EFTA Document EFTA01381917

Pre U. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. Navne and Title It Natural Person Conn no Pe:onurit: ‘ A- -t e b. Nome ot Legal EntitY. 1.,ifi n Cif Le.2ai Entfrn ancl AC-dross ol* Loge! Entity to, vdt..•;Cli the Account iS Being Opened: TE G E- , c.. ‘be. I 0,..›are_ (ot OO Q. kAticA.c. a-tv-i 93 t tØaL foeow;no information for ea0h indiinduak. if arw. who. direeey or Mdirectly. through arr