Case File
efta-01381127DOJ Data Set 10OtherEFTA01381127
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01381127
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
li. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the `oho wing information:
a. Name and Title of Natural Preon Opening Account'
Pr-frei ‘..
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b r.,,sru a of t. cog
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o. The fogovring inforMatiOn for each indivleina.1/4 f aity. WhO, rilracthr or indirectly, through any conbact,
rangament
otwfltystdrto
ot
en:65e. (),,,n5 25
'y more of the equity interest of the legal entity listed above:
co, t.I.S.Permes
kit tion.0 S Petwets
SocIS -9Thlrir'21
`kAlibet
U SMAA Sh-OtICOVV»Pdfl
I i) 0(s-3
6100leaMicbeg
t44rf63
S$.
c )Lfsit WSW-
;:o: Mon-;33,
ViOn %/It
..•iirSti:uflit:•+.1:Dtre' V .10 1.1.2>P0it kiewe?..t.itn COW,ITY
10004" an y4r4i- izLefoggIn4ncicid ...ante: a ryjet.,tt
and -).:Dntrr. of issri4nr;# 41Vrt ,the gOVVAII1Wit.otiseel nil mat rrirdenting nationallw or rewierreetird be oteg a plcrtotazah et smitu tafewall thorird
sl no iltbual meats chit oefineitr, these Mite '140t, At013bie.,
o The following information for one individual with significant responsibility for marleginQ the legal ernity listed above.
Rrn es:
• An executive officer or senkr ntanagerteg , Chief Ftithre Officer Chief Financial Officer. Chief Operating Officer,
Managing Member. General Pdrtflal, President. Vice President, Treasurari: or
• Any Citttqf
'rho regularly rxrfotras &miler functions.
of appropriate. an individual listed under motion (c) above may also tm listed in this seeth,n (d1).
Diflt I/1 earn
14-4s)0, ..sz
F":4
k'nf'N't
rtor ticort.t.S. itrirattt
54X1Ai
f3fel
4iVer•tves
PAInlbe
Scsnol Sterility N,serttit
Fof
ft.yrscrai. t *r... rrorr re 4 $a:-.
--or Switate kiirr?Ar ea a Pkcpw.rn PlertneWgr C:42:1710f '4C-ii.bna an xeierriitrotitir.b1h-e:4.7/t.dnbze.7 rtiRltbk:
and ;rout.,
n..”inze c.! zaw *thin Licniennert.isose:, dew/vent evidencing ontinmliwnr mfatittroe.ted be 10114 a illretycirapir or Jager salcgi.ercl Omni°
Protij
LOOM 5n7:n,
(Cptinr )4/
or natural parson opening the accounti, hereby ceitifr, to the bast of
‘omplete and tesfeCt.
ti; 201S Mr:tic:NJ Sens ers, AC NM*. ittier4tti. WhIgoe;64 nestkostass
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0079896
CONFIDENTIAL
SDNY_GM_00226080
EFTA01381127
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