EFTA Document EFTA01379559

IL Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide ti's following information: a. i4ameand Title of Natural Person Opening Account: 1 7e.P4C1 ‘-es'irett" ) greS h. Name of €eca! Entity, of _ega€ Entity, and Address of Lena! Emitv ror wi!;;; Acc len ov4 7L,c, . I us1/4)% corpora-i-np., (at 00 X11 ‘60,44 oat, wvi SAT tkous.c.c, °Qv% °otos__ Tito fO)uring informed:in for each e'tdittitiai, if any, who, dlrectfir or indirectly. th