Case File
efta-01381085DOJ Data Set 10OtherEFTA01381085
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01381085
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
U. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information:
a. Navne and Title It Natural Person Opening Account:
.3-e-Wqrc•-f fs‘ År•et," i Panic iå -ea..-* b. Name, ot Legal Entity. 'Tiffin of Leg?! Ent4r. ancl AC-dmss OY Lcgal Entity foi kArr..•;Chi the Account iS Being Opened:
TEGE.
c..
‘be(
rn
(ot Or-) lamb kAticA.c.
.4-t sr, 83
"1/41".e.m...O.c t os,„It tØ"2_ fo”owino information for ea0h indivsduak. if any. who. direeey or Mdirectly. through arrf c.oritsr.f. arrarigerner:t
ur...lerw.te•5. •c •,,ir•f".;r•Of Op or otherwise. owns 25percent or more of Ehe equity interests& Me legal entity lieted above:
r
5.:fins
For i n.U.S.Por....”fr s..,x.o;Sorofc,
: 1,?SsfaeXifi.lutrM secti itl:7,;/alitnt eXJ,
C>lt:(O eat k4...105)..).trier, 93
6 -‘zlick,1
/4 qud C3 u.a
) °cut 00loa.
"POI f%rol.f.S.torocm. no"thzinf..).)^:ittIti
"lunibef C. PI AJOVOIT .•ttr'nbevtitilerWIltl'r of ;Para
ItiMIXFX-1;iCM cord roonba. ar frimtor af4 COUIII, of Broom:4c( mrf :sow tiov~nenWstind d"rument evid!firdf; IMUOMabIr a MIELkIel/OIMXIMIMIIIQ,11Xfmogript; or tinttar '3)Mrpinl sbatiltS
(If no a'W4dual mi/St nila iulirttcr.. cane m;!. 'No! Appotobk•
:1. The following Information for one Individual with significant responsibility for managing the legal entity listed 31.11.%fe,
i;t1O1 3B.
• An (fl
.C,ItiV5 officer or serCor manager (e.g., Chief Executive Offictn. Chief Financial Officer. Chie€ Operating, Officer.
fvlanagin(f M9Mb-ail Gene4 Partner, President, Vice President, Treasurer): or
• Ar,,, other ;ndividua who regularly pmfornmSettlar 'uncut-x:3,
(II appropriate. an individual listed tender secttn (*above may also be fisted in this section (d».
:
ti'31uh tvi ttacric-Is
1err.14 esa-
FM! LE S. ;MXMIf:...
R$I itraz”::
;SC! tstirfion, 1 iro. pitnanues
%titntp,t
IQ Sor.I.O Secono;
g
r
rtr.s‘n
;:* A'AdiQt": to a 'SAY:.94:=
NXiIMM ,tgbCr,-,mirt sif
Mi~iIbeinfermcir twk, itIrobetanung:+tr arcl CMIIIIre bauxite nt any oetti ‘g.).ftin'enl..1'11tPX1MKIXIIC/X I.¥1,3eM:stlj WM:Milky 4f .1.0XXI(r.X•Ilt`II MNIIII% a IIIVX09(.5h
minas aAtaµnro .houl!
Of:
.-----(ttar a of natural person opening the account). hereby certify. to the best of
Knot: ed
`provided
..
Nhn,re c.triplete and cfri^a..:t.
Logoi ffnotytconffecf (ipoorob t ft
4,‘ 2Oai EiN:t;,,,,,..nse.A. AO. Ad s
WAll 466'6 fr16fsfii Ott i 31.9
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0079832
CONFIDENTIAL
SDNY_GM_00226016
EFTA01381085
Forum Discussions
This document was digitized, indexed, and cross-referenced with 1,400+ persons in the Epstein files. 100% free, ad-free, and independent.
Annotations powered by Hypothesis. Select any text on this page to annotate or highlight it.