EFTA01379164
EFTA01379165 DataSet-10
EFTA01379166

EFTA01379165.pdf

DataSet-10 1 page 364 words document
P17 P20 D3 V15 V11
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II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. Name and Title of Natural Person Opening Account b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: c. The following information for each individual, if any, who, directly or indirect€y, through any contract, arrangement, understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the legal entity listed above: Name Oate of Birth legal Address For V.S. Persons: For Non-U.S. PereJOE Social Security (See footnote I for alternatives Number to Social Security Number) For Non-US. Persons, in ereditcon to a Social Security Number or a Passport Number with Country of Issuanot an alien identification card number, or number and country of issuance of any other government-issued document ewJencing nationality or residence and bearing a photograph of sink', safeguard should be provided. (If no individual meets this definition please write "Not Applicable') d. The following information for one individual with significant responsibility for managing the legal entity listed above, such as: • An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Managing Member, General Partner, President, Vice President, Treasurer); or • Any other individual who regularly performs similar functions. (If appropriate, an individual listed under section (c) above may also be listed in this section (d)). Name Date of Birth legal Address For U.S. Persons: I For Non-U.S. Persons: Social Security (Set footnote I for imernattves Number to Social Security Number) • For Non-US. Persons, in addition to a Social Security Number or a Passport Number with Country of Issuance. an alien identification card number. or number and country of issuance of anyOther gOvernrnent-IsSued*DCument thidencIng nationality or resloence and bearing a photograph or similar safeguard should be provided. (name of natural person opening the account), hereby certify, to the best of my knowledge, that the information provided above is complete and correct. Signature Date Legal Entity Identifier (Optional) e 2018 Deutsche Ban( AO. All rights received. WM189666 026819.0.5101S CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0076485 CONFIDENTIAL SDNY_GM_00222669 EFTA01379165
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4583a6d7163fa11cfa661407b71abeb81a5644969a035fcbcb3a5a7976a1114c
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EFTA01379165
Dataset
DataSet-10
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document
Pages
1

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