Case File
efta-01375827DOJ Data Set 10OtherEFTA01375827
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Unknown
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DOJ Data Set 10
Reference
efta-01375827
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IL Certification of beneficial owner(s)
Persons opening an account on beha€f of a legal entity must provide the following information:
:I. Maine and Into of Naturei Plt(SOC, Opening Atmoont:
TeORNeil
‘ csAletia) Soka
b. Nana of Legal Entity. Type of :ega€ Ennty, and Address or Legs: Entity
iPiNch the Account is Being Opened:
c. The following inforMatiOn for BachWiltiehat if any. who. direct., or indireCtly through ery contract. arrangement,
understanding, relationship or otherwise, owns 25 percent of mole of the agility interers of tha legal entity listedabove.
pi-t•
LbwlAdesr•Os
Wean clativa
For
Pawn:
number
sof
(.90+ tootmlit 7 It,
to Scelal Secorn Number)
'
- AO(
ai assign it, 3 Sc•Sol Se.viity Norther 0 n :c•ttr,acqt Komtav •actlitAJoIre Of .,Iaarr..4 rao Ws, Cent „alion zon.i milOIXt or .-krotitt
Ore A•UoTIti
issalOrm.
111N% jirceoloori;.in•Fact deCtotent thirle,*(34•D Ammon:Ilk? or if 7tOrFACa
l'azoing a pno!ograpti pc sanOot 3a/ectiatif St oak'
t's ce•widrrd.
(If no ittrthq•ii.2
This d:Hisiltxxi. *one tsrhe "%to:AO:table
el. The following information for one individual with significant responsibility for managing the lege! entity listed above,
such aa:
• An WoiCUtivt- officer or senior manacer (e.g. Chief Executive Officer. Chief Financial Oftker. Chief Operating Officer,
Managing Member Ganef& Partner, President Vice President. Treasurer): or
• Any other iheinfidual who re4Adatly perf,xin sim;tar auntie's.
(If appropriate, an individual listed uncle! section (c) above may also be listed in this section (cf)).
T.Stat t
NV? tt!'
Matta',
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ra
See-
4=40,4
U.S
S1?3t Seer:
car :4:in.it:S.
(See OlOO
TI, 1 ON
n
to SocLO St ::tfiqv
r.tyn
Fm "koa.u.11. tze,:xet. hAplAft to
:tier-04y )1.-ants., ai ONAlligr. 3oeitto".oith COLA-Ort ,ft
- of", nen r4r- o-br
itant•*:
Ma COMO? Oe WoJOIV* of airy out, (owf n men 1-131•••0 doeumers esioormrg mitonalits of :tater 4:4 ant: ON,' too Ott)tOlr-ral 0, -INNS inflOos:$1-K- 014
ne
(name of natural person opening tha account), hereby csitify.
the hest of
widge Opt the Ent
envie:4 end °went.
%rgai
ktnntithrr ((5), tong)
2 20 t8 1)4u:::etie 94is‘k AO.Alid9on tesernm. 'NMI:n.466 0:Nalthiti au le
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0071450
CONFIDENTIAL
SDNY_GM_00217634
EFTA01375827
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