Case File
efta-01379562DOJ Data Set 10OtherEFTA01379562
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01379562
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 the followng information:
a. Name and Title of Natural Peron Opening Account:
Te.fg.,...r
etj.
for Wrdch
Agy.,ount is 8t3a.2 or.,_tmed,
AL,
Coto° Iga 4 go oV.Qty
eg
s.k•
j US°
c. Tivt.rt foilowin4) ;El kin r1".0.;0ri IC.) each individual. if any, who, directie ot indirectly. t rough any contact, aortnoent t.
understanding, toiattonshli) ot otherHttse owns 25 percent or more of the equity interests of the legal entity listed above;
tuns?
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vs
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ås
isk-11-4.sil.Sit OO U.51.,
gor
:. For itor•US.
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StiOta
' For !too.
Pet1Orn.
t'u
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ct
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ketrnkiWe CM, Nallb" ionnotii
eCtirlfy
Ism/ante of arc)
).or gou•Inmenoitotion ik.oltoeri eFideiloin? inns:mow/a, nnol000ti•oo booing rdoxennipt ot Sdnilar oisfa-votr3 bagel
LICAndiel
al r!).ndmatol n•biln, got atlirlitt)n. 1:1•11:13Kera
d. The following information for one indiViduat with significant rasponsibili for managing the legal entity listed above,
such as:
• An eve—tvtiye officer or senar manager (e.g., Cn;et Evectoitre Weer, Chief Financier. Officer. Chief Operating Officer.
Managing Member. General Partnet. President, Vice Presicit
. Treasurer): or
ri Any other extividual who regularly pet-kepis smiler fun :tiara
(If appropliate. an individual listed under section (c) above may also be listed in this section (d».
: Nave
thfsh.».‘
b.))* oi &In
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g3t NOr • US. ,,eaLtst
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`tonne.)
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• r0:
P^. tr,OF.
sifea'iori tot, SOCMI St1/4:311V1/4 1~ rig d paas,„-mt) %robe wit?: Cociony
moo
, . mor
"or:3),mi
qntl noion't of hunoot of or:taint; ivrtionmooati,:rn Otou.inont
omit:oak,' tst IFS<det*C".C411,, Jfing A PN"Mtilat.',
nitiCSFi'd
he otairit
Lego; &tort iiicorityr (Opoonot)
rat person opening the account). neteby ()Citify. )3 rile bast or
e and correct.
n201,3 Citie.olie Flunk AO. Ao eigi+t:• Pentet). W)A 1.91,P3Cre: )2‘3315.OStata
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e)
DB-SDNY-0077155
SDNY_GM_00223339
CONFIDENTIAL
EFTA01379562
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