EFTA01582951

Net Worth of client(S) 500.000.000.00 Source Of Wealth I Financial Information Details Source Of Wealth •identify the Clients Source of Wealth from follow) list of • • Ions Other ECI Party Type Party Name Last Completed Search Date KYC Status Report Type Relation Type Powers Percent Owned Individual HARRY BELLER Signer Full 0.0 Primary Information for Client Type HARRY BELLER Individual Generation Client Status Prospect Active Indicator Yes Front Office Restricted? Normal Marital Status Confidential Names? Country of Primary Domicile Prefix/Title Insider Code (Reg. 0) First Name HARRY Full Name HARRY BELLER Middle Name Gender Male Last Name BELLER Date of Birth Suffix Primary Country of Assets PreviousNamerMilAN/Alias Citizenship UNITED STATES Employer Name HBRK Associates High Risk Jurisdiction Occupation Financial Advisor Industry Code (NAIC) Years at Occupation Secondary Industry Code (NA IC) Add ress(es) Type Work Notes Address City, State, Postal Code NEW YCRK. Now York. 100656298 Country UNITED STATES Tools Map it Entered by DANIELA GARIN 1007/2013 Preferred Yes Cost Center & Hierarchy Client Status Client S•• son Cost Center Client Service Team P A• 008634 CHBG Withholding SSWTIN Certification Date Individual Identification Withholding Federal Status 11 Form of government issued identification obtained for the files Domeslic Certified None SSWTIWEIN 04/132012 (IIPIsneriseen Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00062536 EFTA01582951