />Street Address: <br /> <br />Primary Phone Number: <br />Secondary Phone Number: <br /> <br />CITY OF CENTERV/LLE <br />Corporation <br />1880 MAIN STREET <br />CENTERVILLE, MN 55038-9794 <br />16511429-4174 <br />(651) 429-3232 <br /> <br />Customer Number: 0000510002 <br /> <br />Mailing Address: <br /> <br />IDENTIFICATION <br />Taxpayer ID: 41-1267014 <br />Primary ID: <br />ID Number: <br />Issue Date: <br />Issued By: <br /> <br />o Taxpayer 10 Applied For <br />Secondary 10: <br />10 Number: <br />Issue Date: <br />Issued By: <br /> <br />ACCOUNT INFORMATION <br />Branch Location: 03 Centerville Office <br />Bank Rep. Name: ST <br /> <br />Product Type <br />Flex CD <br /> <br />Account <br />SAV 1321332/DDA 3017115 <br /> <br />RE,9lJLTS OF DOCUMENTARY VERIFICATION <br />rn' Customer's Identity has been verified using the above described identification documents <br />Verilication Method: ~''::>\''~((,Js.~",hc-~\~ <br /> <br />o Unable to verify customer's identity <br />Explanation and resolution of discrepancies: <br /> <br />RESULTS OF NON-DOCUMENT ARY VERIFICATION <br />Customer's Identity has been verified using the non~documeT'ltary methods described below: <br />o ChexSystemsSM Verification 0 Logical Verification <br />o Credit Report Obtained 0 Fraud/Bad Check Database Checked <br />o Financial Statement 0 Reference Check <br /> <br />o Unable to verify customer's identity lexplanation and resolution of discrepancies): <br /> <br />COMPARISON WITH GOVERNMENT LISTS <br /> <br />Opening Date <br />06-26-2003 <br /> <br />CITY OF CENTERVILLE <br /> <br />~ther ~'~\-'^G <br /> <br />o Other <br /> <br />Does customer's name appear on any list of known or suspected terrorists or terrorist organizations issued by any Federal government agency? <br />DYes DNo <br /> <br />VERIFICATION CONDUCTED BY <br /> <br />p~~ <br /> <br />Mainstreet Bank <br /> <br />\\\~\v'-\ <br />, <br /> <br />IDate) <br /> <br />OEP06ITPIlO.V".8.S8.00.005Cop'>Ho<I""~fin",,<i.15olu'lo"..loO.'66a,2004 AIIR;I/I>",~o.j.NN-M/>I-H'\CFI\7lS\t:JPTR.12!l79 <br />