EFTA Document EFTA01373872

It Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. risme sosi Thrt., i ‘3:4•41 E pi? si-e tin 14- ( 4,- 'Ate 444 ).e i•-:4rne of • • - e ^aass Legal Ert;pf ittrrO kAkcs ( 0 0100 •e4 Roontvittr 4 44.":4- setie,L-L 3 LISU t 14UL ilj 4aece ll SA_ s ) k__)s c)c) 60 'I._ 0b:i0ect?y Xlnit ifirvjn; urniefitlflthll a, reia-:nnsitip 6: othqfv:isit ir:41,:k WIT :Ail: or iron or .1‘...eciti::v oterists eca erortv 1 ce.. 3e:1I. 11147:1;t1; 1J .1s:c.:11 lir ',el , woo o ctiza.44,-, 83 Tgel 6_. 466,0/7c1t.g.3 SI- (\A4 rue. s) kiatt 00%61 S raz Stkl.:411, :as1sesn1(. 4 .41,, ;•"2. arist11•CS1 :Ir 7 ,s, r 19:1Ct ^11:.:1411-,1:1-.:::: • razo:, :1I scs‘ x;s: n,;,4 ,-_i N em :r; T: 1: -::): d. The folic:v.4,4 inf rna:ltin for onu indrtticirra! vith ;r:gn;r14.--eeK respellsibil:wtcr mensgine the iegs, enth-, iisted Sul h es: • Ar executi.o officer or twice manager le.g. Chief Exists:ow, Officer, C:nier Financial Officer. Chief OucsozirvA Off: ci manar;in.,3 Genittzo Penner, President. Vice Pres4cient Treasurer); or • Any pfhisr indiviaua: regurarry performs sinslar furattioni,. aPpropr ;ate. an inch-kJ:ha Ilstio ;fryer st:cksr fs) iboye:pav isso its U&e d irrilissecti:mt Tacti c crib., cs„_ 1,4„, u 1.11:t41414", : :.01:ly e: . ,i es tesirdw. )rI.,... vralt • :lame of natio al pin son opening the accoll Ira hm eby we Ur ol Color atica -sr ;s ;omplete and correct. 41f='i t tr Ars Alt t,11.,1 a rest 11:::.!;:. if:AM 11, 1 i Signature V Name The: Date. CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0068279 SDNY GM_00214463 EFTA01373872