EFTA Document EFTA01379557

li. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: e. Name and Title of Natural Poison Opaning Account' TCPAG1 ‘..Qs{-eOA 1 Sa t (tk.‘_,...46 -4 V b r.,,sru a of t. cog nOty. Type 7 E lot A.:COI:lilt is Behlg Opne. (.04.0.ecuAl 610 O k.kock Oucork•er g 3 Visa .-c..s L.1SQ ta$d1 c. The fog owing inforMatiOn for each lc:dbl.:Ina,. if eiTy. WhO, rilrecdr or indirectly, through eny contact, rangem