EFTA Document EFTA01381090

tosal Cont.; ONtnt"tr II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the foltowMg information: a. Name and Tuft- of None ai Pelson 0:tic' •i. C Sakt. Vitt b. Name cf Legal Entity. Type od Legal E•,, • .i, ;dv,Inddictsdif legal Entity fra• What the Account ia Being Opened: t_t_ Nt Ye. i.'41 lima •+.A. .1 c. The felkwrine ininxmatiOn fot each indkadual, if any, wtKI. &swat-, or indirectiy, ibraisp any contract srrangeinant. understanding, relationship or otherwise, owns 25 percent or more et the equity interests of the legal entity listed above: r.`Ntnt: Drr or• 'or t!$ Pu r Cap Ntx...4s atryirit SJO424SO44.4',Zo 014 fty.>:,4~ i -es siteriisti.:% ;dime« i o Sock, !iJortt.2t; igni 1 .0( oceaa gof rk.o.US r4:0000k. n .fitir e: tD .r .tor.'.3ti Ser4o::;>r 4iont.Wr ro 4 ,::),lyon! N:4,4>eT With r;:jorar, Gt An shy; ni(dntm*.st :!,:e enuetirr or WA:mph of any min, gcmcn:te.r.Intitd dc,tumeni evaa•nam% IlanCIPSNIV M. I &ten,» min linni,Q U PhwaSigil!.31 ;1.119 piC.C44:4 'Ulna in'Sygaial rtite !Pus ønsrliOio. ØrliO. 'rake "'lot 4.y.)isc.)btl.") 0. The following information fot one Individual with significant resiaonsibilay for managing the le-gai entity listed above. auch as: • An :ciseci.ifivo officer or senior manager (tg.. Chief Exc-ctitive Officer. Chief Finarciai Officer. Chief Operating 0frcer. Managing Mamba'', General Panne,. President. Vice President. Treasurer): or • Any other individual who reg tarty performs sritlw functinn-a. (If appropriate, an individual listed andar section (n) abdwi may also bo listed in this santion (W). .3act, t4fpl Aciu 3"..CCveT E. Efdr,, 32f-kw V S. rn. 'tarns. Z.citav :;SEe far-ix-41114r 4:Owtrir4,,44 Itorrobb S.r4/14 Stsith't NaTtcr; "Apr Pho41.1.5.P0rp4rro ttigioli to a år-"-d StaXiIii Pil.M.,bfr %%spun .»-wiber PAL, C,:ximry tykin21 .!m sxrbpjamoabm zyd !..aimber at nDfrgx". 4Pro, comfdr; Of 11Mb~ Qf ån't ntet 0o44rno4rtfil.ilia.fj niinfir4Hitr or itilid;fii*,irt1 baatin9 a paotolpoa ,)4 nrMlerMilt5I.... d cheek, bu (name tit natural person opening the account), hereby certify. b we best of v complete and es-A-rect. (ok (lom Gas ia2dta demsdiettink AZ.;. risintv reset:se wmtea666 (.7631) 0',1314 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079837 CONFIDENTIAL PROT1 PROT0