Case File
efta-01381134DOJ Data Set 10OtherEFTA01381134
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01381134
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 anPty must provide the following information:
13. Name and Tine of Na'auoi Person Opening Account:
Tt:"PPt"•a•f e• Eet -4'e th b. tierne Of
!,,
.
cin(e_ tikte usber,
USvi c. The folowing infortaanon raf each ;ntfivtdurti. ti any. who. directe; or indIrectiy. th: vut.» any contr
t, arrartgernenr understandng, te!ationship or othetwmaa. OW115 25 parcent or more of the aquity interesza of the legat er stity Ii,tted accvef.
Address of !ega€ Entzry for Ve"htttit Ine Ar-ro.int
Betty., C!
c, usui tcµtJ-.á! te .1. C. itt oc..D €.0"1—
:
tr.
'.an-}I Y':.....
3gGel
E. frekt l>31Z3
FOr U.S. Pers:na: Fpr It)thAE3 retnn:
'‘'ané!Sn':,:nt,
',Set rootrate
N
!
snel io :Sotto Senul /rk n alkben
Ntn.U.B. 'non.
rn a Ser.itd Securiry nunibn 0! !I Pauwen 'Bonner rátilCOuntrf of ;nam* an winn
ennimgniw..rt ; cinhe
Sner enrntnr k...Snakte er kr'n Outer ecvatnatent•inuect dettintont inriairneing akzronalitk or ferticanDk and Cantor tanotaarsoti ar ral*
s.tingairel brarrnxidt‘r.
rif ne ~do.
-Jmeert pin.kia talie 1.:(21,124takt d. The fuesanng information br ()ne individual Wilt] stgnincant reeponattaly for menging the lega! ensky listed above.
ME:h as:
• A.n icacutive. of heer or senkt inanager (e.g.. Chief Executive Officer, Cfrief Financial Officktr. Chief Operating Offrer.
teleraging fviember, Geneisi Partner. Presidam. Vice President. Treasurer): or
• Anv ()et! indiViCh3a! who reotaany perforrne 2.rkriaar functiune.
(It apprupnate. an !ncgvidual listed onder secnon (c) above mat; Seo be tisted in thie sectien (d)).
Date ei %rh k.egá Ark! en
74 1
‘ 'esb` cSee_ no;n:1,;ntro~ tt, 3 ijetigd
?ivenbi,,,, ei h !33,3%33i3 3h3.3h..3, 3„3.1:(4);!!!tre cli313,1,32. 'maken k'Snliff-..)(K!!!nht3!•.:rnilre..,r‘ ntyntirr
!wiekt!! !re al nnkaint. of any weer Ne:4er !neet-knot!! (kruinen! evlilernen!! rahrhiaNtv a f.aCro.ce and 3.3.11,inh a pflehnnilh er yttlellf 3313.,husd kik.nkrna
pieadc.
104etki ne!tanti.
rkUtlItlet
.
.
ar N>1.U.S PC!‘ernt:
triantrainort frn...m.mr-nr.' ae Srr.;bl ::erom *kauw
4-44e name of natttral peuten opening the account). bereby batch to the e' est of
nw
'he info albe, te Gottplete end ?o reet.
Legal Bonn? Krtmarber tr:indlnal
2014 Bents,rho Bank AO. All ti/AIL3 fitter:nier ?:Jill 9066e Cr2SBIB051518
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0079903
CONFIDENTIAL
SDNY_GM_00226087
EFTA01381134
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