Case File
efta-01381915DOJ Data Set 10OtherEFTA01381915
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01381915
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. NRITIR end Title of Natural Person Opening Account;
17c '""`""
Cirsicet jal".rs tbae--i f 4S s 41-4
-k C ,r......... 3-01 wcalitv
Entity. Type of Lege! Entity, and Address of Legal Einftity for Which the Accourn is Being Opened.
•
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tea l-Lzte
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ff
- fL.m g tJSJ( O Can--
)
Tha foloy.iing information for each individtrai. any, wl•o, directly nr indirectly, throi,:gh any contract, airangement:
relaticns?•;no' .0*.ne-..i.se. owns 25 percent o:' (flora of die equity interests of the legal entity listed above:
3;4441 t
Cato(t,..., ti61
!;:eOr;c.idir !It
too ieah picutzawkei €3 oeo ar VS Pero Ns.
PCX
AUrNe,":
*7.7.* Orob-cla 1 foF pr3 Titr.
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to
7!)E
:,*!131:11,13.1017 et, ,0 P: SOO'S 3.1.7;:!
kOtitrP4 ,r n nttaia ,, lett Country efri gine rip lam vo:ndfration Card rumbe-_,:f 11.þritt
!Ind c4uotry Or invonce eon/ totior oovenonoro-too.td do:aunt,: evtIontleg
og on.r..tonce end Wintry, 4 chate.•,tr.wt:oe N1111+11 T.StepAci !avoid
be ptlIntiv?5.
el ro.r -44-dicluointootsthio ocOrition. Ovate Mite' Hot Aotaitvole.1
d. The following information for uneindividual with significant responsibility for managing Me iegai entity listed abave•
stmh as:
• An executive 'Weer or senior manager €e.g., Chief Execufive Of
Chief Financial Officar, Chief Operatin (Miter.
Managing Member. General Partner, President, Vice President, Treasurer); or
• Any other individual who regularly performs ShriiLIE functions.
(If appropriate, an individual tiste.d under section (c) above [nay also be listed in this iectinn
Horn.
7141 €aat
0 1414
.
' For 1:ko.US anti LIYm of tuna ad p
Alec.
°al it of au It
Logy Anoreso
4attiolig
Pode:s reits.ae_ ,",
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'Juin
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n dal!. -
;
f
oth 'm gent
:mu or F4. rle,..SN miintiet cot:dente sold !stone g a oltogi Alt Or
• 4 rig U.S. FJfriars.
7..tztaiSaturk,
K umber
For Non.U.S Perwor
OSV fx,o,w i frtteitt,(3`4,0.,;..
to
my tnowiedge, vlar. tho
TI4tioll provided above ble..brafr!
'.74I11; Titaltv:denVcreo (O00onati
Po.cce., Pt" or (lacteal person opening the account) hereby certify, to the best of
complete and correct.
201MOrtuoev Sono AG.' Al righ
1,941898tle 02$819.C61319
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0081121
CONFIDENTIAL
SDNY_GM_00227305
EFTA01381915
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