📄 Extracted Text (459 words)
P.013/013
MAR-06-2007(TUE) 16:33
ACCOUNT ti
C. CLIeNT i EIENEFICIAL OWNER I AUTHORIZFD PARTIP‘
ThIS information mult be filled out for EACH Individual. Please uffe a separate page for 0ach Individual.
Fur US Individual.. Nu documentation toquired al itecount opotting. A copy ol a drivers konas or Diller valid. govemment-isSuod parre ID may he
tura fer vandtalon PUrPOSei opal rank,» of me ~unt.
For Non-us IndIvIduals. and lor an Mon41.9„, Bonerlicial Ownen of PIV AcCounts: Please ansar lo lins forn a copy ol a valid, gOvornmentKisued
Deltif0 ID liVideflplig nationality lor PACh Individual. The documernationmum 00 Pre 0091lo kocoorn °Pensle-
For Non-U.S. PIV Accounts: Please ottoch 1s and Signaturo Page al organdaten document ond pages showing ownership ol uw »city.
For Hode* Funds, runda and Non-Prolles sen Page 6 for rmaructiord
For Trading Authority Power of Attomoy i investment Advlsor only <median% I. la. 10, 18 and 19 are regulred.
For Principal I Dimt« f Dekor only omsuten. 1. la. la le and 19 are rdquirod.
1. Nome of Individuel (Fint Midt», Last Nome) (or Entlty Nano) la. Type of Ctiontatneficial OwnorlAultionzod Party:
1-`4ZIJUltkr.74
ZI1L( :? f feal pit: Ett25"rn+IN gr‘
2. Has an Account for Is Indivklualtmern cstablisInd sin»0(01103
1 7 Ø • No
, L.. ) n
II Vas, list Account Numbors:
3. Date of elab: 5. SSWrait ID Nome»Mott
( ok» for US Cilitans)
4. la the Individual a US Clthen? DNo 5a. If ax s not sva lebln.
Pantsett NoJAIlim Reg. NO.Mtlwr Val Eforitersued ID No.
II no. Country el attconship:
5b. Type ot ID, H not Panpott er Agen Reg. Card:
6. Home Addross: 7. Homo Malling Addrimis:
i co ir-a lassalLGI4e. 6 -3
(ip
Sloiliet{—
S- Trt-a 6...as • 14/)514/5 l 6 C3933-•
8. Horn* Phon* 9.
10. Principal Buslnoss Adams: 11.17 nipsl Bealnews)
12. Em t Status: 13. Madtal Status: &ICLIMitmeci
ir
mPieYee OSell-EmP40Yee DunemPtaYed
Nam.: r....... ,..Q.(77Ric _
( atti., e_ 13a. if marif01:1. Spinne', Occupation:
Employees
Member Finn? &re Otto t i
Oceupedon: RnAL~ Cartajr) (.44.44449-
14. Estl Nat Wolth: (US $t ØftiM
4- 15. Annual hitom.: (US SI ei. . ;_........,.,....-•-""
la So es of Wca»: 17. Seeren of Aun on Dopoelt
Empbyrnent Dkihwitance vostmord nEml:gayrnent DInhericanc0
LJOM». DOtNtr, Øgt:
18. Is Individual turrenn./ or fortnewly Ill Foran Politi»! Figur*, an »media romfly Member Or • Known Clou Awsoctate7
NO.
Ye Please contma Compdanco Officer and Anlialonay Loundedng Draup n Vie Legal Dept. betaro conductec fl øing ~y.
19 la a Citizensnip. or Address associated with this imcount homa country included In the High Risk List?
No.
C YIRL Please conlad C.omptranco Odar and And-Money aundannti_Group in bo Legal Dept. »lom conducling_trading aceinly.
NCVI Mel Ener, v052704 Pag') 1 of
Confidential Treatment Requested by JPM-SDNY-00002586
JPMorgan Chase
CONFIDENTIAL SDNY_GM_00271784
EFTA01480427
ℹ️ Document Details
SHA-256
d644c00d4c867ace42c119d6927365790f0c1ab15b57d8812128520d290ba019
Bates Number
EFTA01480427
Dataset
DataSet-10
Document Type
document
Pages
1
Comments 0