EFTA01582951.pdf

Net Worth of client(S) 500.000.000.00 Source Of Wealth I Financial Information Details Source Of Wealth •identify the Clients Source of Wealth from Other follow) list of • • Ions ECI Party Type Party Name Last KYC Status Report Type Relation Powers Percent Completed Type Owned Search Date Individual HARRY Signer Full 0.0 BELLER Primary Information for HARRY BELLER Client Type Individual Generation Client Status Prospect Active Indicator Yes Front Office Restricted? Normal Marital Status Confidential Names? Country of Primary Domicile Prefix/Title Insider Code (Reg. 0) First Name HARRY Full Name HARRY BELLER Middle Name Gender Male Last Name BELLER Date of Birth Suffix Primary Country of Assets PreviousNamerMilAN/Alias Citizenship UNITED STATES Employer Name HBRK Associates High Risk Jurisdiction Occupation Financial Advisor Industry Code (NAIC) Years at Occupation Secondary Industry Code (NA IC) Address(es) Type Notes Address City, State, Country Tools Entered by Preferred Postal Code Work NEW YCRK. UNITED Map it DANIELA 1007/2013 Yes Now York. STATES GARIN 100656298 Cost Center & Hierarchy Client Status P A• Individual Client S•• son Cost Center 008634 CHBG Client Service Team Identification Withholding Federal Status Domeslic Certified Withholding SSWTIN 04/132012 Certification Date SSWTIWEIN (IIPIsneriseen 11Form of government issued None identification obtained for the files Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00062536 EFTA01582951