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II. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information:
a. twine and Title c£f Neo.iral Person r.7.9ening Account:
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b. Name of ft;
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:J. Trt)i owir.q informazion for each irdeolduy relationship or otherwise, °Wile.
Pe."'cou "s Ewing Onso;
through arty coni.r3cr. arrangement.
I
C4 the equity interests of the legal entity listed above:
! !dt!s aarn£(iY Avs,xs:
Se:Lai:Sae:0V;
; :SetOr:4W Ou'aistrod taimbto
StaidBeturifo fithrocla
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stior v it ' v.`11 38 kite kwHo:143S Nolant.
tstasiss Sco4 FieC;Ifily 'A/Mtg. at NI:MX.It wi:P CA'Ner tr, of illoorwo. se oPos i rsalogiss SAW r4elltIN
rosnbcr .isel.u.04:, igne.plooM other wissitiroors • 44440 atuorneat estarmasirsnian'tio?ar rtudoese and besting ti phssoc.saph Or *tellile sitht4as iSsuld
tr4 wos!aed.
(If na
tOU.0 tatins fait soi.lt:,, e.ilinJ1•,,scite "sot .st•Vti:r.,k4fs.'1
d. The following information for one individual with s;gnifcant responsibility for managing the legal entity fisted above.
such es:
• An executive officer or :.•.;eic>or 'nonage! (e.g.. Clt ,et EXEC.,..itiVe Officer, Chief Pinanciai Ott-cot. cruet Operating Omar,
Managing Member, Genet al Pechter, President, Vic.e Pre4Ident, Treeeuren: or
• Any other ;iviivklual who ieguloriy .3rtottris eirniar functions.
OF appropriate. :an Mthvidual listed under savhort (6 above. may gest) be listed in this section rd))
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flP)thrgif So<ail Shanty Sar Warr U.S. gerwsr, -6 ..>
StsurasSionw.or
Pstw"...21 SPontswutliCerott 31 4riad Ira en ii.ne-entllitathr sore:I:so:Ow. nouber
ate moray of frulant..
• ,.,.i.".141Prtoss.at dytuttintli ,pviSiltinc411:1I;On4hi'i nr gondOlgA
d tWatOin) a f'hutugrsrals: HnlWI safeei-na ihr•ge iE pardat
i.
ior.i feAlctlat the • Igo Uotaa'.4 '14/1S olive aersibe (Carlaroll:
nam , (hided at.ove is co.
2.111,31.:socichs Sent JU.i. Ail tqllus : or Se.
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atural person opening the account), hereby, certify, to the best of
:there ar,d co• rect.
told
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0079831
CONFIDENTIAL
PROT1
PROT0