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efta-efta01388771DOJ Data Set 10Correspondence

EFTA Document EFTA01388771

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DOJ Data Set 10
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efta-efta01388771
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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: tAe.).4 CSArt b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Account i Being Opened: Sothinevv, 77^ )1, 4 COMA-eavt too t2ext 1A-coVt>104.-4-cr, eaa At • Tknctbso..S ..) X 15\I 0 0 '801— c. 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 fisted above: f Owe el Beth Legal:lock s Fm US. Parsons: US. Social Security Nome: Far Non- . Persona l (See footnote I for alternatives to Saint Seesity Ntenbet) Ft • .r e 1 e esit i to o l s3 G.,‘ co 'Rea Aat< Q • -"to'I 83 ,s4.-n,c.,...sJ , 1/41,1/4)l 0081)). I - 'Ear Non-U.S. Persons, in addition to a Social Security Number or a Passport Number with Country of Issuance. an alien idmAilr.ation cad number. W Minter and Minify of isouonte of any other government-issued document evicencmg nationality cc residence end bearing a ohotograpn or similar , safeguam stipule be armload. (if no individual meats this definition. istuase write "NOI. OODlicehsti 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 (d)). I Name t l Os rrofBirth EIN:tylnaw• jiC.re.244. k (Mt C I Legal Address For U.S. Prawns: Social Second, Number Fie Non.U.S. Persons: (See footnote t for afterpains' to Social Security Number) I For Non-U.S. PersOns. in addition toe social Seaffily umber ore sspert Number...nth ountiy of issuance, en alien ;dintscation care nofebef, or weft, and cerarcry of issuance of any other governinant-issued document evidencing funintlali:yJe residence and ;wiring a ohotogri ph or simaar sairs-uard shoran be pr Widen. a vThre.0". (name of natural person opening the account), hereby certify, to the best of my knowledge, that the information provided above is complete and correct. Signe:we Legal Entity Identifier (Optional) to 2018 Deutsche Sane AG. All rights reServed. WI4139666 026819.0SISIS e : 5 11ILAILI-e— ••eon4 "-rue/ 9-77 3 18' S OM Corn-4A "Res0A4hork._ nature V rif ,W -. Name (Print): 47/b "'inn VP CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL SDNY GM_00238703 DB-SDNY-0092519 EFTA01388771

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