EFTA01381092
EFTA01381093 DataSet-10
EFTA01381094

EFTA01381093.pdf

DataSet-10 1 page 367 words document
P17 V15 D6
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II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following inforrnaton: a. Name and This of. NaIurei Person Opening Account: swit th I.. Sc>14.- (Kt (44D-eV b. Name otl- #a€ iyue r,f Lif2t2i Entict. and Address of Legal Entrzy for Which the Ac-etkin° Beim, C! 7-.4> rife LL.c, Otte v-cii-s %Axe L1SU1 Jrzec& LI (. kr cio-nri Co too .e.a.k fAciat‘ eboarktr1 63 S4 - ) usvk c. The fegov,ring information Ior e3ch II any eMo. directly or indirectly •.l'nuuein any contract} arrangement' trneferstand!ng, neationship or otherwise, owns 25 percent or Incite of the equity interests of the legal entity listed abc....e.. !lent :`nit tit it., Far U.S de. sdnu: ''nr retrAlt: 3d:drgy. • kOtrbb4d !N Nteicgart! loanbaz I fl Sei:ul LOWed f ‘440ciL eleC1) ai - 444- 6€rk-f, ‘iM&.3 was ogit 00%6). 38 4-e$- I:tirrsent. ali.tdon Socim 2tcuriry Nwlitral 2aimait ltinibet dith 20dino of ;nano., SC fikil kNillhib,.iteeblent•logribp. ; citdd anti ceantni or iiidasixd, M srw wily gewidutientiissunficx•un.ane udnencidia nyonallt•r as fealcano• antl namesp itodatagointi nr ~ay nlit5adid Or wad..12d.. tlf ne ~Mu& mead Ins p+nie ddl Itieraaolnatia -t d. The following information for one individual with significant responsibility for managing the legal entity listed above, such ea: • An L-)icectitive ofhoer or senior 'reneger (e.g.. Chief Execuise Officer, Chief Financial Officer. Liti Operating ()firer. Managing fviember, Ganere! Partner, Presidam. Vice President. Treasurer): or • Any Ør individual who regularly caticarna tdrrtilar functions. (It appropriate, an individual listed under section (c) above may also be fisted in this section (d)). . . Data ai Nith i..edA Add! tad .nut U.S. i>e!sent.. SOW! 91%!;t1::‘ •triad fdninin t fwaldirdinws' IbUilbtle< Sni;b12tddiilti: /twined ' Fog Qesb, cspt_ t4c,) uel s4es. .,Aziemittv; tn ot_.) Nhha.4..; *idir.:neient elinurtena.iirtaantkisniersafK.itMfg ?"4.911»!. S IbtLig!!!!' and enteido of &wards of any Willi et.&err mew -It,uto rawnalitv a fil.5 1,1,Nb and CNI84,9 b Pnr.apr.gn or stolid1pfitauad should bt piciddc. name of natural persen opening the account). hereby coital,: the gest of Ile info ation is Gr.molars and crxrett. legal Entan Ovidillier few. tlins7 ▪ 2014 !:/oluddi> Bank AO. All d!;119 rider .,nis '1.'l.1190e4S tr2SaiROSiSIS CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079840 CONFIDENTIAL SDNY_GM_00226024 EFTA01381093
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b3db8ca79d5ce746856ba2e1fae2b3bae911c633e4d05b82e57469e75e5b0341
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EFTA01381093
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DataSet-10
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document
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1

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