Case File
efta-01379558DOJ Data Set 10OtherEFTA01379558
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01379558
Pages
1
Persons
0
Integrity
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nowledge
Legg
'teniter re9000ali
II. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information:
a. Nacre aid Title of Natural Person Opening Account.
Te
c'e% tA
Scic. kscu,L.C;st-e fcx Which the Account is Being Opened.
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0 08 0.1.c. The foilowing information for each indreidual, if any, who. directly or indireotiy.
understanding, relationship or otherwise, Owns 25 percent or more of the eoul
through any r;ontract, a rnangarnent,
N interests of the legal entity listed above:
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t ,, %on.U.S, hamns:
;FA.. hintrete glesregivrs.
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6 (0o ea t-l€otf au. , Ler
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ot
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bin ,rd axon!): of :stuancd at any deer livernrotreArneci itxtmiteil tetreftnclri; 0.10010110i a retiklance and Witting 0 Pl,', 00,00,1/400101ilv 1.4f41-4/ ‘ 040A,
Woo zr0Niciolowettl th4 ca.goat90. OtPatt ritl, ket
11, The following informdtion for one individual with significant responsibility for n ',merino the legal entity listed above.
such as:
• An e.Xecutivo officer or senior manager fe,g., Chief Executive Officer. Chef Financial Officer, :Thlef Operating Offiter.
Managing Member, General Partner, President, vice President, Treasurea or
• Any Other old;VidUai kyho regularly performs similar functions.
f If appropriate, an individual listed under section foi above may also be listed in this section ld)).
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Fla Ci00-0 S 0£1111e:1 e! ,111:21ii1.110 a Sector Spoarty...,0;c0O0r or s .1.3110X)0 kuirlX4*tillt.ourt.) of ?LT,/
tan§ ountee. 0:00.00.00t n0c, -,40:0;rf nr .3.0:".0 a oni ntht, gerof
elocumol,t r.r.for<004; issuraliry e. tosidom..0 600 Ite%0110 a 1.1hOttir .101, :or
tar iejar4
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(name of natural person opening the accounti, hereby certify. to the best of
Ja,..-41ed-etti5rs co Iplate and correct
LpIchr
.Ni itsthe earl- AG. Al ogr0s teaento.
0M:9.051_1M
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0077151
CONFIDENTIAL
SDNY_GM_00223335
EFTA01379558
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