AMERICAN TRUST INVESTMENT SERVICES, INC.

AMERICAN TRUST INVESTMENT SERVICES, INC.

Member FINRA/SIPC

DISCLOSURE AND ACKNOWLEDGMENT

___________________________________ ("Customer"), in connection with opening an account with American Trust Investment Services, Inc. ("ATIS"), hereby acknowledges receipt of the following disclosures:

LaSalle St. Securities, LLC ("LSS") is a broker-dealer with a trade clearing arrangement with National Financial Services, LLC ("NFS"). LSS is not associated in any way with the broker who is carrying your account, ATIS. LSS is neither affiliated, has an interest, owns or is in any way responsible for the operation of ATIS. LSS has no investment in ATIS. As a courtesy to ATIS, LSS has agreed to introduce your account to NFS. A copy of the agreement providing for this service will be provided to you on request. This introduction does not mean LSS carries your account. LSS is not responsible to determine the suitability of any transaction you make with ATIS or your registered representative. Indeed, your representative is registered with ATIS only, and not LSS. LSS has no ability or responsibility to supervise or direct the operations or activities of either ATIS or your broker, or to otherwise monitor recommendations made by your broker. Under its Third Party Agreement with NFS and ATIS, LSS has specifically disclaimed any responsibility to supervise your broker or to assume responsibilities regarding ATIS other than allowing ATIS to introduce your account to NFS which actually carries your account and provides custody services. LSS is not responsible for the approval, acceptance, monitoring, opening or supervision of accounts which it introduces to NFS on behalf of ATIS. You acknowledge and agree to look to ATIS alone regarding solicitation, suitability and recommendation of trades in your account. At all times, you will remain a customer of ATIS only and not LSS in any way. ATIS and your broker have no authority to act as a principal or agent of LSS and are not authorized to speak on behalf of LSS in any way. LSS' introduction of your account to NFS shall not be construed as creating a partnership, joint venture or other joint entity of any kind. You acknowledge that LSS does not control or direct the business or operation of ATIS in any way. You also acknowledge that LSS shall not, under any circumstances, be deemed to have a fiduciary relationship with you or any ATIS customer or any obligation other than to introduce your account to NFS on behalf of ATIS.

By signing below, you acknowledge the receipt of this information, understand the information provided and you agree with the facts as expressed.

___________________________________ Customer Signature

___________________________________ Joint Customer Signature

____________________________________ Print Name

____________________________________ Print Name

___________________ Date

___________________ Date

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download