EFTA Document EFTA01381089

II. Certification of beneficial owner(s) Persons opening an account on beha€f of a legal entity must provide the following information: 3. Hanle and Tide of Naturel %SW' Opening Account: Z-eQR-.N (7.c4,et,...) b. Nente of Legal Entity. Type of Legal Entity. Address et Loga! 5ritity f .',Nifech trta Accocint €3&31.3 05»intl: 5.1o_ VA-42~S -t t'a ? .kn •An C 4 4 ) Cesna osb C 4•7 unpia)...4/ COI tc.t.) 4232C9 ''Cleka-loVt la r i 63 LDS t 42,13 (.7-i. ;rij,)mat)r, .?.)Ch CP33tiy inekectly. .I"rough contrT:iti arrangement unilerstancing, €elati,onsh:p or 0:3ter.v1583, owns 25 nerceni ni mole ot the aquiw Interest; of the legal entity listed above. ,irsru et !Val A33•••.;33 twat( c I > 1 s--3 61 co Q(i '4tot! g3 usv( cauL. neisona: 1. umber Fiat 3Stiniontr4411.1c., Aninntl.n* to Social Secvffla S:nntierj j'ae!";43•11:3.:Nstannt..nlanzetinn :3•3 3 3c.-3,319:333fifity 31333233, !!'33%.333 1:33333<'ila, :::$3K3r, Of •313~ 31.3 3W3' C<Int D.,a;(3. 333:: 33,3430. 1-;3n3313 ,tred ;XVI, Of i33M31333.; a any Olnet anceriininoninkincidtesnient ia%Sless:wis nationality ur it.t.dna:ca anS hissing a pnoing3303, tat samtev laSs3nanl salt' al re it y$9tistarrauis inis a-3393 s "*,!:nngi:table el. The following information for one indiVidtP31 with significant responsibility tor managing the legal entity listed above, such as: • An 3X3f33tiV7.3 officer or :renior maisager (e.g.. Chief Executive Officer. Chief Financial Officer. Chief Operating Officer, Managing Member, General Partner, President Vice President. Troasurer): or • Any otiet Irstailflual who regularly plerf iti3 (If appropriate, an individual fisted uncle' section (c) above may at be listed in this aviation (d)). 3.-S-f-tet 6f,k", FOg ne3:36t*.frine:knIn...~:;irAgity >3331333/3, :3!";43333,:343-103.3 .33b€:3333?..a instr-53 t..n ivy:~ nn: tarn "snobs or nken33: 333 C0133;" ctn.-wan,* of mist otnid gonnsfnmeni-iswan ~users nyinenerg rasa:lab% ol tonfenst ant: nsu nhoussnpn ni scislarytf.pcsorn Dat.3 :31:". ; E.34-M0ita3 A1.0v R._ FO3 Mon. US. 33,Ssi* Nimot3:< St3Ui it:- Numbly! 4.4 !m,• '1edge, tftt the in 3lai OW: 3 kttnitienr 3(35n tang) Le l>,,uzahe 9are AO. All clams taterea. WMIa9666 (name of natural person opening rna account), hereby nettify. to tlk,trest of enplate and awrect CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079836 PROT1 PROT0