Case File
efta-01368380DOJ Data Set 10OtherEFTA01368380
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01368380
Pages
1
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0
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US PERSON CERTIFICATION
Please indicate below whether you ("Client, are a US person.
If you are not a US person, please complete this Pan A and continue to Part C a»dreturn signed,
completed copies of Pan A and Pan C to your DB representative. If you are a US person, please
complete this Part A and continue to Pan B and return signed, completed copies of Port A and Part B
to your DB representative.
Capitalized terms not otherwise defined herein have the meanings ascribed to them in the Glossary
which constitutes Part 9 of the Swaps Protocol.
Legal Name of Client Swap
Vehicle:
sok.7n\aN -FisaaNcliciL Lic
Client hereby represents (which represemaEon is deemed repeated as of the time of
each Swap Transaction Eveht) that it reasonably believes that it Ages fell within one or
more of the US Person Categories or would otherwise be deemed to be a "US person"
based upon the relevant guidance in the Interpretive Guidance. If you have checked
this box, please complete Part B but do not complete Part C.
Client hereby represents (which representation is deemed repeated as of the time of
each Swap Transaction Event) that it reasonably believes that it does_not fall within
any of the US Person Categories and believes in good faith that it would polotherwise
be deemed to be a "US person" based upon the relevant guidance in the Buerpretive
Guidance. if you have checked this box, please complete P
hut do riot
complete Part B.
Legal Name of Client Swap Vehicle:
Authorized Signatory Signature:
Name:
Title:
--T4PQrs- /
Fa
Mandgctir
101 -21r1-
PART A —PAGE 2
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0060103
SDNY_GM_00206287
CONFIDENTIAL
EFTA01368380
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