Case File
efta-01381924DOJ Data Set 10OtherEFTA01381924
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01381924
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
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il. Certification of beneficial owner(s)
Persons opening an account on belle of a legal ent!ty must provide the following informatan:
a. Name and Taie e Nature! Person Openin9 Account:
j;:ery-
L
.
s i t an 1. Sde_ (MA usbeti b. Nenc or
;a€ i y:Je of Lee Entfrt. anti Aratfress of Legal Entity for "Afh!!!!!!tne At-etitint !s Bain! !I!!
rife ete
LL.c.
USU 1 t eem. Jrza te ut. f. kr
4, 1 e vv. e
(o 100 età 14.O-tz
- t\ -a ktA.. s
US v 1 cc, an_ c. The folou.sing inforrnati0n ri," 83e ;offre-te:yta ti 4ny vet10. direc th. or inereetly. th: uogh amy coritr
t, arrangarnenz understand!ng, teeationship or 0thetWIS, avons 2S percent or !note of the equite interests of the legateritity listed aCcue:
'lene
é...y.e,„
(fltoo Otà giock G-1,-441
SI • çkouti....A.sj
O
Un) t
%a
Fe ü.S Pesa--u: Fnr lem.11S. renrin:
SIC,X4e
',Ste feerAte et.; etei.,:.icru,
m
I0:30eial
%Abbe) r 'rat ehiesont earesuco..ua scesiSecuritynuAleere n.naarJOlt :ttrabor aiu. Coutitrf tg %Marica Sn teen kUnhfieatorn cred
; entpbe elebee,untir of lexie:et ef srw otite goverrobere•inueet document terieer,en et:toquent er reeiceept and e serine .uplexegreeti nr tends etineel
brr
(If PO oniridu.-metat Ilns elihser.. peine cake ».21,.13Oftdtki :.
Cl. The follavving information for one individuel e.ith significant responsitility tos menging Nie lega! endy tisted M'ove,
suif as:
• el.ri eicacutivs of boer a senior rranager (e.g.. Chie! E%ecutive Office, Chief Financial Offizer. Ch!ref Operating fiff skr.
fvlaraging rviembee, Genets! Patiner. President. Vice President. Treasurer): or
• AOY Ør indiViCtuai wilo regulariy cartonne e;reide fundiera.
(If apprupriate an !ntfividual listel under section (c) above mai; a!so be tisted in thie section (d)).
Deb? co• Al!th
..eyàAtInetibi
7;4:4 1 éj‘ t e
cSPe_
14)
!ro. reue..i.rs uene.m.,,.,;»,elee:t^ a tic._: :4„ eer,44,,p, 9,4,eber
t ti ,eanz tthi s.:Wiibre edinue-^2. !met!, esiuirce-)ike mea eurriix4 S reere!er
anri morne, of ittsuent. rN any omet ectterrinenl-eutteci tlecumbbel telilibentere vals:unie:y a tee ieect zinel tearior) b gevregerge escadari.weauica shueei
bt pierreec.
ot«.) -t_
!Lue US. l'elearuc
Cuic‘uti
Mante,
.
.
ço$ Nen-U-S Pen
(Sen remue. I rte ni:emptes' te Secte eerutteeteeneen
4•41n naine of naturel perse?t opening the ae.count), hareby
to the eest of ni?
info en!" is Gootplere are] cryeeet.
Legal Entrer 4imuther CCed tond)
9101a !:retesoho Bank Al). AI drihtt roter tee
9'64(t Sr/S(!Ø.051518
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0081133
CONFIDENTIAL
SDNY_GM_00227317
EFTA01381924
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