EFTA Document EFTA01370951

• t • V.-, hit g,:: II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: ! N !set a:'.. atj Pte:-.:ray O:.'-Inky Let;f:OOOt• P-4e ces-Ire, V1) Res c-o9t , - .4 - rnov4, • , vs kik cav-cions_fit., (421t.,c) e-sk k•keet< o.). kw, g3. 171'04...a.s t ockit 0 Titc• fe,t:i.hytitwg ;Eti•24;nctz.t:' ftY ]• ancokiealtd4tc. relactetheNo ar nth e .. tiy. (.1:re-t; tn.ftritIty. f Ceml:'.3:7, :5 westett t r more at the 'ratty it !ettitesce ar the !ea! entte ate,tn.e: too-ea 4.O1C.c:u...Ate 83 so 3:4°1 43c\l'''` 1 615-3 sk Listn co = ticsartet et ===. =ter ertmttt •trt lxtorvtan .... poitlyttttec r• ,ron lc: inct:e.ticsts! ?Ate ttignii!rant teSpr.latkiltiiPtit to' thansta:ing ec t. a[-Pa. tette set • At eNectinve oitmc•er or sete:et manager te.g.. (;h tee Eettitt-ve ()Filter. Ciller Ftrisnetat Offitet 021R,EitIt: Mactacing 1:e.' roar, 'aerates Pe! wet. Prest?n:. V to Pr essieol. Tfeasereci. • An: Other net •sho regulaty loth:OOPS. zopr.er.!..ttet ;•in tin:t..tdurt! Meittieel (CI ai.echt tiny also ee t- ,w tnction•li)A. I ettte • t tbals-3 Sea - e t.f.t.c•••••!••• =1•=vit, === lsiart a= = 'tot= ' >tree, • 1. e ft:/ tor.rrAst==•••=..ren ',..eta==:•: , •i:4 "CI tnt• . rite. str xtt• %Too is • 0.7";_. t 7. 0 tie "s to reek! anct torte; lAsme/24;:attical person tee atc.ottia itjtitty CIerrtly. :O :Fe Signature Ve5i Mfr. • Name (Pont): 5. him,: v \I P Title: Date: 41 .2.--c) TO Cr40-4 Oaf CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0064055 PROT1 10239 PROT0