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efta-01393077DOJ Data Set 10Other

EFTA01393077

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Unknown
Source
DOJ Data Set 10
Reference
efta-01393077
Pages
1
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0
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
This Account Agreement contains a pre-dispute arbitration clause at Section III, page 7. Signan.te Date Pont Nyirc SSWEIN :tatnature Date Print Name SSWEIN Sianattre Date Pont Nare SSIWEIN Corporation, partnership, trust or other entity: Confirmation of tax and compliance responsibilities Client acknowledges having sole responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable to Client in any relevant jurisdictions that may arise in connection with assets, income or transactions in Client's account(s) and business relationship with DBSI. Furthermore, Client confirms that the necessary Information (to the best of Client's knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), settlor(s), beneficiary(ies), partner(s), etc. to enable such person(s) to fulfill any respective tax obligations that may arise for such person(s) in connection with Client's business relationship with DBSI. Butterfly Trust Name of Entity Employer ID No. Signature of Officer, Partner. TruSleft. Authorized NNW Date Harry I Beller I Trustee Print Norma ide Signature of Officer, Partner, Trustee, Authorized Party Date Erika A Kellerhals/ Trustee Pnzll i.e. •`, .II. Print Narreartle I Dare WM189778 015684.080218 Page 9 of I i> CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0098454 CONFIDENTIAL SDNY_GM_00244638 EFTA01393077

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