Case File
efta-01375826DOJ Data Set 10OtherEFTA01375826
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01375826
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
II, Certification of beneficial owner(s)
Persons opening an account on behalf of a legal entity must provide ti's following information:
a. Name and Title of Natural Person Opening Account:
-re Ace
‘-es-gre t let )
h. Name of Legal Entity, 'Noe of Legs! Eritity, and Adr.iress of Lena!
tditi,4-
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to"
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Claate 4.evi g3
at.
crliikrocs.a.c.,
1/4)t
Oe.3$O1._,
c.
faRowing information for each mdi titiai. if any, who, directly or indirectly. through eny contract, arrangammi.
understanding. r.?!ark)ntlh1;) or oilierciise. owns 25 percent or mom of the equity interests of the legal entity listed above:
'cal
L iota
ilsoiCa1/4.-Aor, 83
Tani k• ‘evn's‘ 11)615-3
sj us%) t
alma
Fly US. Parisi : Par Nr,n-tr S. Panto*
flittUott
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Number
to Sooal Stcurhg Numrwl
704 N r)n..11. 3
OCte&F3t.A.Xoi
'4"ingittl
oP44,41,0!I NurnOe *eh Coupeint
an Fan otratii.-rthlti eat entN:,Ar rwnbcr
fine country or isc.ktrerct JI any oat, grorminontiibuiottifIN:4101WC•ttcler.ring nation,Ay or resrcknee roe bearing o photograph et stilts: tat eguu,d
bit r Tow/.
p I no mckrirruoi moots this deliortion. paElfte Wiit4P'140( App1;t3b=0. :,
d. Tot following information for one individual with significant responsibility for managing the legal entity listed above
such as:
• An execothe officer or senior manager tee, Chic! Execurlyie Officer. Chief Financial Officer, Chief Operating Officer,
Managing Member, General Partner. President, Vice President, Treesurerk or
- Any entilir
vrher regUiarlY !Winn?: similar fonctiens.
(If appropriate, an individual listed tinder section (c) above may also tall listed in this section µf)}.
Net
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3.004i
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For Norr.,13. Orttouo.
h
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d r;ront-x. rirartirr
and country. or iwra".te of env
decoriltr:
iritinnahlvnt rineente rod berg.) r. ph:Ammo', ur 7.47,P31 Ilifrg4.110 CM.0./ki
be prmitreo.
y knowiedgellt la: the
Sr90otore
Lego n0rr rchunifrornotiorW;
Nolan f natural person opening th > account), hereby certify. to the bast of
it:Viral-Ewe 's cc 'Vete and correct.
tj 2018 ()erascare earo
itsevro.
iff3066 O4,919ASISIS
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0071449
CONFIDENTIAL
SDNY_GM_00217633
EFTA01375826
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