📄 Extracted Text (341 words)
IL Certification of beneficial owner(s)
Persons opening an account on beha€f of a legal entity must provide the following information:
:I. Maine and Into of Naturei Plt(SOC, Opening Atmoont:
TeORNeil ‘ csAletia ) Soka
b. Nana of Legal Entity. Type of :ega€ Ennty, and Address or Legs: Entity iPiNch the Account is Being Opened:
c. The following inforMatiOn for BachWiltiehat if any. who. direct., or indireCtly through ery contract. arrangement,
understanding, relationship or otherwise, owns 25 percent of mole of the agility interers of tha legal entity listedabove.
pi-t• LbwlAdesr•Os For Pawn: sof
(.90+ tootmlit 7 It,
number to Scelal Secorn Number) '
Wean clativa
- AO( ai assign it, 3 Sc•Sol Se.viity Norther 0 n :c•ttr,acqt Komtav •actlitAJoIre Of .,Iaarr..4 rao Ws, Cent „alion zon.i milOIXt or .-krotitt
Ore A•UoTIti issalOrm. 111N% jirceoloori;.in•Fact deCtotent thirle,*(34•D Ammon:Ilk? or if 7tOrFACa l'azoing a pno!ograpti pc sanOot 3a/ectiatif St oak'
t's ce•widrrd.
(If no ittrthq•ii.2 This d:Hisiltxxi. *one tsrhe "%to:AO:table
el. The following information for one individual with significant responsibility for managing the lege! entity listed above,
such aa:
• An WoiCUtivt- officer or senior manacer (e.g. Chief Executive Officer. Chief Financial Oftker. Chief Operating Officer,
Managing Member Ganef& Partner, President Vice President. Treasurer): or
• Any other iheinfidual who re4Adatly perf,xin sim;tar auntie's.
(If appropriate, an individual listed uncle! section (c) above may also be listed in this section (cf)).
NV? tt!' Matta', U.S car :4:in.it:S.
S1?3t Seer: (See OlOO TI, 1 ON n
to SocLO St::tfiqv r.tyn
T.Stat t ‘1)rep t ra See- 4=40,4
Fm "koa.u.11. tze,:xet. hAplAft to :tier-04y )1.-ants., ai ONAlligr. 3oeitto".oith COLA- Ort ,ft - of",nen r4r- o-br itant•*:
Ma COMO? Oe WoJOIV* of airy out, (owf nmen1-131•••0 doeumers esioormrg mitonalits of :tater 4:4 ant: ON,' too Ott)tOlr-ral 0, -INNS inflOos:$1-K- 014
(name of natural person opening tha account), hereby csitify. the hest of
newidge Opt the Ent envie:4 end °went.
%rgai ktnntithrr ((5), tong)
2 20 t8 1)4u:::etie 94is‘k AO.Alid9on tesernm. 'NMI:n.466 0:Nalthitiau le
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0071450
CONFIDENTIAL SDNY_GM_00217634
EFTA01375827
ℹ️ Document Details
SHA-256
9083a878b44326af36a58c31a8913e59ec0898128d5fad94fad5eaa81f08b06c
Bates Number
EFTA01375827
Dataset
DataSet-10
Document Type
document
Pages
1