EFTA01379156

U. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. Name and Title or Natural Person Conning Account; ‘ A- -t e b. Name ot Legal EntitY. 1.ekn Cif Lapel Enntr. ane? AC-dtcsa ol* Legal 5.ntity sG. vdt..•iell the Aotount it? Being Opened: Pere isQ-e-pe-* TE , . ‘be. I 0,..›are_ ,.,› rot to Q. titokh -e 83 S4-- 'Ste C t OS•3t C. T. fo»wing information for each indiint uak. if any. wh0. direeey a, li I : or tbrough am( c.critroct arrangement understanding, relationship or otherwise. owns 25 percent or more of the equity interests al Me lagis entity Iiistee above: `:'c .-: eich ;.co.!r,;;;:.:::, , c,;! U.> riPasait : For i ii.U.S. beozna ‘iiaistsinie, €.$4.? k....~4 I Irt"f fitMc2thti . Noe is Social Se:alie ,:umbei 1 "3-412rni (MX) tat k4.*Å0S)..).trIer, 03 s ) t.X u t OO1Oa. "Pee r%n.1J.S.terenm. erea&taan in a Sateen :ktz.ney nbekbef C lanoPpoin .'eamabee Dili, enenti a Of ;tiara MItsCSI owl ;apnea. el' reenter and COUIII, of Bastian:* cf mrf :sin« tauekneneneatoad dnrument evelnneepe Neuman:yet MOILIOOPOIOOd DiMMIQ,I.plyntogript; or MIMS& 'Aligratil WatiltS (If net ~deaf meet CMIHMKIO. panne MOP ~ask? a. Tire following Information for one Individual with significant responsibility tot managing the legal entity liSted 31.11.%fe, altich 3$ • An exisentka officer or senor inanaper (e.g.. Chief Ever-Wive Offil:ee!. Chief Financial Oftkei: Chief Operating (fiffg:ei: Managing Merilkall Generki Partner, President, Vice President, Treasurer): or • Arc other indivichte, who regularly perform; ',0i17; twvzii(x1a. (II appropriate. an individual listed tender aecttn (*above may also be listed in this section (d». : Dete nr3le:h ti ,acecietas "Tet:rr.14 !>c) %C. Few LI. S. ;),,!ser:. ‘:;nt Nee- .t...znal 54:ne!:: (St ensernke 1 ia neerr.nnees atentanc .Setke Secunte lurnbee. rt•IMIn. Ifl ar:0{i0r: POO NOOMM NOIOMM .yobCr,-,mict '3MOOIIIt, t -ainiabnior ram i=zolivi. a rairetin At1 MOOT!". Of baffle» nf any oek IMOMIlliky ..MOOM:0 noel OfffillIg I %Mk...army:4. senenr aafeµ'nd ahnele eekeekt. -----(trar a of natural person opening the account). hereby certify. to the best of snowied ouiderf Ni)InVe. is L.-mole:a end ctrl %; Untal ansty oiinsein (ieneraii t ft 4,‘ Rini AO. Ad s f61,4n,o(f. :gbliags36 41D61Ø0.41319 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0076471 CONFIDENTIAL SDNY_GM_00222655 EFTA01379156