📄 Extracted Text (363 words)
II, Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide ti's following information:
a. Name and Title of Natural Person Opening Account:
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h. Name of Legal Entity, 'Noe of Legs! Eritity, and Adr.iress of Lena!
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c. faRowing information for each mdi titiai. if any, who, directly or indirectly. through eny contract, arrangammi.
understanding. r.?!ark)ntlh1;) or oilierciise. owns 25 percent or mom of the equity interests of the legal entity listed above:
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Number to Sooal Stcurhg Numrwl
L iota ilsoiCa1/4.-Aor, 83
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fine country or isc.ktrerct JI any oat, grorminontiibuiottifIN:4101WC•ttcler.ring nation,Ay or resrcknee roe bearing o photograph et stilts: tateguu,d
bit r Tow/.
pI no mckrirruoi moots this deliortion. paElfte Wiit4P'140( App1;t3b=0. :,
d. Tot following information for one individual with significant responsibility for managing the legal entity listed above
such as:
• An execothe officer or senior manager tee, Chic! Execurlyie Officer. Chief Financial Officer, Chief Operating Officer,
Managing Member, General Partner. President, Vice President, Treesurerk or
- Any entilir vrher regUiarlY !Winn?: similar fonctiens.
(If appropriate, an individual listed tinder section (c) above may also tall listed in this section µf)}.
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and country. or iwra".te of env decoriltr: iritinnahlvnt rineente rod berg.) r. ph:Ammo', ur 7.47,P31 Ilifrg4.110 CM.0./ki
be prmitreo.
Nolan f natural person opening th > account), hereby certify. to the bast of
y knowiedgellt la: the it:Viral-Ewe 's cc 'Vete and correct.
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tj 2018 ()erascare earo itsevro. iff3066 O4,919ASISIS
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0071449
CONFIDENTIAL SDNY_GM_00217633
EFTA01375826
ℹ️ Document Details
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92312e957e2950d53bdfba4cd9865707f73b10e4b801454331923e43f0a258ec
Bates Number
EFTA01375826
Dataset
DataSet-10
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document
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1
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