EFTA Document EFTA01345200

KYC Print Page 7 of 19 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details ;for all parties) Individual's Name: Harry Behar Date of Birth: Country of Residence. USA Country of Citizenship: USA Address of pnmary residence- Has client resided outside of his/her country of nationality for 5 years or Oyes :V. No more? Profession' Occupat ion: Accountant Tax ID: ESN Current Employer: HBRK Associates, Inc Position.