EFTA01381915.pdf

II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. NRITIR end Title of Natural Person Opening Account; 17c '""`"" Cirsicet jal".rs tbae--i f 4S s 41-4 -k C ,r.........3-01wcalitv Entity. Type of Lege! Entity, and Address of Legal Einftity for Which the Accourn is Being Opened. • 4 e (..Lt,_ a Usu, tt.ia, Lta Ci o-th -41 Ca ta.., cfrO4 loo tea l-Lzte OL>emk-Pici 63 ff - fL.m g tJSJ( O Can-- ) Tha foloy.iing information for each individtrai. any, wl•o, directly nr indirectly, throi,:gh any contract, airangement: relaticns?•;no' .0*.ne-..i.se. owns 25 percent o:' (flora of die equity interests of the legal entity listed above: !;:eOr;c.idir !It ar VS PeroNs. PCX AUrNe,": *7.7.* Orob-cla 1 foF pr3 Titr. :GSCXIAISOOleitt raill1001) 3;4441 t too ieah picutzawkei €3 oeo Cato(t,..., ti61 cie.t.u.ot• pat to 7!)E : ,*!131:11,13.1017 et, ,0 P: SOO'S 3.1.7;:! kOtitrP4 ,r n nttaia ,, lett Country efri gine rip lam vo:ndfration Card rumbe-_,:f 11.=Feritt !Ind c4uotry Or invonce eon/ totior oovenonoro-too.td do:aunt, : evtIontleg og on.r..tonce end Wintry, 4 chate.•,tr.wt:oe N1111+11 T.StepAci !avoid be ptlIntiv?5. el ro.r 4- 4-dicluointootsthio ocOrition. Ovate Mite' Hot Aotaitvole.1 d. The following information for uneindividual with significant responsibility for managing Me iegai entity listed abave• stmh as: • An executive 'Weer or senior manager €e.g., Chief Execufive Of Chief Financial Officar, Chief Operatin (Miter. Managing Member. General Partner, President, Vice President, Treasurer); or • Any other individual who regularly performs ShriiLIE functions. (If appropriate, an individual tiste.d under section (c) above [nay also be listed in this iectinn Horn. °al it of auIt Logy Anoreso rig U.S. FJfriars. For Non.U.S Perwor 7..tztaiSaturk, OSV fx,o,w i frtteitt,(3`4,0.,;.. K umber to Po.cce.,Pt" 4attiolig 7141 €aat 0 1414 . Pode:s,", reits.ae_ ' For 1:ko.US Micrebt- 1 .e.s.xb! 'Juin 41,3(4)r. +;c, 1.11,-.0:10tre !F.44HOC. ar ft. n ; dal!. - anti LIYm of tuna f oth 'm gent :muor F4. rle,..SN miintiet cot:dente sold !stone g a oltogi Alt Or • 4 ad p Alec. or (lacteal person opening the account) hereby certify, to the best of my tnowiedge, vlar. tho TI4tioll provided above complete and correct. ble..brafr! '.74I11; Titaltv:denVcreo (O00onati 201MOrtuoev Sono AG.' Al righ 1,941898tle 02$819.C61319 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0081121 CONFIDENTIAL SDNY_GM_00227305 EFTA01381915