Case File
efta-01381092DOJ Data Set 10OtherEFTA01381092
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01381092
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
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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 AfZ'oufir.
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Cl"&Chj it Name of. I a M Ent;t7.
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IrSectly, through any cogit! act. arrangement.
.,nuerstanang, relation ship Or "ther..vise.. owns 25 ourc:ent nr rtinise of the equity' interests of the legal entity listed above'
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f If no iii vievai net. n :no Ckltiitli<Ift. fl ns,,wr.0 •>Åi AnfiCatbkt.
cl. The following information kit one indrvidual with significant responsibility for managing the legal entity listed above,
such as:
• An ex.eartnce ofhcer or senior manager lag, Chief Executive Officer, Ch€ef Financial Officer, Chat Opeating Officer,
Managing Member; General Partner, President, Vice President, Treasurer or
• Any otter i',dividual who reguiady perfoins surbisn functions.
(If appropriate, an individual listed untie section (c) above may also be listed in this section
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Paupcit Nvent.eri:ilf.f..1.o.., :v0f !slum:cairn rast f. ',tab?!
arti Mttf''r, ,Pt,,anr," Of !lily Otter genef:enn etrel•i%14.)6 drrCmnitY cnineneirk)nrAtonsliwte toarau.<": min Diann; n ~turn mph rx tanAdt lesdN'iled irtlnW
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&tans:nit t..ey,ICntitt, ~Wow fr..4..hon.-:
fer ± 's complete aivi (note .
(name of natural ptf6Cni opening rMr le account), no( E certify, to the best of
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S.2018 Ciaatielie Sur.P. AO. AO ri.)1+ts riner,.+W. ?Ali SMOG 070619 0.51812
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0079839
CONFIDENTIAL
PROT1
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