EFTA Document EFTA01372436

Number and Street 1: Number and Street 2: City: State: Country: ZIP+4/Postal Code: If this address is a private residence, check this box: r Yes No 9. (a) If the related person is an investment adviser, is it exempt from registration? (b) If the answer is yes, under what exemption? 10. (a) Is the related person registered with a foreign financial regulatory authority ? r (b) If the answer is yes, list the name and country, in English of each foreign financial regulatory authority wit