EFTA Document EFTA01379161

II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following Information: a. Name and Tale of Naha ai Pelson adenine. ccotra. StA,e- kkte %AAA, -tv b. Name of t.egal EMity. Type o...1 Legal Entity, end Addiess of Lega: fiNlty *ex What the Accorait is Being Opened: L C. LA-L. lc.tt-tA (colt, t. 41 (.0 k OO 'act? Pac;olz. 0.)., a2 LaSV1 °et c. The folkming inferm-ation for each indsridual, if any, who. directly or ind€rectly, thro;x3n any et,ntracr. 3rrangemeat. understanding, relationship or otherwise, owns 25 percent or more of the equity interests of the regal entity fisted above: f..5enC Da» akes i Sew, g;!;.r tc 'dr VS Pidtorie tire isorse,$ Ptcroft; Sala fOt+tnGe I !miacNr Se.tifflt 4JIYItet: TaCP.-.1 C. ,stri.., 6t 00 euk Woo IWA3 -Uttaslo•-atii US OCIEM A' X n‘si.LIS n aldrt it to :t oeni Sttv...ncr itnt;xf AI 4 ,:.:4f1470 2..iti•COOr.,sy rc I.stAratit. An $hr bernkanag, raid ounesst *voter env re of narJo or am, oche gorworieciriissuel dons/sem osiomaide nanarehlii or irodeenos me hears ig sr Owns, ignilifr dal sow,' Monde: i* DICSulffi. ro iridreorat rtere los 014014011. ONEY'Vtf!tf)"4014.7.)Ist..360.1 0. The toikming Information for one Individual with significant responsibility for managing the legal entity listed above, such as: • An executi•to officer or sergor menage: kg.. Chief Exc-mtive Officer. Chief Financiai Officer. Chief Operating °from. Managing Member, General Partner. President. Vice President. Treasurer); or • Any other Mdividual who regularly performs sk.,Ilar functiona pf appropriate, an individual listed Mid( Section (O Mauve may also be listed in this section (d)). :diatii of birth tow' Aire ein U-SCuel E. Etch., S.,. i44::tr3 32— kid V S. ikirsofte: rn, kritrkteti.x ioriarni.” I:urea*. Seidel S euf ito reressolLS,Pdederrs. asiddiorl to a aril Sessuli s. Plumber Or ; DZSWOet .tt -giber 'SIT C,:xinify rosiinew. irsesseoaros waiber cocifdr; of iThlthlre06 arr; orAvs nine t4 .141 ore doedineri *sides:ere nismodiste or eaten's:fad Writhe . 00400140H 04 renter Jaltgius d avoid eU froyirsod. (name of natural person opening the account), hereby terrify. to tne heat of v._ :omplete and trATer.t. Siotoesr — teed Cents Monied( iOrderdri ..;, 2928 Wars AL.:. Fa ope*rer.er,re Ws.41ef.46d eld31)051Sla etc ir 0„, CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0076476 CONFIDENTIAL SDNY_GM_00222660 EFTA01379161