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efta-01376698DOJ Data Set 10Other

EFTA01376698

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Unknown
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DOJ Data Set 10
Reference
efta-01376698
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1
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
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: Date: 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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