EFTA Document EFTA01381125

II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. Name and Title of Natural Po -n011 Open Wlg ..U•t-Car a 1 C. Cl 4.1.etif e b. tame of LegarEnthy. Type of tegai En.ty. and A•1:': I ft; Which z • ‘-^-e-c. i 0Syt Tne Viowirg Enter:to:ton for • noerAlrining. relationship a r lt! llerW Tic4.1 c. Li2c15"3 '.ifwalAthswiw ' ICX Beteg Gostr; :!I(.1her..ty, through arty contact. arrangement. :4 the equity interests of the legal entity tIsted above: Po: oareato 1:44 4a...w4.15 oivats: eas unitzw iseciiiirc :Set tart -41 fe &ASO lierw.ir4v !Nunn?) • ltcwnoo•US Wiwi-NW ft tiitawl44` :36OM 'Atmtql or NI3:12.X.Il ltmit.tx vo;l1 CA'NertrIW tuna. ir 'rpm 'ieracsfirri card r4,92,6-: 464.mcg , ignamrro M Sc;; other ty.nmeittimr•ouut.9 Ofrzanelii iricad-tockmAirtionitior?ar rewletme 3114 beinag phowciap6 or*Tilltr titi*/tuiri p•-o-6!4e-4. atrwinceaau.o.neets ;hit soi.*:‘-c. gilmMrwritr! - Not .crVIl:,lble.1 a. The following information for one individual with significant responsibilita tor managing the legal entity listed above. such as: • Ar: executive officer or tiien>or :nonage! (e.g.. Cis,e1 E'Set.:_irtve Officer, Chief rtnenetai Otte r, Chief Operating Otter. telehaOrt Mentell Gene: el Patine:, Pies:dent Vete Preeldent, Trearairtel: or • Any nrrxe indivklual who i.e.gularty performs ettntlar it 'notions. Of appropriate. an 4tthvidual listed under seoram (c} above may mao be listed in this section c(1)) Date w; Leyte Aclat4s itC41-4--k‘ S-ce 1,44,ca.0 O A•gt.:S.Pecoeat Siprtpt,,- Number :: (1‘ r:Ctl•U.S. Pun O,: iSrtf ftiOtt)."gtt i it. t:t.qt:".1.tiVel' Strati SIC1ntly N'), ' For Warr U.S. getwetc, -6 • • • r": :•rj SmuttyRunt-6N- Hurntrm CGrOtti 31 %Warta en ii.ne-enlliwaVor cream:new. nowber and tourney of lirionnrs • . • dycutkintri ,nith-ocing itit;m4fi-i It fintrIt'lltAl tWaillinl a eheelfireehe: : tote: safreitteri sixeid pri•idict ra oewle•Ictlet the lift) • SzejtTle::i (Op wwwel/ trail% (hided atlave is co. Elermictri- Soot MI, rqks t;£. ll:MVP.C(93 _ 1 - atural person opening the account), herein certify, to the best of :pier& wd cot rt.tct. tai -( CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0079894 CONFIDENTIAL SDNY GM_00226078 EFTA01381125