EFTA01368394

5WAP ADDENDUM ANNEX CLIENT INFORMATION FORM 1. Please provide the following information regarding Client. - 50ATTW,t.).) .‘1.11\i\x/VPIL Legal Name of Client Swim Vehicle: Leal Address: 4too *sling_ cr .3 ssAktat.insmasiacytsvi OS-1 Email Address Principal Occupttikm / Business: f1t.I i‘bCAAL- 1}3CO3h111C-5 Q 8 rtC1D\Clie; CFTC Inietint Compliant Identifier or Leal Entity 14 iLl-XC:t114 (-2-4 2. noes Client have a Swap Agent? D YES [AND It yes, then please provide the following information regarding the Swap AgenL Name. Acltts.s PbOne; Each Swap Agent must also complete the Swap Agent Statement provided in Part Sot this Protocol and return the completed Statement to DB. 3. Will Client's swaps be guaranteed by another entity? K YES III NO If yes, then please provide the following information regarding Client's guarantor. Legal Name: Legal 4d.M.S.1 Each Guarantor must also complete the ECP Questionnaire for Guarantors provided in Part 6 of this Protocol and return the completed Questionnaire to DR 'Me CFTC iniclim Compliant Identifier (or"Cler), which will ultimately be replaced by a Legal Entity identifier (or ahitr). is a unique customer identification number used by swap dealers as pert of (heir mooning obligations under the (:FTC Regulations. 6! SS WI PART B — PAGE lb CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0060119 SDNY_GM_00206303 EFTA01368394