Case File
efta-01379563DOJ Data Set 10OtherEFTA01379563
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Unknown
Source
DOJ Data Set 10
Reference
efta-01379563
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1
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0
Integrity
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II. Certification of beneficial owner(s)
Persons opening an account on Oohed of a legal entity must provide the following information:
a. Name and Title of Nature; Person Opening ACCOurit:
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‘-filS4lt NV.7% ) e artea&ogt.,,r— b. l'43ine Or l.." ild Enthy. .ri.n, Ol i.aga: Entity, and Qtiii:;ss ,-ii i 9,..;ai Entity fes Wnich lt 9 ketiticit iS Being Opened.
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21t ineny or irSectly, wire,u9h any cembact . arrangement .
,.inCeraZar.(W19, relationship x ”theriMse. owns 25 ourtent or rtinise of the «why interests of the legal entity listed above•
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s.rnisesurity tsae ton:~ fry. tie:Tisives
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ni-ivinociz.i.
%If na ii vievai net. n :no Ckitiiiii<Ift. D5C&S.rer.10 1 01
cl. The following information kit one indrvidual with significant responsibility for managing the legal entity listed above,
such as:
• An exwarthre officer or senior manager lag, Chief Executive Officer, Chlei Financial Officer, C.,l'Unt Operatint; (3ff:car,
Managing Member, General Partner, President, Vice President, Treasurerr or
• Any otter individual who regularly perfoins siin ar functions.
(If appropriate, an individual listed untie? section (c) above may also be listed in this section
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's complete am:l COnfit .
(name of natural peril.On opening t le account), neveby
certify, to the bast of
2018 Dams:lie Nitril: AO. AO di)lits rineri.,,d. ?Ali %WC 070619 0.518.1S
co 1 5-1 t$
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0077156
CONFIDENTIAL
SDNY_GM_00223340
EFTA01379563
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