Case File
efta-01381088DOJ Data Set 10OtherEFTA01381088
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01381088
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
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II, Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide ti's following information:
a. Name and Title of Natural Person Opening Account:
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h. Name of €oge! Entity, itp0 of Legs! EntAy, and Address0i r..0031 Enrlty Ny
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Tile foRoenot information for each mdi rluai, if atty. veflu, directh or indirectly. &trough ely contract. strangemmt.
understandin), r.?!ark)ntlhin or orlrere.ise. ;owns 25 percent or more of the equity interests of the legal entity listed above:
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Number
to SMial SiCildt!iNorotrrel
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AppCoabro. :,
d. The) following information for one individual with significant responsibility for rnanaging the legal entity listed above.
such as:
• An exervthe officer or sen)or manager
Chia! Executive (3fficer. Chief Financial Officer, Chief Operating Otticar,
Managino Member, General Partner. President, Vice President, Treasurerk or
"
Vrher regbiorlY !Vann?: sinsilar functions.
(If appropriate, an individual listed under section (c) above may also tat listed in this sootier! KI)).
Nano
:ON,' or Sir:r!
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number
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be prMided.
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.ratuf(11 person opening th • account), hereby certify. to the bast of
y snowiedgeltlstt the
!tVraliove 's cc )pletiand correct
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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0079835
CONFIDENTIAL
SDNY_GM_00226019
EFTA01381088
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