EFTA01368394.pdf

5WAP ADDENDUM ANNEX CLIENT INFORMATION FORM 1. Please provide the following information regarding Client. Legal Name of Client Swim Vehicle: -.‘1.11\i\x/VPIL 50ATTW,t.).) .3 ssAktat.insmasiaccr 4too *sling_ Leal Address: Email Address ytsvi OS -1 Principal Occupttikm / Business: f1t.Ii‘bCAAL- 1} 3CO3h111C-5 Q 8 rtC1D\Clie; CFTC Inietint CompliantIdentifier or Leal Entity 14 iLl-XC:t114 (-2-4 2. noes Client have a Swap Agent? D YES [AND It yes, then please provide the following information regarding the Swap AgenL Name. Acltts.s PbOne; Each Swap Agent must also complete the Swap Agent Statement provided in Part Sot this Protocol and return the completed Statement to DB. 3. Will Client's swaps be guaranteed by another entity? ❑ YES IIINO If yes, then please provide the following information regarding Client's guarantor. Legal Name: Legal 4d.M.S.1 Each Guarantor must also complete the ECP Questionnaire for Guarantors provided in Part 6 of this Protocol and return the completed Questionnaire to DR 'Me CFTC iniclim Compliant Identifier (or"Cler), which will ultimately be replaced by a Legal Entity identifier is a unique customer identification number used by swap dealers as pert of (heir mooning obligations (or ahitr). Regulations. under the (:FTC 6!SSWI PART B — PAGE lb CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0060119 CONFIDENTIAL SDNY_GM_00206303 EFTA01368394