EFTA Document EFTA01381925

II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. Name and Title of Natural N•O5Oi'i Opening Anommt . 4_ b. flan-) I !.; Type of Legal Entity, i.nriAddress et Legal Entity for Which the Accaum iS ReingOpenexj, Wc.Z-e-s.s cov1/4.2. LAA. -1--.±1 GiAuwirio-ort 5 -7 S - LeicA: AA.% rekvei.A....tti `Ark FL ) 11 1/4?-3) C. .r1w. fdlawcno informatitin each individual. if test:. who. ti tett iy or indi