EZTD Fair Fund
Preliminary Claimant Online Certification Form
This Certification Form is directed to those Persons, or their lawful successors, who may have suffered a loss as a result of transactions in binary options purchased
through EZTD’s two online trading platforms, eztrader.com and globaloption.com, during the Relevant Period (“Preliminary Claimants”).
By submitting this Certification Form, you are making a request to share in the Fair Fund. If you are NOT a Preliminary Claimant or are an Excluded Party1,
do NOT submit this Certification Form.
Submission of this online Certification Form does not guarantee that you will share in the proceeds of the Fair Fund. The distribution will be governed by the Plan of
Allocation set forth in the Plan of Distribution, Exhibit A.
By submitting an executed Certification Form, you will be swearing to the truth of the statements contained therein under penalty of perjury under the laws of the United
States of America.
During this online process you may be asked to upload documentation to support your submission. Uploaded documents must be in PDF format only and the maximum file size
per document is 5 MB.
You must respond to all questions when submitting your Certification Form. Incomplete forms will not be accepted.
You must select "Submit” when you reach the end of the online certification process, or your information will not be saved. Once you have submitted your Certification
Form, you will not be able to use the "Back" button to review or amend it.
Exiting before submitting your Certification Form will cause any information you have entered to be lost!
When you select "Submit" a confirmation page containing your claim number will be automatically generated and you will be sent a confirmation email.
Your Certification Form has not been accepted until you see the confirmation page. You will be able to print and keep the confirmation page for your records.
Your claim number is your proof of submitting your Certification Form. If you do not print the confirmation page before exiting the screen, you will not be able to
go back and retrieve it.
I HAVE READ AND UNDERSTAND ALL OF THE ABOVE INFORMATION. I WISH TO CONTINUE WITH THE ONLINE CERTIFICATION PROCESS. I UNDERSTAND I MUST COMPLETE THE PROCESS AND RECEIVE A
CLAIM NUMBER IN ORDER FOR MY SUBMISSION TO BE CONSIDERED PROPERLY SUBMITTED. I ALSO UNDERSTAND THAT I SHOULD PRINT AND MAINTAIN THE CONFIRMATION PAGE OF MY ONLINE
SUBMISSION FOR MY RECORDS.
Certain persons and entities are considered Excluded Parties in ¶12 of the Plan of Distribution.