EFTA01381916

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 c£f Natural Person Cman;rig Account: C. S i t'e --I b. Name of its 7 - 4.....C)&42 %;:r...-it • I 1-19%) t Can-testa 4-(tc+ £ak Glogss-61 (CR tar. osvt CoVti Tr,e Viowiro infOintarice for each irde,fiduy • in( relationship or other wiSe, °Wile. 2 Nizr TJ4Lt C. cc., Et141g Orr.,;‘; • tbroz_Tsh any coni.r3ct. arrangement. r.4 the equity interests of the legal entity Ilsted above: ! Fie VS Dtresa f Svs,x.s: ficsiJiatehttr; : (Sate fe SW :id Nfiemx4 &tiff Bettie!, fithrortri • t ot OD eacit \-••sote-tafloriwev- 'G. 3 1 ., tot. c..,.:, 1)CI i f v floo•US !>0*.aant. flittgitl• :Oa Scom Ffecuriirg 7,ktmtql x CA'Nertr, of ommv. sP:m 411:.! IltIN ranbcr .inel °Ion!, ignaxtroM Sc;; othettp.ntitotiont•luotif oszanen evadtfxa*rxtionitio?ar re:Wee:A yid bextng phrecxyraph *tellilt tith!qt,51:1 tx wo.•4ed. (If no Ocia:fu)l veins the. '4 .4. ' 04:LN-ie. - tiOt .crvri:„kbten rl. The (-allowing inforniedion for one individual with significant responsibility for managing the legal entity listen at ove. such as: • An executive officer or seicror menage! EXEC.,.itiVe Officer, Chief Financial °item,. Chief °parapet) Ottlar. Managing Member, Genet al Partner, President, Vir.a Treeeuren: or • Any Mfee irdivklual who iegulariyp++(-forms eirobar functions. OF appropriate. en etdvidtial kited taxied' section (c) above may aim:, be listed ie this section fd)) TAr41 6. (146,01 Oats X Siir• iag Ad.tess Sc 14ACa,Ca Pt VS. Peks, t t.iinter P:061.),S. fWrtan£: fliotiv*, i •rt:z Cta,rativel: Socati SCUM0'y rt)( .ftrrU.S. gettOrf. 4'• oath tin :,•)Scb.-4.4 SmuttyRunt." :•• J HUMLIM r: Cfar;ftti 4Viadtra ii.nrst-eollfrrathr 'urea sontxf. r; floater at-Groovy? of &mance of fro. artier C N10111011,..;,irl dytuttiftill initi‘116110 itit;On4hVi fondants vAhnaaga f§hufpgfarin (I, "reign siltor.ins pc:rdmr. ra ivy:bid:tat the :rift£ Legal tnlitIr '101Ildbe (Op tee.11; nail* , (hided above is co. _ 1 - atural person opening the account), bereft/ certify, to the best of :piece and co rect. (0V1 Er if, kiln 1:+f,xictri• Soot A07. tqlks ri2x WM10.W..1 (125gliASI81.4 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0081124 CONFIDENTIAL SDNY_GM_00227308 EFTA01381916