Case File
efta-01381093DOJ Data Set 10OtherEFTA01381093
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01381093
Pages
1
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0
Integrity
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legal Entan Ovidillier few. tlins7
II. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following inforrnaton:
a. Name and This of. NaIurei Person Opening Account:
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b. Name otl-
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iyue r,f Lif2t2i Entict. and Address of Legal Entrzy for Which the Ac-etkin°
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c. The fegov,ring information Ior e3ch
II any eMo. directly or indirectly •.l'nuuein any contract} arrangement'
trneferstand!ng, neationship or otherwise, owns 25 percent or Incite of the equity interests of the legal entity listed abc....e..
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; citdd
anti ceantni or iiidasixd, M srw wily gewidutientiissunficx•un.ane udnencidia nyonallt•r as fealcano• antl namesp itodatagointi nr ~ay nlit5adid
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d. The following information for one individual with significant responsibility for managing the legal entity listed above,
such ea:
• An L-)icectitive of hoer or senior 'reneger (e.g.. Chief Execuise Officer, Chief Financial Officer. Liti Operating ()firer.
Managing fviember, Ganere! Partner, Presidam. Vice President. Treasurer): or
• Any Ør
individual who regularly caticarna tdrrtilar functions.
(It appropriate, an individual listed under section (c) above may also be fisted in this section (d)).
Data ai Nith
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uel s4es. .,Aziemittv; tn
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and enteido of &wards of any Willi et.&err mew -It, uto
rawnalitv a fil.5 1,1,Nb and CNI84,9 b Pnr.apr.gn or stolid 1pfitauad should
bt piciddc.
Ile info
ation
name of natural persen opening the account). hereby coital,:
the gest of
is Gr.molars and crxrett.
▪ 2014 !:/oluddi> Bank AO. All d!;119 rider .,nis '1.'l.1190e4S tr2SaiROSiSIS
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0079840
CONFIDENTIAL
SDNY_GM_00226024
EFTA01381093
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