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II. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the foaming information:
a. Name and Tide of Natui ai Pelson tTh:.!, • •
re.C-Pb•ve
Er
-
Ni MT* of t.egal Entity. Type c.-1 Legal
. • .,,
ess of Legg? EN;ty fo• Whet the Amount is Being Openett
. The foikming infemnati)n for each indivitlual, if any, who, thready ar ir.directly, through env contract arrangement.
understanding, relationship or otherwise, owns 25 percent or more et the equity interests of the legal entity listed above:
TaM-tit L r Lt.n (i .t)(c-3
, or US Pbfor:Z
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fl); fity..11,S
!Sift ".:Otr.
s, -% alt.yn.Ac
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Yoe rt's,.
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tO
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4f.f/ entlitire oe ir.u.:ParJo of 31, oche gc.weir.te.r.Istu-xf dcoonem eyitSmainq nanorohtv or oftlfienr* ono MOM ig u plweagi KS! 01141'0'u sal fc *7,f atcnilc
1* pic..le4d.
ill no wkiregiiiat rtlert !ha 0nisrlitelti. ONO. Vidt0 '401 kre.Sse..360.1
0. The toikming Information for one Individual with significant responsibility for managing the legal entity listed above,
such as:
• An executive officer or senior menage: (e.g.. Chief Exc-anive Officer. Chief Financial Officer, Chief Operating OrT,cf.n.
Managing Member, General Partner. President. Vice President. Treasurer); Or
• Any other Mdivit ue! who regulany performs sk.,Ilar function.
pf appropriate, an individual listed under section (c) Mauve may also be listed in thin section (W).
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IWO CO:of dr; of hilthifirstc of AM; orAvs l)(..eenirtnea.hi and &tate' twidenCcE)Illinar.Olite Or Ilife601.:t.1191 Wigan 2 004004 Soli 04 IVN0444 Jalti:044 d ',hook)
be Ottroti.W.
legal faqir; leitolifier i0C00ran
(name oi natural person opening the account), hereby certify. to tne heat of
:omplete and correct.
etc
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2918 Caucache War.. ati. Fa oprm:feuf,t0 vrAIRD666 M31) 051Sla
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0071451
CONFIDENTIAL
SDNY_GM_00217635
EFTA01375828