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KYC Print Page 41 of 43
3. Undisclosed Principal Form Complete (Intermediaries Only) flYes ElNo R Not Applicable
K. If Lexis/Nexis Search Results, Corporate Documents or Other Supporting Documentation is not in English, please provide an English summary of the
nature/contents of the non-English Documentation:
L. Special Risk Factors
Does the account have Nexus to Special Risk Counties? ❑ yes .4 No
Is the account structure unusually complex? Ores r4 No
Is there any indication the client set up a non operating company expressly
for the purpose of transferring shares to third parties? ❑ Yes g No
Is there any indication this could be a prohibited business relationship? ■ Yes 14 No
Are the bearer shares identified subject to acceptable controls? ❑ Yes 74No
lit tps://dbforcepb.my.salesforce.com/servlet/servletintegration?lid IN30000000D9Di&eid=5000e0000IN... 7/10/2019
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0042709
CONFIDENTIAL SDNY GM_00168893
EFTA01356711
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EFTA01356711
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