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R-65-10 Res Approving Signors MB BankRESOLUTION I -G $, /C) A RESOULTION APPROVING SIGNORS WITH MB FINANCIAL BANK WHEREAS, MB Financial has been designated as a depository in which the funds of the Village of Lemont can be deposited by its officers, agents and employees; and WHEREAS, it is in the best interest of the Village of Lemont to designate four authorized Village personnel, and require endorsement by two of the designated individuals on each check, draft or order. NOW, THEREFORE BE IT RESOLVED by the Village President and Board of Trustees of the Village of Lemont that effective with the passage of this Resolution, the Village President, Village Administrator, Assistant Village Administrator, and Account Analyst are hereby designated and authorized to sign any and all checks, drafts and orders against any funds on deposit with MB Financial Bank. The Village Clerk of the Village of Lemont shall certify to the adoption of this Resolution and cause the same to be published in pamphlet form. PASSED AND APPROVED BY THE PRESIDENT AND BOARD OF TRUSTEES OF THE VILLAGE OF LEMONT, COOK, WILL AND DU PAGE COUNTIES ILLINOIS on this g+in Day of 1/lav,dy1bj( , 2010. Debby Blatzer Paul Chialdikas Clifford Miklos Rick Sniegowski Ronald Stapleton Jeanette Virgilio Attest: AYES NAYS PASSED ABSENT K. REAVE illage President MB FINANCIAL BANK, N.A. 1400 SIXTEENTH ST. SUITE 120 OAK BROOK, IL 60523 OWNERSHIP OF ACCOUNT - CONSUMER PURPOSE INDIVIDUAL 0 JOINT - WITH SURVIVORSHIP and not as tenants in wmmont JOINT - NO SURVIVORSHIP (as tenants-in common) ❑ TRUST - SEPARATE AGREEMENT: ❑ REVOCABLE TRUST OR ❑ PAY-ON-DEATH DESIGNATION AS DEFINED IN THIS AGREEMENT Name and Address of Beneficiaries; OWNERSHIP OF ACCOUNT - BUSINESS PURPOSE 0 SOLE PROPRIETORSHIP 0 CORPORATION; ❑ FOR PROFIT g NOT FOR PROFIT PARTNERSHIP COSINESS: OF ORGANIZATION: AUTHORIZATION DATED: DATE OPENED 10/24/2007 BY uSm152 INITIAL DEPOSIT 4 5,000.00 0 CASH ❑ CHECK 0 HOME TELEPHONE # BUSINESS PHONE DRIVER'S LICENSE # E -MAIL EMPLOYER MOTHER'S MAIDEN NAME Name end address of someone who will always know your location: BACKUP WITHHOLDING CERTIFICATIONS TIN: 366005968 iM! TAXPAYER W. NUMBER - The Taxpayer Identification Number shown above MN) is my correct taxpayer identification number. ❑ BACKUP WITHHOLDING - I am not subject to backup withholding either because I have not been tsotified that l ant subject to backup withholding at a result of a failure to report all interest or diyidenda.ior the Internal Emmett Service be$ notified e that I am no longersubject to backupwithhoiding. ❑ _ EXEMPT RECIPIENTS - I am an exempt recipient under the internal Revenue Service Regulations, SIGNATURE: I certify; under penalties of perjury the statements checked in this section and that 1 am a U.S. citizen or other U.S. person (es defined in the instructions). X. GEORGE J SCHAFER (Date) ACCOUNT NUMBER 3800019461 - revised 11/3/2010 ACCOUNT OWNER(S} NAME & ADDRESS VILLAGE OF LEMONT FLEXIBLE SPENDING ACCOUNT 418 MAIN ST LEMONT, IL 60439 ❑ NEW i,; EXISTING TYPE OF IIo CHECKING 0 SAVINGS ACCOUNT 0 MONEY MARKET ❑ CERTIFICATE OF DEPOSIT ❑ NOW This is your (cheek one) I:+ Permanent 0 Temporary account agreement. Number of signatures required for withdrawal FACSIMILE SIGNPTffRE(S) ALLOWED? RI YES ❑ NO SIGNATURE(S) - The undersigned certifies the iseeuracy of the lnformetlen helshe' has provided and ecknowledges receipt 0 a completed copy e1 this total. The undersigned authorizes the fhtancia inatitution to verify credit end employment biatery anther- have a credit reporting agency proper.' a credit report an the undersigned, es individuals. The:undersigned also eeknowIedge the receipt of a eup`j and agree tb the terms of the following egreement(s) andjor diselosure(s): • Terms & Conditions ICI Truth in Savings :+ Funds Availability Electronic Fund Transfers ail Privacy 0 Substitute Checks ❑ Common Features (1 is [ BENJAMIN P WEHMEIER 1.o. it 395 -98 -5120 o:o;a, 01/19/1977 (2): (3): IAN -K REAVES, i. D. # 378 -80 -7467 [x GEORGE J SCHAFER I.�. # 371 -98 -8652 D:o.B. 10/30/1981 D.O.B. 11/01/1966 (4): LX THEODORE F FRIEDLE I.D. is 319 -80- 2138 D.O.B. 0 Authorized Signer (Individual Accounts Only) [X 0,011. 1 12/26/1972' Signature Card -IL Bankers SysternsTM Wolters KluWet Financial Service 1992, 2009 MPSC-LAZ -11, 10/1/2009 Page 1 of 1 MB FINANCIAL BANK, N.A. 1400 SIXTEENTH ST. SUITE 120 OAK BROOK, IL 60523 ACCOUNT NUMBER 301005313- revised 11/3/2010 OWNERSHIP OF ACCOUNT - CONSUMER PURPOSE INDIVIDUAL 0 o JOINT - WITH SURVIVORSHIP tang not as tenants in carman) O JOINT - NO SURVIVORSHIP (as tenants in common) O TRUS1- SEPARATE AGREEMENT: O REVOCABLE TRUST OR ❑ PAY- ON•DEATH DESIGNATION AS DEFINED IN THIS AGREEMENT Name and Address of Beneficiaries: OWNERSHIP OF ACCOUNT - BUSINESS PURPOSE O SOLE PROPRIETORSHIP 0 CORPORATION: 0 FOR PROFIT NOT FOR PROFIT O PARTNERSHIP 0 BUSINESS: COUNTY &STATE OF ORGANIZATION: AUTHORIZATION DATED: DATE OPENED 10/24/2007 By USm152 INITIAL DEPOSIT $ 5;000,00 0 CASH 0 CHECK 0 HOME TELEPHONE 0 BUSINESS PHONE if . DRIVER'S LICENSE # E -MAIL EMPLOYER MOTHER'S MAIDEN NAME Name and address of someone who will- always know your location: BACKUP WITHHOLDING CERTIFICATIONS TIN: 36- 6005968 TAXPAYER I.D. NUMBER - The Taxpayer Identification Number shown above (TIN) is my correct taxpayer identification number. O BACKUP WITHHOLDING - I am not subject to backup withholdhlg either because have not been notified that lam subject to backup withholding as a result of a failure to report all interest; or dividends, or the internal Revenue Service has notified me that I am no longer subject to backup withholding O EXEMPT RECIPIENTS - I am an exempt recipient under the !Menial Revenue' Service Regulations, SIGNATURE: I certify under penalties of perjury the stetoments checked In this section end that I am a U.S, citizen or other U.S. person (as defined in the Instructions). X GEORGE J SCHAFER (Da el ACCOUNT OWNER(S)'NAME & ADDRESS VILLAGE OF LEMONT VILLAGE RECEIPTS 418, MAIN ST LEMONT, IL 60439 TYPE OF ACCOUNT O NEW Dgi C• HECKING O MONEY, MARKET O N• OW This is your (chock .oriel: I) Permanent 0 Temporary IR EXISTING O SAVINGS O CERTIFICATE 0 account agreem Number of signatures required for withdrawal FACSIMILE SIGNATURE(S) ALLOWED? X YES ID NO F DEPOSIT eat. G SIGNATURES) - The undertigned,certifiea the aecuri cy of the information he)she het provided and ackndwi.dges receipt of a completed copy of thie form. The undersigned authorizaa the financial Inatitutlon to verify credit and employment history and)or have a credit reporting oncy prepare a credit report on the undersigned, as individuals. The undersigned also acknewledge.the receipt of a copy and agree to the terms of the following agreement(a) audio). disclosura(s): III Terms & Conditions ggl Ti uth' in Savings i:+ Funds Availability X Electronic Fund Transfers j:+ ,Privacy 0 Substitute : Checks Ci Common Features ID (1): "�- LL�� BENJAMIN P WEHMEIER 1 D # 395 �8 -51 (2): (3) (4): 01/19/1977 AN K REAVES I.D. # 378 -80 -7467 D.o B. L GEORGE J SCHAFER i.0 # 371-98-8652 D.o.e. 10/30/1981 11/01/1966 THEODORE F FRIEDLEY LD. # 319 -80 -2138 e.o a. 12/26/1972 0 Authorized Signor (Individual Accounts Only) a»^ 1.D.# 0.0.8. l Signature Card -1L Rankers SYSiamsiM Wolters Kluwer Financial 8erviaos 1992, 2009 MPSC- LAZ -IL 10/1/2009 Page 1 of 1 MB FINANCIAL BANK, N.A. 1400 SIXTEENTH ST. SUITE 120 OAK BROOK, IL 60523 OWNERSHIP OF ACCOUNT - CONSUMER PURPOSE I:4 INDIVIDUAL Q JOINT - WiTH SURVIVORSHIP (and not as tenants n common) 0 JOINT - NO SURVIVORSHIP (as tenants In common) 0 TRUST - SEPARATE AGREEMENT: L REVOCABLE TRUST OR 0 PAY -ON -DEATH DESIGNATION AS DEFINED IN THIS AGREEMENT Varna and Addross of Beneficiaries: OWNERSHIP OF ACCOUNT - BUSINESS PURPOSE 0 SOLE PROPRIETORSHIP ❑ CORPORATION: 0 FOR PROFIT I;4 NOT FOR PROFIT 0 PARTNERSHIP 0 BUSINESS: COUNTY RGANIZATION: OF AUTHORIZATION DATED: DATE OPENED 10/24/2007 By usm152 INITIAL DEPOSIT $ 5,000.00 0 CASH 0 CHECK 0 HOME TELEPHONE BUSINESS PHONE # DRIVER'S, LICENSE # E -MAIL EMPLOYER MOTHER'S MAIDEN NAME Name and address of someone who will always know your location: — BACKUP WITHHOLDING CERTIFICATIONS' TiN: 36- 6005968 TAXPAYER I.D, NUMBER - The Taxpayer Identification Number shown *hove (TIN) is my correct taxpayer identification number. © BACKUP WITHHOLDING I am not subject to backup withholding either because I have not been notified that i am subject to backup withholding as a result of 'a failure to report all interest or dividends, or the internal Revenue Service has notified me that I am no longer subject to backupwithholdiing. O EXEMPT RECIPIENTS - I am an exempt recipient under the Internal Revenue Service Regulations. SIGNATURE: I certify under penalties of perjury the statements checked In this section and that I am a U.S. citizen or ether U.S. per *on (ea defined in the instructions). X (Date) GEORGE J SCHAFER ACCOUNT 301005321 - revised 11/3/2010 ACCOUNT OWNERiS) NAME & ADDRESS VILLAGE OF LEMONT CLEARING ACCOUNT 418 MAIN ST LEMONT, IL 60439 O NEW TYPE OF CHECKING ACCOUNT ❑ MONEY MARKET ❑ NOW This is your (check one): Permanent 0 Temporary account agreement. EXISTING O SAVINGS O CERTIFICATE OF DEPOSIT 0 Number of signatures required for withdrawal FACSIMILE SIGNATUREIS) ALLOWED? RI YES ❑ NO SIGNATURE(S) The undersigned certifies the accuracy of the information hefahe het provided and ackniewledges receipt of e cempleted copy of this loan. The undersigned'autborizaa the "ffuafrsiei institution to verity credit and employment history andior have a credit reporting agency prepare a credit report on the undersigned, ae individuals. The undersigned also ackngwIadge the tempt of a copy and agree to the terms of the fallowing agreement(*) endler disclosure(s): lit Terms & Conditions i=+ Truth in Savings R3 Funds Availability Electronic Fund Transfers ki Privacy 0 Substitute Checks 0 Common Features 0 (t): L BENJAMIN P WEHMEIER i.D. # 395 -9 DAIS. (2): [ (3): (4) K REAVES I.D. # 378 -80 -7467 D.o.s. 11/01/1966 01/19/1977 ORGE J SCHAFER I,D. # 371.98 -8652 o.o.o. 10/30/1981 THEODORE F FRIEDLEY l.D. # 319 -80 -213$ D.O.B. 12/26/1972 0 Authorized. Signer (Individual Accounts Only) I.D. # 0.0.0. Sipnatge Card -1L nenkers Systems TM Wolters Kluwer' Financial Serviceo 4 :11992, 2009 MPSC- LA 2 -IL 10/1/2009 Pepe 1 el 1 MB FINANCIAL BANK, N.A. 1400 SIXTEENTH ST. SUITE 120 OAK BROOK, IL 60523 OWNERSHIP OF ACCOUNT =. CONSUMER PURPOSE Xi INDIVIDUAL 0 0 JOINT - WITH SURVIVORSHIP (and not as tenants in common) 0 JOINT - NO SURVIVORSHIP {as tenants in common) 0 TRUST - SEPARATE AGREEMENT: n REVOCABLE TRUST OR 0 PAY-ON-DEATH DESIGNATION AS DEFINED IN THIS AGREEMENT Name and Address of Beneficiaries: OWNERSHIP OF ACCOUNT - BUSINESS PURPOSE D SOLE PROPRIETORSHIP -...] CORPORATION: 0 FOR PROFIT ig NOT FOR PROFIT ] PARTNERSHIP BUSINESS: COUNTY & STATE OF ORGANIZATION: AUTHORIZATION DATED: DATE OPENED 10/24/2007 BY usm152 INITIAL DEPOSIT $ 5,000.00 0 CASH 0 CHECK 0 HOME TELEPHONE 0 BUSINESS PHONE # DRIVER'S LICENSE # E-MAIL EMPLOYER MOTHER'S MAIDEN NAME Name and address of someone who will always know your location: BACKUP WITHHOLDING CERTIFICATIONS TIN: 36-6005968 I:4 TAXPAYER ID. NUMBER - The Taxpayer Identification Number shown above (TIN) is my correct taxpayer identifkation number, 0 BACKUP WITHHOLDING - I am not subject to backup withholding either because I have not been notified that I am subject to backup withholding as a result of a failure to report all interest or dividends, or the Internal Revenue Service has notified ma that I am no longer subject to backup withholding. D EXEMPT RECIPIENTS . 1 am an exempt recipient under the Internal Revenue Service Regulations SIGNATURE: I certify under penalties of perjury the statements checked in this section and that I am a U.$. citizen or other U.S. person (es defined in the instructions). x GEORGE J SCHAFER (Date) ACCOUNT NUMBER 301005339 - revised 11/3/2010 ACCOUNT OWNERISI NAME & ADDRESS VILLAGE OF LEMONT PAYROLL ACCOUNT 418 MAIN ST LEMONT, IL 60439 O NEW TYPE OF X CHECKING ACCOUNT 0 MONEY MARKET o NOW This is your (check one): X Permanent 0 Temporary Er4 EXISTING O SAVINGS O CERTIFICATE OF DEPOSIT 0 account agreement. Number of signatures required for withdrawal FACSIMILE SIGNATURE(S) ALLOWED? E) YES 0 NO SIGNATURE(S) - The undersigned cotillion the accuracy of the information helshe has provided and acknowledges receipt of completed copy of this font. The undersigned inithorizes the financial Institution to verify credit and employment history tardier have a credit reporting agency prepare a starlit report on the unduruignod, undersigned, as individuate. The undersigned also tknowledge the receipt of a copy arid agree to the terms of the following agreement(s) andlor disolosureN): /ti Terms & -Conditions ) I Truth in Savings r...4 Fonda Availability Electronic Fund Transfers 1,g) Privacy 0 Substitute Checks El Common Features 0 (2): BENJAMIN P WEHMEIER I,D. # 396 -5120 01/19/1977 (3): L (4): K REA # 378-80-7467 ORGE J SCHAFER I.D. # 371-98-8652 D.O.B. 1 D.O.B. 11/01/1966 THEODORE F FRIEDLEY i.e. # 319-80-2138 D.O.B. D Authorized Signer (Individual Accounta Only) I.D,# D.O.B. 10/30/1981 1 12/26/1972 Signature Card-lt, Dankets Systems tht Wolters Kluwer Financial Services Al 1992, 2009 MPSC-LAZ-IL 101112009 Page 1 ot 1 MB FINANCIAL BANK, N.A. 1400 SIXTEENTH ST. SUITE 120 OAK BROOK, IL 60523 OWNERSHIP OF ACCOUNT - CONSUMER PURPOSE IX INDIVIDUAL ❑ 0 ("°1 BACKUP WITHHOLDING CERTIFICATIONS TIN: 36- 6005968 TAXPAYER I.D. NUMBER - The Taxpayer identification Number shown above MR) is my correct taxpayer identification number. ❑ BACKUP WITHHOLDING:- I am riot subject to backup withholding either because t have not bean notified thin I am subject to backup withholding as a result of a failure to report ell interest or dividends, or the Internal Revenue Service has notified me that l am no longer subject to backup wiilhhohhng. O EXEMPT RECIPIENTS - l am an exempt recipient: under the Internal Revenue Service Regulations, SIGNATURE: I certify under penaities of perjury he statements checked in this section and that I am a U.S. citizen or other U.S. person (as defined In the instructional. X GEORGE J SCHAFER ACCOUNT NUMBER 3800020591 - revised 11/3/2010 ACCOUNT OWNER (S) NAME & ADDRESS VILLAGE OF LEMONT CREDIT LARD PROCESSING 418 MAIN ST LEMONT, IL 60439 ❑ NEW r, EXISTING TYPE OF i:4 CHECKING ❑ SAVINGS ACCOUNT 0 MONEY MARKET ❑ CERTIFICATE "OF DEPOSIT D NOW This is your (check one): NI Permanent ❑ .Temporary account agreement. Number of signatures required for withdrawal FACSIMILE SIGNATUREIS) ALLOWED? � � YES ❑ NO SIGNATURE(S) - Tho tmdersjg'ned certJEes the nesursay of the information "helahhe has provided and acknawtedpes receipt of o'completed copy of this form. The undersigned authorizes the financial institution to :verify credit" and employment history tardier have a credit reporting agency prepare a credit" report an the undersigned. as individuals, The undersigned also acknowledge the receipt Of a copy and agree to the terms: el the following agreementtsl andior disclosuraisl: iHi Terms &: Conditions ' Truth in Savings t Funds Availability Electronic Fund Transfers Xi Privacy ❑ Substitute Checks D Common Features ❑ BENJAMIN P WEHMEIER # 395 -98 -5 20 .o.o. 01/19/1977 12): BRIAN K REA ES # 370 - 80.746 0.0.8. 11/01/1966 GEORGE J SCHAFER 1.0. # 371 -98 -8652 0,0,8. 10/30/1981 141: [ THEODORE F FRIEDLEY �J ID. # 319 $0 -213 8 D.0.13. 12/26/1972 ❑ Authorized Signor {Individual Accounts Only) I.D.# 0.0.8. Signatula Card.IL Bankers Systems tss Wolters Kluwer Financial Services © 1992, 2009 MPSG- LAZ•lL 1071 /2000 Pass 1 of 1