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Case File
efta-01379165DOJ Data Set 10Other

EFTA01379165

Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01379165
Pages
1
Persons
0
Integrity

Extracted Text (OCR)

EFTA Disclosure
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 b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account is Being Opened: c. The following information for each individual, if any, who, directly or indirect€y, through any contract, arrangement, understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the legal entity listed above: Name Oate of Birth legal Address For V.S. Persons: Social Security Number For Non-U.S. PereJOE (See footnote I for alternatives to Social Security Number) For Non-US. Persons, in ereditcon to a Social Security Number or a Passport Number with Country of Issuanot an alien identification card number, or number and country of issuance of any other government-issued document ewJencing nationality or residence and bearing a photograph of sink', safeguard should be provided. (If no individual meets this definition please write "Not Applicable') 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)). Name Date of Birth legal Address For U.S. Persons: I For Non-U.S. Persons: Social Security (Set footnote I for imernattves Number to Social Security Number) • For Non-US. Persons, in addition to a Social Security Number or a Passport Number with Country of Issuance. an alien identification card number. or number and country of issuance of anyOther gOvernrnent-IsSued*DCument thidencIng nationality or resloence and bearing a photograph or similar safeguard should be provided. (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 Date Legal Entity Identifier (Optional) e 2018 Deutsche Ban( AO. All rights received. WM189666 026819.0.5101S CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL SDNY_GM_00222669 DB-SDNY-0076485 EFTA01379165

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