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li. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the `oho wing information:
a. Name and Title of Natural Preon Opening Account'
Pr-frei ‘..
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o. The fogovring inforMatiOn for each indivleina.1/4 f aity. WhO, rilracthr or indirectly, through any conbact,
rangament
otwfltystdrto
ot
en:65e. (),,,n5 25
'y more of the equity interest of the legal entity listed above:
co, t.I.S.Permes
kit tion.0 S Petwets
SocIS -9Thlrir'21
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U SMAA Sh-OtICOVV»Pdfl
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S$.
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ViOn %/It
..•iirSti:uflit:•+.1:Dtre' V .10 1.1.2>P0it kiewe?..t.itn COW,ITY
10004" an y4r4i- izLefoggIn4ncicid ...ante: a ryjet.,tt
and -).:Dntrr. of issri4nr;# 41Vrt ,the gOVVAII1Wit.otiseel nil mat rrirdenting nationallw or rewierreetird be oteg a plcrtotazah et smitu tafewall thorird
sl no iltbual meats chit oefineitr, these Mite '140t, At013bie.,
o The following information for one individual with significant responsibility for marleginQ the legal ernity listed above.
Rrn es:
• An executive officer or senkr ntanagerteg , Chief Ftithre Officer Chief Financial Officer. Chief Operating Officer,
Managing Member. General Pdrtflal, President. Vice President, Treasurari: or
• Any Citttqf
'rho regularly rxrfotras &miler functions.
of appropriate. an individual listed under motion (c) above may also tm listed in this seeth,n (d1).
Diflt I/1 earn
14-4s)0, ..sz
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k'nf'N't
rtor ticort.t.S. itrirattt
54X1Ai
f3fel
4iVer•tves
PAInlbe
Scsnol Sterility N,serttit
Fof
ft.yrscrai. t *r... rrorr re 4 $a:-.
--or Switate kiirr?Ar ea a Pkcpw.rn PlertneWgr C:42:1710f '4C-ii.bna an xeierriitrotitir.b1h-e:4.7/t.dnbze.7 rtiRltbk:
and ;rout.,
n..”inze c.! zaw *thin Licniennert.isose:, dew/vent evidencing ontinmliwnr mfatittroe.ted be 10114 a illretycirapir or Jager salcgi.ercl Omni°
Protij
LOOM 5n7:n,
(Cptinr )4/
or natural parson opening the accounti, hereby ceitifr, to the bast of
‘omplete and tesfeCt.
ti; 201S Mr:tic:NJ Sens ers, AC NM*. ittier4tti. WhIgoe;64 nestkostass
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0079896
CONFIDENTIAL
SDNY_GM_00226080
EFTA01381127