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H. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information:
a. Name anti Title of Natural Person Cipent.3 Account:
-Terry.,
b. Warne Mi Legal
Type of Lego' Entity. and Address ur Legal Entity fte- Which the Acro. unt is Being Opened,
1 9. L vs,r\c•In.,
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X^ Is to, ,=.4G Sol c, erivaAti-e_ Va'i...41LANie-, I
k
Cot e:, ena kkteig.
ast iSt •-ktiata•siit, 1-.1 .') I
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Tre. . follnr!int.; informatkm for each indiv!duaj, it any, who directly nr .a-niketail. through titg contrwl, Mrarr9+Ylent
understanding, relationship or Otherwise owns 25 percent or more of the equity Interests of tie legal entity ilsted above:
NU&
Cå; e Ser.4,, Fnr9.5. P.dannt:
Car i.13. 1:
S,,,f4,13"..o.eih, *et era.;rgen I le aInnna Net Nufffn
!fl
StftfW it/ eidrAare
R)r ff-ff Vint e, ifd4tilfr ft: a '≥•,:.&*, SCrijht?
(APPSW,Ct, 'VTI:t.Wf 'fah r;IfUlffIT 41i:twang» nr aSn Vall',Ofi-f•trt,n CNN,: ;,tfli)0. ø rOffg;;if
and ,:t..rnt1), arp flo,-egniller.!-15"fd dneund.ne 4vIdener 9<:1:icaal@y 0! ftfitlenet and ddatc t nnotoendli M tiellilbr
r.ft,04.4,1 E)tiktZd.
(II :In nmaralf C•f!)frk.C;(1, riblO!.i!nnin hat Adcbtainat d, The i'oilowing information for one individual with significant responsibility rot managing the legal entity listed above
*uch
• An eifectilive officer Or senior manager (e.g., Chief Executive Ofiker. CWel Financial Urteer, Chief Operating Offg:ar,
Managing Member. General Partner, President, Vice President. Treasurer); or
• Any Uifttaf irOdiVidOal Who regule?Ey perfervid; siniiief hiretians.
(If appropriate. an individtut! liBted Wider section (o) above !flay ;den be tinted in this aoc,firm: (o)l.
t!.:3 i f,t; Addn.5;{ ; Fe? U.S. f,f•NW'S.
2.0,O,a4 SOCVet' nim darntze. Pedc,.
iS•a Ern, dre aaefnen.et l4 9acptl Ulf'; Minn 0,O Tti4-etki
1/),,I (i..akee) te4as D",L, 49}0 aS 4 a ast. Tko O•S•liOBSGi a.,0 f;;; ,•,1,-;;
1)9 lkith i.rAftf t.f,f, Or; Oinin t~ti!kl:,';r: ;Me!: riFfIbF. Cc na.o?,t.,or
Of "'cf.'', N ',mfr., : NICOf; f;f:" 01 fef.11,,C4 knd e.if•Op Oltgelfr.Kfff
leONEE.Ni.W.,Ild snout!
I,
St
lett n y knowledge. t .at fi 64-ve
e
m •. - . prove< Ltglti ( ..;dand) 2CiJN neutiehe iNd
0150,Wa, ,,ffm16,..».'")6
(name 01 nativer person opening the aceetird). hereby certify. to the best of
eznipiete add correct.
~lslt~
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0078390
CONFIDENTIAL
PROT1
PROT0