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Discovery Workbook Prepared For:____________________________ Introduction At Private Client Group we help our clients grow their wealth, preserve their wealth, and pass it onto their heirs. We do this with a team approach utilizing the many experts we are partnered with. Through our passionate commitment to our clients, whatever their goals, our team builds plans around clients, not just around their account balances. This leaves our clients feeling confident and at ease with their financial future. We make a difference in people’s lives. your investment program. A set of clearly defined guidelines and investment objectives will be outlined in an Investment Strategy Profile which includes a detailed Investment Policy Statement tailored specifically to you. We ask that you complete the Client and Account Information sections as well as telling us a little bit about yourself. Please also give careful consideration to each of your responses to the ten questions in the Investment Objectives and Risk Tolerance section. Your answers to these questions will provide us with the insight that will enable us to more closely align our recommendations with your goals and preferences. This Discovery Workbook is designed to help us define and prioritize your goals, establish your time horizon, and to understand your ability to accept risk. With the information you provide to us, we will be able to establish the foundation for ~2~ Client Information CONFIDENTIAL CLIENT SUMMARY Full Legal Account Title: . Client / Plan / Trust Name First Name / Plan or Trust Name: ___________ Last Name / Plan or Trust Type: . Contact (Plan): . Address: . City: . State: Tax ID / Social Security #: Telephone #:( ) Zip Code: - - . . . Employer Name: Employer State: Occupation: . . ACCOUNT INFORMATION Please complete the section below as it corresponds to the proposed account. Date of Birth/Date of Trust (mm/dd/yyyy): US Citizen: Yes . Age Plan to Retire: . No Co-Applicant First Name: . Co-Applicant Last Name: . Co-Applicant DOB (mm/dd/yyyy): . Approx. Net Worth: $ . Approx. Annual Income: $ Current Tax Bracket: 0-15% . 16-28% 29% and Up What changes do you expect in your employment status and/or income from employment in the next few years: I may be laid off or plan to retire My annual income will likely be reduced My income tends to greatly fluctuate My income will not likely change My income will most likely increase at a steady rate How many dependents do you have: 5+ 3-4 2 ~3~ 1 None Account Information TOTAL INVESTABLE ASSETS Please complete the following questions as they apply to your total investable assets. 1. What is the value of your total investable assets: $ . 2. Which best describes the current asset allocation of your total assets: 100% Equities/0% Fixed Income 80% Equities/20% Fixed Income 60% Equities/40% Fixed Income 40% Equities/60% Fixed Income 20% Equities/80% Fixed Income 0% Equities/100% Fixed Income 0% Equities/100% Cash 3. Please indicate the approximate value of your current assets below or provide us with a copy of your most recent statements: Personal Savings Asset Class IRA Pension Plan(s) Cash Equiv/Money Market Fund Domestic Bonds/Bond Funds Municipal Bonds/Bond Funds International Bonds/Bond Funds Stocks/Stock Funds Other Total 4. Distribution/Withdrawal Information: Do you request distributions or withdrawals from these assets? If yes, please indicate the expected amount as either: Percent per year or Dollars per year Please indicate how you would like the distribution to be made: Monthly Quarterly Semi-Annually Annually When do you anticipate these withdrawals to begin: . Will you make additional contributions/deposits to these assets? If yes, please indicate the expected amount as either: Percent per year or Dollars per year When do you anticipate these deposits to occur: ~4~ . Tell Us About Yourself 1. What about your current circumstance is motivating you to seek advice and counsel? ________________________________________________________________________________ _______________________________________________________________ 2. What are your primary financial goals and objectives? ________________________________________________________________________________ ____________________________________________________________ 3. What are your personal/professional goals? ________________________________________________________________________________ ______________________________________________________________________ 4. Where would you like to be five years from now? ________________________________________________________________________________ ______________________________________________________________________ 5. Tell us about your family. ________________________________________________________________________________ ________________________________________________________________ 6. What other assets do you have? i.e. properties What liabilities? i.e. mortgages ________________________________________________________________________________ ______________________________________________________________________ 7. What type of insurance do you have in place? ________________________________________________________________________________ ______________________________________________________________________ 8. It is very important for us to be able to work alongside some of your other trusted advisors. Please provide us with the following people. Estate/Tax Attorney__________________________________________________________ Life Insurance Agent__________________________________________________________ Accountant _________________________________________________________________ Financial Planner/Investment Advisor ____________________________________________ 9. How involved do you like to be in managing your finances? ________________________________________________________________________________ ______________________________________________________________________ 10. How often would you like to be contacted regarding your investment portfolio? Face to face/phone calls/e-mail. __________________________________________________________________________________________ ________________________________________________________________________________________ ~5~ INVESTMENT OBJECTIVES AND RISK TOLERANCE Please complete the following questions as they apply specifically to the assets being considered for this investment strategy proposal. 1. Which of the following best describes your primary financial goal for this investment? a. My goal is preserving the value of my investment. I am not concerned with out-performing the market. b. My goal is generating current income. Growing my investment is not that important. c. My goal is a combination of generating current income and growing the value of my investment. d. My goal is growing the value of my investment, and I am willing to tolerate some losses in some years. e. My goal is growing the value of my investment, and I am comfortable with potential losses in order to reach this goal. 2. What is the time horizon for your investment? a. 1-3 years: these investments need to remain very liquid. b. 3-5 years: I can only tolerate a small amount of volatility. c. 5-10 years: I can tolerate a moderate amount of volatility. d. Over 10 years: these assets are invested for the long-term and I can tolerate short-term fluctuations in value. 3. Your requirement for investment income is: a. Extremely Important: I need income to meet my daily living expenses. b. Important: I require my investment income to maintain my lifestyle. c. Somewhat Important: Investment income allows me to afford additional discretionary items. d. Somewhat Unimportant: Investment income offers me additional liquidity, though I don’t require the funds. e. Unimportant: My investment strategy is for long-term growth and I have no need for additional income at this time. 4. How likely is it that you will need to withdraw a significant portion of these assets prior to your planned time horizon to pay for a home, education, or some other purpose? 5. a. I will definitely be withdrawing some assets. b. There is a strong possibility. c. It’s a possibility, but not very likely. d. There is little to no chance. Please rate your tolerance for investment risk on a scale from 1-10: _______with 1being the most conservative and 10 being the most aggressive. ~6~ 6. 7. 8. What is your expected annual return from this portfolio? a. Less than 5% b. 5% - 7% c. 7% - 10% d. More than 10% While every attempt will be made to achieve that target, there are no guarantees that the target will be achieved. Investments utilized are subject to fluctuation and are not guaranteed as to principal value. How often could you tolerate an annual loss in your portfolio? a. Once every 10 years b. Once every 5-7 years c. Once every 3-5 years d. Once every 2-3 years The chart below represents the potential annual performance of a $100,000 investment in five different portfolios. Based on the range of ending values of each portfolio, which one would you choose? A 9. B C D E If you made a long-term investment of $100,000, how much of a loss in a single year would you withstand before selling? a. 5% or $5,000. b. 10% or $10,000. c. 20% or $20,000. d. I would not sell my investments based on a single year loss. 10. Suppose that over a three year period, your portfolio has lost value. What action would you take? a. I would transfer my investments to another investment manager of similar strategy. b. I would move my investments to a more conservative portfolio to avoid losing money. c. I would maintain my present disciplined long-term strategy. d. I would develop a more aggressive strategy to recover my losses. . ~7~ Do you know of anyone who would also benefit from our services? Name___________________________ Name____________________________ Name ___________________________ Name ____________________________ CLIENT ACKNOWLEDGEMENT The client acknowledges that the information provided in the client summary is accurate to the best of his/her knowledge. The client agrees that the information accurately represents his/her investment goals and objectives, and attitude towards the investment risk. The information given by the client does not constitute a guarantee with respect to realizing the client's goals and objectives, but will be used by the Advisor in the creation of a general investment strategy. Date (mm/dd/yyyy): . Client or Plan Name: . Client(s) Signature: . . Securities offered through First Allied Securities, Inc. A Registered Broker/Dealer, Member FINRA/SIPC Advisory Services through Private Client Group AM ~8~