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II. Certification of beneficial owner(s)

DOJ EFTA Data Set 10 document EFTA01298376

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DOJ EFTA Data Set 10 document EFTA01298376

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EFTA Disclosure
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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 of Natural Person Opening Account ea. A and Sec fe4r. b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Accountleing Opened: So,yi-inenn T7-04 Co it (Apo 12,4 bstcov , ,,.r•4K`4;_i-psiiiiriAL. SE •Tknevv.as..) OS\31 0080)- e. The following information for each individual, if any, who, directly or indirectly, through any contract, arrangement understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the legal entity listed above: Name Dated BIM I Lagar Address For U.S. Parsons: i rot Non.U.S Wenn: Social Saville j (Sec foornow 1 for alternatives Menu: i tO Serial St:way hluntooN iFs:pa e. 1 i tot 00 ilea t‘ect< ( .6,61 83 ,S4-. Tint. s, tY)1/41 I ago). I ! I I I i" I I ' For Non.U.S. Persons. accit;on toe Social Security Number cif a renpon Number with Country of Issuance. an alien identification card number.. or number and country of 'nuance of any othor government-isSued dxumeot ericeneing natiVitlOty V casidence one txarew a onotocrepn ce similar safeguam snoula be orovioto. flf no iritivicwat lneolt this deli:NOVI. POMO write "Not AoplIcable.1 d. The following information for one individual with significant responsibility for managing the legal entity listed above, such as: • An executive officer or senior manager (e.g.. Chief Executive Officer, Chief Financial Officer, Chief Operating Officer, Managing Member, General Partner, President, Vice President Treasurer); or • Any other individual who regularly performs similar functions. (If appropriate, an individual listed under section (c) above may also be listed in this section (c)). 'Nana i Date of Heil I Legal Address hlavve.". 4C7,444 I For U.S. Perst‘n Fty Non.U.S. Pelona: Social Security Number (See footnote I. for alternatival to Social Secures Nuance) For Non-U.S. Persons. in addition 10 a Social Security Number or a Passport Number' ..vith Country of Issuance. an alien ieedification add number. or humps, and codntey cg issuance of any °e'er 90ventrafit-inuta OcCunivit eviclohcito nximmids or rcskianoc and boating a photograph Cr similar safeguard ShOult1 be prOviO*0. I, '‘.he saCrn - AL att./4 (name of natural person opening the account), hereby certify. to the best of my knowledge, that the information provided above is complete and correct. ....I...V.1.5y. naittiks • %viten Data ii h If Name (Print): Iireel 47P, Legal Entity tclOnUfier notional) 'rile .. VP Si 2018 Deutsche Wel% AG All Ogles reservers WM139666 026819.0Si Sle 4 5:511P6r-e- • ean4rined 9-723fit -Pr On? Corr ontic (R-e So tot* ork_ SDNY_GM_00062724 ignature V CONFIDENTIAL — PURSUANT TO FED- R.CDN(E I DENTIAL DB-SDNY-0025549 EFTA_00173232 EFTA01298376

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