EFTA Document EFTA01387996

One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all parties) Individual's Name: Richard D. Kahn • Date of Birth Country of Residence' United States Country of afar sh 0 Unteo Saes Address of primary residence- Has client resdeo ootsioe of hiS/her country of nationality for 5 years or more? 0 yes ,V. No Profession, Occupation. Accountant Tax ID: SSN Current Employer: HBRK Associates, Inc Position Title.