EFTA Document EFTA01298376

II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. Name and Title of Natural Person Opening Account ea. A and Sec fe4r. b. Name of Legal Entity, Type of Legal Entity, and Address of Legal Entity for Which the Accountleing Opened: So,yi-inenn T7-04 Co it (Apo 12,4 bstcov , ,,.r•4K`4;_i-psiiiiriAL. SE •Tknevv.as..) OS\31 0080)- e. The following information for each individual, if any, who, directly or