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sd-10-EFTA01389094Dept. of JusticeOther

EFTA Document EFTA01389094

SWAP ADDENDUM ANNEX CLIENT INFORMATION FORM 1. Please provide the following information regarding Client. Legal Name of Client Sap Vehicle: Legal Address: Email Address: Principal Occupation / Business: CFTC Interim Compliant Identifier or Legal Emits, Identifier 2. Does Client have a Swap Agent? K YES K NO If yes, then please provide the following information regarding the Swap Agent. Name: Address: Email: Phone: Each Swap Agent must also complete the Swap Agent Statement provided

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Dept. of Justice
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sd-10-EFTA01389094
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SWAP ADDENDUM ANNEX CLIENT INFORMATION FORM 1. Please provide the following information regarding Client. Legal Name of Client Sap Vehicle: Legal Address: Email Address: Principal Occupation / Business: CFTC Interim Compliant Identifier or Legal Emits, Identifier 2. Does Client have a Swap Agent? K YES K NO If yes, then please provide the following information regarding the Swap Agent. Name: Address: Email: Phone: Each Swap Agent must also complete the Swap Agent Statement provided

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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
SWAP ADDENDUM ANNEX CLIENT INFORMATION FORM 1. Please provide the following information regarding Client. Legal Name of Client Sap Vehicle: Legal Address: Email Address: Principal Occupation / Business: CFTC Interim Compliant Identifier or Legal Emits, Identifier 2. Does Client have a Swap Agent? K YES K NO If yes, then please provide the following information regarding the Swap Agent. Name: Address: Email: Phone: Each Swap Agent must also complete the Swap Agent Statement provided in Part 5 of this Protocol and return the completed Statement to DB. 3. Will Client's swaps be guaranteed by another entity? K YES K NO If yes, then please provide the following information regarding Client's guarantor. Legal Name: Legal Address: Each Guarantor must also complete the ECP Questionnaire for Guarantors provided in Part 6 of this Protocol and return the completed Questionnaire to DB. The CFTC Interim compliant Identifier (or "cicn, which will ultimately he replaced by a Legal Entity Identifier (or "Len, is a unique customer identification number used by swap dealers as part of their reporting obligations under the CFTC Regulations. 6:9599$ PART B — PAGE 16 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0093376 CONFIDENTIAL SDNY GM_00239560 EFTA01389094

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