Case File
efta-01376698DOJ Data Set 10OtherEFTA01376698
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01376698
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
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US PERSON CERTIFICATION
Please indicate below whether you (anent, are a.US person.
If you are not .0 VS person, please complete this Part A and continue to Pan C ant return signed,
completed copies of Pan A and Pan C to your DB representative If you are a US person, please
complete this Part A and continue to. Part .8 and return signed, completed copies of Part el and Pan 8
to your DR representative.
Capitalked terms not otherwise defined hereto have the meanings ascribed to them In the Glossary
which constitutes Pan 9 of me Swaps ProtocoL
Legal Name of Client Swap
Vehicle:
15KI
Client hereby represents (which representation is deemed repeated as of the time of
each Swap Transattion Event) that it reasonably believes that it'd= fall within one or
more of the US Person Categories or would otherwise be deemed to be a "US person"
based upon the relevant guidance in the. Interpretive Guidance. If you have checked
this box, please complete Part B bat do not complete. Part C.
CI
LL.C-
K
Client hereby represents (which representation is deemed repeated as of the time of
each Swap Transaction Event) that it reasonably/ believes that it does not' fall within
any of the US Person Categories and believes intood faith that it would mg otherwise
be deemed to be a "US person" based upon the relevant guidance in the nerpreiive
Guidance. If you have checked this box, please complete P
but do not
complete Part B.
Legal Name of Client Swap Vehicle:
12C
Authorized Signatory Signature:
Name:
Title:
YYlcumater-
lc)/ -21e1-
PART A —PAGE 2
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0073050
CONFIDENTIAL
SDNY_GM_00219234
EFTA01376698
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