EFTA Document EFTA01379159

IL Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide ti's following information: a. Name and Title of Natural Person Oiyeriing Account: P-Ge A- ‘-es' ire frt ) Re 5 h. Name of €eca! Entity. Ty Of Leto! Entity, and Address [if !seal tridi tic r,....,Acc B el(tZ, Ope„ C.„-j CY) cw4) 7E~ tiS1/41t Cewirinfna (rak o 0 eel 4044 045,, ‘tv e S `Now-c.c t evt ooec»._ 0. The 10Wong information for each 9‘dMcitiai, if any. who, 6:rooth or indirectly. through env contract,. arrangernoll. understanding, relationship Or lft enailse. owns 25 percent or more of the equity interest» of ;he lagg! entity lianed above: Hunt, Time :...`gel /berets; 322r," (tea.," blocreail greir-0~4eff 83 Sir - too", Si <ZIA eoso,. for U.S. Perr..i: Nol-ti S. PersonA Social SinoiMy ' (Ste 1--trtote fefeituretO.• Nut to Social SW)M< Muntayl 704 Nr)n..U.S Pt.113:ik. k, kedlikri Arai deuriu'iurrIbm W 0OeUyJa thimeeNkitrt COUner en Au; cltntii--^ntiun 011irl oolest romber rod tutintry Or lsghtscax:.0 Jr.< Win gninnnmontiiiievednoraimorceinder.eing no:la:many or rdsatence )ra beating r! photograph et salexid tm.:Ad tat orients el no man:kited MOSS INS Seeogion. panne Mite -Nix Agt3=0.": , 0. The following information for one individual with significant responsibility for managing the legai entity listed atinnY. such es: • An executive officer or senior manager (e.g., Cit! ExerAithie Officer. Chief Finenciai OltfiCtif, Chief Operating Ofticar, Managing Member, General Partner. President. Vice President, Treasurer); ur Any otit4r .^4lividuc4i ',rho regularly t»rionus$Irnilar functions. Of appropriate, an individual listed under section {el above may also txt listed in (his sectkin urn. Nara? TX.,1 E..Epek .t COO, Di eterress SY2 (46.> JQ ',ter Nee. Pors.‘er rtotnnti. 7. Viz sicir te Steed StCieey rer?.•iee *LS. etetieni. g.r.Osito: es P. eeLie SEC:vity frivre4r tX J Pktot-Y! ri..JIlturstjTt einvayef Lod noip. :Krieg! and worthy of in-Jai:roof any ether yer.-rieubset..ek.s., deconterte.iseneine rotlimulits nr relanaa hid iMIIurQ it phvuomail ur zirrili.ir trifogLuia be prcvitiee. i. ti snowiedgelthat the iligevt‘ify Lowe :onVry klern tentinew; to ar_q nacho! person opening th r account), hereby certify. to the bast of id-Oral -Jove ,scc3lotete and ocernot 20.1[4 Nortek ear> 46. Atli igrga VW Via,. il,54 04C60 06919.651.44 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0076474 CONFIDENTIAL SDNY GM_00222658 EFTA01379159