EFTA01582944.pdf

PreviousName/MMNIAlias Citizenship UNITED STATES Employer Name N/A High Risk Jurisdiction No Occupation Volunteer Industry Code (NAIC) Individuals 19999401 Years at Occupation 2 Secondary Industry Code NAIC NOT PROVIDED (I (NAIC Address(es) Type Notes Address City. State. Country Toots Entered by Date of Preferred Postal Update Code Legal 1000 MIAMI, UNITED Map ir BATCH 06'252012 Yes VENETIAN Florida, STATES WAY APT 331391043 801 Legal 1000 MIAMI, UNITED Map it BATCH 06/252012 No VENETIAN Florida. STATES WAY APT 331391043 801 Legal 1000 MIAMI, UNITED Map it BATCH 08.252012 No VENETIAN Florida. STATES WAY APT 331391043 801 Legal 1000 MIAMI. UNITED Map it BATCH 08252012 No VENETIAN Florida. STATES WAY APT 331391043 801 Phone(s)/Fax(s) Type Notes Phone Tools Entered by Mall Preferred Number Homo Verify 'Do Nol BATCH 02/15/2013 Yes ■ Car List Work Venfy 'Do Not BATCH 02107/2012 No Call' Lisl Cell Verty 90 Nol TECS_DATA 06;04/2011 No ■ Car Lisl Other Verify to Not SYSTEM 07/23/2011 No Car Lisl Work Verify to Not SYSTEM 09702/2011 No ■ Car List Fax Venfy to Not SYSTEM 02/07/2012 No Car Lisl Cost Center 8 Hierarchy Client Status Client Individual Client S sor NIRSTEN A SICHLER New or Existi Client Existin I Cost Center 008634 • CHBG Client Service Team CHBG DE 4 IM ITAIMMMEM Decision Maker GIO Portfolio Mane. er Trust Advisor investor 839487 Identification Withholding Federal Status Domestic Centred Withholding SSN/TIN 03.05/2003 Certification Date SSNITIN/EIN 31 Form of government issued None Identification obtained for the files Prima Identification Number Issued B Date Issued Ex • 'ration Date Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00062529 EFTA01582944