EFTA01375822.pdf

II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: J. Name and Title of Nobiral Person F.:miming Account: C• ‘.—N e .7 ala b. Nerneof Legal'Entay. Type of ; T.S4.0•P&42 5 .1r...nt. • a US 14 / 1t Carr Clogs:4-6f ( CR tar. ti—oc...-es, 1 OsVt CoVti Trt Viowir:2 infoimazi3n for each €ndMdue •.•.; throtTsh any coni.r3ct. 74fTengetreat. • incwourittalg. relationship O1 other tyke* °Wile. 2'. Pe: I • •.24 the equity interests of the legal entity listed above: tf.tn,t. Adrpeo, ! Fir tl.S. Dortzwa f Ft? Avseoi: fiCtiJiaacnitto : :Set fors:A3 t fe i:rt£th?3 feign*. . Witt Bettie!,!Nonni') • TA...-, 1C 3 ya soo ea& \--‘6oktansgF-tv -t-- or novo ' F.or Hon.LIS thetoOilt tO8 :3COM inKoriog'Atintof of NIV“XM *mu t.of vo:e Cerro;ef ommv. 3g:) jemilkatjmn cm! rgram.: dI ranbcr 4hdotsirlt., M iraMtrirs M Sc;; Mhte 9itotiottiont •Issue/ 0e:erne* evide,ca* ertionoloo rtudzeoe and bettroo ti phatotyraph *tale tith!qt,:ilti itrOMd trtt WOsiCed. VI no Int:4,0w: ineiro ;hit .crvri:„kott..1 d. The following information for one individual with significant responsibiliti for managing the legal entity listed above. such as: • An tixfea/tivil officer Or seicror manage! (e.g.. Chief ESEC,JriVe Officer, Chief Pinanciai Officer. apes °parapet) Ottlar. Managing Member, Genet al Pacifier, Pr?slident, Vice President, Treasured: or • Any Mhei iiviivkinal who iegulariy similar functions. OF appropriate. en inthvidual listed under section (6 above may mac be listed in this section c(1)) Oats of SO LeTa AitSets VS. Ariwi:, ti Socioi Snot," CrMtr4tiVel: r.ilfribUr to Swat! SIC),$ry Te4r41 6. (-141,,,e1 Sc a 14ACaiCa ter YxrU4. gettOrf. ir :tarn. tiOn •:•)Sci.-o.l SnootyRunt." j9;0F,"'....21H6Int,Mbt r. Ce,ntc tlf 4Viadra en gen oientlf:rothon‘recesentne. n floater io-O ten? of &mance of Peri artier tAwbfolii/Mrtoi;,igri dytuttinill gontiOntAl d tWatOin) a fibutailrairin 7i trat et be oz.:relict _1- rtail* , atural person opening the account), bereft/ certify, to die best of ri. iv:cif:14c"let the .non mined above is co. :Oleic and (iv rect. (Oki Er . WO trig? lender (Coy Knool; i IN,.ptscht Soot alts. Ail ocks t:£. WM10.C.V..1 0.25giitiS181.4 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0071445 CONFIDENTIAL SDNY_GM_00217629 EFTA01375822