EFTA Document EFTA01379553

II. Certification of beneficial owner(s) Persons opening an account on behalf of a legai entity must provide the following information: a. Name and Titie of Nature) Parson Opening Account; 7c '""`"" Cr icetn jal".rs tbae--i t 4ArC s`°-4 3 -01 t4,04:1/4). ;:11%31 Entity. Type of Legal Entity, and Address of Legal Entity fer Which the Account is Being Opened. • (..LC_ a Usu, t L.4 (c 0-th (, 4,/ Cava lb° -L..te OLx‘vireirt 63 - VtAtbov...a tJSJi O Ca-- ) c Tee fcenviing informat