EFTA01381131.pdf
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H. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the folbeing information:
a. Name and Tide of Waite a! Pe! son • •
Zele•Pr-../ fete-, SzzÂle- Uit.e‘e•-•L -eV
h. Name c.f legà Entity. Type ell Leoal E. • • Add! ets Lega: Em;ty freWhe.h the Account is Seine Openect:
(i Ca-r -e-1
c. The folkmeMe, infernation for each indk:idual, if any, wtKi. directly indirefffly, thro:)h env coninc!;. arranajernern.
understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the legal entity listed above:
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eleoideSteu...zo i.Seo focoteee I oireynoci.
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.
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td oindre000t rtlte anise: an. >tee. ver!to "Mot tentoc.»ti.")
d. The following information for one individual with significant responsibility for managing the legal entity listed above,
SVC% as:
• An executive officer or sergor !nonage: (e.g.. Chief Exc-aitive Officer. Chief Financioi Officer. Chief Operating Ofrefer.
Managing Member, General Panne:. President. Vice President. Treasurer); or
• Any ether ?nt.iividu& who reoutany performs sk*ar *function.
(if appropriate, an individual listed under section (ra above may also be listed in this seotion (d)).
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be otopo.oj.
(name ct natural person opening the account), hereby certify. b we hest of
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079900
CONFIDENTIAL SDNY GM_00226084
EFTA01381131
ℹ️ Document Details
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41e357aa9aea6e5e6554860ebc337a5bad9aebad2c7439f3f37599dca646c5e0
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EFTA01381131
Dataset
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document
Pages
1
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