EFTA01381918.pdf

li. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide thefollowing information: a. Name and Title of Natural Pramn Ofrgning Account' 7:PA- --t ‘. . C-t ri-eOA1 Sat (tk.‘_,...46 -4 V b r.,,srua of t.cog t nOty. Type 7 f 02,1: E Iry iS BelgOpne. Ts. oskj 4-4 t; at, 1, 4 r (.04.0.ecuAl 610 O k.kock Oucork•er g 3 Visa 4 a.s, L.1SQ ta5i. c. The fogov.log information for eath indivklue1 4/ if any. WhO, diret;dy or indirectly, through any conbaot, a:rangement utlrforstaria rg, re!a•;...!ikt •i; ot en:65e. noinS 25 more of the equity interests of the legal entity listed above: . _ 'or US. Pumas. For MasiS Pesters Sotri$ Setrarel iftte foetiot. frit emai to Sm. Sh-i)ficotitg»piin I i)0(s-3 LaoleakkirbeiLCI.).444ei({3 S$. cIL's/I tx.)sui Or MO:•-;33, ViOt: %IA SbAsiit(..4:147t. V 4 0I.OPOit kumae wit?. COUIllry (If 10004, en Joon okeetbreft, cold mote: a rweit.,tt and -).:Dntrr. of issuance 41any ,the gOVVAII1Wit. see; nil mat (rode/tiring nation:Wry or rewierree tird be oteg a plcrtotaarh et smitu iefemni levied enratecr (II no atehea meet Obi: 'Seem:ion Mese wee 5idt.Atccafgate.") n The folinwing information for one individual with significant responsibility for InaneginQ the legal ernity listed above. Rrn es: • An executive officer or serthr managerteg , Chief E,tevutive Officer Chief Financial Officer. Chief Operating Officer, Managing Member. General Partner, President. Vice President, Treasurer): or • Any Citttqf individual -di(' regularly fxrfotras &miler functions. of appropriate. an individual listed under section (c) above may also ea listed in this section (d)). Deft of earn ...fire Aar:seat. Ffe VS. k'nfeln rtor NottrUS. itresttt 'Aoki Sh•tonef f3fal !Setnrie 1 !ttr 4iVer•tves PAIRIbe Scsnol Sterility N,serttit Fof !e-.o4.15. Persono. evnon lo 4 Sy.---.OSwnate ;et:acne:re: a Pusw..,n Riertnewgr tle4oVi of 'ea:JAM an goon re•nefir.aleot 4.7Seineee. anti C.(1.2rt., zaw *thin Liercrennert.oe sea new/vent rtworming onrinnelint niselerna.rod be 10114 a obetforaeb or ianfar salogi.ertl ihnow be lira.,. of natural parson opening the accetinti, hereby cooly, to the bast of ompleie and Valet. WOO, 5n7:11, (Getier ti; 201S Mr:tic:NJ Oft.* res, AO Vet sole re& lehltoe;64 sivastkostass CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0081126 CONFIDENTIAL SDNY_GM_00227310 EFTA01381918