EFTA Document EFTA01356720

KYC Print Page 6 of 2) OROsheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details or all parties) Individual's Name: Eric S Meyer - Date of Birth. Country of Residence. United States Country of Otizersh o in leo Saes Address of primary residence- Newton MA 02458.2522 United States Has client resdeo oo:sse of his/her country of nationality for 5 years or more? O Yes J No Professoni Occupation. Finance Tax ID; ESN Curr