EFTA Document EFTA01381917

Pre U. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. Navne and Title It Natural Person Conn no Pe:onurit: ‘ A- -t e b. Nome ot Legal EntitY. 1.,ifi n Cif Le.2ai Entfrn ancl AC-dross ol* Loge! Entity to, vdt..•;Cli the Account iS Being Opened: TE G E- , c.. ‘be. I 0,..›are_ (ot OO Q. kAticA.c. a-tv-i 93 t tØaL foeow;no information for ea0h indiinduak. if arw. who. direeey or Mdirectly. through arrk c.oritraet arrangement urdemioi.• 5. -c •,::it)t..;r, I lip or otherwise. owns 25percent or more of the equity interests& die legal entity gem( hbovb: 5:fins swit For ecnoui: soce;Setioc, : €.$4.? k.^.1L,(46 fitMf2tti ..,rnet io Social Secnont I:ulnInn C>lt:(O ea& k4...105)..).trier, 93 6-‘zlick,1/4 tiso1C3 s3/4-ritt,1/2, 5 )1/4.xut oc>toa. kn' tensent r110-"then 1n.1 StnCIt.I I4itte/IIZy "Iunitin C. PI I;JOepOit .•tee'nbertitil CrWIltil'r of inklara tSCO lOODOWEICF. nod foonfic. ar OziOttOr af4 COUllt, of Bosom:fief mrf whir Quw~nen!-KtInd dnrunwnt evinnfinenr; nnuonaky or f•ELIOMXMOOd DOIIIIIIflo.pflxogopt; VAXXI: meminenl Want/ inn ,:eåetret (II no ~dual meet Illit LYIItItCn, perane nrrQn 'NG! Anpnalbe!') :1. The following Information for one Individual with significant responsibility for managing the legal entity listed 31.11.%fe, ate_'! ae. • An r)nliCIItieW officer or serCor franaeer (e.g., Chief Exroutive OffiIXII. Chief Financial Officer. Chief Operating, Officer. Managing M9Illb-ar, Genen Partner, President, Vice President, Treasurer): or • Arc other ;ndividua who regularly bait:ohmBlitslav funetexie (II appropriate. an individual listed tender secttn (*above may also be tisted in this section 0». r.l.tne? : er3h:h eri ,nacric-es 1err.14 !>oØ re's* LE S. ;11nence. IinnUSe Are' rSuiå4:;u!7: enenrnegn ;Ave.-Anne. %tige« IQ Sncill Stecunle ',1urnten, g;),' rtr.s‘n ?I‘oi‘O; :X O NOISIXE *chi:centre of '31,OXO4, 'Xi SONO kX.0~.O.E' rwo foriiina numb,* arvr COLIOtre of inseinnee et any new ‘,burtninenr•I'morrlOOCIXOC/X nelnennini neonnslitti er .enirlonne /Ind OfOring a onoi.of.ron of omits if-io,odiin .-----(nar a of natural person opening the account). hereby certify. to the best of Knot:led ovided ni%tVe. Ltriplete and cfri^a..:t. loaoi ff nob toonfierieioncine t ft 4,‘ 20ai Rini AO. Ad s f61,4n,o(f. WM1 466'6 fr1efs if erii31.9 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0081125 CONFIDENTIAL SDNY_GM_00227309 EFTA01381917