EFTA01368411.pdf

2. PART A US PERSON CERTIFICATION Please indicate below whether you ("Client, are a USperson. If you are not a USperson, you are only required to return a signed copy of this Pan A to your DB representative by the date set out on the Instructions page. If you are a US person, please complete this Part A and continue to Part B and return signed, completed copies ofPart A and Pan B to your DB representative. Legal Name of Client Swap Sou ktne2rteCclali GA...task e Vehicle: 0 Client is a US person as such term is defined by the CFTC in any law, order, interpretation rulemaking or release that may be promulgated by the CFTC. ❑ Client is not a US person as such term is defined by the CFTC in any law, order, interpretation rulemaking or release that may be promulgated by the CFTC. If you have checked this box, do not complete Part B. Legal Name of Client Swap Vehicle: Authorized Signatory Signature: Name: Title: Pre Date: I PART A - PAGE 1 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0060144 CONFIDENTIAL SDNY_GM_00206328 EFTA01368411