EFTA00601793
EFTA00601794 DataSet-9
EFTA00601795

EFTA00601794.pdf

DataSet-9 1 page 205 words document
P17 V11 P21 V15 V16
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ENDORSEMENT Date: May 1, 2012 Endorsement: Effective as of Anniversary Date: May 8.2012 Attached to and Forming Part of Policy No: S26 UMOO Issued by: Xt. Specialty Insurance Comoanv For the Account of: Leon Black and Debra Black, etal It Is understood and agreed that the NAMED INSUREDS are hereby amended to read as follows: Leon Black and Debra Black and/or Pent Holdings, Inc. and/or Narrows Holdings, LLC and/or Black Family 1997 Trust (Debra Black, John Hannan, Anthony Ressler, Barry Cohen, Trustees) and/or Leon D. Black Investment Trust A (Leon Black and John Hannan, Trustees) and/or Benjamin Eli Black Trust, Joshua Max Black Trust, Alexander Samuel Black Trust and Victoria Rachel Black Trust between U/AID November 30, 1992 between Leon Black, as senior and Debra Black, Barry Cohen and John Hannan, as trustees and/or Benjamin EN Black Trust, Joshua Max Black Trust, Alexander Samuel Black Trust and Victoria Rachel Black Trust between U/A/D August 1, 1988 between Leon Black, as settlor and Barry Cohen, as trustees, ALMA All other terms and conditions remain unchanged. In Witness Whereof, the Company has caused this endorsement to be signed by a duly authorized representative of the Company. epresentatIve WELLS FARGO Wells Fargo Insurance Services USA, Inc. 7 EFTA00601794
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15b7a66011f2fb0e9d9b0d80de5ccd550672b2e48d0353722e053330cdc6717c
Bates Number
EFTA00601794
Dataset
DataSet-9
Document Type
document
Pages
1

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