Document:

Exhibit 10.1

 

CONSULTING AGREEMENT

 

THIS CONSULTING AGREEMENT (the “Agreement”)
is made and entered into as of 31 July 2018 (the “Effective Date”), between:

 

		·	Gaming Partners International USA, Inc., a Nevada corporation, with offices located at 3945 W Cheyenne, Suite 208, North
Las Vegas, NV 89032 (the “GPI”), and

		·	Gregory Gronau, an individual, with an address of 712 Proud Eagle Lane, Las Vegas, NV 89144, (the “Consultant”).

 

Each of GPI and Consultant may be individually designated as
a “Party,” and may collectively be designated as the “Parties.”

 

RECITALS

 

WHEREAS, GPI wishes for Consultant to oversee
outstanding tasks resulting from his departure as Chief Executive Officer of GPI; and

 

WHEREAS, the Consultant desires to be retained by GPI pursuant
to the terms set forth in this Agreement.

 

AGREEMENT

 

THEREFORE, in consideration of the mutual
covenants and conditions contained and for other good and valuable consideration, the receipt and sufficiency of which is acknowledged,
the Parties agree:

 

		1.	Scope of Duties. Consultant shall perform services (the “Services”) for GPI as set forth on
Exhibit A, as attached and incorporated. In addition, Consultant may perform such additional services as mutually agreed
upon by the Parties in writing.

 

		2.	Compensation. In consideration for satisfactory performance of the Services, GPI shall compensate and reimburse
Consultant as set forth in Exhibit A, attached and incorporated. Contactor shall be solely responsible for payment of any
taxes due on payments made to Consultant pursuant to this Agreement.

 

		3.	Independent Consultant Status. The Parties recognize that Consultant is an independent Consultant and not an
employee, agent, co-venturer, or representative of GPI. Consultant shall always disclose that he is an independent Consultant of
GPI and shall not represent to any third party that he is an employee, agent, co-venturer, or representative of GPI other than
as expressly authorized by GPI in writing. Consultant shall not be eligible to participate in any of GPI’s employee benefit
plans and GPI shall not provide workers’ compensation, disability insurance, Social Security or unemployment compensation
coverage nor any other statutory benefit to the Consultant. The Consultant shall comply at its sole expense with all applicable
provisions of workers’ compensation laws, unemployment compensation laws, federal Social Security law, the Fair Labor Standards
Act, OSHA regulations, federal, state and local income tax laws, and all other applicable federal, state and local laws, regulations
and codes relating to terms and conditions of employment required to be fulfilled by employers or independent Consultants.

 

		4.	Term/Termination. This Agreement shall be effective until 31 December 2018 (“Term”). GPI may
terminate this Agreement immediately, upon written notice to the Consultant, when in GPI’s sole discretion, the Consultant
has failed to adequately accomplish the Services, and/or the Consultant’s actions or inactions have represented or affected
GPI in an overly negative manner, or if Consultant fails GPI’s due diligence process, or puts GPI at increased regulatory
risk.

 

		5.	Rights to Work.

		a.	Work for Hire. The Parties acknowledge that any work created by Consultant (“Work”) in the performance of
the Services for GPI is being created at the insistence of GPI and shall be deemed "work made for hire.”

 

     

     

    

 

		b.	Use of Work. GPI shall have the right to use the whole Work, any part or parts thereof, or none of the Work, as it sees
fit. GPI may alter the Work, add to it, or combine it with any other work or works, at its sole discretion. Notwithstanding the
foregoing, all original material submitted by Consultant as part of the Work or as part of the process of creating the Work shall
be the property of GPI whether GPI uses such material. No rights are reserved by Consultant.

		c.	Possession and Title. All programs, works of art, materials, designs, specifications, documentation and all other technical
information prepared by Consultant in the performance of the Services will become GPI's sole property. Title to all material and
documentation, including but not limited to, systems specifications furnished by GPI to Consultant or delivered by GPI into Consultant's
possession shall remain with GPI. Consultant shall immediately return all such material or documentation within seven (7) days
of any request or upon the termination or conclusion of this Agreement, whichever shall occur first.

		d.	Invention or Discovery Process. Whenever an invention or discovery is made by Consultant either solely or in collaboration
with others, including employees or other Consultants of GPI under or relating to this Agreement, Consultant shall promptly give
GPI written notice thereof and shall furnish GPI with complete information thereon including, as a minimum: (1) a complete written
disclosure of each such invention and (2) information concerning the date and identity of any public use, sale or publication of
such invention made by or known to Consultant or of any contemplated publication by Consultant. As used, the terms (1) "invention"
or "invention or discovery" includes any art, machine, manufacture, design or composition of matter or any new and useful
improvement thereof where it is or may be patentable under the patent laws of the United States or of any foreign country and is
directly or substantially related to the field of chiropractic medicine; and (2) "made," when used in relation to any
invention or discovery, means the conception of the first actual or constructive reduction to practice of such invention.

		e.	Assignment of Rights. Consultant grants, assigns and conveys to GPI all right, title and interest in and to all inventions,
works of authorship, trade secrets and other proprietary data and all other materials (as well as the copyrights, patents, trade
secrets and similar rights attendant) conceived, reduced to practice, authored or developed by Consultant, either solely or jointly
with others, during and in connection with the performance of Services under this Agreement with GPI when such is directly or substantially
related to the field of production art and design. Consultant agrees that he will not seek patent, copyright, trademark, registered
design or other protection for any rights in any such inventions, works of authorship, proprietary data or other materials (directly
or substantially related to the field of production art and design). Consultant shall have no right to disclose or use any such
inventions, works of authorship, trade secrets and proprietary data or other materials for any purpose whatsoever and shall not
communicate to any third party the nature of or details relating to such inventions, works of authorship, proprietary data or other
materials (when such is directly or substantially related to the field of production art and design). Consultant agrees that at
GPI's expense, he shall do all things and execute all documents as GPI may reasonably require to vest in GPI or its nominees the
rights referred to and to secure for GPI or its nominees all patent, trademark, and trade secret copyright protection (when such
is directly or substantially related to the field of production art and design). Consultant's obligations under this Section
5 shall survive expiration or termination of the Agreement and any amendments thereto. Furthermore, Consultant irrevocably
waives all rights in and to all works created or developed.

		f.	Restriction of Disclosure. Consultant agrees he will not disclose to any third party, without prior written consent
of GPI, any invention or discovery made under or relating to this Agreement (when such is directly or substantially related to
the field of production art and design) or any proprietary or confidential information acquired from GPI under this Agreement,
including trade secrets, business plans and confidential or other information which may be proprietary to GPI, all of which shall
be subject to non-disclosure provisions of Section 7.

 

		6.	Exclusivity and Absence of Conflicts. Consultant may perform services for other persons but only if any such
work is pre-approved by the CFO of GPI in writing. Consultant shall not represent any other manufacturer of playing cards, casino
currency, dice, layouts, RFID solutions, or any other product GPI develops or markets at the Effective Date.

 

     

     

    

 

		7.	Confidentiality.

		a.	Definition. “Confidential Information” means any information, technical data, or know-how (including,
but not limited to, information relating to research, analysis, products, software, services, development, inventions, processes,
design, engineering, production, marketing, techniques, customers, pricing, internal procedures, business and marketing plans or
strategies, financing, financial pro-formas, formulas and algorithms, employees and business opportunities) disclosed by
GPI to Consultant either directly or indirectly in any form whatsoever (including, but not limited to, in writing, in machine readable
or other tangible form, orally, by email, or visually): (i) that has been marked as confidential; or (ii) whose confidential nature
has been made known by GPI, in writing or orally with specific written notification of such oral disclosure within thirty (30)
days thereafter, to Consultant, or (iii) that, regardless of the from of disclosure, should reasonably have been understood by
the Consultant because of legends or other markings to be proprietary or confidential to GPI.

		b.	Exclusions. Confidential Information does not include information (as defined in Section 7.a above), technical
data or know-how which: (i) is in Consultant's possession at the time of disclosure as shown by competent evidence prior to the
time of disclosure; (ii) before or after it has been disclosed to Consultant, becomes part of the public knowledge or literature,
not as a result of any action or inaction of Consultant; (iii) is approved for release by written authorization of GPI; (iv) is
disclosed to Consultant by a third party not in violation of any obligation of confidentiality; or (v) is independently developed
by Consultant without reference to Confidential Information as shown by competent evidence.

		c.	Restrictions on Use. The Consultant acknowledges that the knowledge of Confidential Information would enable the Consultant,
upon termination of this Agreement or outside of his employment, to compete with GPI in a manner likely to cause GPI irreparable
harm, and disclosure of such Confidential Information by the Consultant would, likewise, cause such harm. The Consultant therefore
agrees that the Consultant will not at any time or in any manner, directly or indirectly, divulge, disclose, or communicate in
any manner any information to any third party without the prior written consent of GPI. The Consultant will protect all Confidential
Information received under the terms of this Agreement.

		d.	Survival. The confidentiality provisions of this Agreement as contained in this Section 7, shall remain in full force
and effect for a FIVE (5) year period after the termination of this Agreement.

 

		8.	Additional Restrictive Covenants. In exchange for the consideration set forth and considering the sensitive nature
of GPI’s business which the Consultant shall have access to, the Consultant agrees to the following:

		a.	Non-Compete. During the Term of this Agreement, the Consultant shall not sell, promote, represent, associate with or
otherwise be affiliated with, in any manner, products and/or services of a third party whose products and/or services are similar
to or compete with GPI's.

		b.	Non-Solicitation. For a period of TWO (2) years after the termination of this Agreement for any reason whatsoever,
the Consultant shall not solicit, or assist in the solicitation of, any person or entity considered a customer or potential customer
of GPI, whom the Consultant had meaningful contact with during the Term (or any renewal term), including but not limited to distributors,
contractors and end users, in each case for the purpose of selling, providing or soliciting to sell or provide any product that
is identical to or a reasonable substitute for any product sold or offered for sale by GPI.

Additionally, the Consultant shall not solicit, or assist
in the solicitation of, any employee or other person employed or engaged by GPI in their business in any capacity to terminate
such employment or other engagement, whether such employment or engagement is pursuant to a contract or on an at-will basis.

		c.	GPI Goodwill. The Consultant shall not intentionally, knowingly or negligently damage or destroy the goodwill and esteem
of GPI or GPI’s business with its suppliers, employees, patrons, customers and any others who may at any time have had business
relations with GPI.

 

		9.	Indemnification. Consultant shall defend, indemnify and hold harmless GPI and its officers, directors, employees,
agents, parent, subsidiaries and other affiliates, from and against any and all damages, costs, liability, and expense whatsoever
(including attorneys' fees and related disbursements) incurred by reason of: (a) injury to or death of any person or any damage
to or loss of property which is due to the negligence and/or willful acts of Consultant or (b) any breach by Consultant of any
representation, warranty, covenant or agreement under this Agreement.

 

     

     

    

 

		10.	Limitation on Damages. IN NO EVENT SHALL GPI BE LIABLE FOR ANY CONSEQUENTIAL, INDIRECT, INCIDENTAL, PUNITIVE
OR SPECIAL DAMAGES WHATSOEVER, ARISING OUT OF THIS AGREEMENT, EVEN IF SAID PARTY HAS BEEN ADVISED OF THE POSSIBLY OF SUCH DAMAGES.

 

		11.	Intellectual Property. Consultant acknowledges that GPI and its related or associated affiliates are the sole
and exclusive owners of trademarks, trade names, service marks, trade logos, trade dress and patents (collectively, the “IP”)
as GPI and its related or associated affiliates may unilaterally amend periodically (registered or not). Consultant agrees not
to register or use any mark(s) or items that are similar enough to be construed as GPI IP. Consultant acquires no rights to the
IP, and Consultant assigns and transfers to GPI all rights that it may acquire in and to the IP, whether by operation of law or
otherwise.

 

		12.	Return of Property. Upon the termination of this Agreement by either Party, for any reason whatsoever, Consultant
agrees to return to GPI all materials related to Consultant's performance of this Agreement, including, but not limited to:

		a.	Computers,

		b.	Mobile phone,

		c.	GPI email address for Consultant,

		d.	any items containing "Confidential Information" or items constituting "Confidential Information" themselves,

		e.	marketing materials,

		f.	business plans,

		g.	customer lists,

		h.	customer information,

		i.	any items bearing any intellectual property owned by GPI, and

		j.	Products and/or Product samples.

Consultant shall return all said items to
GPI within TEN (10) days of the termination of this Agreement.

 

		13.	Commitments. Consultant shall not in any manner assume or create any obligation or responsibility, express or
implied, on behalf of or in the name of GPI or its affiliates, or act for or bind GPI or its affiliates in any respect except as
expressly permitted pursuant to this Agreement.

 

		14.	Miscellaneous.

		a.	Communications. All notices, consents and other communications given under this Agreement shall be in writing and shall
be deemed to have been duly given within 1 hour after being sent by email to the following email addresses:

		i.	GPI: amthieff@gmail.com

		ii.	Consultant: ggronau@msn.com

		b.	Privileged Licenses. Consultant acknowledges that GPI, and its parent company, subsidiaries, and affiliates, are businesses
that are or may be subject to and exist because of privileged licenses issued by governmental or tribal authorities. If requested
to do so by GPI as a result of it being necessary in for Consultant to legally perform the Services, Consultant shall use his best
efforts to obtain any license, qualification, clearance or the like which shall be required of him by GPI or any regulatory authority
having jurisdiction over this Agreement. If Consultant fails to satisfy such requirements or if GPI, its parent company, subsidiaries
or affiliates, is directed to cease business with Consultant by any such authority, or if GPI shall in good faith determine, in
the GPI's sole discretion, that Consultant, or any of its officers, directors, employees, agents, designees or representatives:
1) is or might be engaged in, or is about to be engaged in, any activity or activities, or 2) was or is involved in any relationship,
either of which could or does jeopardize GPI's business or such licenses, or those of GPI's parent company, subsidiaries or affiliates,
or if any such license is threatened to be, or is, denied, curtailed, suspended or revoked, this Agreement may be terminated by
GPI without liability to Consultant immediately. In addition, Consultant acknowledges that it is illegal for a denied license applicant
or a revoked licensee (pursuant to the laws, rules and regulations of the Nevada and other gaming authorities), or a business organization
under the control of a denied license application or a revoked licensee, to enter into, or attempt to enter into, a contract with
Consultant without the prior approval of the appropriate gaming authorities.

 

     

     

    

 

		c.	No Public Announcements. Neither Party shall make any public statement (whether oral or in writing) regarding the other
Party or its business unless it has received the express written consent of the other Party.

		d.	Attorney’s Fees & Costs. The prevailing Party of any action or dispute between the Parties relating to or
arising under this Agreement shall be entitled to recovery of reasonable attorney's fees and costs, including expert witness fees
from the other Party.

		e.	Specific Performance. The Parties acknowledge that money damages are not an adequate remedy for violation of this Agreement
and that any Party may, in its sole discretion, apply to the court set forth in this Agreement for specific performance, or injunctive,
or such other relief as such court may deem just and proper, in order to enforce this Agreement or prevent any violation, and to
the extent permitted by applicable law, each Party waives any objection to the imposition of such relief.

		f.	Entire Agreement; Amendment. This Agreement sets forth the entire understanding of the Parties with respect to its subject
matter and merges and supersedes any prior or contemporaneous understanding with respect to its subject matter. This Agreement
may not be modified or terminated except by another agreement in writing executed by the Consultant and GPI. Failure of a Party
to enforce one or more of the provisions of this Agreement or to require at any time performance of any of the obligations shall
not be construed to be a waiver of such provisions by such Party nor to in any way affect the validity of this Agreement or such
Party's right thereafter to enforce any provision of this Agreement, nor to preclude such Party from taking any other action at
any time, which it would legally be entitled to take.

		g.	Severability. In the event that any provision of this Agreement is held to be invalid or unenforceable by any court
or tribunal of competent jurisdiction, the remainder of this Agreement shall not be affected by such judgment, and such provision
shall be carried out as nearly as possible according to its original terms and intent to eliminate such invalidity or unenforceability.

		h.	Successors and Assigns. Consultant shall have no right, whatsoever, to assign his or her duties under this Agreement
to any other third party without the prior written consent of GPI. GPI may, in its sole discretion, assign its right and duties
under this Agreement without the prior written consent of Consultant.

		i.	Governing Law. This Agreement shall be governed by the laws of the State of Nevada.

 

IN WITNESS WHEREOF, the Parties have executed
this Agreement as of the Effective Date.

 

COMPANY:

 

Gaming Partners International USA, Inc.

A Nevada corporation

 

 

	 	By:	/s/ Alain M. Thieffry	 
	 	 	Alain Thieffry, Chaiman of the Board	 

 

 

CONSULTANT:

 

Gregory Gronau,

An individual

 

 

	 	By:	/s/ Gregory Gronau	 
	 	 	Greg Gronau	 

 

     

     

    

 

EXHIBIT A

DUTIES & COMPENSATION

 

		1.	The Services performed by the Consultant shall include:

		a.	Any management task given at the sole discretion of GPI’s CFO, including regularly updating the GPI CFO through any requested
reports.

 

		2.	Monthly Fee. GPI shall pay Consultant a monthly fee of USD $10,000 payable on the first day of October, November,
and December. Consultant shall make himself available for meetings for 40 hours per month as GPI’s Automated Table Solution
project demands. If total hours worked in a month exceeds 40 hours, the excess hours will be subtracted from the following month.
Consultant shall provide a summary of hourly activity upon GPI’s request. Consultant is not entitled to any compensation
for services performed or expenses incurred other than as set out in this agreement.

 

		3.	Expenses. GPI shall reimburse Consultant for the following expenses:

		a.	Reasonable, pre-approved travel expenses (expenses totaling over $400 must be pre-approved by GPI Chief Financial Officer
or Executive Vice President of Finance)

Consultant shall submit to GPI an expense report with
proper documentation for each expense no later than the 1st day of each month following the month in which the expense
was incurred.

 

		4.	For clarity, Consultant shall not be owed and/or due Monthly Fees or other monies of any sort, from any activity by GPI,
after the termination of this Agreement, for any reason whatsoever. Any incentives paid to Consultant after the Term are at
the discretion of GPI. GPI is not obligated to make any such payment.

		b.	By way of example: Consultant makes an introduction to a potential customer while the Agreement is in effect. The Agreement
is terminated. GPI (through another employee or third party) then makes an initial sale to the customer. Consultant would not be
owed compensation from the initial sale to customer.Form of Medium-Term Notes, Series S

 Exhibit 4.1 

[Face of Note] 

Unless this certificate is presented by an authorized representative of The Depository Trust Company, a New York corporation
(“DTC”), to the Company or its agent for registration of transfer, exchange or payment, and any certificate issued is registered in the name of Cede & Co. or in such other name as requested by an authorized representative
of DTC (and any payment is made to Cede & Co. or such other entity as is requested by an authorized representative of DTC), ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR OTHERWISE BY OR TO ANY PERSON IS WRONGFUL inasmuch as the
registered owner hereof, Cede & Co., has an interest herein. 
  

	 CUSIP NO. 95001B5M2 
	 FACE AMOUNT: $                

 REGISTERED NO.        

WELLS FARGO & COMPANY 

MEDIUM-TERM NOTE, SERIES S 

Due Nine Months or More From Date of Issue 

Principal at Risk Securities Linked to the Lowest Performing of the S&P 500®
Index, 
 the Russell 2000® Index and the Dow Jones Industrial Average® due August 1, 2023 
 WELLS FARGO & COMPANY, a
corporation duly organized and existing under the laws of the State of Delaware (hereinafter called the “Company,” which term includes any successor corporation under the Indenture hereinafter referred to), for value received,
hereby promises to pay to CEDE & Co., or registered assigns, an amount equal to the Maturity Payment Amount (as defined below) on the Stated Maturity Date (as defined below), unless this Security is redeemed prior to the Stated Maturity
Date as provided below under “Optional Redemption,” and to pay Contingent Coupon Payments (as defined below) on the Face Amount of this Security to the extent provided herein on the Contingent Coupon Payment Dates specified herein at the
Contingent Coupon Rate (as defined below) until the earlier of the Stated Maturity Date and the Optional Redemption Date (as defined below), if any. The “Initial Stated Maturity Date” shall be August 1, 2023. If the Final
Calculation Day (as defined below) is not postponed, the Initial Stated Maturity Date will be the “Stated Maturity Date.” If the Final Calculation Day is postponed, the “Stated Maturity Date” shall be the later of
(i) the Initial Stated Maturity Date and (ii) three Business Days (as defined below) after the last Final Calculation Day as postponed. 

“Face Amount” shall mean, when used with respect to this Security, the amount set forth on the face of this
Security as its “Face Amount.” 
 Optional Redemption 

The Company may, at its option, redeem this Security, in whole but not in part, on any Optional Redemption Date (as defined
below) by giving notice to the Holder hereof on or before the Calculation Day (as defined below) immediately preceding that Optional Redemption Date. If this 

 
Security is redeemed, the Holder hereof will receive the Optional Redemption Price (as defined below) plus a final Contingent Coupon Payment (as defined below), if any, on the applicable Optional
Redemption Date. Unless the Company defaults in the payment of the Optional Redemption Price plus the final Contingent Coupon Payment, if any, this Security will cease to be outstanding on such Optional Redemption Date, no additional Contingent
Coupon Payments will be payable on this Security and the Holder hereof will have no further rights under this Security after such Optional Redemption Date. The “Optional Redemption Price” is equal to the Face Amount of this
Security. The “Optional Redemption Dates” shall be the Contingent Coupon Payment Dates (as defined below) following each Calculation Day scheduled to occur from July 2019 to April 2023, inclusive. 

Payment of Contingent Coupon Payments, the Maturity Payment Amount and the Optional Redemption Price 

On each quarterly Contingent Coupon Payment Date, the Company shall pay a Contingent Coupon Payment if, and only if, the
Closing Level (as defined below) of the Lowest Performing Index (as defined below) on the related Calculation Day is greater than or equal to its Coupon Threshold Level (as defined below). A “Contingent Coupon Payment,” if payable
as provided herein, shall be equal to the product of (i) the Face Amount of this Security, (ii) the Contingent Coupon Rate, and (iii) 90/360. The “Contingent Coupon Payment Dates” shall be the third Business Day
following each Calculation Day, as each such Calculation Day may be postponed as herein provided, provided that the Contingent Coupon Payment Date with respect to the Final Calculation Day will be the Stated Maturity Date. If a Calculation Day is
postponed with respect to one or more Indices, the related Contingent Coupon Payment Date will be three Business Days after the last Calculation Day as postponed. The “Contingent Coupon Rate” is 8.15% per annum. Any Contingent
Coupon Payments will be rounded to the nearest cent, with one-half cent rounded upward. 

Any Contingent Coupon Payment so payable, and punctually paid or duly provided for, on any Contingent Coupon Payment Date
will, as provided in the Indenture, be paid to the Person in whose name this Security (or one or more Predecessor Securities) is registered at the close of business on the Regular Record Date for such Contingent Coupon Payment next preceding such
Contingent Coupon Payment Date. The Regular Record Date for a Contingent Coupon Payment Date shall be the date one Business Day prior to such Contingent Coupon Payment Date. 

Any Contingent Coupon Payment not punctually paid or duly provided for will forthwith cease to be payable to the Holder on
such Regular Record Date and may either be paid to the Person in whose name this Security (or one or more Predecessor Securities) is registered at the close of business on a Special Record Date for the payment of such Defaulted Interest to be fixed
by the Trustee, notice whereof shall be given to Holders of Securities of this series not less than 10 days prior to such Special Record Date, or be paid at any time in any other lawful manner not inconsistent with the requirements of any
securities exchange on which the Securities of this series may be listed, and upon such notice as may be required by such exchange, all as more fully provided in the Indenture. 

Payment of any Contingent Coupon Payment on this Security will be made in immediately available funds at the office or agency
of the Company maintained for that purpose in the City of 

  
 2 

 
Minneapolis, Minnesota; provided, however, that, at the option of the Company, payment of any Contingent Coupon Payment may be paid by check mailed to the Person entitled thereto at such
Person’s last address as it appears in the Security Register or by wire transfer to such account as may have been designated by such Person. Payments of any Contingent Coupon Payment and the Maturity Payment Amount or the Optional Redemption
Price, as applicable, on this Security at Maturity will be made against presentation of this Security at the office or agency of the Company maintained for that purpose in the City of Minneapolis, Minnesota and at any other office or agency
maintained by the Company for such purpose. Notwithstanding the foregoing, for so long as this Security is a Global Security registered in the name of the Depositary, any payments on this Security will be made to the Depositary by wire transfer of
immediately available funds. 
 Payment of the Maturity Payment Amount or the Optional Redemption Price, as applicable, and
any Contingent Coupon Payments on this Security will be made in such coin or currency of the United States of America as at the time of payment is legal tender for payment of public and private debts. 

Definitions Relating to Maturity Payment Amount, the Optional Redemption Price and Contingent Coupon Payments 

If this Security is not redeemed prior to the Stated Maturity Date as provided above under “Optional Redemption,”
the “Maturity Payment Amount” of this Security will equal: 
  

	 	•	 	 if the Ending Level of the Lowest Performing Index on the Final Calculation Day (as defined below) is greater
than or equal to its Downside Threshold Level: the Face Amount; or 

  

	 	•	 	 if the Ending Level of the Lowest Performing Index on the Final Calculation Day is less than its Downside
Threshold Level: 

  

																											
		 		 		 		 		 		 		 		 		 		 		 		 		 	
		 		 		 		 	 	 	Face Amount	 	  x        	 	Performance Factor of the Lowest Performing	 	 	 		 		 		 		 	
		 		 		 		 	 	 	Index on the Final Calculation Day	 	 	 		 		 		 		 	

 All calculations with respect to the Maturity Payment Amount will be rounded to the nearest one
hundred-thousandth, with five one-millionths rounded upward (e.g., 0.000005 would be rounded to 0.00001); and the Maturity Payment Amount will be rounded to the nearest cent, with one-half cent rounded upward. 
 “Index” shall mean each of the S&P
500 Index, the Russell 2000 Index and the Dow Jones Industrial Average. 
 The “Pricing Date” shall mean
July 27, 2018. 
 The “Lowest Performing Index” for any Calculation Day will be the Index with the
lowest Performance Factor on that Calculation Day (as such Calculation Day may be postponed for one or more Indices). 

  
 3 

 The “Performance Factor” with respect to an Index on any
Calculation Day is its Closing Level on such Calculation Day divided by its Starting Level (expressed as a percentage). 

The “Starting Level” with respect to the S&P 500 Index is 2818.82, its Closing Level on the Pricing Date,
with respect to the Russell 2000 Index is 1663.340, its Closing Level on the Pricing Date, and with respect to the Dow Jones Industrial Average is 25451.06, its Closing Level on the Pricing Date. 

The “Ending Level” of an Index will be its Closing Level on the Final Calculation Day. 

The “Coupon Threshold Level” with respect to the S&P 500 Index is 1973.174, which is equal to 70% of its
Starting Level, with respect to the Russell 2000 Index is 1164.338, which is equal to 70% of its Starting Level, and with respect to the Dow Jones Industrial Average is 17815.742, which is equal to 70% of its Starting Level. 

The “Downside Threshold Level” with respect to the S&P 500 Index is 1691.292, which is equal to 60% of
its Starting Level, with respect to the Russell 2000 Index is 998.004, which is equal to 60% of its Starting Level, and with respect to the Dow Jones Industrial Average is 15270.636, which is equal to 60% of its Starting Level. 

The “Closing Level” with respect to each Index on any Trading Day means the official closing level of that
Index reported by the relevant Index Sponsor on such Trading Day, as obtained by the Calculation Agent on such Trading Day from the licensed third-party market data vendor contracted by the Calculation Agent at such time; in particular, taking into
account the decimal precision and/or rounding convention employed by such licensed third-party market data vendor on such date, subject to the provisions set forth below under “—Market Disruption Events,” “—Adjustments to an
Index” and “—Discontinuance of an Index.” 
 “Index Sponsor” shall mean the sponsor or
publisher of an Index. 
 “Business Day” shall mean a day, other than a Saturday or Sunday, that is neither
a legal holiday nor a day on which banking institutions are authorized or required by law or regulation to close in New York, New York. 

The “Calculation Days” shall be the 27th day of each
January, April, July and October, commencing October 2018 and ending April 2023, and the Final Calculation Day. If any such day is not a Trading Day with respect to any Index, such Calculation Day for each Index will be postponed to the next
succeeding day that is a Trading Day with respect to each Index. A Calculation Day for an Index is also subject to postponement due to the occurrence of a Market Disruption Event (as defined below) with respect to such Index on such Calculation Day.
The “Final Calculation Day” is July 27, 2023. If a Market Disruption Event occurs or is continuing with respect to an Index on any Calculation Day, then such Calculation Day for such Index will be postponed to the first
succeeding Trading Day for such Index on which a Market Disruption Event for such Index has not occurred and is not continuing; however, if such first succeeding Trading Day has not occurred as of the eighth Trading Day for such Index after the
originally scheduled Calculation Day, that eighth Trading Day shall be deemed to be the Calculation Day for such Index. If a Calculation Day has been postponed eight Trading Days for an Index after the originally scheduled Calculation Day and a
Market Disruption Event occurs or is continuing 

  
 4 

 
with respect to such Index on such eighth Trading Day, the Calculation Agent will determine the Closing Level of such Index on such eighth Trading Day in accordance with the formula for and
method of calculating the Closing Level of such Index last in effect prior to commencement of the Market Disruption Event, using the closing price (or, with respect to any relevant security, if a Market Disruption Event has occurred with respect to
such security, its good faith estimate of the value of such security at the Scheduled Closing Time of the Relevant Stock Exchange for such security or, if earlier, the actual closing time of the regular trading session of such Relevant Stock
Exchange) on that day of each security included in such Index. As used herein, “closing price” means, with respect to any security on any date, the Relevant Stock Exchange traded or quoted price of such security as of the Scheduled
Closing Time of the Relevant Stock Exchange for such security or, if earlier, the actual closing time of the regular trading session of such Relevant Stock Exchange. Notwithstanding the postponement of a Calculation Day for an Index due to a Market
Disruption Event with respect to such Index on such Calculation Day, the originally scheduled Calculation Day will remain the Calculation Day for any Index not affected by a Market Disruption Event on such day. 

“Calculation Agent Agreement” shall mean the Calculation Agent Agreement dated as of January 24, 2018
between the Company and the Calculation Agent, as amended from time to time. 
 “Calculation Agent” shall
mean the Person that has entered into the Calculation Agent Agreement with the Company providing for, among other things, whether a Contingent Coupon Payment will be made, the Optional Redemption Price, if any, and the Maturity Payment Amount, if
any, which term shall, unless the context otherwise requires, include its successors under such Calculation Agent Agreement. The initial Calculation Agent shall be Wells Fargo Securities, LLC. Pursuant to the Calculation Agent Agreement, the Company
may appoint a different Calculation Agent from time to time after the initial issuance of this Security without the consent of the Holder of this Security and without notifying the Holder of this Security. 

Certain Definitions 
 A
“Trading Day” with respect to an Index means a day, as determined by the Calculation Agent, on which (i) the Relevant Stock Exchanges with respect to each security underlying such Index are scheduled to be open for trading for
their respective regular trading sessions and (ii) each Related Futures or Options Exchange with respect to such Index is scheduled to be open for trading for its regular trading session. 

The “Relevant Stock Exchange” for any security underlying an Index means the primary exchange or quotation
system on which such security is traded, as determined by the Calculation Agent. 
 The “Related Futures or Options
Exchange” for an Index means an exchange or quotation system where trading has a material effect (as determined by the Calculation Agent) on the overall market for futures or options contracts relating to such Index. 

  
 5 

 Adjustments to an Index 

If at any time the method of calculating an Index or a Successor Equity Index, or the closing level thereof, is changed in a
material respect, or if an Index or a Successor Equity Index is in any other way modified so that such index does not, in the opinion of the Calculation Agent, fairly represent the level of such index had those changes or modifications not been
made, then the Calculation Agent will, at the close of business in New York, New York, on each date that the closing level of such index is to be calculated, make such calculations and adjustments as, in the good faith judgment of the Calculation
Agent, may be necessary in order to arrive at a level of an index comparable to such Index or Successor Equity Index as if those changes or modifications had not been made, and the Calculation Agent will calculate the closing level of such Index or
Successor Equity Index with reference to such index, as so adjusted. Accordingly, if the method of calculating an Index or Successor Equity Index is modified so that the level of such index is a fraction or a multiple of what it would have been if
it had not been modified (e.g., due to a split or reverse split in such equity index), then the Calculation Agent will adjust such Index or Successor Equity Index in order to arrive at a level of such index as if it had not been modified
(e.g., as if the split or reverse split had not occurred). 
 Discontinuance of an Index 

If an Index Sponsor discontinues publication of an Index, and such Index Sponsor or another entity publishes a successor or
substitute equity index that the Calculation Agent determines, in its sole discretion, to be comparable to such Index (a “Successor Equity Index”), then, upon the Calculation Agent’s notification of that determination to the
Trustee and the Company, the Calculation Agent will substitute the Successor Equity Index as calculated by the relevant Index Sponsor or any other entity for purposes of calculating the Closing Level of such Index on any date of determination. Upon
any selection by the Calculation Agent of a Successor Equity Index, the Company will cause notice to be given to the Holder of this Security. 

In the event that an Index Sponsor discontinues publication of an Index prior to, and the discontinuance is continuing on, a
Calculation Day and the Calculation Agent determines that no Successor Equity Index is available at such time, the Calculation Agent will calculate a substitute Closing Level for such Index in accordance with the formula for and method of
calculating such Index last in effect prior to the discontinuance, but using only those securities that comprised such Index immediately prior to that discontinuance. If a Successor Equity Index is selected or the Calculation Agent calculates a
level as a substitute for such Index, the Successor Equity Index or level will be used as a substitute for such Index for all purposes, including the purpose of determining whether a Market Disruption Event exists. 

If on a Calculation Day an Index Sponsor fails to calculate and announce the level of an Index, the Calculation Agent will
calculate a substitute Closing Level of such Index in accordance with the formula for and method of calculating such Index last in effect prior to the failure, but using only those securities that comprised such Index immediately prior to that
failure; provided that, if a Market Disruption Event occurs or is continuing on such day with respect to such Index, then the provisions set forth above under the definition of “Calculation Days” shall apply in lieu of the
foregoing. 

  
 6 

 Market Disruption Events 

A “Market Disruption Event” with respect to an Index means any of the following events as determined by the
Calculation Agent in its sole discretion: 
  

	 	(A)	 The occurrence or existence of a material suspension of or limitation imposed on trading by the Relevant
Stock Exchanges or otherwise relating to securities which then comprise 20% or more of the level of such Index or any Successor Equity Index at any time during the one-hour period that ends at the Close of
Trading on that day, whether by reason of movements in price exceeding limits permitted by those Relevant Stock Exchanges or otherwise. 

  

	 	(B)	 The occurrence or existence of a material suspension of or limitation imposed on trading by any Related
Futures or Options Exchange or otherwise in futures or options contracts relating to such Index or any Successor Equity Index on any Related Futures or Options Exchange at any time during the one-hour period
that ends at the Close of Trading on that day, whether by reason of movements in price exceeding limits permitted by the Related Futures or Options Exchange or otherwise. 

 

	 	(C)	 The occurrence or existence of any event, other than an early closure, that materially disrupts or impairs
the ability of market participants in general to effect transactions in, or obtain market values for, securities that then comprise 20% or more of the level of such Index or any Successor Equity Index on their Relevant Stock Exchanges at any time
during the one-hour period that ends at the Close of Trading on that day. 

  

	 	(D)	 The occurrence or existence of any event, other than an early closure, that materially disrupts or impairs
the ability of market participants in general to effect transactions in, or obtain market values for, futures or options contracts relating to such Index or any Successor Equity Index on any Related Futures or Options Exchange at any time during the
one-hour period that ends at the Close of Trading on that day. 

  

	 	(E)	 The closure on any Exchange Business Day of the Relevant Stock Exchanges on which securities that then
comprise 20% or more of the level of such Index or any Successor Equity Index are traded or any Related Futures or Options Exchange with respect to such Index or any Successor Equity Index prior to its Scheduled Closing Time unless the earlier
closing time is announced by the Relevant Stock Exchange or Related Futures or Options Exchange, as applicable, at least one hour prior to the earlier of (1) the actual closing time for the regular trading session on such Relevant Stock
Exchange or Related Futures or Options Exchange, as applicable, and (2) the submission deadline for orders to be entered into the Relevant Stock Exchange or Related Futures or Options Exchange, as applicable, system for execution at such actual
closing time on that day. 

  
 7 

	 	(F)	 The Relevant Stock Exchange for any security underlying such Index or Successor Equity Index or any Related
Futures or Options Exchange with respect to such Index or Successor Equity Index fails to open for trading during its regular trading session. 

For purposes of determining whether a Market Disruption Event has occurred with respect to an Index: 

 

	 	(1)	 the relevant percentage contribution of a security to the level of such Index or any Successor Equity Index
will be based on a comparison of (x) the portion of the level of such Index attributable to that security and (y) the overall level of such Index or Successor Equity Index, in each case immediately before the occurrence of the Market
Disruption Event; 

  

	 	(2)	 the “Close of Trading” on any Trading Day for such Index or any Successor Equity Index
means the Scheduled Closing Time of the Relevant Stock Exchanges with respect to the securities underlying such Index or Successor Equity Index on such Trading Day; provided that, if the actual closing time of the regular trading session of any such
Relevant Stock Exchange is earlier than its Scheduled Closing Time on such Trading Day, then (x) for purposes of clauses (A) and (C) of the definition of “Market Disruption Event” above, with respect to any security underlying
such Index or Successor Equity Index for which such Relevant Stock Exchange is its Relevant Stock Exchange, the “Close of Trading” means such actual closing time and (y) for purposes of clauses (B) and (D) of the definition of
“Market Disruption Event” above, with respect to any futures or options contract relating to such Index or Successor Equity Index, the “Close of Trading” means the latest actual closing time of the regular trading session of any
of the Relevant Stock Exchanges, but in no event later than the Scheduled Closing Time of the Relevant Stock Exchanges; 

  

	 	(3)	 the “Scheduled Closing Time” of any Relevant Stock Exchange or Related Futures or Options
Exchange on any Trading Day for such Index or any Successor Equity Index means the scheduled weekday closing time of such Relevant Stock Exchange or Related Futures or Options Exchange on such Trading Day, without regard to after hours or any other
trading outside the regular trading session hours; and 

  

	 	(4)	 an “Exchange Business Day” means any Trading Day for such Index or any Successor Equity
Index on which each Relevant Stock Exchange for the securities underlying such Index or any Successor Equity Index and each Related Futures or Options Exchange with respect to such Index or any Successor Equity Index are open for trading during
their respective regular trading sessions, notwithstanding any such Relevant Stock Exchange or Related Futures or Options Exchange closing prior to its Scheduled Closing Time. 

Calculation Agent 

The Calculation Agent will determine whether a Contingent Coupon Payment will be made, the Optional Redemption Price, if any,
and the Maturity Payment Amount, if any. In addition, the 

  
 8 

 
Calculation Agent will (i) determine if adjustments are required to the Closing Level of an Index under the circumstances described in this Security, (ii) if publication of an Index is
discontinued, select a Successor Equity Index or, if no Successor Equity Index is available, determine the Closing Level of such Index under the circumstances described in this Security, and (iii) determine whether a Market Disruption Event has
occurred. 
 The Company covenants that, so long as this Security is Outstanding, there shall at all times be a Calculation
Agent (which shall be a broker-dealer, bank or other financial institution) with respect to this Security. 

All determinations made by the Calculation Agent with respect to this Security will be at the sole discretion of the
Calculation Agent and, in the absence of manifest error, will be conclusive for all purposes and binding on the Company and the Holder of this Security. 

Redemption and Repayment 

This Security is not subject to repayment at the option of the Holder hereof prior to August 1, 2023. This Security is
subject to redemption prior to August 1, 2023 as set forth under “Optional Redemption” above. This Security is not entitled to any sinking fund. 

Acceleration 
 If
an Event of Default, as defined in the Indenture, with respect to this Security shall occur and be continuing, the Maturity Payment Amount (calculated as set forth in the next two sentences) of this Security may be declared due and payable in the
manner and with the effect provided in the Indenture. The amount payable to the Holder hereof upon any acceleration permitted under the Indenture will be equal to the Maturity Payment Amount hereof calculated as provided herein, plus a portion of a
final Contingent Coupon Payment, if any. The Maturity Payment Amount and any final Contingent Coupon Payment will be calculated as though the date of acceleration were the Final Calculation Day. The final Contingent Coupon Payment, if any, will be
prorated from and including the immediately preceding Contingent Coupon Payment Date to but excluding the date of acceleration. 
  

 

Reference is hereby made to the further provisions of this Security set forth on the reverse hereof, which further provisions
shall for all purposes have the same effect as if set forth at this place. 
 Unless the certificate of authentication
hereon has been executed by the Trustee referred to on the reverse hereof by manual signature or its duly authorized agent under the Indenture referred to on the reverse hereof by manual signature, this Security shall not be entitled to any benefit
under the Indenture or be valid or obligatory for any purpose. 
 [The remainder of this page has been left intentionally blank] 

  
 9 

 IN WITNESS WHEREOF, the Company has caused this instrument to be duly
executed. 
 DATED: 
  

					
	WELLS FARGO & COMPANY
		
	By:	 	 
		 	
		 	Its:	 	

  

					
	Attest:	 	 
		 	
		 	Its:	 	

  

			
	 TRUSTEE’S CERTIFICATE OF

AUTHENTICATION
 This is one of the Securities of the

series designated therein described
 in the within-mentioned Indenture.

	
	 CITIBANK, N.A.,

      as Trustee

		
	By:	 	 
		 	Authorized Signature
	
	OR
	
	 WELLS FARGO BANK, N.A.,

  as Authenticating Agent for the Trustee

		
	By:	 	 
		 	Authorized Signature

  
 10 

 [Reverse of Note] 

WELLS FARGO & COMPANY 

MEDIUM-TERM NOTE, SERIES S 

Due Nine Months or More From Date of Issue 

Principal at Risk Securities Linked to the Lowest Performing of the S&P 500®
Index, 
 the Russell 2000® Index and the Dow Jones Industrial Average® due August 1, 2023 
 This Security is one of a duly
authorized issue of securities of the Company (herein called the “Securities”), issued and to be issued in one or more series under an indenture dated as of February 21, 2017, as amended or supplemented from time to time
(herein called the “Indenture”), between the Company and Citibank, N.A., as Trustee (herein called the “Trustee,” which term includes any successor trustee under the Indenture), to which Indenture and all indentures
supplemental thereto reference is hereby made for a statement of the respective rights, limitations of rights, duties and immunities thereunder of the Company, the Trustee and the Holders of the Securities, and of the terms upon which the Securities
are, and are to be, authenticated and delivered. This Security is one of the series of the Securities designated as Medium-Term Notes, Series S, of the Company. The amount payable on the Securities of this series may be determined by reference to
the performance of one or more equity-, commodity- or currency-based indices, exchange traded funds, securities, commodities, currencies, statistical measures of economic or financial performance, or a basket comprised of two or more of the
foregoing, or any other market measure or may bear interest at a fixed rate or a floating rate. The Securities of this series may mature at different times, be redeemable at different times or not at all, be repayable at the option of the Holder at
different times or not at all and be denominated in different currencies. 
 The Securities are issuable only in registered
form without coupons and will be either (a) book-entry securities represented by one or more Global Securities recorded in the book-entry system maintained by the
Depositary or (b) certificated securities issued to and registered in the names of, the beneficial owners or their nominees. 

The Company agrees, to the extent permitted by law, not to voluntarily claim the benefits of any laws concerning usurious
rates of interest against a Holder of this Security. 
 Modification and Waivers 

The Indenture permits, with certain exceptions as therein provided, the amendment thereof and the modification of the rights
and obligations of the Company and the rights of the Holders of the Securities of each series to be affected under the Indenture at any time by the Company and the Trustee with the consent of the Holders of a majority in principal amount of the
Securities at the time Outstanding of all series to be affected, acting together as a class. The Indenture also contains provisions permitting the Holders of a majority in principal amount of the Securities of all series at the time Outstanding
affected by certain provisions of the Indenture, acting together as a class, on 

  
 11 

 
behalf of the Holders of all Securities of such series, to waive compliance by the Company with those provisions of the Indenture. Certain past defaults under the Indenture and their consequences
may be waived under the Indenture by the Holders of a majority in principal amount of the Securities of each series at the time Outstanding, on behalf of the Holders of all Securities of such series. Solely for the purpose of determining whether any
consent, waiver, notice or other action or Act to be taken or given by the Holders of Securities pursuant to the Indenture has been given or taken by the Holders of Outstanding Securities in the requisite aggregate principal amount, the principal
amount of this Security will be deemed to be equal to the amount set forth on the face hereof as the “Face Amount” hereof. Any such consent or waiver by the Holder of this Security shall be conclusive and binding upon such Holder and upon
all future Holders of this Security and of any Security issued upon the registration of transfer hereof or in exchange herefor or in lieu hereof, whether or not notation of such consent or waiver is made upon this Security. 

Defeasance 

Section 403 and Article Fifteen of the Indenture and the provisions of clause (ii) of Section 401(1)(B) of the
Indenture, relating to defeasance at any time of (a) the entire indebtedness on this Security and (b) certain restrictive covenants, upon compliance by the Company with certain conditions set forth therein, shall not apply to this
Security. The remaining provisions of Section 401 of the Indenture shall apply to this Security. 
 Authorized Denominations 

This Security is issuable only in registered form without coupons in denominations of $1,000 or any amount in excess thereof
which is an integral multiple of $1,000. 
 Registration of Transfer 

Upon due presentment for registration of transfer of this Security at the office or agency of the Company in the City of
Minneapolis, Minnesota, a new Security or Securities of this series, with the same terms as this Security, in authorized denominations for an equal aggregate Face Amount will be issued to the transferee in exchange herefor, as provided in the
Indenture and subject to the limitations provided therein and to the limitations described below, without charge except for any tax or other governmental charge imposed in connection therewith. 

This Security is exchangeable for definitive Securities in registered form only if (x) the Depositary notifies the
Company that it is unwilling or unable to continue as Depositary for this Security or if at any time the Depositary ceases to be a clearing agency registered under the Securities Exchange Act of 1934, as amended, and a successor depositary is not
appointed within 90 days after the Company receives such notice or becomes aware of such ineligibility, (y) the Company in its sole discretion determines that this Security shall be exchangeable for definitive Securities in registered form
and notifies the Trustee thereof or (z) an Event of Default with respect to the Securities represented hereby has occurred and is continuing. If this Security is exchangeable pursuant to the preceding sentence, it shall be exchangeable for
definitive Securities in registered form, bearing interest at the same rate, having the same date of issuance, Stated Maturity Date and other terms and of authorized denominations aggregating a like amount. 

  
 12 

 This Security may not be transferred except as a whole by the Depositary to
a nominee of the Depositary or by a nominee of the Depositary to the Depositary or another nominee of the Depositary or by the Depositary or any such nominee to a successor of the Depositary or a nominee of such successor. Except as provided above,
owners of beneficial interests in this Global Security will not be entitled to receive physical delivery of Securities in definitive form and will not be considered the Holders hereof for any purpose under the Indenture. 

Prior to due presentment of this Security for registration of transfer, the Company, the Trustee and any agent of the Company
or the Trustee may treat the Person in whose name this Security is registered as the owner hereof for all purposes, whether or not this Security be overdue, and neither the Company, the Trustee nor any such agent shall be affected by notice to the
contrary. 
 Obligation of the Company Absolute 

No reference herein to the Indenture and no provision of this Security or the Indenture shall alter or impair the obligation
of the Company, which is absolute and unconditional, to pay the Contingent Coupon Payments, if any, and the Maturity Payment Amount or the Optional Redemption Price, as applicable, on this Security at the times, place and rate, and in the coin or
currency, herein prescribed, except as otherwise provided in this Security. 
 No Personal Recourse 

No recourse shall be had for the payment of any Contingent Coupon Payments or the Maturity Payment Amount or the Optional
Redemption Price, as applicable, on this Security or for any claim based hereon, or otherwise in respect hereof, or based on or in respect of the Indenture or any indenture supplemental thereto, against any incorporator, stockholder, officer or
director, as such, past, present or future, of the Company or any successor corporation, whether by virtue of any constitution, statute or rule of law, or by the enforcement of any assessment or penalty or otherwise, all such liability being, by the
acceptance hereof and as part of the consideration for the issuance hereof, expressly waived and released. 
 Defined Terms 

All terms used in this Security which are defined in the Indenture shall have the meanings assigned to them in the Indenture
unless otherwise defined in this Security. 
 Governing Law 

This Security shall be governed by and construed in accordance with the law of the State of New York, without regard to
principles of conflicts of laws. 

  
 13 

 ABBREVIATIONS 

The following abbreviations, when used in the inscription on the face of this instrument, shall be construed as though they
were written out in full according to applicable laws or regulations: 
  

					
	 TEN COM
	 	  -- 
	 	 as tenants in common

			
	 TEN ENT
	 	  -- 
	 	 as tenants by the entireties

			
	 JT TEN
	 	  -- 
	 	 as joint tenants with right

of survivorship and not
 as
tenants in common

  

							
	 UNIF GIFT MIN ACT -- 
	 	 	 	 Custodian
	 	 
		 	(Cust)	 		 	(Minor)

  

	
	Under Uniform Gifts to Minors Act
	
	   

	(State)

 Additional abbreviations may also be used though not in the above list. 

FOR VALUE RECEIVED, the undersigned hereby sell(s) and transfer(s) unto 

 

	
	 Please Insert Social Security or
 Other
Identifying Number of Assignee

	
	   

  
  

 
  
  

 
 (PLEASE
PRINT OR TYPE NAME AND ADDRESS INCLUDING POSTAL ZIP CODE OF ASSIGNEE)

  
 14 

 the within Security of WELLS FARGO & COMPANY and does hereby irrevocably constitute
and appoint                                      attorney to
transfer the said Security on the books of the Company, with full power of substitution in the premises. 
  

Dated:
                                         
        
  

	
	   

  

	
	   

 NOTICE: The signature to this assignment must correspond with the name as written upon the face of the
within instrument in every particular, without alteration or enlargement or any change whatever. 

  
 15

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