EFTA Document EFTA01375829

II, Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the foliong information: a. Name and Title of Natural Parmh Operiin Account; Te.fg.,...r -1:iit:ry for Which tj-..e Act. ;cunt is 8s3in.2 or.,_tmed; AL, Coto° Iga 4 go oV.Qty eg s.k• j US° CDC) Sona_ c. Trat. Joao:Ann/3 ;El fen IOT each indh..4jual. ?I any, who, dircctiv oi indirectly. througn any cc.ritr i., arriencerwwit understanding, ceia,i:nshin other, ?ise owns 25 percent or inure cA the equity interests of the legal entity listed above: ',At° Vf gi,ir . AC!CketS z c ant E , .1i4eki,, + lc vs GA oo 4it a,c,se ",.4-tr, sk-11-4. s JQS* 00 5 ea_ gor PlistAtie; : PO( 4cr•LiS, NiSen€: Ek, e:PIS.nate !Sep kotrcara t ix;r'tar:_r;6-rF tidtufitl, % i) ' For HorE.ti.S. Pei ,r,"4..r, t•us $:ekd Ses'ziriti;N:Ptiber 2:r tif kJ:Lint C..tri Adirr: aateieakx, cm, AtliaDdl taitl eCtirlfy of Ism/ante 9f orNegl. gNeennetne.-•titierffklAkMerl 11119011:Wirfar ItlititaCt :11la a..111A9 a rhixergait of Wnilp saavaie therwlei irtrAndita fil r ebautal n•Nit: 1M atlial1)n. d. The following Information for one individual with significant rospontibillor for managing the Irani entity listed abage, such as-. • An (r<etutiVe Oft-CET or senar manager (tg.. Chief Evocurn..e Weer, Chief Financier. Officer. Chief Operating officer, Managing Member. General Partner. President, Vice President. Treasurer): or • Any Other .rretividual who regularly performs skihr function-a (If appropi late. an individual tistad under section (c) above may also be listed in this section {d)). : Nave a art S,544..‘ • rOz attr,,S. Ja(i.k4, tO A SOCMI St4.;Wil ?".:E~ rst 4 Da3aFgt %robe w:a.C.:x.w:;ricieekan-x..Iti amileake esti.e.:‘, ar.0 ..-atray hwaem celNieee,maz,..a,:141 g4-anent t.gealefiG ranit-a .att v acelae..... ara (»mini; A reetnui.azt <Ir ?irrillit yIN19aIKI e.asel of Nab Liaal itgera", F,! US Rtrai=ai: g3r Nac•US. ikann SC.Vsits 50«it21: te4 J;M:Vittic »ffitikm S.S.scsalSemsty `2Jelte7 \bo t g3 -40—ce_ (Paine of natural person opening the account). hereby 0Pt td`y. ta the bast or •-•,,;,9 complete and correct. ttnja infer alenriea oaose iatieme eank AO. as ciaat:• pestrti. w,4 CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0071452 SDNY_GM_00217636 CONFIDENTIAL EFTA01375829