EFTA01370957.pdf

II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must Provide the following informatio.e: Vt. ) u...5 VW. tr 431-4-C- 1- frutle-cseci....1. A.4'4 Vi C-• 1-ect bnVo-tlit4e‘AQ.R.,%4Pc'tS..., ta•ruy rJ Y t Den ?Ala tireeeter; •re;r:r,... re. '• I perCeOt CD' more .rif • .rets.nt i+-T.Lat 14 a k fr 7S- Lcs sL .1 eh". PL. y I 00 1.1_ :"St .• : ' • : .re" ir.• C.3.z."-. s r..94 :a • '• 0•.:Ka.,:•:. Z.. " t ne fc4 creng mcfrnick.r. ftx rate rneff.ii0u3: ?AO' ..:30.r..C.IntreSiJefletb;:ir.y 1. Tut f ; tech as' • A,' e'Ettried off!um , en:01 InannYer Esecut:ve Office!. Ceiei I:Pat:cis: Or" Set A;Wagill", %;erlikk'r t's*nroa: Pa; me!. Preekkm. v.;:tt PreSlient, Fr:NI:WW1: Ctr • itre Other ria4utrai Who regaiany pi:dorms similar ture:NW-3. 3it.pe".•NI W-43. Arn 11:13.•:03.1iii:*!!;ELler 3n:nlied! (e;} Above way oir ,amati aar." . ‘• v Isarseg-Tailf- Sas AiDoLLe- 7: 414""f r, "t :.r: ., a ,.tiara./ T.:N:0704%n. ifsatii, :n ie.: mar:- n in.", • ." ix. Lair..4a.-1 I. •barlf -csr.44,.- .:Enhalhi of ratural rier3ern /t9Wira the 45.7:-//us• V. ' , el et", •-•••:' .13 cotopi t" and scree.: el l kir /i Si natui l/ 6irr74c , • / Nance (Print): ytfe: V L' Date: .5g-saute Cri.Art7 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0064061 CONFIDENTIAL SDNY_GM_00210245 EFTA01370957