Case File
efta-01375528DOJ Data Set 10OtherEFTA01375528
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01375528
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
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 Person Opening Account:
ccLA
fr,iN
b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account i Being Opened:
Sothinenn 770,1,4 Cow-eat/14 ,
•
too et_ct bk-coVt>104,405 eaa
SAT- • Tknetbso$ ..) 1/4,21 S\) k
.8 0
c. The following information for each individual. if any, who, directly or indirectly, through any contract, arrangement.
uncerstanding. relationship or otherwise, owns 25 percent or more of the equity interests of the legal entity fisted above:
I
e
Owe of Beth
I :egai:4:dsess
Fm US. Parsons:
Social Security
Nome/
Far Non-J.S. Persons:
l (Sao footnote I for alternatives
to Saint Saosity Ntsvbet)
. r e
1 evskt,
• Ft
•
to o I s3
G.,‘ co Rea tkact<e•-"{r-v/ 83
,s4.-n,c.,...sJ , 1/41,1/4)l 0081)).
I
-
'Ear Non-U.S. Persons, in addition to a Social Security Number or a Passport Number with Country ot Issuance. an alien idmttilr.ation card nut. W number
and Minty of iS0u4nCe 0f any othcr government-issued document evicencmg nationality cc residence ono bearing a DOotograpn or similar
,
safeguam stipule
be orovietd.
(if no individual meats this definition. plum* write "NOI. AO:Sir-OW.1
d. The following information for one individual with significant responsibility for managing the legal entity listed above,
such as:
• An executive officer or senior manager (e.g., Chief Executive Officer, Chief Financial Officer, Chief Operating Officer.
Managing Member, General Partner, President, Vice President Treasurer): or
• Any other individual who regularly performs similar functions.
(If appropriate, an individual listed under section (c) above may also be listed in this section (d)).
I Name
Elannew,
°Moil:Soh
I Legal Address
SedilSocurdy
(See foOtnOte I for akernativesl
For U.S. .:twos: Fix NomU.S. Persons:
Number
to Social Security Number)
I
FOr Non-U.S. Parsons, In addition to a Social Security Number or a Passpoel Number •.v
Country of Issuance. an alien idettif cation care number, or railellair
and ceracry of issuance of any other governinant-issued document evidencing funintlali:yJe reicaulce and Ooring a photograph or simaar safeguard shoran
be pf..1V1000
a
V.
X.14
(name of natural person opening the account), hereby certify, to the best of
my knowledge, that the information provided above is complete and correct.
Signature
Legal Entity Identifier (Optional)
nature V rif
,
W
-.
Name (Print):
47/b
Kirin
VP
r.2018 Deutsche Sank AG. All rights reserved. WI4139666 026819.0SISIS
e:511ILA
•
ILI-e- eon4 nneci
9-77 ?fi
-0 OM Corn-4A "Reso/vdion-
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0071033
SDNY_GM_00217217
EFTA01375528
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