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II. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information:
ch Name and Title of Natural Person Opening Account.
Te
k e' N k kksti U.S;fr le V -frx Which the Account is Being Opened.
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c. The following information for each individual, if. efty, M:^.O. directly or indirectly. through any contract, arrangement,
understanding, ri.datiOnShip ot otherwise, twins 25 percent or more of the equity interests of the tega) entity listed above:
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• ..-x•tiv•ser..enn• : !".nn ft;:;:re fi. i!•:: Werigivr$
N.:timber Zatr:411.5tcofftyt.iisig»I:
6( on ea Pcotfau., (Ferte (AO- tit-- 1 ----FP4-1€. €ech1/4" IlD O1 V3.
',- • Ti",..asjusvt costa.. 3114 S..
Fr>, nns• rtrIftntl.ilt•mr..a,rt 70 LB SowiSecontr NunYvr (4 o Sttweri
Witn etaft..jot :non Rion CunBfpxior. cdrUrternbr.:, nantee led alone): 0i:sit:hew esi en} On't SiveYntatrit.:11Surd
tet:eftneirsi alt.i0111A,N a rattiU1:I1Ce and Westing J P4P »XiM Utth or jmill¥ tjfj;JJ -4 tn.:Ffle
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(Nett+ th4",tinal9n. pat eoily ;.'nt it The following information inc one individual with signiticant responsibility for nomaging the keel entity listed above.
Such as:
• An e../e-sutive ofiKtei or manawar (ea., Oijoi Executive Officer. Chef Financial Officer, Otief Operatnig Officer.
Managing Member, General Partner, President, Vice President, Treesuren; or
• An'? OthW" nCrVir.hiai kvho regularly performs similar functiOrts.
flf appropriate. an indivkinat listed under section (c) above may also be listed in Otis section (d)),
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' r:of r•ix:..!). S Je4lons.
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tagal ,tennSer tOotrenae
(name of nature' person opening the account), hereby certify. to the best ot
stisl4edotr.2.2rs co tplete end correct 2131.3 ...!etitsd* ear!.
AE
026219.051Si:3
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0079897
CONFIDENTIAL
PROT1
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