Case File
efta-01379559DOJ Data Set 10OtherEFTA01379559
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01379559
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
IL Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide ti's following information:
a. i4ameand Title of Natural Person Opening Account:
1
7e.P4C1
‘-es'irett"
)
greS
h. Name of €eca! Entity,
of _ega€ Entity, and Address of Lena! Emitv ror wi!;;;
Acc
len ov4 7L,c, . I us1/4)% corpora-i-np.,
(at 00 X11 ‘60,44 oat, wvi
SAT tkous.c.c,
°Qv% °otos__
Tito fO)uring informed:in for each e'tdittitiai, if any, who, dlrectfir or indirectly. through ny contract, arrangommil.
unCierStendir.2. •••11,• . :;•1:hip or otherwise, owns 25 percent or more of the equity interest,' of the legal entity listed above:
Oper:sc.
nut •
"••7.
For US. Pile ;:S'
Scottat fieturt'y
Number
tow Nam-ti !>erwLt
rate tr. triett
tillareutivl•
to Spool titcuritt Numtoel
Lioc
ttsCatatAtri 83
3 71Tntol'e
/pet 53
S
at - itgatica Si (ZVI
ito OVO
Foi NurNitti Nola:a '.13Cdli0ri
A.X.;01Stettlit.: '4uintta W oPttisobt tiombe *no Cr:poolOf EtVaN7.1.
FYI 4tutibrMiun card onto. rwirdwr
WC:Won:pi Or if‘htsnct :A Ow otter enwrairiont4aspeeneszainarceacier.dna national of no's tante )sa bearing e photograph et stultit fliteguthd itumid
tat r Taloa
pl a, outtnittuattlleift VW: defilUtin. gamte fratt't '140t
d. The following information for one individual with significant responsibility for managing the legai entity listed atcwe.
such as:
• AN executfve officer or senior manager te4., Chic! Executive (3fficer. Chief Finenr.ial Officer, Chief Operating Rater,
Managino Member, General Partner. President, Vice President, Treesurerk ur
• Any
INtiVelttSi 'Irk) fetviarly tvittyrns Sinsiar functions.
(If appropriate, an individual listed under section (c) above may also tat listed in this section (d)).
flare
TeCcii
Efc+e,
•
For N e.:).J. Nottaut at...tirto it; h
rsi StICalit? NittILMf tV J PAS! tituniatut.iiN Coot:tact tuttartto
Aon Le-totatntIns wind tounGa.ta tartar
and toot& ott ismmore of 3,Ic mho ottretomontookato slap:tour: mat:trying pottwalitv iv repel:ma 'it'd inratmg a photatanab or:imam tatomata ur.o.rld
be tacottletl.
a'ait, of aw:r!
t..,crgAocritst:
ti s--3
tal,„
Foe t).S. trains. ;tut atom U.S. Po
. rstur
-5,041M &t ram'',
Sale funbette 2 fru riporttNm-
Number
toScasoal ranuta, •••ain,bN)
ifrk
_No(an
natural person opening th • account), hereby Certilla to the bast of
knowetigelthat the
lorra hove s3 cc•Tlete and enema.
Saglatote
Lego in$iy tcluntitaw(OptinaC
2018 OmitElbe earn
I biler.la). ink:IWO) Ofete.eatase
alas Jag
Dore
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0077152
SDNY GM_00223336
CONFIDENTIAL
EFTA01379559
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