EFTA Document EFTA01381088

II, Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide ti's following information: a. Name and Title of Natural Person Opening Account: -Tec-cel ‘-es-gre t tet h. Name of €oge! Entity, itp0 of Legs! EntAy, and Address0i r..0031 Enrlty Ny :), l.e in;: tditi-ci- in 0 A -.1/4.$••.4 • t OS 1/4) t Caw (2.Oier—ft to" (at 4e)ot Cilaav 44vt SAT. 1.1•.1/44544...a,c., IJS 1/4.4% Tile foRoenot information for each mdi rluai, if atty. veflu, directh or indirectly. &trough ely contract. strangemmt. understandin), r.?!ark)ntlhin or orlrere.ise. ;owns 25 percent or more of the equity interests of the legal entity listed above: ..-Gal 'A; ,, no L OO AsoiCa1/4.Aori 83 374C4•1 ‘4.44" 1 l')415-3 Sat -Lc. Sf osvt o oft .1 Fix US.P!!rs.cs. Far Nr,n-US.Persto.r. So:OA Srtrortr; ("Stir 1-AtoOtt 4 kr nitorrAti-a• Number to SMial SiCildt!iNorotrrel 3%143 704 N r)n..11.3 ,Cdt400 TI4 A.X6;alSevii0:'4"ingittl AtitipiA I rirdnOe c‘errh Courm4 nt liaole":".4t an Fan ckfttii.-raWl Card MLitt:, :II MICIN/r rim: country or isimoroar JI.NH one. groeulonent4oneed fIC410114AZ•ttcler.ring orthoo,mity or resrcknee roe bearing o photograph et stilts! tateguthd tett ni> lutryitstku *nets the deltogion. it &NM AppCoabro. :, d. The) following information for one individual with significant responsibility for rnanaging the legal entity listed above. such as: • An exervthe officer or sen)or manager Chia! Executive (3fficer. Chief Financial Officer, Chief Operating Otticar, Managino Member, General Partner. President, Vice President, Treasurerk or " Vrher regbiorlY !Vann?: sinsilar functions. (If appropriate, an individual listed under section (c) above may also tat listed in this sootier! KI)). Nano :ON,' or Sir:r! t..rcrAAOrrs..tso TeCCen C. 4,44e., I s-3 Sea tilto.Ja Ff,e U.S. rirrroefrt. Cot Non•Lr.S, Pors...ro. S0O4' Style:!, YeP foohetre 2 n.4; number toSariel CS:cuitt, ; 'CIO -44- c3Sttfr • For Noir frrotor:o. s. ar.Wio:: ;oh ....f.41:31 SW:ffity Ittrnmr tv a PM:: IriWtardWidt Coo:Intl rusracr.,?. do Fin i2-irrig.1.7.1krir d r-gonGr.cr otarrtir! and country. of i hr.°, of .inv utile* utennut•ntlott.-e.7 fr.:W.1107V IlltiWahly fir ritlikflta wd inntril a PhaLliallOil ar a rA.0 lafilltaG X.:alei be prMided. taxa(' .ratuf(11 person opening th • account), hereby certify. to the bast of y snowiedgeltlstt the !tVraliove 's cc )pletiand correct Sr9OOtorrr Sigr: Logo SnOry rthrvitrornotiorW. 2018 I/watt:he eack G.Anlicirm.itsoryto. 1:0:11(4066 O4,919.i)SISIS cats Jig CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079835 CONFIDENTIAL SDNY_GM_00226019 EFTA01381088