EFTA Document EFTA01375825

tagAl 'temaer [creme II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entitymust Grovice the followng information: A. Ni) roe dad Titte Of Naturar Person Open ng Aceount. TcR,-, i c Sk-et uj'2,-e •.oum is Beina Opened. c. The foilowing information for each inididual, eny, tArho. enntraCt, arni)n9-3rnii:41, undørstanding, fliclailarlShip lir otherwise, *syns 25 percent or mo of the eout,:r. i:1, ;Es of r he !egal entior listad ab-)ve: D.:x ...--ait ) • Li?c,a kiczni, ',,, v.s. ri.per.,:s.. : T.:,,, tzrf.:.V.S.P.".its: S.-)ciw 5:wP.....,,,,,, ' ;F:Itt ;:l1cltreal i rr% gleiradla3 1 rtiorecher , ti) Satal Etcoety?..iisi)bbr. Sat 6- 4aramk. LI> ot cz3. Fr% n.^.% rtrtanaiit•iidaler, Scelr'd Sin:natt Fairlla% ttl r. FittWerl utnat! u4lØ P.CJney nt kzg. :non an øglen (intif Logi«, Car Cl ramby,. natubi,e led country ol ntuld,cd el %fly 00'if SiutaciltrIWIISad Sats:~ %talt %ting altieatAP.12 c% klakk:11C% and babling J P4P »XiMiLitthor~ib* ,Wf tn,:;;Ile r• th4 roJtinat9n. putre orig;1nt za. ,C40.1 d, The following informdtion for one individual with signiticant responsibility for n idnag;ng the hmal entily tisted »eve. such as: • An ekecutive affk.er or ee4ViOr manager fe. S., C liaf ExClit..^.,41 Offiser. Chief Financiai offient chief operatni, Officer. ManegIno Member, General Partner, President, Vice President, Treasuren; or • An', °the( Ind;VidU81 who reguiar ly perfc-nns &mila( Funotrons. Fli appropriate. an individual iiSteti under secoon (c) above may aiss be irsted in (his gection (g)), ).5)gtvÅskRis: Sec 441-0,Ja_ TePf-r.. iuls3 Fot U.S. N!tras. &att Salcark:c fr.t.if.%). Å frt anatral.r.84 Phinsber tr• Stoa' Sx:nkr ,:umbor) •:,,•," Saud >a:44V ,,agraa :Ir i riii,!%)a •Fuirctx# *ititt.ount"soi 'Ly/mfl:e en sirent. entlficglåetan!rlunale,l. Gr ra:~ • • ',c, r, o-ifsninlint-it;duOti aczunn tri:k/lata 911,ltat,Nary C rnSnlUnte Al1G bVPilit,R 3 1.1hOttigiralil, .Lafer,al smolt! (name of natural person opening the account). horeby eertify. to the best of pl te correct I s- ':;MI&KIrril )1.'•:,9.19.Qi CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0071448 CONFIDENTIAL PROT1 PROT0