EFTA Document EFTA01480626

ECI Party Type Party Name Last Completed Search Date KYC Status Report Type Relation Type Powers Percent Owned 0241469053 IIICINithlal HARRY BELLER Ft( .le. ' •; O01111.1 500 Primary Information for Client Type HARRY BELLER Individual Generation Client Status Proved Active Indicator Yes Front Office Restricted? Normal Marital Status Confidential Names? Country of Pnmary Domicile Prefix/Title Insider Code (Reg. 0) First Name HARRY Full Name HARRY BELLER Middle Name Gender Male Last Name BELLER Date of Birth Suffix Primary Country of Assets PreviousName/MMN/Mias Citizenship Employer Name HERK Associates High Risk Jurisdiction Occupation Financial Advisor Industry Code (NAIC) Years at Occupation Secondary Industry Code (NAM) Address(es) Type Work Notes Address Cfty, State, Postal Code NEW YORK New York. 100656298 Country UNITED STATES Tools Map it Entered by DANIELA GARIN 10/07/2013 Preferred Yes Phone(s)/Fax(s) Eir la Work Notes Phone Number Tools Verify 'Do Not Car List Entered SYSTEM Date of LI ate 04/13,2012 Preferred Yos Cost Center & Hierarchy Client Status Client S . • nsce Cost Center Client Service Team Pros.- O 008634 • COBS Individual Identification Withholding Federal Status 0 Form of government issued Identification obtained for the files Domestic Codified None Withholding SSNMN Certification Date SSNITIN/EIN Source Of Wealth / Financial Information Details Confidential Treatment Requested by JPMorgan Chase CONFIDENTIAL JPM-SDNY-00002831 SDNY_GM_00272029 EFTA01480626