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efta-efta01362391DOJ Data Set 10CorrespondenceEFTA Document EFTA01362391
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Page 17 of 19
(OFAC)?
H. Does the client or related party have any financial or other association/ interactions
D Yes kii No
within high risk countries?
I. Corporate Documentation Attached (Legal Entities Only)
R Yes 0 No 0 Not Applicable
J. Undisclosed Principal Form Complete (Intermediaries Only)
0 Yes 0 No RI Not Applicable
K If Lexis/Nexis Search Results, Corporate Documents or Other Supporting Documentation is not in English, please provide an English
summary of the nature/contents of the non-English Documentation:
L. Special Risk Factors
Does the account have a Nexus to High risk Countries?
0Yes 74 No
Is the account structure unusually complex?
• yes ON*
Is there any indication the client set up a non operating
company expressly for the purpose of transferring shares to
0 yes JO No
third parties?
Is there any indication this could be a prohibited business
.
Yes 74 NO
relationship?
Are the bearer shares identified subject to acceptable controls?
❑Yes 0 No
https://dbforcepb.my.salesforce.com/servlet/servlet.Integration?lid
IN30000000D9Di&e... 7/30/2018
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0051781
CONFIDENTIAL
SDNY_ GM_ 00197965
EFTA01362391
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