Case File
efta-01379160DOJ Data Set 10OtherEFTA01379160
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01379160
Pages
1
Persons
0
Integrity
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II. Certification of beneficial owner(s)
Persons opening an account on beha€f of a legal entity must provide the following information:
:I. Name and Trite of Nature %SOP Opening Account:
TecR...1 L. (,,,,,4,t„ ) Soka vvtawl-ev-u. NBnte of Legal Entity. Type of Legal Entity. and Address of Legai Entity
Which the Account is beint; Opened:
t.../e..? A-NAne J L-L C.- ) )be_kc.i.oce. eel co...Ilk 6
14
It a CZ (.
Cot t70 iaa 4.00Loo.vrbec e3
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) L75vt
Oc,1a 0 - 1 it 7 kcic,!;!:Thg ;ni,);tnatir, Or .?3Ch
4t0. CrreCttii Cs indirectly. through contrTct arrangemet tinflerStOz !ging, felationskp
or otherwiSS, owns 25 nerceir ni mole of the lenity Interem of the legal drib(, listed above:
;:,,,t„ of eti- tt.
:LEIt‘C dt-c.t.;
4,64„,„ woo ea k4ciov usv(
.
.
p;;I. LI a Ptit0fRa:
.:F1C1E11.3171::eiltle umber
Fat meii.4,tS. rxtpar.r:
tootmlo I !V' 3S3welsitital
to Social Sewn!, s ...ttober)
Non•U:S.!%raont. T sott--ticto 3, ) Stettd Scrwrity Norther ou n 'times
*.trots .6'44County, of .Thiatr..4 Ri.cOtiew. Cent raittflo r4td mwobo.
IStstliat
Nod AN.OtTly of iosustecti et my, otter otrcoronorc.issooddectotoot levirleitcug ',atonality or /f7tODOtte)anntwoing a prtowtoraoti ix 0Mo/3403914M st nalti
t'a ccovidod.
(it no meth This d:HislIttiti.pfreco !mg, e "%to:AO:table') ci. The following information for one individual with significant responsibility for managing the lege! antity listed above,
such as:
• An executive officer or senior manacer (e.g,. Chief Executive Officer. Chief Financial Off-zer. Chief Operating Officer,
Managing Member, Genteel Partner, President Vice President. Treasurer): or
• Any ocher ihejiwoual who re4Adatly perfwIn3 sim;tar itinctians,
(If appropriate, an irucividual listed under section (c) above may Ws° be listed in this section (d)).
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or
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SOOLO St rut titcr.tti
•
FOI titoo.U.S. tzevoont.htotkit v:3 Eit."-otki Ststvrity nottib.../ ot Ot:tatmor. ,forttbet .t>ithroottefti instuora, to,
tit i•wtOf-cta. !t.tct cam noTobr. or oats*:
Ma COMO? OteltIvOittg of wy otltw govstnment-immodocurnets evioecrirg nmonalits
InefOrc; ant: ntoroto a OttItt>3r3PO m -OrMIS-InfttO3O31-kt.13
CrW "O
?el t rp
t
fnam(d of natural person opening tta account), hereby usitify. to tie, best of
cadge, ttpt the Ent omplete. and °went.
ktontitior t(tsc tong)
20 tn Ocuzetie %Pk AO. Ali (19otatesernm. seiM1£9666 le IS
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0076475
CONFIDENTIAL
SDNY_GM_00222659
EFTA01379160
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