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efta-01381923DOJ Data Set 10Other

EFTA01381923

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DOJ Data Set 10
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efta-01381923
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EFTA Disclosure
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 gravide the folloldng flferrnation: a. Nam* and rrag pf Natural Permn Opening Account; , Sot : for Wrdeb Ag>: Nmrro. gs3in.2 os,_tmed; --eLn.„ I Uti Gt....p~i t co ga 4 go ØV. Qty at/It-tv-j eg s.k• US° CD C) Sona_ c. Tra,‘ forby:i:43 ;El rOnti".0.;Ori IOT pathind€;(duae, any, who, diria-,th• indireatly. any cc.atr t, arrancerni., understandino, cein,ic,nshin other, ?ise c.‘vms 25 pureen', or mora rif the eguity interests ot the legal eatity listeclabova Slunt? ‘t 00 4it aziose Q J.,4er, 11-a. s ‘...)Sit OoUsl, gor g.. Plytwie; : Pos: 4cr•US, Penew: Ce‘:A s« inti !Ser l<ctrcazr ,rterrethte Swin SKAI( ' For :es Sewe., Se% Nwiter :x i ikmit,"..xt. tt,Tnt.?1. CC.;.1%-; tlf Adirt: it.L..trnitilVe fl:~ attaiDdi tala eCtitlfry OS issiraara of or;•Ctl.:cr govalninent.ytitierftkCaMerl VaderbSerr? 111190flali?" Cr ItlitittiCilMliS at.11ing rhixer ait s.milta nifa-vairi fØld by y:At:d.-I ril r .ndissmisl natt: lar atlititt)n. 14•11:13 Kina 'Har .kr(111C.gilfr d. The foliowing information for one individual with significert responsibility for managIng the legal enritt' listel ahave, audi as. • An e<ecutive officer or senkar manager (.24., Chief EvecurOre ()Moer, Chief Financiar.Otficer. Chief Operating Officer, Managing Member, General Partner. Preeiden[, Vice President. Treasurer): or • Any ethor eihoreguiariY per finns s;rn4er runt:tona fif opprop' late, an individual tistad under 3Y,CtiOri (c) °buve may also be Isted in this section {d}). : Nare Ilml of åblb tAYVINIdny, Fy! US Rtrcirui: gar Nar • US. ', taust :)$$zd &year :am jowevet m$ i:lE•r:Vitter »tiarar Ssxral Seubtv 2 gitt ,' att t- S n4. 44c.,J- "" • gO: P.,~1. it 3.2~ tOa Sorål ral?r":e+ Ar Mt a pan;Y:rt %Frihet w:S?:Cbcw:7 !eeenw. .Mc: wenew ar.a t-atoIrr of h ‘wintd, etfbr; i(m.gr,gmyg.isi !ny] ("ocaintum (.4,140,:ifv; yiKiwya ybd 1:yabni; A pbeiknw.azt ?irar'« MIStrja)rfi :11Soulrl (rane of nahrrai person opening the account). rieteby OP( Yty. m te bast ot ''a.r9 tol-nekt:e and correct. t. S.,jza„$ «9,4 inoty b1.:Yrie.4(.:i)pbynyly 201e latieme &mk ne. ao melm$ pesurma. IS: bob )26$1:i.aNiela CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0081131 SDNY_GM_00227315 CONFIDENTIAL EFTA01381923

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