Corporate/trust instrument (EFTA01480834)

Form of government issued identification obtained for the files Drivers License Primary Identification Number Issued By UNITED STATES Florida Date issued 08092005 Expiration Date 04.0712012 Source Of Wealth! Financial Information Details Source Of Wealth -Identify the Clients Source of Wealth from followine list of o• Ions Introduction Non Individual Entity Type Limited Liability Company • For Profit For Profit? Yes Locations Served? Domestic Are beneficial ownersiprincipal