EFTA Document EFTA01375830

II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal enPty must provide the following information: d. Name and Thie of Na'auoi Person Opening Account: SPer sk e tin 1..5d.e.- (Kt usbet, b. Name of ;a€ yue of Leg& Emit. and Address of Lege! Entity for V,Thic In h e unt Zei10-‘ Beinn C! 0 Ok*v-o-s t.v.e LL.c. ()Stil ,t44. , 1r•gál t At-c p e k r (s, 100 -e...1 1-toot‘ eiguarkvI '33 S4 - \Aa w« s ) Usu1 cx) 6 0%-- c. The foloy,ring inforrnahon e3ch ;ritSW:durA ti eny eMo. direcuy Or indirectly. th: vugh any contract} arrangement* ontlerstandng, re!ationship or othetwise owns 25 p-pcent or more of the equity entereas of the lege/. entity Ii,tted abcve: 1.0re :ir it., V [00 elACO giock Gle,hei 63 14G É.€ekt iM&.3 Si • %, el ~.5 05.-M 00%61 For U.S. glooi Fpr leioUS. refuus: Socu4Sic,:r4, ',Set foatrwa !n site, io :Soda, Sendlerr nanbed r ;kit thiniti.S. .ild:000:1 '00 Sneed SeCurity nuniCrit 0: Plijr.)0:1' thinibet dithCOuntrf Of :$10enCin An AlinhAoation iogrib9 ; CItIR1 Jon :tornt,/ of iosti~, el srW oerei gove/rolentiistuoddot9liont udditneidg n0sonalitir os rcialcorvoi and Minne tinT0tOgranti pr unnlat ningtael soi>ditni. Of rc .noirido.-J meen item doilva.w. panne tube 1.:(0.Andnatikt d. The fullawing information lor ene irylvidual wilt] significant responSibilite for managIng die lega! endy listed above• ettCh as: • A.n executive of heer or aen )r irenager (e.g.. Chief Executive Officer, Chief Financial Officktr, Gass Operating Offrer, Menging fviembet, Genene! Partner. President. Vice President. Tressurer): or • Anv net! individual who ragularly na (bun itirriilar iiineforva. (It apprupnato. an individual listed onder seerion (c) above mav Mao be tisted in thie seGtion (d)). Date ei Slith i..egá A:Uien 74 1 " esb` cSPe_ 14) ro, a.in ifisk rtombr... (.4a aart a(inuat-^2. iln eta tisa ar40.)E.K.it raat ncitnins S tneltnt and enen :re ol ntkinnt. of any allel re.&err, mem neo ticaJontni eylterninii nandnality a uddenet and neming b otwagoion ix signa« lof cobra ihoutii tie piciodc. oL.) Pi.,!tona z‘..1111 rfre 'niet NUtfitlet . . 0$ t&00 PO:901: CS•fittrinist tcenidgynn des' lo Soybl ZitSinti: *linnen 4-41 -n name of nattval peuken opening tbr, account). hereby temt}: rhe e'est of my 'he info albe, is antiplate ard crxrc-2. lesal SIM identitlitt (CM:Wal 201a !:/tatoiihii Bonk AiS. All tiriht3 retor *M Welt ageer, Cr/aaia052518 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0071454 CONFIDENTIAL SDNY_GM_00217638 EFTA01375830