Brian Scott Alt5 Sigma ONBOARDING FORM

ONBOARDING FORM
Form Date

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Date
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Section 1

Business Information
Company Name
List all Trade Names, Operating Names, and Previous Legal Names
Include: Trade Names, Operating Names, and Previous Legal Names
Type of Company
Country of Incorporation/Formation Country
Date of Incorporation/Formation

MonthDayYear
Business ID Number
Tax Reporting Organization/Country
Tax Reporting Country
Tax Identification Number
Upload government tax identification number/letter

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Registered Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload proof of address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Mailing Address
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload proof of Mailing address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Website
Phone Number
Business Description
SIC
Do you need a License and or Registration to operate your business
Upload License or Registration

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unused
Upload Business articles of incorporation/association/Memorandum documents Must be complete documents all pages

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Upload Certificate of incorporation or business registration Certificate

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Upload Business Shareholder register / certificates

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Upload Register of Directors

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Are you a licensed Money Services Business (MSB)
Upload AML Policy

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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POA - proof of current business address

Please provide one or more of the following documents:
- Business Financial Statement (Bankstatement or credit card statement not older than 3 months with the name ofyour business)
- Utility Bill (Cable TV, Internet,gas, electricity, water, land line or property tax bill, issued in the companyname to the company's registered address with biller’s details visibleincluding name, address, phone etc)
- Letter from a financial institution(within 3 months, legal document on letterhead, dated, with detailed contact details of both parties)
- Letter from a regulator (within 3months, legal document on letterhead, dated, with detailed contact details ofboth parties)
- Letter from a government body (within3 months, legal document on letterhead, dated, with detailed contact details ofboth parties)
- Letter from Tax – Revenue (within 3months, legal document on letterhead, dated, with detailed contact details ofboth parties)
- Letter from a lawyer (within 3months, legal document on letterhead, dated, with detailed contact details ofboth parties)
Upload POA

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Upload Board Resolution document authorizing the opening of an account for the corporation

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Section 2

Company Main Contact Information
Name

First NameMiddle NameLast Name
Title
Citizenship
Country of Residence
Main Contact Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email

Confirmation Emailexample@example.com
Phone Number
Main contact - ID front and Back
- Main contact - ID front
- Must be a full quality photo, close up, with 4 corners showing on background.
- Passports must have the top and bottom visible fully open and flat.
- The information on the document must be clearly legible with no glare or shadows
Upload Main contact - ID front and Back

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Main contact - POA - proof of current personal address
- Must be a clear photo or PDF of a household utility bill (gas, electric, water, landline or broadband only), tax bill or bank statement.
- Must be dated visibly within 3 months
- Must show your full name and full CURRENT address
- Must show the biller's info
Upload Main contact - POA - proof of current personal address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Main contact - Biometric authentication
- Selfie photo holding the ID provided and a piece of paper with today’s date hand-written
- Your face and head must be close up and unobstructed by anything Must show your full name and full CURRENT address
- Face, ID, Date and your hand (holding ID and Paper) must all be visible
Upload Main contact - Biometric authentication

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Admin/Billing Contact
Name (Admin/Billing) Contact

First NameMiddle NameLast Name
Admin/Billing Title
Admin/Billing Citizenship
Admin/Billing Country of Residence
Admin/Billing Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Admin/Billing Email

Confirmation Emailexample@example.com
Admin/Billing Phone Number
Technical Contact
Name (Technical contact)

First NameMiddle NameLast Name
Technical Contact Title
Technical Contact Citizenship
Technical Contact Country of Residence
Technical Contact Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Technical Contact Email

Confirmation Emailexample@example.com
Technical Contact Phone Number

Section 3

Company Officers
How many Company Directors i.e. Board of Directors, Chairman, Director

Name Officer 1

First NameMiddle NameLast Name
Citizenship
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Proof of Address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Email
example@example.com
Officer 1 Phone Number
Title
Date of Birth

MonthDayYear
Date
Passport Number
Upload Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Passport Issuing Country
Passport Expiration Date

MonthDayYear
Date
Linkedin Profile (optional)

Name Officer 2

First NameMiddle NameLast Name
Citizenship
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Proof of Address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Email
example@example.com
Officer 2 Phone Number
Title
Date of Birth

MonthDayYear
Date
Passport Number
Upload Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Passport Issuing Country
Passport Expiration Date

MonthDayYear
Date
Linkedin Profile (optional)

Name Officer 3

First NameMiddle NameLast Name
Citizenship
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Proof of Address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Email
example@example.com
Officer 3 Phone Number
Title
Date of Birth

MonthDayYear
Date
Passport Number
Upload Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Passport Issuing Country
Passport Expiration Date

MonthDayYear
Date
Linkedin Profile (optional)

Name Officer 3

First NameMiddle NameLast Name
Citizenship
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Proof of Address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Email
example@example.com
Officer 4 Phone Number
Title
Date of Birth

MonthDayYear
Date
Passport Number
Upload Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Passport Issuing Country
Passport Expiration Date

MonthDayYear
Date
Linkedin Profile (optional)

Name Officer 3

First NameMiddle NameLast Name
Citizenship
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Proof of Address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Email
example@example.com
Officer 5 Phone Number
Title
Date of Birth

MonthDayYear
Date
Passport Number
Upload Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Passport Issuing Country
Passport Expiration Date

MonthDayYear
Date
Linkedin Profile (optional)

Name Officer 3

First NameMiddle NameLast Name
Citizenship
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Proof of Address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Email
example@example.com
Officer 6 Phone Number
Title
Date of Birth

MonthDayYear
Date
Passport Number
Upload Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Passport Issuing Country
Passport Expiration Date

MonthDayYear
Date
Linkedin Profile (optional)

Name Officer 3

First NameMiddle NameLast Name
Citizenship
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Proof of Address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Email
example@example.com
Officer 7 Phone Number
Title
Date of Birth

MonthDayYear
Date
Passport Number
Upload Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Passport Issuing Country
Passport Expiration Date

MonthDayYear
Date
Linkedin Profile (optional)

Name Officer 3

First NameMiddle NameLast Name
Citizenship
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Proof of Address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Email
example@example.com
Officer 8 Phone Number
Title
Date of Birth

MonthDayYear
Date
Passport Number
Upload Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Passport Issuing Country
Passport Expiration Date

MonthDayYear
Date
Linkedin Profile (optional)

Name Officer 3

First NameMiddle NameLast Name
Citizenship
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Proof of Address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Email
example@example.com
Officer 9 Phone Number
Title
Date of Birth

MonthDayYear
Date
Passport Number
Upload Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Passport Issuing Country
Passport Expiration Date

MonthDayYear
Date
Linkedin Profile (optional)

Name Officer 3

First NameMiddle NameLast Name
Citizenship
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Proof of Address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Email
example@example.com
Officer 10 Phone Number
Title
Date of Birth

MonthDayYear
Date
Passport Number
Upload Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Passport Issuing Country
Passport Expiration Date

MonthDayYear
Date
Linkedin Profile (optional)

How many shareholders
How many shareholders own more than 25%

Shareholder 1 %
ShareHolder 1 is Individual or Corporate:
Shareholder 1 Name

First NameMiddle NameLast Name
Shareholder 1 Citizenship
Shareholder 1 Country of Residence
Shareholder 1 Company Name
Include: Trade Names, Operating Names, and Previous Legal Names
Shareholder 1 Type of Company
Shareholder 1 Country of Incorporation/Formation Country
Shareholder 1 Date of Incorporation/Formation

MonthDayYear
Shareholder 1 Business ID Number
Shareholder 1 Tax Reporting Organization/Country
Shareholder 1 Tax Reporting Country
Shareholder 1 Tax Identification Number
Upload Shareholder 1 government tax identification number/letter
Shareholder 1 Registered Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 1 proof of address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 1 Mailing Address
Shareholder 1 Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 1 proof of Mailing address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 1 Website
Shareholder 1 Email
example@example.com
Shareholder 1 Phone Number
Shareholder 1 Title
Shareholder 1 date of birth

MonthDayYear
Date
Passport Number
Passport Issuing Country
Passport Expiration Date

MonthDayYear
Date
Upload Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Linkedin Profile (optional)
Shareholder 1 Business Description
Shareholder 1 SIC
How many shareholders for Shareholder 1
How many shareholders for Shareholder 1 owns more than 10%

Shareholder 1.1 %
ShareHolder 1.1 is Individual or Corporate:
Shareholder 1.1 Name

First NameMiddle NameLast Name
Shareholder 1.1 Citizenship
Shareholder 1.1 Country of Residence
Shareholder 1.1 Company Name
Include: Trade Names, Operating Names, and Previous Legal Names
Shareholder 1.1 Type of Company
Shareholder 1.1 Country of Incorporation/Formation Country
Shareholder 1.1 Date of Incorporation/Formation

MonthDayYear
Shareholder 1.1 Business ID Number
Shareholder 1.1 Tax Reporting Organization/Country
Shareholder 1.1 Tax Reporting Country
Shareholder 1.1 Tax Identification Number
Upload Shareholder 1.1 government tax identification number/letter
Shareholder 1.1 Registered Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 1,1 proof of address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 1.1 Mailing Address
Shareholder 1.1 Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 1.1 proof of Mailing address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 1.1 Website
Shareholder 1.1 Email
example@example.com
Shareholder 1.1 Phone Number
Shareholder 1.1 Title
Shareholder 1.1 date of birth

MonthDayYear
Date
Shareholder 1.1 Passport Number
Shareholder 1.1 Passport Issuing Country
Shareholder 1.1 Passport Expiration Date

MonthDayYear
Date
Upload Shareholder 1.1 Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 1.1 Linkedin Profile (optional)
Shareholder 1.1 Business Description
Shareholder 1.1 SIC
How many shareholders for Shareholder 1.1
How many shareholders for Shareholder 1.1 owns more than 20%
In order to get to the Ultimate Beneficial Owner our office will be contacting you.
Please continue with the other Shareholders.

Shareholder 2 %
ShareHolder 2 is Individual or Corporate:
Shareholder 2 Name

First NameMiddle NameLast Name
Shareholder 2 Citizenship
Shareholder 2 Country of Residence
Shareholder 2 Company Name
Include: Trade Names, Operating Names, and Previous Legal Names
Shareholder 2 Type of Company
Shareholder 2 Country of Incorporation/Formation Country
Shareholder 2 Date of Incorporation/Formation

MonthDayYear
Shareholder 2 Business ID Number
Shareholder 2 Tax Reporting Organization/Country
Shareholder 2 Tax Reporting Country
Shareholder 2 Tax Identification Number
Upload Shareholder 2 government tax identification number/letter
Shareholder 2 Registered Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 2 proof of address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 2 Mailing Address
Shareholder 2 Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 2 proof of Mailing address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 2 Website
Shareholder 2 Email
example@example.com
Shareholder 2 Phone Number
Shareholder 2 Title
Shareholder 2 date of birth

MonthDayYear
Date
Shareholder 2 Passport Number
Shareholder 2 Passport Issuing Country
Shareholder 2 Passport Expiration Date

MonthDayYear
Date
Upload Shareholder 2 Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 2 Linkedin Profile (optional)
Shareholder 2 Business Description
Shareholder 2 SIC
How many shareholders for Shareholder 2
How many shareholders for Shareholder 2 owns more than 20%

Shareholder 2.1 %
ShareHolder 2.1 is Individual or Corporate:
Shareholder 2.1 Name

First NameMiddle NameLast Name
Shareholder 2.1 Citizenship
Shareholder 2.1 Country of Residence
Shareholder 2.1 Company Name
Include: Trade Names, Operating Names, and Previous Legal Names
Shareholder 2.1 Type of Company
Shareholder 2.1 Country of Incorporation/Formation Country
Shareholder 2.1 Date of Incorporation/Formation

MonthDayYear
Shareholder 2.1 Business ID Number
Shareholder 2.1 Tax Reporting Organization/Country
Shareholder 2.1 Tax Reporting Country
Shareholder 2.1 Tax Identification Number
Upload Shareholder 2.1 government tax identification number/letter
Shareholder 2.1 Registered Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 2,1 proof of address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 2.1 Mailing Address
Shareholder 2.1 Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 2.1 proof of Mailing address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 2.1 Website
Shareholder 2.1 Email
example@example.com
Shareholder 2.1 Phone Number
Shareholder 2.1 Title
Shareholder 2.1 date of birth

MonthDayYear
Date
Shareholder 2.1 Passport Number
Shareholder 2.1 Passport Issuing Country
Shareholder 2.1 Passport Expiration Date

MonthDayYear
Date
Upload Shareholder 2.1 Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 2.1 Linkedin Profile (optional)
Shareholder 2.1 Business Description
Shareholder 2.1 SIC
How many shareholders for Shareholder 2.1
How many shareholders for Shareholder 2.1 owns more than 20%
In order to get to the Ultimate Beneficial Owner our office will be contacting you.
Please continue with the other Shareholders.

Shareholder 3 %
ShareHolder 3 is Individual or Corporate:
Shareholder 3 Name

First NameMiddle NameLast Name
Shareholder 3 Citizenship
Shareholder 3 Country of Residence
Shareholder 3 Company Name
Include: Trade Names, Operating Names, and Previous Legal Names
Shareholder 3 Type of Company
Shareholder 3 Country of Incorporation/Formation Country
Shareholder 3 Date of Incorporation/Formation

MonthDayYear
Shareholder 3 Business ID Number
Shareholder 3 Tax Reporting Organization/Country
Shareholder 3 Tax Reporting Country
Shareholder 3 Tax Identification Number
Upload Shareholder 3 government tax identification number/letter
Shareholder 3 Registered Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 3 proof of address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 3 Mailing Address
Shareholder 3 Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 3 proof of Mailing address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 3 Website
Shareholder 3 Email
example@example.com
Shareholder 3 Phone Number
Shareholder 3 Title
Shareholder 3 date of birth

MonthDayYear
Date
Shareholder 3 Passport Number
Shareholder 3 Passport Issuing Country
Shareholder 3 Passport Expiration Date

MonthDayYear
Date
Upload Shareholder 3 Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 3 Linkedin Profile (optional)
Shareholder 3 Business Description
Shareholder 3 SIC
How many shareholders for Shareholder 3
How many shareholders for Shareholder 3 owns more than 20%

Shareholder 3.1 %
ShareHolder 3.1 is Individual or Corporate:
Shareholder 3.1 Name

First NameMiddle NameLast Name
Shareholder 3.1 Citizenship
Shareholder 3.1 Country of Residence
Shareholder 3.1 Company Name
Include: Trade Names, Operating Names, and Previous Legal Names
Shareholder 3.1 Type of Company
Shareholder 3.1 Country of Incorporation/Formation Country
Shareholder 3.1 Date of Incorporation/Formation

MonthDayYear
Shareholder 3.1 Business ID Number
Shareholder 3.1 Tax Reporting Organization/Country
Shareholder 3.1 Tax Reporting Country
Shareholder 3.1 Tax Identification Number
Upload Shareholder 3.1 government tax identification number/letter
Shareholder 3.1 Registered Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 3,1 proof of address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 3.1 Mailing Address
Shareholder 3.1 Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 3.1 proof of Mailing address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 3.1 Website
Shareholder 3.1 Email
example@example.com
Shareholder 3.1 Phone Number
Shareholder 3.1 Title
Shareholder 3.1 date of birth

MonthDayYear
Date
Shareholder 3.1 Passport Number
Shareholder 3.1 Passport Issuing Country
Shareholder 3.1 Passport Expiration Date

MonthDayYear
Date
Upload Shareholder 3.1 Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 3.1 Linkedin Profile (optional)
Shareholder 3.1 Business Description
Shareholder 3.1 SIC
How many shareholders for Shareholder 3.1
How many shareholders for Shareholder 3.1 owns more than 20%
In order to get to the Ultimate Beneficial Owner our office will be contacting you.
Please continue with the other Shareholders.

Shareholder 4 %
ShareHolder 4 is Individual or Corporate:
Shareholder 4 Name

First NameMiddle NameLast Name
Shareholder 4 Citizenship
Shareholder 4 Country of Residence
Shareholder 4 Company Name
Include: Trade Names, Operating Names, and Previous Legal Names
Shareholder 4 Type of Company
Shareholder 4 Country of Incorporation/Formation Country
Shareholder 4 Date of Incorporation/Formation

MonthDayYear
Shareholder 4 Business ID Number
Shareholder 4 Tax Reporting Organization/Country
Shareholder 4 Tax Reporting Country
Shareholder 4 Tax Identification Number
Upload Shareholder 4 government tax identification number/letter
Shareholder 4 Registered Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 4 proof of address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 4 Mailing Address
Shareholder 4 Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 4 proof of Mailing address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 4 Website
Shareholder 4 Email
example@example.com
Shareholder 4 Phone Number
Shareholder 4 Title
Shareholder 4 date of birth

MonthDayYear
Date
Shareholder 4 Passport Number
Shareholder 4 Passport Issuing Country
Shareholder 4 Passport Expiration Date

MonthDayYear
Date
Upload Shareholder 4 Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 4 Linkedin Profile (optional)
Shareholder 4 Business Description
Shareholder 4 SIC
How many shareholders for Shareholder 4
How many shareholders for Shareholder 4 owns more than 20%

Shareholder 4.1 %
ShareHolder 4.1 is Individual or Corporate:
Shareholder 4.1 Name

First NameMiddle NameLast Name
Shareholder 4.1 Citizenship
Shareholder 4.1 Country of Residence
Shareholder 4.1 Company Name
Include: Trade Names, Operating Names, and Previous Legal Names
Shareholder 4.1 Type of Company
Shareholder 4.1 Country of Incorporation/Formation Country
Shareholder 4.1 Date of Incorporation/Formation

MonthDayYear
Shareholder 4.1 Business ID Number
Shareholder 4.1 Tax Reporting Organization/Country
Shareholder 4.1 Tax Reporting Country
Shareholder 4.1 Tax Identification Number
Upload Shareholder 4.1 government tax identification number/letter
Shareholder 4.1 Registered Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 4,1 proof of address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 4.1 Mailing Address
Shareholder 4.1 Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 4.1 proof of Mailing address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 4.1 Website
Shareholder 4.1 Email
example@example.com
Shareholder 4.1 Phone Number
Shareholder 4.1 Title
Shareholder 4.1 date of birth

MonthDayYear
Date
Shareholder 4.1 Passport Number
Shareholder 4.1 Passport Issuing Country
Shareholder 4.1 Passport Expiration Date

MonthDayYear
Date
Upload Shareholder 4.1 Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 4.1 Linkedin Profile (optional)
Shareholder 4.1 Business Description
Shareholder 4.1 SIC
How many shareholders for Shareholder 4.1
How many shareholders for Shareholder 4.1 owns more than 20%
In order to get to the Ultimate Beneficial Owner our office will be contacting you.
Please continue with the other Shareholders.

Shareholder 5 %
ShareHolder 5 is Individual or Corporate:
Shareholder 5 Name

First NameMiddle NameLast Name
Shareholder 5 Citizenship
Shareholder 5 Country of Residence
Shareholder 5 Company Name
Include: Trade Names, Operating Names, and Previous Legal Names
Shareholder 5 Type of Company
Shareholder 5 Country of Incorporation/Formation Country
Shareholder 5 Date of Incorporation/Formation

MonthDayYear
Shareholder 5 Business ID Number
Shareholder 5 Tax Reporting Organization/Country
Shareholder 5 Tax Reporting Country
Shareholder 5 Tax Identification Number
Upload Shareholder 5 government tax identification number/letter
Shareholder 5 Registered Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 5 proof of address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 5 Mailing Address
Shareholder 5 Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 5 proof of Mailing address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 5 Website
Shareholder 5 Email
example@example.com
Shareholder 5 Phone Number
Shareholder 5 Title
Shareholder 5 date of birth

MonthDayYear
Date
Shareholder 5 Passport Number
Shareholder 5 Passport Issuing Country
Shareholder 5 Passport Expiration Date

MonthDayYear
Date
Upload Shareholder 5 Passport image

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 5 Linkedin Profile (optional)
Shareholder 5 Business Description
Shareholder 5 SIC
How many shareholders for Shareholder 5
How many shareholders for Shareholder 5 owns more than 20%

Shareholder 5.1 %
ShareHolder 5.1 is Individual or Corporate:
Shareholder 5.1 Name

First NameMiddle NameLast Name
Shareholder 5.1 Citizenship
Shareholder 5.1 Country of Residence
Shareholder 5.1 Company Name
Include: Trade Names, Operating Names, and Previous Legal Names
Shareholder 5.1 Type of Company
Shareholder 5.1 Country of Incorporation/Formation Country
Shareholder 5.1 Date of Incorporation/Formation

MonthDayYear
Shareholder 5.1 Business ID Number
Shareholder 5.1 Tax Reporting Organization/Country
Shareholder 5.1 Tax Reporting Country
Shareholder 5.1 Tax Identification Number
Upload Shareholder 5.1 government tax identification number/letter
Shareholder 5.1 Registered Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Upload Shareholder 5.1 proof of address

File types: (.PDF, .JPG, .JPEG, .PNG Accepted ONLY)
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Shareholder 5.1 Mailing Address
Shareholder 5.1 Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
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CORPORATE RESOLUTION
ResolutionCompanyName
Street Address   Address Line 2   City   State   Zip
DULY PASSED ON   Date

WHEREAS,   First Name   Last Name   is authorized and has all necessary powers to open an account at ALT 5;
WHEREAS,    CompanyName2   is authorized to exercise all powers necessary and appropriate in carrying out the purposes for which it was established, including but not limited to entering into a client agreement with ALT 5;

RESOLVED, that the Board of Directors hereby approves the account opening at ALT 5 and approves the ALT 5 Client Agreement.

We, the member(s) of the Board of Directors, and the undersigned, hereby constituting a quorum, were present at a meeting duly and regularly called, noticed, convened and held on {formDate} and that the foregoing Resolution was duly adopted at said meeting by the affirmative vote and that said Resolution has been duly recorded in the Minute Book and is in full force and effect.

Signature
Director
First Name    Last Name

Corporate Certification

Date

I, First Name Last Name , the Title of CompanyName hereby acknowledge, and certify the following:
- I am authorized to open an account at ALT 5;
- I have read, understand and agree with the ALT 5 Client Agreement;
- None of the Directors, Officers and or Shareholders of {Name of Company} have ever plead guilty to an offense or are subject to any current charge, indictment or proceedings for an offense in any jurisdiction;
- None of the Directors, Officers and or Shareholders are undischarged bankrupt;
- I have not been solicited by ALT 5 and or its employees, officers, directors, and or affiliates;
- The information provided to ALT 5 is complete and accurate and I hereby undertake to immediately update the information if the information changes;
This corporate certification is signed on   Date   ,

Signature
First Name    Last Name
Title
Company

Client Account Agreement

This agreement (“Agreement”) is entered into on Date and is a legally binding contract by and between Company having a registered address located at Street Address Address Line 2 City State Zip herein referred to as (“client,” “you,” or “your”) and Alt 5 Sigma Canada, Inc. having a registered address located at 17075 Leslie Street, Newmarket, Ontario, L3Y 8E1 (“Company,” “ALT 5” “we,” “our,” or “us”).

This Agreement, together with the documents and additional terms it incorporates by reference, governs your access to and use of your Account (as defined below), and the content, functionality, and services made available through the Account. By registering for an Account, you agree that you have read, understood, and accepted all the terms and conditions contained in this Agreement.

WHEREAS;
- I. ALT 5 is an electronic over-the-counter trading and cryptocurrency payment gateway platform,
- II. ALT 5 is the counterparty to all trades entered into the OTC platform named ALT 5 Pro, ALT 5 Prime and or ALT 5 Pay (collectively, the “Platform”),
- III. ALT 5 is available only in jurisdictions where it is legal to offer its services.
1. Accepting these Terms

Please read this entire Agreement. By signing this Agreement, you agree to be bound by all terms and conditions that it contains. If you no longer agree to this Agreement after signing it, you may not use the Services – please do not access the Site, or please discontinue your use of the Site and the Services. (In that event, you may nevertheless remain bound by some of the terms and conditions of this Agreement.).

You represent and warrant that you have the legal capacity to form a binding contract with us and agree to comply with all the terms and conditions set forth in this Agreement. Your use of your ALT 5 account (the “Account”) and the services provided by ALT 5 (the “Services”) is subject to this Agreement and ALT 5’s obligations under this Agreement are conditional on your compliance with its provisions. You agree to sign and have this Agreement and any related information made available to you, and to otherwise have communications between you and us occur, electronically.

In order to use the Services, and prior to us opening your Account, you must first provide, to our satisfaction, all of the information required by our on-boarding process, in accordance with Applicable Laws and Regulations. (“Applicable Laws and Regulations”).

This Agreement was last updated and is effective as of the date first noted above. From time to time, and at our sole and absolute discretion, we may require you to agree to an amended version of this Agreement by providing notice to you at least ten (10) days in advance of effecting such amendment. If you continue to use the Site following the changes to the Agreement, you agree to be bound by these changes. If you do not agree with the amended version, you can choose to discontinue using the Services, and close your Account before such amended version becomes effective.

2. Eligibility and Compliance with Laws

By registering for an Account on the Site, or by using the Services, you represent and warrant that: (a) if you are an individual, you are at least eighteen (18) years of age and the age of majority for using the Services in the jurisdiction where you reside at the time you register with us or use the Services; (b) you have never been previously suspended or removed from using the Services or any other service or product offered by ALT 5 or any of its affiliated entities; (c) you have an understanding of cryptocurrencies and other digital assets and the technology that underlies them; (d) all information provided by you to us during the registration process is truthful, accurate, current, and complete; and (e) you will provide us with the information we require to fulfill our Know-Your-Client and account appropriateness assessment requirements under Applicable Law and Regulations; and (f) you will comply with all terms and conditions of the Agreement, as well as all Applicable Laws and Regulations.

To register for an Account and use the Services as a legal entity, you represent and warrant that (i) such legal entity is duly organized and validly existing under the applicable laws of the jurisdiction of its organization, (ii) you are duly authorized by such legal entity to act on its behalf, and (iii) such organization (and any affiliate entity) has not been previously suspended or removed from using the Services or any other service or product offered by ALT 5 or any of its affiliated entities.

You agree and understand that use of the Services may have further eligibility requirements that require you to submit additional information about yourself or your business or complete further verification or Know-Your-Business steps prior to your using such Services, or from time to time in order to continue your use of the Services.

As a registered Client, you agree to maintain and promptly update your registration data as necessary to keep it true, accurate, current, and complete.

ALT 5 and anyone acting on its behalf (the “Representatives”) will rely on the information you provide. You will be responsible for any and all loss, damage, or additional costs that ALT 5, the Representatives, or others may incur as a result of your submission of any false, incorrect or incomplete information or your failure to update your registration or other information that you submit via the Services.

The Services must be used only for lawful purposes and in a lawful manner. We reserve the right to maintain your Account registration information after you terminate the Account for business and regulatory compliance purposes, subject to Applicable Laws and Regulations.

The Services are intended for use from locations where such Services are legal. Any use by you of the Services from a location where the services are illegal is expressly prohibited.

3. Your Account

We reserve the right to deny you access to the Platform or cancel the Account for any or no reason, including but not limited to violations of this Agreement or Applicable Laws and Regulations, or any Prohibited Conduct by you, as outlined in Section 15 of this Agreement, and at any time, at our sole discretion.

You will be subject to a hold period for access to particular Services associated with your Account until your identification has been verified and you have completed our onboarding process, as required by Applicable Laws and Regulations. During this hold period, we may limit your right to use the Services, and we may refuse to accept any deposit made by you. When you provide new or updated personal information, we may also put a hold on your Account. We may maintain this hold until we confirm this information, which confirmation may require you to provide supporting documentation.

You acknowledge that you are solely responsible for maintaining the confidentiality of your Account credentials (including any user names, passwords, or security tokens created or provided) and that you will be responsible for any loss resulting from any unauthorized use of your Account. You agree to immediately notify us of any unauthorized use of your Account or if you become aware of any loss or theft. Similarly, you are responsible for verifying and maintaining the protection, security, and distribution of your account information, including account numbers, user names, and passwords.

All liability relating to password management resides with you, and under no circumstances, including negligence or misconduct, will we be liable for any damages that result from the unauthorized use of your Account.

We highly recommend you keep a secure backup of your password and any security credentials we provide to you in a safe and offline environment. If you have a verified e-mail address, you may use our automated account recovery procedure in order to request a password reset link. If you do not have a verified email address or if you have lost any security credentials, we provided to you, in order to recover these credentials, you must go through our assisted account recovery procedure, which may require a 30-day waiting period with no logins by you and a service charge. If you want to start the assisted account recovery procedure, you must contact us by email at support@ALT5sigma.com with your Account username.

You acknowledge that due to the irreversible nature of blockchain technology, some transactions in your Account cannot be canceled or reversed once initiated. If you send digital assets to the wrong wallet address, or if you make deposits or transfers through an unsupported network or on the wrong blockchain network, your digital assets may become permanently lost and recovery may be impossible. It is your responsibility to ensure that transactions initiated by you include the correct wallet address, are initiated on a network supported by ALT 5 and are made on the correct blockchain network. In certain circumstances, recovery of lost or digital assets is possible through the use of a third-party recovery service. On receipt of your instructions, and in the event that recovery of or digital assets is possible, ALT 5 may, in its sole and absolute discretion, attempt to recover the digital assets. Recovery of such digital assets is not guaranteed and can take an undetermined amount of time. In the event that the recovery of lost digital assets is successful, ALT 5 will charge you a recovery fee, to offset our cost in engaging a third-party recovery service. In satisfaction of the recovery fee, you authorize ALT 5 to deduct the recovery fee from the recovered digital assets prior to crediting the balance to your Account.

You can cancel your Account at any time by doing so from your account settings page and requesting that your Account be deleted.

4. Regulatory status

ALT 5 is registered with Fintrac (Financial Transactions and Reports Analysis Centre of Canada). ALT 5 is registered as a VASP (Virtual Asset Service Provider) in Lithuania. ALT 5 is registered with FinCEN (Financial Crimes Enforcement Network, United States of America). ALT 5 is not registered with the United States Securities and Exchange Commission and or any Securities Regulatory Agencies. ALT 5 services are NOT available in certain jurisdiction including but not limited to Canada and or the State of New York.

5. No Suitability Review; No Investment Advice

You acknowledge and agree that, in the course of providing the Services to you, neither ALT 5 nor its Representatives provide any advice or recommendations regarding the purchase or sale of any digital asset, nor do they make any determination of your general investment needs or objectives or of the suitability of the proposed purchase or sale of any digital asset. You are responsible for your investment decisions and transactions, for any profits or losses, and any tax consequences that may result. You further acknowledge and agree that, in the course of providing the Services to you, neither ALT 5 nor its Representatives provide you with any legal, tax, or accounting advice regarding the profitability of any digital asset or investment or any decision in respect thereof, nor does ALT 5 or its Representatives consider your financial situation, investment knowledge, investment objectives, and risk tolerance when accepting instructions from you. You will not solicit or rely upon any such advice from ALT 5 or any of its employees and agree that ALT 5 will have no liability therefore whatsoever. In making investment decisions with respect to transactions in or for your Account(s) or any other matter, you will consult with and rely upon your own advisors, and not ALT 5. Additionally, nothing accessible through the Platform or Services constitutes a representation that transacting in digital assets is suitable or appropriate for you.

You authorize us to facilitate the process of purchasing, storing, and selling digital assets on your behalf. We are authorized to open or close your Account, cancel or correct orders, direct transfers, and take such other steps as are reasonable to carry out your directions. All transactions will be affected only on your directions, except as otherwise expressly described in this Agreement.

6. Purchase and Sale of Digital Assets and Payment Acceptance

Purchases or sales of digital assets made via the Services are subject to the following terms:

1.      Placing Orders: You may use the Services to place an order (each, an “Order”) to purchase or sell digital assets. You may not place an Order to purchase digital assets unless you have sufficient funds or digital assets to satisfy the Order. No margins and leverage are available on the Services. It is your responsibility to ensure that you have sufficient funds and/or digital assets in your Account to settle transactions you make using the Services. If you place an Order with insufficient funds and/or digital assets, it will be cancelled in its entirety or filled only as a partial Order. All Orders accepted by the ALT 5 are good until either executed or canceled. The counterparty to all transactions is ALT 5, whether it is a purchase or a sell order.

2.      Execution: All Orders entered by you and accepted by us are binding on you from the time of their execution. We shall forward written confirmation to you promptly after the execution of the Order by email. Non-receipt or late receipt of such written confirmation shall not in any way relieve you of your obligations under this Agreement. Upon execution, your account and temporary assigned wallets will be immediately credited and or debited.

3.      Errors: ALT 5 provides you with the tools to verify your Order before confirming it to help you catch a mistyped Order. ALT 5 will not be responsible for losses induced by mistyped or otherwise wrongly placed Orders. An open Order may be canceled at any time by you, but ALT 5 makes no guarantee on whether that Order will be canceled before execution. Notwithstanding the foregoing, in the event we determine, at our sole discretion, that as the result of a technical issue an executed Order did not reflect the fair market value for the applicable digital asset, such Order shall be canceled, and you shall be refunded the amount you paid for your Order.

4.      Payments: ALT5 may impose daily and annual transaction processing volume limits per Account. If a limit is imposed and you wish to increase your limit, you will be required to apply for an upgrade from your Account dashboard (“Dashboard”) and provide us with documentation necessary to qualify for that upgrade. Depending on the upgrade request, you may be required to provide additional information and documentation. Requests will not be approved until all required documentation has been reviewed and the accuracy and authenticity of the information has been confirmed.

5.      KYC: It is your responsibility to gather information on your customers/shoppers to meet any and all anti-money laundering rules and regulations of your industry and or country where you operate.

6.      Payment Refunds: ALT5 can facilitate cryptocurrency refunds to Shoppers on your behalf. You can decide to issue a partial refund or refund the full amount of the initial purchase. You can also decide whether to issue the refund based upon the value in which the relevant goods and/or services were priced (pricing currency) or the amount of the applicable cryptocurrency used to pay the Invoice (payment currency). Refunds will be remitted in the same cryptocurrency used to pay the Invoice. If you do not have enough funds in your Account to cover pending refund requests, we may require you to make a bank deposit to an account specified by us. Any required currency conversion during the refund process will be calculated at a spot rate determined by us.

7.      Payment Refund Policies: ALT5 is not responsible for merchant refund policies, or for verifying that such policies conform to applicable law. We suggest merchants provide a clear refund policy to their customers (including, if applicable, “no refunds are allowed as all sales are final”). For certain industries, a refund policy may not be applicable (e.g., where a service is provided). For refunds in amounts based upon the fiat pricing currency (i.e. the fiat price for the applicable goods/services), ALT5 will convert the value of the currency in which the item was priced to the applicable cryptocurrency using the exchange rate at the time the refund is sent to the Shopper. If we receive a complaint from a Shopper and it relates to you or the purchased goods/services, we will send it to you for resolution. We reserve the right to terminate Merchant accounts that receive excessive complaints.

7. Temporary Safe-Keeping and Title of Digital Assets

1.      Appointment: You agree to hereby appoint us to act as the temporary safe-keeper of the digital assets purchased by you pursuant to Section 6 of this Agreement, to be held by us for your benefit in accordance with this Agreement, and we accept such appointment and the obligations, duties, and responsibilities set out in this Agreement.

2.      Temporary Safe-Keeping Location: The Digital Assets that you purchase using the Services will be securely held in trust in an omnibus “cold storage” account at Fireblocks Ltd (the “Temporary Safe-Keeper”). The Temporary Safe-Keeper stores all the digital assets in trust for the benefit of ALT 5 in accounts that are segregated from other accounts held by the Temporary Safe-Keeper, and it is a fiduciary under the law applicable in its jurisdiction. Fiat is held in trust at banks and/or licensed financial institutions in ALT 5 accounts used solely for the purpose of holding said fiat.

3.      Hot Wallet: For liquidity purposes, a small portion of the digital assets may be held temporarily in an online “hot wallet” that ALT 5 licenses from Fireblocks Ltd. (the “Hot Wallet Provider”). The Hot Wallet Provider provides software that securely stores private keys and monitors balances. See Section 11 for a description of the Hot Wallet Provider’s insurance policies.

4.      Title: The digital assets held in trust through our arrangement with the Temporary Safe-Keeper will be fully-paid assets beneficially owned by you and not by us. We will record your purchased digital assets in our books and records as separate and apart from anyone else’s digital assets and from our own digital assets owned by each client. Neither ALT 5 or the Temporary Safe-Keeper, nor the Hot Wallet Provider will loan, hypothecate, pledge, or otherwise encumber any digital assets in your Account.

8. Transfers of Digital Assets from your Account

Digital asset deposits are subject to a minimum number of confirmations by the applicable blockchain before being fully credited to your Account, and digital asset withdrawals are subject to network fees, and are also subject to the technological ability to withdraw. The network fees are indicated in the withdrawal section for each digital asset available on the Services and are deducted from the amount of digital assets sent out of your Account. ALT 5 shall attempt to process withdrawals and deposits in a timely manner. ALT 5 and the Representatives make no guarantee on the timing of digital asset transfers, and you understand and agree that transfers can be delayed due to a slow blockchain network or ALT 5 conducting additional security checks. ALT 5 and the Representatives are not responsible for losses and liabilities induced by delayed transfers.

9. Availability of Digital Assets

Digital assets are listed on the Services at the discretion of ALT 5 and can be removed or closed at any time. If a digital asset is removed or closed, your open Orders will be canceled and your account credited back. If a digital asset is selected for removal, and if the applicable blockchain allows it, you will have twenty-five (25) days to withdraw your digital assets. ALT 5 and the Representatives assume no liability or cost whatsoever arising from removed or closed coins. Removed digital assets left in your account after the withdrawal period will be forfeited.

10. Fees

Fees may be charged by ALT 5 to you to deposit or withdraw funds from your Account and to withdraw digital assets from your account. In addition, by placing an Order on the Platform, you agree to pay all applicable fees associated with the Services, including any spread (i.e., remuneration that ALT 5 receives for its services that is a “mark-up” added to the price of a digital asset in the case of a purchase by you, or a “mark-down” that is deducted from the price in the case of a sale by you) and any other transaction fee associated with the Services, as applicable, and as set out in the fee schedule, as it may be amended from time to time (the “Fee Schedule”). You also understand and agree that ALT 5 may apply a foreign exchange spread in a transaction. Further, you authorize ALT 5 to automatically deduct fees directly from your Account, as applicable. The Fee Schedule is incorporated by reference into this Agreement, and by agreeing to this Agreement, you hereby agree and consent to the Fee Schedule.

11. Insurance

ALT 5, the Hot Wallet Provider and the Temporary Safe-Keeper maintain insurance against certain losses that may arise in connection with your use of the Services. The Temporary Safe-Keeper maintain coverage for the respective digital assets held on behalf of its clients, including the digital assets you own. The Hot Wallet Provider maintains coverage for the digital assets in the event they are temporarily held on your behalf in ALT 5’s “hot wallet” including while assets are “in transit”. There can be no guarantee that insurance coverage maintained by us or by the Temporary Safe-Keeper or Hot Wallet Provider will satisfy any and all claims that may be made in the event of a default under this Agreement or other agreements to which ALT 5, the Hot Wallet Provider, or the Temporary Safe-Keeper may be bound.

12. Internet

Use of the Services may require internet and data access for which you shall be responsible and subject to your internet access provider terms and conditions of use. In no event shall ALT 5 be liable for any internet or data access fees or other charges incurred by you in connection with your use of the Services. Any such fees and charges shall be your sole responsibility.

The Services may be subject to limitations, delays and other problems inherent in the use of the internet and electronic communications. ALT 5 is not responsible for any delays, delivery failures, or other damage resulting from such problems.

13. Taxes

You are solely responsible for ensuring that your use of the Services and any gains or losses associated therewith are reported accurately and as required by law to the appropriate authorities, including but not limited to the Internal Revenue Services of the United States of America. Although we may offer functions on the Site to assist you with the calculation of such gains or losses, we make no representations or warranties as to the accuracy of any such information or functions which, in accordance with Section 17, are provided on an “as is” basis.

You acknowledge that any income from transactions involving the digital assets could be treated as business income or as a capital gain, depending on the circumstances, including your trading practices.

14. Forks

We do not own or control, and make no representations or warranties with respect to, the underlying technology of the digital assets you may purchase or sell using the Services, including those technologies that govern their use. The underlying technology of digital assets may suddenly change such that the new version is no longer compatible with existing versions, or there is otherwise a permanent divergence of the blockchain resulting in the formation of new cryptocurrencies (a “Fork”). A Fork may impact the value, functionality, and other characteristics such as the name of the digital asset, and we make no representation or warranty as to whether ALT 5 will support a Fork arising from any digital asset or whether the Services are able to support any digital assets subject to a Fork.

We are not responsible or liable for claiming, issuing, storing or holding any digital asset resulting from a Fork on your behalf. In the event of a Fork, we may temporarily or permanently suspend the operation of the Services (with or without advance notice to you) and, in our sole discretion, decide whether or not to continue supporting trading of the digital asset subject to the Fork.

15. Prohibited Conduct

When using the Services, you are prohibited from doing any of the following (collectively, “Prohibited Conduct”):
- Using hateful, abusive, harassing, libelous, or obscene language towards other clients or ALT 5 Representatives;
- Threatening other clients or ALT 5 Representatives with violence,
- Posting any material that infringes or violates any third party’s copyright, trademark, trade secret, privacy, or other proprietary or property right;
- Using the Services to conduct fraudulent or otherwise illegal transactions or activities;
- Copying any content onto your own or any other website;
- Posting any material which promotes illegal activity, could constitute a criminal offense, gives rise to civil liability, or otherwise violates Applicable Laws and Regulations or any provision of this Agreement;
- Purchasing or selling any digital assets with knowledge of any material, non-public information relating to such digital assets;
- Using the Services to send spam, chain letters, junk mail, or any other type of unsolicited mass email;
- Using the Services to distribute viruses or other harmful, disruptive, or destructive files;
- Using the Services in violation of ALT 5’s or any third party’s intellectual property or other proprietary or legal rights;
- Using or attempting to use another person’s account;
- Disrupting or interfering with the security of, or otherwise abusing the Services, or any servers or networks connected to the Services;
- Attempting to obtain unauthorized access to the Services;
- Impersonating another person;
- Sharing with any minor any content or materials inappropriate for children, or allowing any minor access to such materials;
- Systematically harvesting or extracting data from the Services or programmatically registering accounts on the Services, including through the use of any robot, spider, crawler, or any other automated means;
- Accessing the Services for purposes of monitoring their availability, performance, or functionality, or for any other benchmarking or competitive purposes;
- Modifying or making derivative works based upon the Services, or any portion thereof;
- “Framing” or “mirroring” any content on any other server or wireless or Internet-based device;
- Reverse engineering or accessing the Services in order to (a) build a competitive product or service, (b) build a product using similar ideas, features, functions, or graphics from the Services, or (c) copy any ideas, features, functions, or graphics from the Services;
- Copying, decompiling, reverse engineering, disassembling, attempting to derive the source code of, modifying, or creating derivative works of Services or any part thereof (except as and only to the extent any foregoing restriction is prohibited by Applicable Laws and Regulations);
- Using the Services to take advantage of any technical glitch, malfunction, failure, delay, default, or security breach; or
- Violating the terms of this Agreement.
16. Client’s Acknowledgments

By using the Services, you agree and acknowledge that:
1. you understand the terms of this Agreement;
2. any violation of this Agreement may result in potential consequences, including the possible loss or forfeiture of purchased digital assets;
3. you are solely responsible for all the taxes, fees, and commissions resulting from the use of the Platform and associated Services and have obtained such legal and tax advice as you consider appropriate in connection with purchasing or selling digital assets via the Services;
4. we are not responsible for any consequences arising from false, incorrect, or incomplete information that you provide to us, including any incorrect digital asset wallet address;
5. you have an understanding of cryptocurrencies and other digital assets and blockchain technology and appreciate the risks and implications of trading the digital assets via the Services;
6. holding the digital assets carries various risks, including those relating to the issuer of and the technology underlying the digital assets, and the value of the digital assets may decrease to zero;
7. you are aware of and accept the risk of, and agree not to hold ALT 5 responsible for any loss resulting from any operational challenges to which the Services may be subject (such as malicious cyberattacks, exploitable security system flaws and other security breaches, interruptions to Services, delays, and the loss or theft of digital assets) or any transaction failure resulting from unanticipated or heightened technical difficulties, including those resulting from sophisticated cyber-attacks;
8. we make no representation or warranty as to the ongoing availability of the Services, nor do we guarantee the absence of interruptions; and although we strive to provide uninterrupted Services, outages and downtime may occur for a variety of reasons;
9. ALT 5 or its affiliates may trade its own corporate assets on the Platform to provide liquidity to other clients on the Platform and manage its own digital asset account;
10. Alt 5 does not have any special priority and is subject to the same Platform trading protocols as all other clients;
11. Alt 5 only trades based on market data accessible to other clients and does not have access to inside information and does not engage in any front-running;
12. any up-to-date market information, including quotes or charts, that we provide to you is provided ‘as is’ and ‘where is’ without representations or warranties of any kind, and may contain typographical errors, be incomplete, or inaccurate, and while we may correct any such errors, missing information, or inaccuracies, we are under no obligation to do so.
17. Disclaimers

Except where prohibited by Applicable Laws and Regulations or any other term of this Agreement, you expressly acknowledge and agree that we will otherwise have no liability or responsibility whatsoever for any direct, indirect, special, punitive, or consequential damages or loss, however caused, arising out of your use of the Services, including, but not limited to: (a) losses resulting a failure to seek appropriate investment advice before using the Services; (b) losses resulting from fraudulent or unauthorized transactions; (c) losses related to the installation, use, or maintenance of a personal computer, equipment, or software, or caused by any worms, bugs, viruses, trojan horses, date bombs, defects, time bombs, or other items of a destructive nature which may be transmitted to or using the Site or Services; (d) any third-party claims or losses of any nature, including lost profits, punitive, or consequential damages; (e) losses related to any errors, mistakes, inaccuracies, or omissions in the Services; (f) losses relating in any way to taxes that you owe, including as a result of errors in the reporting thereof; (g) losses relating in any way to a variation in an Order caused or induced by the market price variation of any digital asset for any reason; or (h) losses resulting from scheduled or unscheduled outages or disruptions that delay or prevent Orders or the use of the Services or Site generally.

ALT 5 does not control the trading value of the digital assets, and by using the Services you agree that ALT 5 will not be liable for any losses or direct, indirect, special or consequential damages, however caused, resulting from market price variation of any Digital Asset for any reason.

THE SERVICES AND DIGITAL ASSETS PURCHASED VIA THE SERVICES ARE PROVIDED ON AN “AS IS” AND “AS AVAILABLE” BASIS. ALT 5 AND THE REPRESENTATIVES CANNOT AND DO NOT GUARANTEE, AND DO NOT MAKE ANY, AND, TO THE FULLEST EXTENT PERMITTED BY LAW, EXPRESSLY DISCLAIM ALL REPRESENTATIONS, WARRANTIES, COVENANTS, AND CONDITIONS OF ANY KIND, WHETHER EXPRESS OR IMPLIED, STATUTORY OR OTHERWISE, INCLUDING: (1) ANY WARRANTY OF MERCHANTABILITY; (2) FITNESS FOR A PARTICULAR PURPOSE; (3) NON-INFRINGEMENT; (4) THAT THE SERVICES OR ANY DIGITAL ASSETS PURCHASED VIA THE SERVICES, WILL MEET YOUR REQUIREMENTS; (5) THAT THE SERVICES WILL BE UNINTERRUPTED, TIMELY, SECURE, OR ERROR FREE; AND (6) THAT ANY DEFECTS WITH THE SERVICES, IF ANY, WILL BE CORRECTED. YOU UNDERSTAND THAT ANY USE OF, MODIFICATION TO, OR RELIANCE ON THE SERVICES, OR ANY DIGITAL ASSETS PURCHASED VIA THE SERVICES, IS AT YOUR OWN DISCRETION AND RISK.

You are solely liable and responsible for any and all claims and demands made by any other person arising out of, in connection with, or relating to your use of the Services, your breach of this Agreement, your violation or infringement of the rights of others, or your violation of any Applicable Laws or Regulations. ALT 5 and the Representatives disclaim any and all responsibility and liability regarding all such matters. You further agree that you are solely responsible for actions and communications undertaken or transmitted in the course of your usage of the Services, and that you will comply with all Applicable Laws and Regulations in respect of the same. We may investigate occurrences which may involve violations of such Applicable Laws and Regulations, and may involve, and co-operate with, law enforcement authorities in prosecuting clients who are involved in such violations. We reserve the right at all times to disclose any information (including your Personal Information) regarding your use of the Services in each case as may be permitted or required by Applicable Laws and Regulations, including as necessary to satisfy any request authorized by such Applicable Laws and Regulations. No data transmission over the Internet can be guaranteed to be 100% secure, and as a result, we cannot ensure or warrant the security of any information you transmit to us.

18. Force Majeure

Without limiting the limitation of liability set out in Section 19, we are not responsible or liable for any delays, failure in performance, or interruption of service which results directly or indirectly from any cause or condition, whether or not foreseeable, beyond our, our Representatives’, or any service provider’s reasonable control, including, but not limited to, any act of God, nuclear or natural disaster, epidemic, pandemic, action or inaction of civil or military authorities, act of war, terrorism, sabotage, civil disturbance, strike or other labor dispute, accident, state of emergency or interruption, government restrictions, loss, or malfunction of equipment or utility, communications, computer (hardware or software), Internet, or network provider services, or for any loss of information caused by disruptions in or malfunctions of the Services.

19. Limitations of Liability

UNDER NO CIRCUMSTANCES SHALL ALT 5 OR THE REPRESENTATIVES BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, PUNITIVE, EXEMPLARY, SPECIAL OR CONSEQUENTIAL LOSS OR DAMAGES, RESULTING FROM: (1) THE USE OR THE INABILITY TO USE THE SERVICES; (2) THE USE OR THE INABILITY TO PURCHASE OR SELL ANY DIGITAL ASSET PURCHASED VIA THE SERVICES; (3) THE COST OF PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; (4) UNAUTHORIZED ACCESS TO OR ALTERATION OF YOUR TRANSMISSIONS OR DATA; OR (5) LOSS OF PROFITS, USE, DATA, OR OTHER INTANGIBLES, EVEN IF THE REPRESENTATIVES HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. THE FOREGOING SHALL NOT APPLY TO THE EXTENT PROHIBITED BY APPLICABLE LAWS AND REGULATIONS.

YOU ACKNOWLEDGE THAT ALT 5 ACTS AS TRUSTEE FOR ALL OTHER REPRESENTATIVES WITH RESPECT TO ALL RIGHTS CONTEMPLATED HEREUNDER ARISING IN FAVOUR OF ANY REPRESENTATIVE. ALT 5 AGREES TO ACCEPT SUCH TRUST AND HOLD AND ENFORCE SUCH RIGHTS ON BEHALF OF EACH SUCH REPRESENTATIVE.

20. Indemnification

You agree to indemnify, defend, and hold harmless ALT 5 and the Representatives, from any and all losses, damages, claims, liabilities, and expenses, including legal fees, arising out of your use of the Account and the Services. Without limiting the foregoing, this shall include: (a) any violation of the terms of this Agreement; (b) any violation by you of a third-party right; (c) any breach of a representation or warranty made by you to us, either in the Agreement or otherwise; (d) any breach by you of Applicable Laws and Regulations; (e) any claim for damages brought against us by any party, related to your use of the Services or your non-compliance with the terms of the Agreement or any documents and/or additional terms it incorporates; or (f) any and all expenses incurred by us in connection with exercising any right pursuant to this Section 20.

We may, at our sole discretion, assume the exclusive defense and control of any matter subject to indemnification by you. The assumption of such defense or control by us, however, shall not excuse any of your indemnity obligations. If you fail to comply with any requirement contained in this Agreement, then, in addition to any other right or remedy to which ALT 5 is entitled, we may at any time, and from time to time, without notice or demand to you, apply some or all of your digital assets in your Account to eliminate or reduce the liability or settlement amount, as the case may be. You shall remain liable to ALT 5 for any deficiency remaining following the exercise by us of any or all of our rights and agree that the rights which we are entitled to exercise pursuant to this Section 20 are reasonable and necessary for ALT 5’s protection.

21. Termination; Suspension of Account

We may at any time, without notice or liability, decide to alter, amend, restrict, modify, or terminate the Services or any functionality or portion of the Services, all in our sole discretion, and you understand that there is no guarantee that the Services or any portion or functionality thereof will continue to operate or be available for any particular period of time, including as a result of the removal, addition, modification, or change of or in the availability of the Services, or any restriction in access thereto, or any imposition of limits on any or all features of, or links to, the Services. We reserve the right, in our sole discretion, to correct any errors or omissions in any portion of the Services at any time without notice, but confirm that we have no duty to do so.

If you breach any provision of this Agreement or Applicable Laws and Regulations, then you may no longer use the Services and your Account may be canceled. We, in our discretion, shall determine whether this Agreement has been violated. We may also cancel withdrawal rights for your Account where there is suspected unauthorized access or hacking.

We reserve the right to suspend or cancel your Account without notice to you at any time for any reason, including if you are in default of your obligations with respect to the Services. We may terminate this Agreement with you at any time.

22. Contact ALT 5

If you have any feedback, questions, or complaints, you may contact our Help Centre through the Site or by emailing support@alt5sigma.com with your account username and the transaction on which you have feedback or questions.

23. Client Complaints

If you have a complaint that concerns alleged misconduct, you agree to use best efforts to send it to the Designated Complaints Officer (“DCO”) at compliance@ALT5sigma.com. In that case, the DCO shall respond within 5 business days, and conduct an investigation, which shall include contacting all relevant employees (i.e., those involved in the incident/matter that is the subject of your complaint) to ask for relevant information. The DCO shall share the outcome of the investigation with you no later than 90 days after receipt of your complaint.

24. Limited License

Subject to the terms of this Agreement, you are granted a non-exclusive, non-transferable, non-sub-licensable, revocable, limited right and license to access and use the Services, including the Content therein and the services accessible through them, solely for purposes that are not in breach of this Agreement, Applicable Laws and Regulations, or any applicable policy or procedure of ALT 5, and solely for your own personal use and not on behalf of any third party. Any other use of the Services or content therein is expressly prohibited and all other right, title, and interest in the Services and content is exclusively the property of ALT 5 and/or its Representatives. Other than as set out in this paragraph, nothing in this Agreement gives you any license, right, title, or ownership of, in, or to the Services.

25. Copyright and Intellectual Property

All content, the selection, compilation, arrangement and presentation of all materials, and the overall design of the Services are copyrighted by us and/or our Representatives, and are protected by intellectual property laws. Use of content without our express prior written permission is strictly prohibited.

“ALT 5”, “ALT 5sigma.com”, the ALT 5 logo, and any other trademarks used in connection with the Services are trademarks or registered trademarks of ALT 5 and/or its Representatives. Our trademarks may not be used in connection with any product or service without our express written permission.

26. Privacy

We respect your right to privacy. All information that we may collect via the Services is subject to our Privacy Statement, available on our website. The Privacy Statement is incorporated by reference into this Agreement. By agreeing to this Agreement, you hereby agree and consent to our Privacy Statement.

27. Personal Information and Marketing

In addition to the collection, use, and disclosure of your Personal Information set out in the Privacy Statement, we may, with your consent, use your Personal Information to market our products and services to you, including by the use of electronic communications, such as email, direct messaging, and text messaging, and through the use of telemarketing. You may withdraw your consent to such uses at any time.

28. General

1. Governing Law and Jurisdiction:

This Agreement shall be governed by and construed in accordance with the laws of Lithuania, without giving effect to their conflict of law provisions. You agree that you will bring any claim or cause of action arising out of this Agreement, your use of the Services, or any Order placed or executed via the Services in the courts located within Lithuania Furthermore, you agree to submit to the personal, non-exclusive jurisdiction of any such court or arbitrator, as the case may be.

2. Severability:

If any provision contained in this Agreement is determined unenforceable, then such provision will be severed and replaced with a new provision that most closely reflects the intent of the original provision, and the remaining provisions of this Agreement will remain in full force and effect.

3. Risk Statement:

The ALT 5 Risk Statement is incorporated by reference into this Agreement. The Risk Statement, as it may be amended and provided to you from time to time, provides disclosure to you regarding the risks involved in using the Services. You acknowledge that you have read and understand such disclosure.

4. Electronic Delivery of Information:

You agree and consent to receive electronically all communications, agreements, documents, notices, and disclosures (collectively, “Communications”) that we provide in connection with your Account and your use of the Services. We will provide these Communications to you by posting them on the ALT 5 website, emailing them to you at the primary email address listed for your Account, communicating them to you via instant chat, and/or through other electronic communication, such as text message or mobile push notification. It is your responsibility to visit the Site on a regular basis and inform us of any changes to your email address.

5. Assignment:

This Agreement, or your rights and obligations hereunder, may not be transferred or assigned by you, but may be assigned by us without restriction. Any attempted transfer or assignment by you in violation hereof shall be null and void. This Agreement shall be binding and inure to the benefit of the parties hereto, our successors, and permitted assigns.

6. No Endorsement:

We may link to other websites operated by or with content provided by third parties, and such other websites may link to our website. You agree and understand that we have no control over any such other websites or their content and will have no liability arising out of or related to such websites or their content. The existence of any such links does not constitute an endorsement of such websites, their content, or their operators. We are providing these links to you only as a convenience.

7. Survival:

You agree and understand that all provisions of this Agreement, which by their nature extend beyond the termination or expiration of this Agreement, including, but not limited to, sections pertaining to suspension, investigations, remedies for breach, termination, debts owed, right to offset, unclaimed funds, general use of the Services, disputes with us, and general provisions, shall survive the termination or expiration of this Agreement.
8. Entire Agreement:

This Agreement, any appendices, schedules or attachments to this Agreement, and all disclosures, notices or policies available on the Site that are specifically referenced in this Agreement, comprise the entire understanding and agreement between you and ALT 5 as to the Services, and this Agreement supersedes any and all prior discussions, agreements, and understandings of any kind and every nature (including, without limitation, any prior versions of this Agreement) between and among you and ALT 5. Section headings in this Agreement are for convenience only and shall not govern the meaning or interpretation of any provision of this Agreement.

9. No Waiver:

No waiver of any provision of this Agreement shall be effective except pursuant to a written instrument signed by us expressly waiving compliance, and any such waiver shall be effective only in the specific instance and for the specific purpose stated in such writing. No failure to exercise, or delay in exercising, any right, remedy, power, or privilege arising from this Agreement shall operate or be construed as a waiver thereof.

This Client Agreement is signed and effective on    Date*   ,

Company

Signature *
_________________________________
First Name    Last Name
TITLE

ALT 5

______________________
Vay Tham
Authorized Signatory
Schedule A
Restricted Business

If you engage in any of the following categories of businesses, business practices, and items for sale, you will only be allowed to transact as expressly authorized by us and may be required to agree to additional conditions, make supplemental representations and warranties, complete enhanced onboarding procedures, and operate subject to restrictions. This list is non-exhaustive and we reserve the right to modify it at any time. It is within our sole discretion to determine whether an activity falls into one of these categories.
- Charitable organizations;
- Religious/spiritual organizations;
- Money Services Business
- e-Wallets;
- Foreign and currency exchange services;
- Sale or trade of cryptocurrencies;
- Transactions associated with purchases of annuities or lottery contracts, lay-away systems, banking, offshore banking, transactions to finance, investing, investment related products; and
- Transactions involving gambling or any activity requiring an entry fee and a prize, including but not limited to casino games, sports betting, horse or greyhound racing, lottery tickets, other ventures that facilitate gambling, and sweepstakes, if you and your Shoppers are located exclusively in jurisdictions where such activities are permitted by law.

Schedule B
Fees
To be provided

Prime/Pro

Purchase and Sale:
Cryptocurrency Deposit:
Cryptocurrency Withdrawals:
Fiat Deposit:
Fiat Withdrawals:

Pay

Receiving Payment (note 1)
Payment Outgoing
Cryptocurrency Withdrawals:
Fiat Withdrawals/ Settlement:

Referral Fee

Referral Fee (note 2)

Note 1:
Upon review of the onboarding documents and assessment of client industry and or operational risk, a discount rate will be determined, and you will receive an amendment to the agreement. The fee may be paid by the Client or the “Shopper” or the person making the payment in the form of a spread.

Note 2:
Upon signing a referral and or reseller agreement and further to the assessment of the target industry and or activities of the referral and or reseller agent, a referral and or reseller fee will be provided and in the absence of a referral and or reseller agreement, a minimum of 10% of the fees obtained shall be paid for any account referred.

Should be Empty:

ONBOARDING FORM

Section 1

Section 2

Section 3