EFTA01379559.pdf

IL Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide ti's following information: a. i4ameand Title of Natural Person Opening Account: 1 7e.P4C1 ‘-es'irett" ) greS h. Name of €eca! Entity, of _ega€ Entity, and Address of Lena! Emitv ror wi!;;; Acc Oper:sc. len ov4 7L,c, . I us14/)% corpora-i-np., (at 00 X11 ‘60,44 oat, wvi SAT tkous.c.c, °Qv% °otos__ Tito fO)uring informed:in for each e'tdittitiai, if any, who, dlrectfir or indirectly. through ny contract, arrangommil. unCierStendir.2. •••11,• .:;•1:hip or otherwise, owns 25 percent or more of the equity interest,' of the legal entity listed above: nut • "••7. For US. Pile ;:S' tow Nam-ti !>erwLt Scottat fieturt'y rate tr. triett tillareutivl• Number to Spool titcuritt Numtoel Lioc ttsCatatAtr i 83 3 71Tntol'e /pet 53 S at - itgatica Si (ZVI ito OVO Foi NurNitti Nola:a '.13Cdli0ri A.X.;01Stettlit.: '4uintta W oPttisobt tiombe *no Cr:poolOf EtVaN7.1. FYI 4tutibrMiun card onto. rwirdwr WC:Won:pi Or if‘htsnct :A Ow otter enwrairiont4aspeeneszainarceacier.dna national of no's tante )sa bearing e photograph et stultit fliteguthd itumid tat r Taloa pl a, outtnittuattlleift VW: defilUtin. gamte fratt't '140t d. The following information for one individual with significant responsibility for managing the legai entity listed atcwe. such as: • AN executfve officer or senior manager te4., Chic! Executive (3fficer. Chief Finenr.ial Officer, Chief Operating Rater, Managino Member, General Partner. President, Vice President, Treesurerk ur • Any INtiVelttSi 'Irk) fetviarly tvittyrns Sinsiar functions. (If appropriate, an individual listed under section (c) above may also tat listed in this section (d)). flare a'ait, of aw:r! t..,crgAocritst: Foe t).S. trains. ;tut atomU.S. Po . rstur -5,041M &tram'', Sale funbette 2 fru riporttNm- Number toScasoal ranuta, •••ain,bN) TeCcii Efc+e, ti s--3 tal,„ • For N e.:).J. Nottaut at...tirto it; h rsi StICalit? NittILMf tV JPAS! tituniatut.iiN Coot:tact tuttartto Aon Le-totatntIns wind tounGa.ta tartar and toot& ott ismmore of 3,Ic mho ottretomontookato slap:tour: mat:trying pottwalitv iv repel:ma 'it'd inratmg a photatanab or:imam tatomata ur.o.rld be tacottletl. ifrk _No(an natural person opening th • account), hereby Certilla to the bast of knowetigelthat the lorra hove s3 cc•Tlete and enema. Saglatote Dore alas Jag Lego in$iy tcluntitaw(OptinaC 2018 OmitElbe earn Ibiler.la). ink:IWO) Ofete.eatase CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0077152 CONFIDENTIAL SDNY GM_00223336 EFTA01379559