EFTA01379162.pdf
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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 fititt of Natural Peron ()porting Account;
Te.fg.,...r
1:uf v for Which tj-te Act:N.:urn st,tin.2 or„say,ed,
AL,
Coto° Iga 4 go oV.Qty eg
s.k• j US° CDC) Sona_
c. Trat.followiril ;El fOrladt;011 IOT each indt'..tdual, any, who, dint:on; Ci indirectly. throuvi any contr t, arrandanwit
understanding, telettonshinot other, Sse owns 25 percent or incite of the equity interests of the legal entity listed above;
feint? gor : PO( 4cr•LiS. NiSen€:
rx, e:PT sender !Sop tsorrra•at. ttlerrnthes
SIKUNI, %
.1i4eki,, + lc vs GA oo 4it a,c,se
isk-11-4.s 11..SX Oci
' For mrirE.i.J.S. Pei,r,t.s. Se%tiriti;Nwtibes C<.;too; lauirmo. if Å Art: icemtiT4x,eftlati~C4O! Ao<IND4r
toItleCtitOry Of issuance of or;• govarnment.-•titier1<ke4/Merl itlithttlet ]<I4 blr.Iling Owe!gait of Wnilp nifewirs therwlei
WCoo<14"1
III r inaritIbid ,11$
d. The following information for one individual with significant responsibility for managing the legal entity listed abase,
such as-.
• An e.'<ettitlye officer or senar manager teg., Chet Evecutere Officer, Chief Financier. Officer. Chief* Operating Ofticeg,
Managing Member, General Partnet. President, Vice President. Treasurer): or
• Any••›thilr axtividUal who regularly per 5;i-filler functiona
(If apprept late. an individual tistad under section (c) above may also be listed in this section (d)).
: Nave bi:tof einti Ut•AJINIdn.", Foi f.Ntrcine: F3r Nor •US.i, eawit
•autd :Ays ter "Seeissreett et, s'tetrtsietett
tensors teStstal Sew sty '•
a art ,PN \bo t g3 -40—ce_
•r . ~1:.
t)^ StierrIGO Å.+. Sol:MI Str4Wil ilOroixT 5'04 Dan,.-Fmt %robe wzt?.C.ocw:;riogintion.x. mi.dset,
ar.a t-atroy ni rt loOrct .3f :to; other iwtootwz4tiorol rIocaintom <.,4<kooroG niolorra V it•SederiCII Jgd 1:calng A pAN.A‘plat or ?InIttir fcl,;:ktM
(reran of naturai person opening the aeCOurl)t hereby Cet ;icy. ta the bast of
—a .ts complete and correct.
tnets otiose, aunt sO. so nests iestireo. )26.31:.i.ZY:irsta
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0076477
CONFIDENTIAL SDNY_GM_00222661
EFTA01379162
ℹ️ Document Details
SHA-256
7040faf78910ce5b9c36531d032b58befb3d309d93c70f0d660c658c11f1b485
Bates Number
EFTA01379162
Dataset
DataSet-10
Type
document
Pages
1
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