EFTA Document EFTA01362160
KYC Print Page 6 of 13 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary 3A. Individual Details (for all parties) Individual's Name: Darren Indyke - 00000486405 Date of Birth: 2/19/1965 Country of Residence: USA Country of Citizenship: USA Address of primary residence: 2 Kean Court Livingston NJ 07039 USA Profession/Occupation: Lawyer Tax ID / SSN: Current Employer: Southern Fnancial LW Position/Title/Rank: Address of employer:
Summary
KYC Print Page 6 of 13 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary 3A. Individual Details (for all parties) Individual's Name: Darren Indyke - 00000486405 Date of Birth: 2/19/1965 Country of Residence: USA Country of Citizenship: USA Address of primary residence: 2 Kean Court Livingston NJ 07039 USA Profession/Occupation: Lawyer Tax ID / SSN: Current Employer: Southern Fnancial LW Position/Title/Rank: Address of employer:
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EFTA Document EFTA01365903
KYC Print Page 6 of 13 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summary 3A. Individual Details (for all parties) Individual's Name: Darren Indyke - Date of Birth: Country of Residence: USA Country of Citizenship: USA Address of primary residence: USA Profession/Occupation: Lawyer Tax ID / SSN: Current Employer: Southern Financial LLC Position/Tide/Rank: Address of employer: 575 Lexington Avenue, 4th Fl Livingston NY USA 10022 I
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