Case File
efta-01375821DOJ Data Set 10OtherEFTA01375821
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01375821
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
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II. Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide the following information:
a. NRITIR and Titie of Natural Person Opening Account,
`1.
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Entity. Type of Legal Entity, and Address of Legal Einfrn for Which the Accourn is Being Opened
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r2, foinwing information for each ;nclivithral. if an7, who, riirectiy nr indirectly, thro,4h any contract, airangerneim
relaticns”p owns 25 percent o:' (awe of the equity interests of the legal entity listed above:
v.a ;Nen, ' Poi Voo.U.S. Nolte's:
5111:4.70:
:FoIrclo. 1 foF 111(4r3ittl":
?' AMIN" ta Social Stunts 1'4011600
Te4441 Etc-km
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4414
too ieah piedza,..ker, €3 sit
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'farbv lett Counter 4fri ILI, gine an lam vo:ndfration Card rumbe-_,:r 11angst
and counter Or invonce eon/ totior oovenonoro-towsriotaitow.: evtIontleg
og on.r..tonce end L.! Mktg 4 chO:CO.14tt
NvIONI T.Step....1c) 1.1quid be p...11.Av45.
91 ro .r-44-dicmintoots %No ocOrition. Ovate Mite' Hot AOPUtoOlo.7
d. The following information for uneindividual with significant responsibility for managing Inc legal entity listed active.
stet: as:
• An executive 'Weer or senior manager (e.g., Chief Executive Of
Chief Financial Officer, Chief Operatin (Miter.
Managing Member. General Partner, President, Vice President, Treasurer); or
• Any other individual who regularly mforms S;51a5 functions.
(If appropriate, an individual listed under section (c) above [nay also be listed in thus iectInn
Savart—
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04o it of Solt
Logy Moreso roe U.S. Poi oans.
SOcul %nod", umbof
For Non.t1.S. Person c.:34C flX901w i frtteit00M0oel
to Soc-41Socotite
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Countre
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r: atilt
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oth 'm gent
:mu or F4. rle,..SN miintiet oc cot:dente sold !stone g oltogi Alt or ..wairaitarers2i:. snuaw
c.*Me-1
(na my ulowiedge, that the:
pro‘tieed above b'll‘brafr!
'-Must
:denser CC/Pelona') of natural person opening the account) hereby certify, to the best of
complete and correct
20IE Oetioev Honk AG.' Al rign oksto.ti.. 11:411895tle 02$819.C61319
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0071442
CONFIDENTIAL
SDNY_GM_00217626
EFTA01375821
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