Case File
efta-01381125DOJ Data Set 10OtherEFTA01381125
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01381125
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
II. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information:
a. Name and Title of Natural Po -n011 Open Wlg
..U•t-Car a 1
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Cl
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e
b. tame of LegarEnthy. Type of tegai En.ty. and A•1:':
I
ft; Which z •
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Tne Viowirg Enter:to:ton for
• noerAlrining. relationship a r
lt! llerW
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'.ifwalAthswiw
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Beteg Gostr;
:!I(.1her..ty, through arty contact. arrangement.
:4 the equity interests of the legal entity tIsted above:
Po:
oareato
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eas
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ignamrro M Sc;; other ty.nmeittimr•ouut.9 Ofrzanelii iricad-tockmAirtionitior?ar rewletme 3114 beinag phowciap6 or*Tilltr titi*/tuiri
p•-o-6!4e-4.
atrwinceaau.o.neets ;hit soi.*:‘-c. gilmMrwritr! - Not .crVIl:,lble.1
a. The following information for one individual with significant responsibilita tor managing the legal entity listed above.
such as:
• Ar: executive officer or tiien>or :nonage! (e.g.. Cis,e1 E'Set.:_irtve Officer, Chief rtnenetai Otte r, Chief Operating Otter.
telehaOrt Mentell Gene: el Patine:, Pies:dent Vete Preeldent, Trearairtel: or
• Any nrrxe indivklual who i.e.gularty performs ettntlar it 'notions.
Of appropriate. an 4tthvidual listed under seoram (c} above may mao be listed in this section c(1))
Date w;
Leyte Aclat4s
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Number
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' For Warr U.S. getwetc, -6
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• r": :•rj SmuttyRunt-6N-
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CGrOtti 31 %Warta en ii.ne-enlliwaVor cream:new.
nowber
and tourney of lirionnrs
• .
•
dycutkintri ,nith-ocing itit;m4fi-i It fintrIt'lltAl
tWaillinl a eheelfireehe: :
tote: safreitteri sixeid
pri•idict
ra
oewle•Ictlet the lift)
•
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Elermictri- Soot MI, rqks
t;£. ll:MVP.C(93
_
1
-
atural person opening the account), herein certify, to the best of
:pier& wd cot rt.tct.
tai -(
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0079894
CONFIDENTIAL
SDNY GM_00226078
EFTA01381125
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