EFTA Document EFTA01370956

II. 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 :tf e ^aass Legal Ert;pf ittrrO kAkcs ( 0 0100 •e4 R oont vittr444.":4setie,L-L 3 LISU t 14UL ilj ti 41:444-e ll SA_ s ) k__)s c)c) 6O 'I._ 0b:ioect?y Xlnitifirvjn; urniefitlflthll a, reia-:nnsitip 6: othqfv:isit ir:41,:k i P4, 0311: CI( iron or .1'...eciti::v oterists eca erortv I cc. ar 3:',1r woo ocaz a..44-, Tgel 6_. Eisk n k /7cIt .g.3 SI • C\A4 was) Oan 00%6). S raz Stkl.:411: r an-',111.11 r!"-11.14, 7:71. 7 ;1, r NI:s111. ^11:.:1411-,1:r.:::: • - t.r.erd :1I n,;,4 ,-_i N em 1r.e1:r; :111•T:11.:;: 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. Chef OucsozirvA Off: ci manar;in.,3 Genirrai Penner, President. Vice Pres4cient Treasurer); or • Any pfhisr indiviaua: regurarry performs sinslar furattioni,. aPpropr ;ate. indivldwif trUer st:cksr fs) iboye:pav isso its secti:m r..W. ..11i• 3-?.. Taut et cs"_ 1,4", u N1-414", US :inst.::: :.01:ly e: . ,i irtet:vi.C.1:::':•Ge.itiw. %p..* :a :lame of natio al pin son opening the accoll Ira hm eby we Ur ol Color atica -sr ;s winplete3nll col rect. 41f='i t tr Ars AI; a rest if:AM 11, 1 i Signature V Name The: Date' CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0064060 PROT1 PROT0