📄 Extracted Text (338 words)
li. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information:
e. Name and Title of Natural Poison Opaning Account'
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b r.,,srua of t.cog nOty. Type 7 E lot A.:COI:lilt is Behlg Opne.
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Visa .-c..s L.1SQ ta$d1
c. The fogowing inforMatiOn for each lc:dbl.:Ina,. if eiTy. WhO, rilrecdr or indirectly, through eny contact, rangement
otwfltystdrto ot en:65e. (),,,n5 25 oei,:ent 'y more of the equity interest of the legal entity listed above:
co, t.I.S.Permes kit tion.0 S Petwets
SocIS -9Thlrir'21
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I i) 0(s-3 6100leaMicbeg t44rf 63
S$. c )Lfsit WSW-
;:o: Mon-;33, ViOn %/It ..•iirSti:uflit:•+.1:Dtre' V 4 01.1.2>P0it kiewe?..t.itn COW,ITY (If I 40004, an y4r4i- izLefoggIn4ncicid ...nte: a ryjet.,tt
and -).:Dntrr. of issri4nr;# 41Vrt Othri gOVVAII1Wit.otiseel nil mat rrirdenting nationallw ,wrewierreetird be oteg a plcrtotazah et smitu tafewall
sl no iltbual meats chit oefineitr, ma se Mite '140t, At013bie.,
o The following information for one individual with significant responsibility for marleginQ the legal ernity listed above.
Rrn es:
• An executive officer or serther nranagerfeg , Chief Ftteee Offer
Off c Officer. Chief Operating Officer,
Chief Financial
Managing Member. General Pdrtflal, President. Vice President, Treasurari: or
• Any Citttqf 'rho regularly rxrfotras &miler functions.
Cif appropriate. an individual listed under motion (c) above may also b listed in this section (d1).
Diflt I/1 earn Fn!U.. k'nfen rtor ticort.t.S. itrirattt
54X1Ai f3fel 4iVer•tves
PAInlbe Scsnol Sterility N,serttit
14-4s)0, ..sz
Fof ft.yrscrai. t *r... rrorr re 4 $a:-.
--or Switate kiirr?Ar ea a Perew.., r.yar.eWgr. C:42:1710f '4C-ii.bna an xeierriitrotitir.b1h-e:4.7/t.dnbze. rtiRitbit:'
and ;rout., n..”inze c.! zaw *thin Licniennert.isose:, dew/vent evidencing ontinmliwnr mfatittroe.ted be 10114 a illretycirapir or Jager salcgi.ercl Omni°
Protij
of natural person opening the eccounti, hereby cooly, to the bast of
‘cmplere and tweet.
LOOM 5n7:n, (Cptinr )4/
ti; 201S Mr:tic:NJ Sens ers, AC NM*. ittier4tti. WhIgoe;64 enstkostass
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0077150
CONFIDENTIAL SDNY_GM_00223334
EFTA01379557
ℹ️ Document Details
SHA-256
89edb1f037bf3ce5599dbdd8dfa9b9ae0bc641c0404e9794a4d4204dacc44e57
Bates Number
EFTA01379557
Dataset
DataSet-10
Document Type
document
Pages
1
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