EFTA01379562.pdf
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IL Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the followng information:
a. Name and Title of Natural Peron Opening Account:
Te.fg.,...r
etj. for Wrdch Agy.,ount is 8t3a.2 or.,_tmed,
AL,
Coto° Iga 4 go oV.Qty eg
s.k• j US°
c. Tivt.rt foilowin4) ;El kinr1".0.;0ri IC.) each individual. if any, who, directie ot indirectly. t rough any contact, aortnoent t.
understanding, toiattonshli) ot otherHttse owns 25 percent or more of the equity interests of the legal entity listed above;
tuns? ..,:Q1AZ!ClietS gor .: For itor•US.
'e‘:A !Soo ioctioant I. ite olennthoo
':vinnat StiOta
ag,t + lc vs GA OO 4it a,c,se ås
isk-11-4.si l.Sit OO U.51.,
' For !too. Pet1Orn. t'u iihooko )5;i:noott. ohooto) v.i))! Cc. ;Jr ct JMIC ketrnkiWe CM, Nallb" ionnotii
eCtirlfy Ism/ante of arc) ).or gou•Inmenoitotion ik.oltoeri eFideiloin? inns:mow/a, nnol000ti•oo booing rdoxennipt ot Sdnilar oisfa-votr3 bagel
LICAndiel
al r!).ndmatol n•biln, got atlirlitt)n. 1:1•11:13Kera
d. The following information for one indiViduat with significant rasponsibili for managing the legal entity listed above,
such as:
• An eve—tvtiye officer or senar manager (e.g., Cn;et Evectoitre Weer, Chief Financier. Officer. Chief Operating Officer.
Managing Member. General Partnet. President, Vice Presicit . Treasurer): or
ri Any other extividual who regularly pet-kepis smiler fun:tiara
(If appropliate. an individual listed under section (c) above may also be listed in this section (d».
: Nave b.))* oi &In UF•pl Fo) Pornno: g3t NOr • US.,,eaLtst
Z,Ond &Viz '.'aei0Otoo,it st4 3")Orookre..)
`tonne.) SeUbtV `2Jenba,
thfsh.».‘ \bo t g3 -4O—ce_
• r0: P^. tr,OF. sifea'iori tot, SOCMI St14 / 1~ rig d paas,„-mt) %robe wit?: Cociony moo
/ :311V 14 , . mor "or:3),mi
qntl noion't of hunoot of or:taint; ivrtionmooati,:rn Otou.inont omit:oak,' tst IFS<det*C".C411,, Jfing A PN"Mtilat.', nitiCSFi'd
he otairit
rat person opening the account). neteby ()Citify. )3 rile bast or
e and correct.
Lego; &tort iiicorityr (Opoonot)
,P3Cre: )2‘3315.OStata
n201,3 Citie.olie Flunk AO. Ao eigi+t:• Pentet). W)A 1.91
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0077155
CONFIDENTIAL SDNY_GM_00223339
EFTA01379562
ℹ️ Document Details
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823a98d863090ce9785954c404e66b60cf72398726a320d6a99ad44b6119ca88
Bates Number
EFTA01379562
Dataset
DataSet-10
Type
document
Pages
1
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