EFTA Document EFTA01370952

II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: I. oF •No".!:!1, C.:!•5:r! (:!!;e: !rc; —aCiPix•e•-1 G. Cte,-A-ittv-.) S.L. Oeirtg Opontit LL 1 bie.k4..na *eel, iseg lcO-6 (. Carkp-WoU-1 GI b.t) iera ‘Lcoizat...,,t-c2v; G3 st -Nt,.,....c. i tasQk 008 ori fie each nfirtdiia . if tyl5;. :ilrezt;? 5,c nafrectit• t!":ret:!:!1%flly cOntratr LioaKstort;; .g.. :•:::!:;•:1.11;-: or ecnS: 25 i•-•:••••e:it '7'1 more of the ecit;lii. • •••• .I •Y.e Cl the Ala; entlry ettocw• Geckn t tap( c.3 lot 00 Pa ‘Atav a,ork-er, ccez, b0$a, , 8 4 S ;J..) "run, %ea.., r'i''.:.:<-"tdr.r:41.- :OP • • a:- • v• eft: Aps:IL •:! toilotiring .nformerion Inn sictriir cam. rusonneitialty in in:tray:mg ate !••!-Z-h! • Ay ecect.tive•afflcor J. senior inansger ria.g., enle( E iecoti•re Olna.er. Chief Fin.ffif.741 Oifiiler• CI• of ooetaclig niecleig Member. int:feral ?defier. Presicism. Viat Pamir-tam Traaou: et). C•:' • Inh!,r .ndiVkillai who regularly rrei forms mita. inceicii Ty. il! !:•n!opr;n:;- an orxiii! 5;•atie.v mat- o'ita be I;ste:: if 'tit 5ittr..lit itch) s~ rte t.tott,, ‘1)ats-a 4=Ale,c3".. c. ( c) — 4-c— gs -et natoral ttersan opening rite accatiat). hereby car:ift to Ma besr al .tr..reitt cots-J.& Signature v Name (Print): Tale: ."4 ? --41 29/_s_ _ Date: t rAt " (- 720fAr r 4 // %ft CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0064056 SDNY_GM_002 10240 EFTA01370952