EFTA01381081.pdf

II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. NRITIO end Tide of Natural Person Opening Account, 1 7c Cebiret aig s•••••4 kt-t-,-Te-,SA- —se..., ,r.........3-01 wcalitv Entity. Type of Lege! Entity, and Address of Legal EinV:y for Which the Account is Being Opened • k civi4e) usuk Ci o-ltt -41Ca (0 lb° tea l-L..te(C OQuile4v-i 63 - \ 31 0 Ca--- ) h-.3 fc4hw;ng information for each inclivithial. any, who, directly er indirectly, thtry.41h any oentract, rengernent: relations?•:n v c•me• Se. owns 25 Percenr O: . more of the equity interests of the legal entity listen above: ;:er VS :trots. kat von.US. AUttie, •: Sill`2-7:*`; *3n ffrofrota 1 fvan(4P3 Titr. n!locial Stant.!anneal) 3;4441 E•EPelYnh S 3t ra too igah geuvawker, €3 - US V( ootoa Cato r.v.LI•••et• fPo.S.Crev+ •N :i.:,.••;) a at!EXT11. .13:301et: ,O ttr 4 Irarl,..! f ,tfr Lnnt!!raffon raid rumbe-_1:r 11.=Feritt end cunt,of fs.uoince oiarzytflheccovArfunOnf- fLmged dOtainnf't evene'Lltii nta.sfince end Winn 4 1,110:09f.nik. Of to:nkl be Of ro .rarmelLni meets Um; acfiretion. Ovate resin ' Hot Aoolitliole.1 d. The following information for uneindividuai with significant responsibility for managing rho iegai entity listed abave such as: • An executive officer or senior manager (e.g., Chief Execufive Officer. Chief Financial Officer, Chief Operatin Oniter. Managing Member. General Partner, President, Vice President, Treasurer); or • Any other individual who regularly mforms Shliffaf functions. (If appropdata, an individual listed under section (c) above may also be listed in this ieetInn Horn. Oaf it of Son is # Arfort.slf rot ll.s.f!nars. For Non.t!..S Pown &tn.!! iscurk, &if !'xonn. umber to fAiesot. Da wc4-• uleo.o ;".• : xtfrion end “"2,' • r•. Oda Y gert.rozvt!,,It,ni C5N.uwtre rie).Snj ratiNwt eir te.Leiteltt tiro • - p ,occ. .e.•M•ete (na of natural person opening the account) hereby certify, to the best of my •ulowiedge, tnartho nation pro‘tieed above complete and correct. b'ff'..braf!! ' in; Endo :dengrito (OPtIonai ()201E ow:rev Hank 46.. AI nonn 1,..411898(fe 02$819.C61319 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079828 CONFIDENTIAL SDNY_GM_00226012 EFTA01381081