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II. Certification of beneficial owner(s)

DOJ EFTA Data Set 10 document EFTA01297766

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DOJ EFTA Data Set 10 document EFTA01297766

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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
II. Certification of beneficial owner(s) Persuns opening an account on behalf of a lege! entity must provide the following information: a. Name. and Title of Natural Person Opening Account: C acsSwkt.t.....-1 -•••••S4 Ca v.are ra.-• "C",LIASE 1 Entity, Type of Legal Entny, and Address of Legal Ent ryfor Which tha Accounts Being evened. • Pr, j kmtv"e 0511/4)( Lit (Coln, (cly Cst L.& ram? Co (too te•Ir hkamot4 Q,),,,,Jc-rptri Sh - ViAzw_as osQl 0 obi i 2. Tha following Information for each individu xidua€, it any. yet*, (ilfecily or hid€rectly, through any contract,wraogerite,a, understardiNA relationship Cr othervne. ovas 25 percent: more sr!** equity interests of thee togs! entity listed ahu.A.): vS ro ,-ugurtca4: •Sor,41 Settl.pt (SCE ?colony? 15n II1 frnatiVAl . t4 Social Gtoo4. tpn neon Terroci 669c4-ern 'I 12.7 hot loo ieth 403Va.frity, n Et' usy( oora ock. - .3% 46.-" Pattered" 74: Mr.J.1 a 2tillan11. Iii NiCIV.Cei KO% &%71;e4V lagrg,“ arC Pflicao :adniNtr with Canty iclOanc r. do asp vientlfation ;0(4 c-..ont:E. U il.r.ilber IIid itWaftelidrzyft1.,n cin-A.wfrawn. tlati e-..4!%nckg exice.dhyN ittjUintat en-.ftot u,9 cmdtemext. at *rim r uttat ...in be irtnalvr.. (II no tre-riclainteeitthiv icS.ritkot. Mane 4CAY4,..Z4.1 d. The restiwing information far WV .inclividuai with sign ilCOrst. responadail;ty for managing the leg& entity li-stw..1 ahem. sixties: • An executive, fficer or senor nisnager Chief E gecutive Officer. Chief Reamial Officer. Chief opera tin Managing Member, Genera? Panne:, President. Vice President, Treasurer); or • Any other individual who regularly performs Sintiial funstions, (If appropriate, an individual Nited under section Kit above may also 131t listed in this eintinn Id)). Oslo of awl' :.91141 Affairs!, Gkuoi-IX Officer. . torus. pecwrs. For Nan.U.S. Porscnr a4C;31". bfillnif. l 1,Y fraelleariel ta,t^4.4!SktouiN kovntrel F rt`cl., fluvr art- " • re 4ninlY tar.: frot:....aanc•-• EV, tbai • +It:Att.-at OltS so,:nrtn•': AMA ' n 1!emonke Mt$ Inoneg a obtatagf ark or aanwo tafea,..a,a waved ta po .ove. ins. of nature! person opening the account). hereby certify. to the been of b-nve i!• coinolete and r;orrect. it dole, Detail:Nal Blink 4G As ncttr..9 int% 412043.9.0141S SDNY_GM_00061204 CONFIDENTIAL - PURSUANT TO FED. R.CON(F IDENTIAL DB-SONY-0024029 EFTA_GOI717I6 EFTA01297766

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