EFTA01376698.pdf

US PERSON CERTIFICATION Please indicate below whether you (anent, are a.USperson. If you are not.0 VS person, please complete this Part A and continue to Pan C ant return signed, completed copies of Pan A and Pan C to your DB representative If you are a US person, please complete this Part A and continue to. Part .8 and return signed, completed copies of Part el and Pan 8 to your DR representative. Capitalked terms not otherwise defined hereto have the meanings ascribed to them In the Glossary which constitutes Pan 9 of me Swaps ProtocoL Legal Name of Client Swap Vehicle: CI LL.C- 15KI Client hereby represents (which representation is deemed repeated as of the time of each Swap Transattion Event) that it reasonably believes that it'd= fall within one or more of the US Person Categories or would otherwise be deemed to be a "US person" based upon the relevant guidance in the. Interpretive Guidance. If you have checked this box, please complete Part B bat do not complete.Part C. ❑ Client hereby represents (which representation is deemed repeated as of the time of each Swap Transaction Event) that it reasonably/ believes that it does not' fall within any of the US Person Categories and believes intood faith that it would mg otherwise be deemed to be a "US person" based upon the relevant guidance in the nerpreiive Guidance. If you have checked this box, please complete P but do not complete Part B. Legal Name of Client Swap Vehicle: 12C Authorized Signatory Signature: Name: Title: YYlcumater- Date: lc)/ -21e1- PART A —PAGE 2 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0073050 CONFIDENTIAL SDNY_GM_00219234 EFTA01376698