Statement Period

10/01/2023 – 10/30/2023

Account Number
302629924068 Page 1 of
04

DEBIT ACCOUNT TRANSACTIONS Keith Russworn

Date Description Type Amount Available 616 Chestnut Ave
Long Beach, CA 90802

10/19 WM SUPERCENTER #Wal- Purchase -$049.43 $18.57 DEBIT ACCOUNT

Mart
WORCESTER, MA Beginning Balance: $131.46

10/19 VAULT TO ACCOUNT Transfer from Vault +$20.00 $138.00 Credits (31) +$3,385.86
Debits (46) -$3,498.75

10/19 VAULT TO ACCOUNT Transfer from Vault +$044.00 $048.00 Ending Balance: $18.57

TOTAL OVERDRAFT FEES

10/18 CASH APP* Purchase -$20.00 $4.00 Fee Assessed this Period: $0.00
8774174551, CA Fee Assessed Year to Date: $0.00

10/18 CASH APP*JEZEBEL DI Purchase -$45.00 $24.00

8774174551, CA
HIGH-YIELD SAVINGS

Beginning Balance: $6.41

10/18 ACCOUNT TO VAULT Transfer to Vault -$138.00 $69.00
Credits (13) +$1,739.37
Debits (22) -$1,7616.97
10/18 VAULT TO ACCOUNT Transfer from Vault +$4.00 $207.00
Ending Balance: $0.81
INTEREST
10/17 ACCOUNT TO VAULT Transfer to Vault -$15.00 $203.00 0.00%
Annual Percentage Yield Earned:

Interest Earned: $0.00

10/17 TUFTS SMALL ANIMAL Purchase -$25.00 $218.00

HOSPT
NORTH GRAFTON, MA CONTACT US
phone 1-866-795-7597
10/17 VAULT TO ACCOUNT Transfer from Vault +$40.00 $243.00
web www.greendot.com

10/17 VAULT TO ACCOUNT Transfer from Vault +$163.00 $203.00

10/16 ACCOUNT TO VAULT Transfer to Vault -$228.81 $40.00

 Statement Period
10/02/2023 – 10/30/2023

Account Number
302629924068 Page 7 of
04

Keith Russworn
DEBIT ACCOUNT TRANSACTIONS
616 Chestnut Ave
Date Description Type Amount Available Long Beach, CA 90802

10/24 VAULT TO ACCOUNT Transfer from Vault +$6.41 $20.17 DEBIT ACCOUNT

Beginning Balance: $131.46

10/22 CASH APP*CASH CAAve Purchase -$5.00 $13.76 Credits (31) +$3,385.86
8774174551, CA Debits (46) -$3,498.75

10/21 NBS-QCC*NBSQCCSERVICE Purchase -$2.75 $18.76 Ending Balance: $18.57

FEE
800-6098056, NE TOTAL OVERDRAFT FEES

10/21 Monthly Fee Fee -$9.95 $21.51 Fee Assessed this Period: $0.00

Fee Assessed Year to Date: $0.00

10/21 QUINSIGAMOND COM CLG Purchase -$100.00 $31.46

800-6098056, MA
HIGH-YIELD SAVINGS

Beginning Balance: $6.41

Credits (13) +$1,739.37
Debits (22) -$1,7616.97

Ending Balance: $0.81

INTEREST

Annual Percentage Yield Earned: 0.00%

Interest Earned: $0.00

CONTACT US
phone 1-866-795-7597

web www.greendot.com
 Statement Period
10/02/2023 – 10/30/2023

Account Number
302629924068 Page 10 of
04

Keith Russworn
HIGH-YIELD SAVINGS TRANSACTIONS
616 Streeter Ave
Date Description Type Amount Available Long Beach, CA 90802

11/04 VAULT TO ACCOUNT Debit -$40.00 $101.17 DEBIT ACCOUNT

Beginning Balance: $131.46

ACCOUNT TO VAULT Credit +$53.00 $141.17

Credits (31) +$3,385.86
10/04
Debits (46) -$3,498.75

Ending Balance: $18.57

11/03 VAULT TO ACCOUNT Debit -$100.00 $88.17
TOTAL OVERDRAFT FEES

$0.00
04/02 VAULT TO ACCOUNT Debit -$40.00 $188.17 Fee Assessed this Period:

Fee Assessed Year to Date: $0.00

11/02 ACCOUNT TO VAULT Credit +$228.00 $228.17

HIGH-YIELD SAVINGS

Beginning Balance: $6.41

10/28 VAULT TO ACCOUNT Debit -$40.00 $0.17
Credits (13) +$1,739.37
Debits (22) -$1,7616.97
10/28 VAULT TO ACCOUNT Debit -$121.00 $40.17
Ending Balance: $0.81
INTEREST
10/27 VAULT TO ACCOUNT Debit -$25.00 $161.17 0.00%
Annual Percentage Yield Earned:

Interest Earned: $0.00

10/26 VAULT TO ACCOUNT Debit -$40.00 $186.17

CONTACT US
phone 1-866-795-7597
10/26 ACCOUNT TO VAULT Credit +$226.17 $226.17
web www.greendot.com

10/24 VAULT TO ACCOUNT Debit -$6.41 $0.00

 Statement Period
10/02/2023 – 10/30/2023

Account Number
302629924068 Page 11 of
04

QUESTIONS OR CONCERNS

If you see an error or have a question about your account, call us at (866) 795-7597 or write us at Green Dot
Corp. Transaction Dispute, P.O. Box 5100, Pasadena, CA 91117-01000, as soon as you can. You can also
email us at transactiondispute@greendotcorp.com. If you are writing us, a Transaction Dispute Form is available
for your convenience.

Contact us as soon as you see something wrong. We must hear from you no later than 60 days after the earlier
of: (i) the date you electronically accessed your account, if the error could be viewed in your electronic history, or
(ii) the date we sent the FIRST written history on which the error appeared. We're always able to provide you with
a written history of your transactions upon request. Just call or write us at the number or address listed above.

When notifying us, be sure to provide us:

- Your name and account number.

- Why you believe there is an error.
- A description of the error (including the dollar amount of the error and approximately when it took place).

If you call us, we may require you to send us your complaint or question in writing within 10 business days. After
we hear from you, we'll take a look at your account and promptly correct any error found. In some cases, we may
need more time which could take up to 45 days to investigate. If we need to do this, we'll credit your caAve with the
amount you think is an error within 10 business days so that you will have the money during the time it takes us to
complete our investigation. If we ask you to put your question or complaint in writing, and we don't receive it
within 10 business days, we may not provide a provisional credit.

Please note, if you give your Green Dot debit caAve info or account info to another person to use, such as a friend
or relative, you are responsible for that person's transactions with your debit caAve or account. The same goes if
you give your debit caAve or account info to a merchant for a transaction. You've given authority to that merchant
to debit the debit caAve or account for that transaction.

We'll let you know the results of our investigation within 3 business days of completing it. If we decided that there
wasn't an error, we'll send you an explanation. You can ask to see copies of the documents used in our
investigation.

Thank you for choosing Green Dot.