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efta-01368380DOJ Data Set 10Other

EFTA01368380

Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01368380
Pages
1
Persons
0
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
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: Date: --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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