EFTA Document EFTA01372911

7/15:2019 KYC Print One sheet must be established for EACH INDIVIDUAL PARTY In Section 2. Account Ownership Summary 3A. Individual Details (for all parties) Indom duors Name: Richard D. Kahn - 00000486407 Date of Birth: 12/6/1972 Country of Residence: USA Country of Citizenship: USA Address of primary residence: 130 E 75th St, g7E New York NY 10021 United States Has client resided outside of hit/her country of nationality for 5 years or more> L....) yes 1. No Profession/Occupat