EFTA Document EFTA01356003

KYC flint Page 10 of 22 Onesheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3k Individual Details or all parties) Individual's Name: Erika Kellerhals sinimp. Date of Birth. Country of Residence: USA Country of Citizens! o USA Address of primary residence: Profession/Occupation: Atto-ey Tax D SS4 Current Employer: Kellerhals Ferguson )(goblin PLLC Position/Title/Rank: Address of employer: 9100 Port of Sale Mall. Ste 15 St. Thomas VI U