Case File
efta-01379161DOJ Data Set 10OtherEFTA01379161
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01379161
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
EFTA DisclosureText 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 Tale of Naha ai Pelson adenine. ccotra.
StA,e- kkte %AAA, -tv
b. Name of t.egal EMity. Type o...1 Legal Entity, end Addiess of Lega: fiNlty *ex What the Accorait is Being Opened:
L C.
LA-L.
lc.tt-tA (colt, t. 41
(.0 k OO 'act? Pac;olz. 0.).,
a2
LaSV1 °et
c. The folkming inferm-ation for each indsridual, if any, who. directly or ind€rectly, thro;x3n any et,ntracr. 3rrangemeat.
understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the regal entity fisted above:
f..5enC
Da» akes
i Sew, g;!;.r tc
'dr VS Pidtorie
tire isorse,$ Ptcroft;
Sala
fOt+tnGe I
!miacNr Se.tifflt 4JIYItet:
TaCP.-.1 C. ,stri..,
6t 00 euk Woo
IWA3
-Uttaslo•-atii US
OCIEM
A' X n‘si.LIS
n aldrt it to :t oeni Sttv...ncr itnt;xf AI 4 ,:.:4f1470
2..iti•COOr.,sy rc I.stAratit. An $hr bernkanag, raid ounesst
*voter
env re of
narJo or am, oche gorworieciriissuel dons/sem osiomaide nanarehlii or irodeenos me hears ig sr Owns,
ignilifr dal sow,' Monde:
i* DICSulffi.
ro iridreorat rtere los 014014011. ONEY'Vtf!tf)"4014.7.)Ist..360.1
0. The toikming Information for one Individual with significant responsibility for managing the legal entity listed above,
such as:
• An executi•to officer or sergor menage: kg.. Chief Exc-mtive Officer. Chief Financiai Officer. Chief Operating °from.
Managing Member, General Partner. President. Vice President. Treasurer); or
• Any other Mdividual who regularly performs sk.,Ilar functiona
pf appropriate, an individual listed Mid( Section (O Mauve may also be listed in this section (d)).
:diatii of birth
tow' Aire ein
U-SCuel E. Etch.,
S.,.
i44::tr3
32—
kid V S. ikirsofte: rn,
kritrkteti.x ioriarni.”
I:urea*.
Seidel S euf ito
reressolLS,Pdederrs.
asiddiorl to a aril Sessuli s. Plumber Or ; DZSWOet .tt -giber 'SIT C,:xinify
rosiinew.
irsesseoaros
waiber
cocifdr; of iThlthlre06
arr; orAvs
nine t4 .141 ore doedineri *sides:ere nismodiste or eaten's:fad Writhe . 00400140H 04 renter Jaltgius d avoid
eU froyirsod.
(name of natural person opening the account), hereby terrify. to tne heat of
v._
:omplete and trATer.t.
Siotoesr
—
teed Cents Monied( iOrderdri
..;, 2928
Wars AL.:. Fa ope*rer.er,re Ws.41ef.46d eld31)051Sla
etc
ir
0„,
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0076476
CONFIDENTIAL
SDNY_GM_00222660
EFTA01379161
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