EFTA01375829.pdf
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II, Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the foliong information:
a. Name and Title of Natural Parmh Operiin Account;
Te.fg.,...r
-1:iit:ry for Which tj-..e Act. ;cunt is 8s3in.2 or.,_tmed;
AL,
Coto° Iga 4 go oV.Qty eg
s.k•
c. Trat. Joao:Ann/3 ;El fen
j US° CDC) Sona_
IOT each indh..4jual. ?I any, who, dircctiv oi indirectly. througn any cc.ritr i., arriencerwwit
understanding, ceia,i:nshin other, ?ise owns 25 percent or inure cA the equity interests of the legal entity listed above:
',At° Vf gi, ir . AC!CketS gor PlistAtie; : PO( 4cr•LiS, NiSen€:
Ek, e:PIS.nate !Sep kotrcara t ix;r'tar:_r;6-rF
tidtufitl, % i)
z c ant E , .1i4eki,, + lc vs GA oo 4it a,c,se ",.4-tr,
sk-11-4. s JQS* 00 5 ea_
' For HorE.ti.S. Pei,r,"4..r, t•us $:ekd Ses'ziriti;N:Ptiber 2:r tif kJ:Lint C..tri Adirr: aateieakx, cm, AtliaDdl
taitl eCtirlfy of Ism/ante 9f orNegl. gNeennetne.-•titierffklAkMerl 11119011:Wirfar ItlititaCt :11la a..111A9 a rhixergait of Wnilp saavaie therwlei
irtrAndita
fil r ebautal n•Nit: 1M atlial1)n.
d. The following Information for one individual with significant rospontibillor for managing the Irani entity listed abage,
such as-.
• An (r<etutiVe Oft- CET or senar manager (tg.. Chief Evocurn..e Weer, Chief Financier. Officer. Chief Operating officer,
Managing Member. General Partner. President, Vice President. Treasurer): or
• Any Other .rretividual who regularly performs skihr function-a
(If appropi late. an individual tistad under section (c) above may also be listed in this section {d)).
: Nave of Nab Liaal itgera", F,! US Rtrai=ai: g3r Nac•US. ikann
SC.Vsits 50«it21: te4 J;M:Vittic
»ffitikm S.S.scsalSemsty `2Jelte7
a art S,544..‘ \bo t g3 -40—ce_
• rOz attr,,S. Ja(i.k4, tO A SOCMI St4.;Wil ?".:E~ rst 4 Da3aFgt %robe w:a.C.:x.w:;ricieekan-x. .Iti amileake esti.e.:‘,
ar.0 ..-atray hwaem celNieee,maz,..a,:141g4-anent t.gealefiG ranit-a .att v acelae..... ara (»mini; A reetnui.azt <Ir ?irrillit yIN19aIKI e.asel
(Paine of natural person opening the account). hereby 0Pt td`y. ta the bast or
•-•,,;,9 complete and correct.
ttnja infer alenriea
oaose iatieme eank AO. as ciaat:• pestrti. w,4
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0071452
CONFIDENTIAL SDNY_GM_00217636
EFTA01375829
ℹ️ Document Details
SHA-256
94483c9f738f093069b8938bcfcec5e5fc09dc5f2b4dae9d5bc544ec239805d0
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EFTA01375829
Dataset
DataSet-10
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document
Pages
1
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